Tenosynovitis and Tendonitis in multiple joints, what can cause this?

Subscribe To This Site

Tenosynovitis and Tendonitis in multiple joints, what can cause this?

by T
(Toronto, Ontario, Canada)

In the last few years I have been diagnosed with tendonitis, tenosynovitis, and tendonopathy in my feet, wrists, thumbs, shoulders, and also as having shinsplints.

I have similar types of pains in my elbows and ankles.

I have been told that it is all coincidental and have done the route of physio, NSAIDs, etc. but every year new pains occur.

Are there any underlying medical reasons for tendonitis in multiple joints?

----

Joshua Answers:

Hello T.

So let me get this right. You have various muscle and tendon pain in multiple locations across your body, and a doctor told you that this was coincidental?

SERIOUSLY? COINCIDENTAL?!? Like, you just HAPPEN to be getting tendon issues and pain dynamic over your entire body and it's just a COINCIDENCE?

WTF???

That doesn't surprise me, but it does blow my mind. Every single time that I hear a story like this.

Your doctor has NO idea what he's talking about.

So, moving onto your question about what can cause a scenario like yours. I have several things to say about that, but first let me ask some questions so I know more and so I'm for sure on the right track.

Questions:

1. Start from the beginning and give me a description of HOW and WHEN this all started.

2. How long has this been going on.

3. Does the pain come and go, or is it constant?

4. Is it joint pain like arthritis, or tendonitis pain, painful tight muscles, etc?

5. Overall health.

6. Age.

7. Activity level. Exercise? Hobbies? Work activities (sitting, standing, lifting, etc?)

8. General description of diet.

9. History of car crash, major or minor injury, etc.

10. Ever taken Levaquin, Cipro, or any other antibiotic in the fluoroquinolne family?

Answer those questions, and we'll go from there.

And in case I wasn't clear, it is NOT normal (nor is it acceptable, in my mind) to be experiencing a pain dynamic like you describe.

Joshua Tucker, B.A., C.M.T.
The Tendonitis Expert
www.TendonitisExpert.com

Share Your Story

Achilles Tendonitis Surgery Stories

Carpal Tunnel Surgery Stories

Plantar Fasciitis Surgery Stories

Nerve Conduction Test Stories

Share YOUR stories (and horror stories!).

Comments for
Tenosynovitis and Tendonitis in multiple joints, what can cause this?

Average Rating

Click here to add your own comments

Dec 18, 2009
Rating

PART 2 - Tenosynovitis and Tendonitis in multiple joints, what can cause this?
by: T

You had asked some questions about my multiple joint pains. Below are the answers.

1. Start from the beginning and give me a description of HOW and WHEN this all started.

In general, all problems are worse on the right side, though, in my cases the left side also hurts.

Initial joint problem started 8 years ago. Patella femoral syndrome cause by overprotonation (maybe?).
6 years ago, tendonapathy/cervicle neck strain in my shoulders, caused by poor postural muscles. 5 years ago, tendonitis in only my right thumb (followed by tendonitis in my left about 4 years ago, this is on again off again pain).

I am told it was caused by overuse/job related - different jobs though, I've had the problem at three different jobs. Three years ago, lower back problems. Two years ago tendonitis on the top parts of my feet, caused by overprotonation/overuse/maybe driving.

Around that time, pain in the elbows whenever things were carried. One year ago, tendonitis in my wrist, caused by planting flowers?. More recently, hip pains, and ankle pains. I may have missed some, I can't remember them all anymore.

2. How long has this been going on.

6-8 years

3. Does the pain come and go, or is it constant?

It is on again off again.

4. Is it joint pain like arthritis, or tendonitis pain, painful tight muscles, etc?

I am not sure what the difference is between the two. The doctors have always said it was tendonitis though. Muscles in general are always very tight, especially in my legs.

5. Overall health.

Other than seasonal allergies, no problems.

6. Age.

31

7. Activity level. Exercise? Hobbies? Work activities (sitting, standing, lifting, etc?)

My job tends to have times (7-8 months of the year) with lots of movement, lifting heavy things, walking, hiking, not much sitting etc, long days, there is sometimes elements of repetative movements during those times.

