Treatment
The quicker your tendonitis is treated, the sooner you'll recover full strength and flexibility. Your doctor first may recommend that you apply ice packs to the painful area for 20-minute periods, three or four times a day.
You also should ice the area immediately after any activity that aggravates your pain. To relieve pain and swelling, your doctor may suggest that you take ibuprofen (Advil, Motrin and others), aspirin or another nonprescription anti-inflammatory medication, for up to several weeks.
You also will need to rest the area for a few days to a few weeks to allow your body to repair itself. For example, people with golfer's elbow usually need to rest the affected elbow for at least one month. If an infection is causing the tendonitis, an antibiotic is recommended.
Depending on the location and severity of tendonitis, you may need temporary splinting, bracing or a sling (for tendonitis in the upper extremity). However, it is important to gently and regularly move the joint to avoid getting a stiff, or "frozen," joint. This is particularly important for tendonitis involving the shoulder.
For more serious cases of noninfectious tendonitis, your doctor may inject a corticosteroid drug or local anesthetic into the affected tendon.
He or she also may refer you to a physical therapist for more specialized local treatments, such as deep heat treatments using ultrasound, friction massage or water therapy to improve joint mobility. The physical therapist also will guide you through a rehabilitation program that will help you to regain strength, motion and function. The length of time for rehabilitation varies depending on the type and severity of tendonitis. For example, Achilles tendonitis and epicondylitis may require several months to resolve.
Surgery is rarely needed to treat tendonitis. It is reserved for cases that do not respond to other types of treatment or when there is significant tendon damage that is unlikely to improve with any othe treatment.