Archive for October, 2008

Bone spurs, osteophytes for technical, can cause ferocious pain or zero pain. Unfortunately, a bone spur injury, like a heel spur, can sideline a fitness enthusiast.

An osteophyte is a bony projection, developing along the edge of any bone. Most often where bones meet, like at your joints, for instance knee, foot, shoulder, neck and back.

Bone spurs rub against adjacent nerves, tendons, ligaments or bones, causing:

  • pain
  • inflammation
  • joint movement limitation

Your experiencing any of these symptoms depends on where your spurs are located, for instance:

  • fingers ~ painful & disfiguring
  • back ~ nerve pain & numbness
  • heel or foot ~ weight bearing difficulty
  • knee ~ painful leg extension and flexion; interfere with knee joint mechanics
  • shoulder ~ restrict the range of motion of your arm; rotator cuff tendinitis & tears
  • neck ~ protrude inward causing swallowing and breathing difficulties; squeeze off a vein causing restricted blood flow to your brain

Osteophytes can cause or make a spurring contribution to other conditions, like:

  • plantar fasciitis
  • diffuse idiopathic skeletal hyperostosis ~ causes bony growths to form on spinal ligaments
  • spinal stenosis ~ contributes to a narrowing your spine , putting pressure on your spinal cord
  • spondylosis ~ osteoarthritis & bone spurs cause degeneration of the bones in your neck or lower back

Bone spurs can also form on their own. They’re routinely found in older individuals not suffering from osteoarthritis or any other spur promoting disease.

Foot, neck, back and other spurs may be created to add stability to aging joints. They actually provide a benefit by causing a redistribution of weight to protect aging cartilage areas.

One fitness preserving example is that a bone spur can be a causal result of osteoarthritis, as your body attempts to repair broken down joint cartilage.

Additionally, bone spurs can break off, float around in the area and potentially cause intermittent joint locking.

There’s no specific treatment for bone spurs, much depends on their location and fitness affects. If your osteophyte causes no pain nor range of motion issues, then treatment is not typically necessary. If your bone spurs causes pain, NSAIDs is a common treatment recommendation for pain relief.

Going to the extreme, if your bone spur limits motion or causes other daily activity or fitness problems, you may require surgery. The two types of surgery to remove bone spurs are:

  • open procedure ~ cuts open the skin to access
  • arthroscopically ~ several small incisions to insert surgical tools and uses a tiny camera to see inside

Bone spur removal is often done in conjunction with other joint correction procedures.

Obviously, arthroscopic surgery leaves you with less of a spurred scar.

Tendinitis means inflammation or irritation of a tendon. Excessive repetitive movement, or overuse, is a primary instigator for its development, along with a direct sports type injury.

Tendons are dense fibrous cords attaching muscle to bone. Tendinitis most often ignites in tendons that crossover a joint, such as the shoulder, elbow, wrist and heel areas. But it can flare-up in any tendon.

Tendinitis causes you to experience your pain and tenderness symptoms around the outer portion of the irritated joint. Your pain is aptly the consequence of small tendon tears or motion aggravated caused inflammation.

Determining whether your joint pain and tenderness symptoms are actually tendinitis or some other cause can be difficult. Various tendon locations will exhibit specific types of tendinitis pain, for example:

  • groin pang ~ adductor tendinitis
  • shoulder ache ~ rotator cuff tendinitis
  • painful just above your heel ~ Achilles tendinitis
  • stab on the inner part of your elbow ~ golfer’s elbow
  • soreness just below your kneecap ~ patellar tendinitis
  • rotate or grip action pain in your upper outer side forearm ~ tennis elbow

Your occurrences of tendinitis may escalate as you age because of a diminished elasticity in your muscles and tendons.

Other issues associated with joint pain and tenderness of tendinitis include:

  • sheath surrounding tendons subject to wear & tear of aging
  • severe tendinitis leads to its rupture ~ surgical repair may be necessary
  • tendinitis can also be involved with inflammatory diseases ~ rheumatoid arthritis
  • improper sports and fitness technique overloads tendons, contributing to tendinitis
  • tendon lock, aka trigger finger ~ sheath of tissue surrounding tendon scars and narrows

Most often tendinitis does not require a trip to your doc. At home treatment for this type of joint pain, tenderness and inflammation involve rest, nonsteroidal anti-inflammatory drugs and pain relievers.

If the tendinitis is such that it interferes with your daily life, paying a visit to your health care provider may yield you a corticosteroid injection treatment. Injections of cortisone reduce inflammation and help ease unmanageable pain.

Sometimes tendinitis pain and tenderness hangs around for months. If you continue to use your painful joint in the repetitive manner that caused your tendinitis, then expect slower healing. Or possibly a physical structural change to this tendon, ending up with a weaker one.

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