The other 4-5 months my job is more sedentary, a fair bit of computer work, but still standing, walking, lots of stairs, can have a lot of repetition.

I do walk everyday, and go to the gym (less so when I have pain, so this can be infrequent).

Pain may or may not be greater during times when I am more active or not. I have had pain during both active and not active times (possibly more during inactive times??? But I am not sure).

8. General description of diet.

Fruits, vegetables, whole grains (except white rice). Though not a vegetarian I tend not to eat a huge amount of meat or dairy. Organic (unfortified) grain products a lot of the time.

9. History of car crash, major or minor injury, etc.

None.

10. Ever taken Levaquin, Cipro, or any other antibiotic in the fluoroquinolne family?

I am not sure.

Thanks,

T

Dec 18, 2009
Rating

PART 3 - Tenosynovitis and Tendonitis in multiple joints, what can cause this?
by: The Tendonitis Expert

Joshua Comments:

Hey T. Thanks for all that.

Well, here's what I think.

In general, the amount and location variety of your tendonitis pains points to that you have something going on that is essentially making yoru body/structures 'weak'.

People just don't get that much damage all over. I mean, they can, but matching your symptoms to your activities and other factors just doesn't add up, to me.

So that has me look at overall structural health/intregrity. In other words, I think you are protein deficient and nutrient deficient.

I don't think the intention right now is to 'fix' and injury, so much as bolster your body so it can heal in the first place and withstand further breakdown.

1. Increase your protein intake. By a lot. Let's say, focus seriously on that for two months.

Include pure protein sources like meat, cottage cheese, eggs, etc.

Increase your calorie intake too, such that your body will burn the extra calories and leave you with more usable protein. If you don't eat enough calories, the protein you do it is burnt for fuel.

I eat a lot of coconut oil for this reason. This page will explain part of the reason why. Coconut Oil

Depending on where you live, you can find it bulk at a local health food store, or buy it online.

So eat protein from food sources.

Also protein powder/shakes. Eat a meal, then have a shake an hour later.

One of my favorite brands is NOW pure whey protein isolate. You can find that online or at a local store.

For variety I alternate that with Miracle Whey Protein.

Also, start making and eating Bone Broth as the best Tendon Supplements

2. Supplement with Magnesium for Tendonitis.

Follow the link at the bottom of that page called "Magnesium Dosage" for what kind and how much.

Also, it may be worth your while to get some Magnesium Oil from Mercola. It's the best and cheapest source I've yet seen.

So all that's a lot. Let's start there.

More questions, more answers.

Feb 10, 2010
Rating

Another Possible Reason
by: Anonymous

Body-wide tendonitis/tendosynovitis is also common with the connective tissue disease Ehlers-danlos syndrome. It is a rare hereditary defect in the collagen formation. There are several types and it is usually autosomal dominant meaning one parent has a 50% chance of passing it to their child.

It is usually present with hypermobility of the joints. However, in the same family it can effect people in varying degrees. There is a large percentage of collagen in the body so this condition can be quite painful.

Eventually the tendons/ligaments get loose and muscles stay rigid as the connective tissue is not doing its job of holding the joints together.

Some people also have skin strechiness or a doughy consistency or brusing easily. My sister has doughy, strechy skin and it very hypermobile (can put her legs behind her neck). I on the other hand, only have body-wide joint popping, muscle rigidity, tendon pain, and some joints lock.

They say it's not progressive but most people eventually have to have multiple surgeries to tighten ligaments (shoulders, knees, etc.) www.ednf.org is a great place to start.

----

Joshua Comments:

Thanks for adding that.

I'll add that while Ehlers-Danlos may not be progressive, the way the body works at trying to protect you/compensate for chronic pain equals a progressive Downward Spiral of various mechanical factors that ultimately make pain and such worse.

