For the past year, I’ve had swollen tendon (adductors) due to a medical procedure I had. The procedure involved numerous injections to the tendons to attempt to heal them. Now, I’ve had chronic pain and a swollen (sometimes itchy feeling) coming from the tissue.
I’ve tried basic non-steroidal anti-inflammatory, but that didn’t help. MRI showed no new tendiopathy, which I was thankful for.
Anyone know what the next step is to heal this tissue? I’m scheduled to see a surgeon next week to get a second opinion. I’m going to discuss whether ultrasound or corticosteroids (which I’m nervous about).
[quote]Wild_Iron_Gym wrote:
Which anti-inflammatory did you take? My doctor said naproxen is the best for that stuff. That and ice is about all you can do.[/quote]
Tylenol mostly. I tried a month of celebrex without much success.
[quote]SRS2000 wrote:
Tylenol is not an anti-inflammatory. It helps control pain, but does nothing for inflammation. I would try the naproxen or maybe ibuprofen. [/quote]
Gotcha! I’ll ask the doctor about naproxen when I see him Monday.
[quote]SRS2000 wrote:
Tylenol is not an anti-inflammatory. It helps control pain, but does nothing for inflammation. I would try the naproxen or maybe ibuprofen. [/quote]
Gotcha! I’ll ask the doctor about naproxen when I see him Monday.
Thanks, guys.[/quote]
It’s the active ingredient in Aleve. You don’t need a prescription for it. Usually if you buy generic, it’s just labeled naproxen.
Vitamin E has been found to increase the activity of fibroblasts, leading to increased collagen fibrils and synthesis, which seems to speed up the regeneration and increase the regenerative capacity of tendons
Nitric oxide (NO) also appears to play a role in tendon healing and inhibition of NO synthesis impairs tendon healing. Supplementing with arginine, the amino acid that the body uses to form NO, may be useful in tendon healing.The use of a NO delivery system (glyceryl trinitrate patches) applied over the area of maximal tenderness was tested in three clinical trials for the treatment of tendinopathies and was found to significantly reduce pain and increase range of motion and strength.
If you have an advanced doctor, consider autologous blood injection. (The area of tendintis is injected with the patient’s own blood in order to stimulate tendon healing. The procedure does result in a pain flare for several days as the blood irritates the tendon; however, platelet-derived growth factor, which is contained in platelets, is thought to commence the healing process.)
bromelain (pineapple enzyme) is a solid anti inflammatory - stops neutrophils from migrating unnecessarily to injury site
fish oil & curcumin (Biotest has one for pretty cheap) too work out well.
however, considering you have no tendinopathy and you have swelling and pain, there’s a good chance you are doing something to irritate it throughout the day, or just move really poorly.
[quote]SRS2000 wrote:
Tylenol is not an anti-inflammatory. It helps control pain, but does nothing for inflammation. I would try the naproxen or maybe ibuprofen. [/quote]
Gotcha! I’ll ask the doctor about naproxen when I see him Monday.
Thanks, guys.[/quote]
It’s the active ingredient in Aleve. You don’t need a prescription for it. Usually if you buy generic, it’s just labeled naproxen. [/quote]
[quote]Jewbacca wrote:
Vitamin E has been found to increase the activity of fibroblasts, leading to increased collagen fibrils and synthesis, which seems to speed up the regeneration and increase the regenerative capacity of tendons
Nitric oxide (NO) also appears to play a role in tendon healing and inhibition of NO synthesis impairs tendon healing. Supplementing with arginine, the amino acid that the body uses to form NO, may be useful in tendon healing.The use of a NO delivery system (glyceryl trinitrate patches) applied over the area of maximal tenderness was tested in three clinical trials for the treatment of tendinopathies and was found to significantly reduce pain and increase range of motion and strength.
If you have an advanced doctor, consider autologous blood injection. (The area of tendintis is injected with the patient’s own blood in order to stimulate tendon healing. The procedure does result in a pain flare for several days as the blood irritates the tendon; however, platelet-derived growth factor, which is contained in platelets, is thought to commence the healing process.)[/quote]
I’ve tried NO before (including the glycerly cream you rub on the area) and found it didn’t really help. I haven’t supplemented with vitamin e in a long time, so that might be a good step.
Funny you mention PRP injection. Honestly, something similar is what fucked me up originally (prolotherapy injections). I’ve lost a lot of faith in alternative therapies from it.
[quote]challer1 wrote:
bromelain (pineapple enzyme) is a solid anti inflammatory - stops neutrophils from migrating unnecessarily to injury site
fish oil & curcumin (Biotest has one for pretty cheap) too work out well.
however, considering you have no tendinopathy and you have swelling and pain, there’s a good chance you are doing something to irritate it throughout the day, or just move really poorly. [/quote]
I definitely agree that something else is going on. My therapists think it’s the way I move and sit (which most likely is the case). But they are getting a little worried cause it’s been going on over a year. They are thinking hernia, but I have no bulge. Hence there surgeon trip monday for a second opinion.
Have you tried massage or active release? Foam rolling? Other soft tissue work such as a lacrosse or baseball on the sore area? Obviously these won’t help if you truly have a hernia. When I have something like that (and I’ve had nothing that has lasted as long as yours) I take as much ibuprofen as I can stand and stretch and manipulate and try to strengthen (with light exercise not heavy stuff) until it feels better.
Not sure my advice will be helpful but I’m just throwing it out there.
For the past year, I’ve had swollen tendon (adductors) due to a medical procedure I had. The procedure involved numerous injections to the tendons to attempt to heal them. Now, I’ve had chronic pain and a swollen (sometimes itchy feeling) coming from the tissue.
I’ve tried basic non-steroidal anti-inflammatory, but that didn’t help. MRI showed no new tendiopathy, which I was thankful for.
Anyone know what the next step is to heal this tissue? I’m scheduled to see a surgeon next week to get a second opinion. I’m going to discuss whether ultrasound or corticosteroids (which I’m nervous about).
Thank you.
[/quote]
It may seem way too simple but the biggest way for me to control inflammation is to get lots of sleep. If I haven’t gotten enough sleep the first thing I notice in my workouts is enflamed wrists and elbows. Your case is obviously more severe, but I would imagine getting extra sleep could still help you a great deal.
My experience is that a surgeon thinks surgery is the answer for most problems. That’s what he’s trained to do. Just keep that in mind when weighing your options.