Aug 14, 2010
Rating

Milk Allergy causing Tenosynovitis pain
by: Stuart

Hi,
I just mention my experiences in case they are relevant. For over 10 years now I have sufferred from tenosynovitus in the wrists, hands and fingers. Sometimes wrist, sometimes fingers, sometimes left hand, sometimes right hand. I can go for days pain free and then the problem occurs and I have up to a week on Ibuprofen to reduce the pain/inflammation.

The problem does not seem to correlate with over use of the affected hand. However, I think I have found the cause of the problem - it is an allergy to one or more of the proteins found in milk.

Since going on a non-dairy diet I have been much better. Last week it re-occurred, but I think that was due to the fact that I ate some meusli with whey powder in it. (Whey powder is dried whey left over from cheese production - it contains a lot of milk protein).

I just mention this as something sufferers with tenosynovitus may want to experiment with.

The only point I would make is be very strict - really check all ingredients on processed foods.

The worst that can happen is that you don't eat your favourite foods for a week or so! If a non-dairy diet works you may want to consider a calcium supplement if you're going to carry on.

Please post a comment - I'm interested to know how widespread this problem may be!

----

Joshua Comments

Hi Stuart.

Well said!

Gluten intolerance, intolerance to dairy, adrenal fatigue and out of balance cortisol levels all contribute to Tenosynovitis and Tendonitis symptoms that, as you say, come and go.

Diet, and the body's relationship with various types of foods/ingredients, can play a HUGE role in pain, or lack thereof.

Good for you for experimenting and figuring it out!

And yes, I'm curious for other comments too!

Oct 24, 2010
Rating

Similar problems with tenosynvitis and tendonitis and dairy allergy
by: D

Hi,
female, 32, on most of organic food, started to develop milk intolerance - stopped milk, but eating a lot of cheese. Looks like I may try to get off the diary all together to see how I do.
Had sitting job for 4 years - computer work and I thought for sure I have carpal tunnel, just did not make sense why my arm hurts and for a month I had a slight pain of the hip. I even thought that maybe pregnancies that all ended in miscarriages might have had something to do with it. No child to this day. Joint pain started year ago in wrists (left side more), upper arm pain deep in on the outside (left, feel it when I press in, feels almost like a muscle pain). Few months ago my lower back gave out twice. I got rid off the pain after two long weeks - exercises, swimming.
I have been on prenatal vitamins and additional folic acid. I thought taking vitamins should make this better, but no such luck....
Healthy thyroid, no anemia, negative blood tests for: anticardiolipin antibodies, PTT-LA clotting test, antinuclear antibodies, thyroid antibodies.
The sedimentation rate is 3, which surprises me, since I thought that I have inflammation in my joints, which would logically make the sedimentation higher...?
I will read the protein info/see the video and cut off all the dairy starting tomorrow. I will post my update. I need my hands, hope something will work!
Thanks everyone for sharing the info!

----

Joshua Comments:

Hi D.

I think the perfect person to talk to about this, and getting pregnant, is Kerri over at www.easy-immune-health.com.

When you start correlating miscarriages and food allergies (and it's likely you're gluten sensitive/intolerant), and magnesium deficiency (which can essentially degrade connective tissue health), then she's the gal to talk to.

Something is going on systemically. While it's possible you have a true tendonitis, it's more likely your pain symptoms are from something effecting your overall function.

Nov 22, 2010
Rating

WIDESPREAD TENDONITIS AND NEURFIBROMOTOSIS
by: Linda

i am a overwight 60 year old female who has tendonitis in various parts of my body over the past 5 years. It started with a trigger finger in my right hand, after multiple cortisone shots, it was operated on.

Almost immediately after i got tendonitis in my left wrist, more cortisone and almost simultaneously i got a trigger finger in my left hand.

In addition I know have tendonitis(bursitis) in my right. Incidentally i have neurfibromotosis.

My doctors have said there is no medical reason for multiple incidents of tendonitis, besides bad luck Any ideas?

----

Joshua Comments:

Hello Linda.

Ahhhh, doctors. 'No Medical Reason For Multiple Tendonitis Areas'. Unfortunately, they have a very limited definition of 'medical'.

Answer the following question, and I'll be able to better answer.

Do you have these symptoms or NF2 (type 2 Neurofibromotosis?:
* headache
* balance problems, and Vertigo
* facial weakness/paralysis
* patients with NF2 may also develop other brain tumors, as well as spinal tumors
* Deafness and Tinnitus

Dec 01, 2010
Rating

Have we been seeing the same doctor?
by: Vivian

I'm amazed and relieved that I'm not alone in my quest to get answers regarding my traveling tendinitis! It's embarrassing to see the people I work with every day while experiencing pain in any one of several areas of my body. I hear myself at times and feel like a hypochondriac because its so strange!

I've suffered for several years with tendinitis in my hip. Sometimes the left and at times the right. When I finally saw the doctor because the pain was so bad he put me on complete bed rest for a week because the tendons were so badly inflamed.

From there I developed what my doctor referred to as a rip-roaring tennis elbow. I had physical therapy because I could barely use my right arm or hand.

He also said I had Carpal Tunnel which I didn't know.

Most recently I developed what I'm sure is more of the same in my right thumb.

My doctor also said btw, it was simply coincidence, although he also felt the need to tell me I should go Salsa dancing and get happy.

I guess he doubled as a dance instructor in the evenings after seeing all those silly women folk who sit around and complain all day about their aches and pains.

This was several years ago and I simply wouldn't see a doctor since then because I was embarrassed.

Mostly it is on my right side and I have one other unusual symptom which may not be related but on my right side upper back (scapula?)
constant painful spot.

I'm always rolling my head from left to right because it always feels like I need to crack it.

I can also feel a spot that is painful to the touch, and is fibrous and just on the right side.

I'd love some direction! Thanks!

----

Joshua Comments:

Hi Vivian.

I'm not going to argue with the Salsa dancing/get happy comment. No downside to that.

However, I doubt it's the whole story.

Guess what the symptoms of Vitamin D deficiency are? Get a vitamin D level, pronto.

Guess what the symptoms of Magnesium insufficiency/deficiency are? See Magnesium for Tendonitis

Start there.

Nutrition plays a HUGE role in how the body functions. And from what you've said, I'd put my first attention on getting my body full of the right nutrition so it can work how it's supposed to work.

More questions, more answers.

Dec 15, 2010
Rating

autoimmune illness with tendonitis symptoms in every joint
by: Anonymous

Hi - seems that a lot of things can cause widespread tendonitis. No one mentioned autoimmune illness besides the thyroid related ones. tendonitis is a fairly common feature of rheumatoid arthritis, lupus and fibromyalgia. My rheumatologist has diagnosed tendonitis in every part of my body - around every single joint. He isnt sure if it is due to RA or lupus yet, as i've tested positive for the rheumatoid factor and antinuclear antibody test. Have other problems too.

Its painful - good luck to you guys in a dx and treatment.

-----

Joshua Comments:

That's a great point Anonymous! As I often say, Tendonitis symptoms can come from a lot of different directions.

And one of the HUGE sources of Rheumatoid Arthritis, Lupus symptoms, and Fibroymalgia, is Gluten Intolerance

Which, unfortunately, your doctor is unlikely to be any help for.

Dec 17, 2010
Rating

Tendonitis and neurofibromotosis
by: Linda

Besides the facial disfigurement and the cafe au lait spots and a long standing hearing loss in my left ear I havw no other symptoms of neurofibromotosis. I do have mild to moderate scoliosis which can either be related to the neurofibromotosis or a family history on the other side of my family. The tendonitis affects both my left side and right side equally. It is fairly constant. My job requires a lot of computer use, however no strenuous physical work ( I am a librarian). Any ideas.

Linda

----

Joshua Comments:

Well, I'd:

Ice Dip a lot and see what happens.

Drop all Gluten from your diet for 30 days, and see what happens.

Eat more good fat, like Omega 3's.

Regular self massage.

10 minutes of yoga stretching in the morning or before you go to bed. All directions.

By doing the above, you'll get SOME kind of results, and then we will have more specific info to talk about.

It's a start.

Jan 28, 2011
Rating

Glad I am not alone....
by: Anonymous

Hello, SO I too suffer from wandering tendonitis. I have held many odd jobs, like bartending, serving, nannying, administrative, and I feel as though my joints are constantly overused.

It began in 2006 with serious right wrist tendonitis from bartending. I eventually got a cortisone shot that cured the pain, till this day I still do not feel pain in that wrist.

However, the tendonitis decided to give the left wrist some trouble. This has not been nearly as severe as the right, and comes and goes with overuse.

Soon after my right wrist pain was relieve I developed tendonitis in the right shoulder. I went for another cortisone shot, however this one never fully took effect and the pain resumed two weeks later. Another recent development has been what I believe is DeQuervians. My right hand has tremendous pain right below the thumb/wrist joint. I have been wearing my wrist brace from the previous tendonitis, but b/c it is now in my thumb, the brace doesn't help much.

I typically take lots of Ibuprofen and glucosamine chondroitin, to no avail.
And to boot, just yesterday I developed a large smooth lump on top of my left forearm below my wrist, with pressure I can feel a twinge in my two fingers, but no sharp pain, just soreness. I know this too must be tendonitis or even carpal tunnel.

After reading this column I intend to purchase a Magnesium & Calcium supplement. I am not sure whether to compress the left wrist with this large lump, or to simply ice it, which I have done consistently.

Any advice is apprecaited. I have not returned to my doctor since 2008, when I received the last injection. Slowly but surely I am developing new sore spots.

----

Joshua Comments:

Why would you get Calcium after this reading this thread? Magnesium, absolutely yes.

Have you done any IceDipping, ala the How To Reduce Inflammation page?

Feb 21, 2011
Rating

Can't stop getting injured at only age 21
by: Valen

I just came across this site after experiencing my third tendonitis injury in less than a year.

I'm 21, female, petite, eat plenty of protein 150 grams, plenty of vegetables and greens, but I was raised vegetarian and right now I eat some fish.

Health and fitness are passions of mine and I've been lifting heavy for 5 months now. In this 5 months I've had so many injuries I can't count including tricep tendonitis and as of today bicep tendonitis.

I continue to get injuries despite my warm up, stretching and taking things very slowly.

Last year I had a bout of shin splints/plantar fasciitis that lasted 5 months. I let them heal, but would still experience pain.

It wasn't until I went to a physical therapist and heard him say "there is no injury here, I see no sign of shin splints" that they finally went away.

This is an example of how injuries can turn into something psychological without knowing it.

I was diagnosed with RSD (Reflex Sympathetic Dystrophy) or CRPS (complex regional pain syndrome) when I was 12 after spraining my ankles 4 times in a year and then the pain spread body wide.

RSD is in remission now because of the 40+ treatments of oxygen therapy at age 14, but it can show up without my knowledge like with the shin splints.

Please help me. I would really like to focus on my goal of building muscle and just living a normal happy, healthy life, something of which these injuries prevent me from doing so. If you have any suggestions I would greatly appreciate it. Thank you so much for your time!

----

Joshua Comments:

Hi Valen.

If you were raised vegetarian I'm going to go on some pretty safe assumptions:
1. Your mother was protein, good fats, and vitamin/mineral deficient in some way, shape, or form, while she was pregnant.
2. You grew up with a certain amount of the same.

So structurally you're not as 'tough' as you'd like to be.

Fixable? Yes, but it will take some time and effort.

Here's my suggestions, and you can always ask more questions.

1. Get your Vitamin D level checked and then get your Vitamin D3 level up between 50-80 ASAP.

2. Magnesium, i.e. Magnesium for Tendonitis.

3. More good fats, and a lot of them: Omega 3 fats, good wild fish/salmon fat, pastured meats and eggs. Omega 3's are anti-inflammatory, and good fat is VITAL to healthy cell function, among other things.

4. Protein. Bone Broth as the best Tendon Supplements. See #3.

5. B6 and B12(MUST be Methlycobalamin)

Maybe you have RSD and CRPS. Maybe you're just life long nutrient deficient.

Apr 30, 2011
Rating

Help me too! Athlete with all over tendonitis.
by: Anonymous

A lot of these posts have resonated with me, as I have a very similar story.

I am 19 years old and female. I have been active my entire life and have been a serious athlete for 6 or 7 years. I started doing triathlons in college and loved it! I was able to train with aboslutely no pain for a year and then I got IT band syndrom. It made sense because I had just increased my milege, so I went to PT. ITBS got better, and then I strained my achilles tendon. When that got better, I continued to run but still had throbbing aching pain in my hips and a constant tightness. I fell off a horse this summer and hurt my back.

Starting after the fall, I stopped running entirely and started swimming. Even with the decrease in activity, my symptoms seemed to get worse, I got biceps tendonitis, and my hip pain increased. I was diagnosed with hip tendonitis, and burisitis, and plantar fasciitis. As winter progressed, I stopped almost all activity except PT, Pilates, and Yoga. I was not running, yet would intermittenly experience shin splints and burisitis below my knees and hamstring tendonitis. I also had similar pains my my elbows but no doctor ever really confronted that.

I started feeling better and started running again. A week into running again, I developed hamstring tendonits. my PT said this is a normal result of getting the body active again, but I know my body and I have been an athlete for many years with no trouble or injuries whatsover, until this year where I was diagnosed with 6 different soft tissue injuries. I also experience a lot of muscle aches and spasms.

As for my diet, I was a vegetarian up until winter when we started investigating the nutrition route. I eat consistent protein and I eat very healthy, fruits and veggies and whole grains.

What could this be?? Early this week I had what I would call an "attack" of sorts where my entire body felt inflammed and sore, and I hadn't even worked out in a few days. I had had a lot of beer, bagels and bread in 24 hours so I decided to go off gluten starting yesterday to see if that is it!

Any information can help! I just want to be myself again!

----

Joshua Comments:

What could it be?

Possibilities:

1. Nutritional deficiency from years of being athletic and vegetarian.

2. Protein deficient from years of being athletic and vegetarian.

3. Good fats deficient from years of being athletic and vegetarian.

3. Vitamin D deficient. Get checked, make sure your level is between 50-80. Don't take prescription Vitmain D.

4. Magnesium for Tendonitis

If you just had pain problem in a couple spots, that would be more functional biomechanics, but if you're feeling tendonitis symptoms all over, that's generally a deeper, nutritional issue(s).

Jul 09, 2011
Rating

Elbow & Ankle problem in 44 year old footballer
by: Stuart Southall

I am a fairly fit and active 44 year old. Played football & done running for most my life. Diet is generally good, fruit, veg etc.... Very little processed food.

Approx 10 years ago diagnosed with tennis elbow, despite physio etc... ended up having cortisone injection, which cleared this up.

Towards the back end of 2010 i have been getting pain in the underside of both my elbows, perhaps golfers elbow (although i dont play!)and the topside of my right elbow, the one which had the jab all those years ago.

In feb this year i got an achilles tendon injury while playing football. Did the typical things to resolve, having not recovered from this injury (still unable to play football, running is difficult and cannot walk down the stairs in the morning) i was sent by my GP for further assesment & physio.

The physio diagnosed tendinopathy in my injured (right) ankle, and found that my left ankle, which although is stiff sometimes is fairly OK, also is showing signs. In fact when she was touching both tendons it was quite painful.

I cannot believe that all these tendon problems are co-incidence, hence me looking for a website such as this!

My job is not physical, typically desk related work and about 20,000 miles per year driving.

I cant believe that at 44 i am a washed up has been footballer who can no longer go running and throwing darts in the garage ends up with a painful elbow!! Is there any saving grace????

----

Joshua Comments

Hi Stuart.

There's plenty of saving grace! It will take some time and effort though.

1. I'm curious about your diet. Every time somebody says 'I eat healthy, fruits & veggies etc' I challenge them.

There's more to a healthy diet than meets the eye. I'll bet you a dollar you don't get/eat enough protein, enough good fats, and enough of certain nutrients.

2. That Corticosteroid Injection didn't clear up your Tennis Elbow dynamic, it just got rid of the Tennis Elbow Symptoms enough that you didn't feel any pain.

But the dynamic continued to get worse.

3. You don't have tendon problems. You have a Pain Causing Dynamic that so far you have only -felt- at/near the tendons.

4. What have you been doing for the pain so far?

Jul 13, 2011
Rating

reply from s southall
by: Stuart Southall

Joshua,
Have done nothing for the pain. Cant say i get that much pain throughout the day, certainly no major discomfort in general walking about.

First thing in the morning it is difficult to walk down the stairs, but after about 10 mins of bieng up & about the stiffness and discomfort eases and i can pretty much move freely.

Discomfort comes if doing too much walking about and up until recently i was still running (plodding) which was uncomfortable and ached afterwards.

At present i am doing no impact exercise, a little walking during the day, about 30 mins on bike twice a week and 30 mins on cross trainer 4 times a week.

Main pain is when the tendon is manipulated as in the visit to physio last week.

Right ankle tendon is the worse although i think this was aggravated during football (soccer).

Over the last week a lump has appeared on this tendon although no increase in pain.

You are probably right on the diet front, i suppose all i mean is i'm not a big junk / crap food eater!

----

Joshua Comments:

I'm curious if that lump on the Achilles it swelling/inflammation, or fast scar tissue build up.

You, my friend, are a great candidate for my Reversing Achilles Tendonitis ebook.

You have to deal with the Process of Inflammation, scar tissue build up, and the factors that are CAUSING your pain and Achilles pain issue.

Aug 03, 2011
Rating

Help please, tendonitis in elbow wrist and heel.
by: Aaron

I have learned a great amount from this site thank you! So maybe you can help me a bit more. I am a 30 year old male who is affected by elbow, wrist, and heel tendonitis. I am very active and generally eat a healthy low caliorie high protein diet. I work out in the gym 3-4 days a week and don't do much cardio but focus on weights . I take msm glucosmine daily. Now for the bad....I do enjoy drinking wine and beer moderetly 4 to five days a week. Could this be all pun intended "My achilles heel"? Are there any other things that could be casuing it?

----

Joshua Comments:

Hey Aaron.

Is the booze causing the pain? Unlikely, unless your body really doesn't like the gluten and the nitrates.

A. Why are you on a low calorie diet?
B. What exactly does 'low calorie' mean, in your case?
C. What's your height/weight?
D. Are you lifting for size/bulk?
E. History of injury?
F. Overall health?

Aug 10, 2011
Rating

Multi-site tendonitis pain
by: Anonymous

It's very interesting reading everyone's symptom list and subsequent comments. I am a 46 y/o female in fairly decent health except for the multi site tendon pain, which has been ongoing for 8 years. Mine started in my right knee and left elbow. Several Dr.s said I had a torn meniscus, even though they could see my tendon "jumping" when I bent or straightened my leg. After 5 years, I had surgery on my knee, in which the doc "cleaned up" my shreddy tendon. That spot on knee is better, but I still have problems in my neck, right shoulder and wrist, left elbow and wrist, the top area of both knees, and both feet and ankles. I've seen 3 rheumatolgists and have been tested for everything under the sun, except obviously the correct condition. I eat a well balanced diet and try to exercise (walking, stretching) when I can bear the pain, I take a multi-vit, and am a healthy weight. Any further ideas?

----

Joshua Comments:

Lots of ideas Anonymous!

If you're having all over tendonitis, that's nutritional. Long term nutritional deficiency. (I use the term 'deficiency' loosely.)

So of course doctors aren't going to find a solution for you. They're looking for a single thing. But the body doesn't work that way, not even with true tendonitis.

1. Get your Vit D level up to between 50-80
2. See and do: Magnesium for Tendonitis

That's the first start.

Aug 10, 2011
Rating

Dieting and aging
by: Aaron

Well I am 5/9 180 pounds. Diet of about 1000-1200 cals. 20 - 40g protein and very little carbs. Work out regimens include light amounts of cardio main focus of weight lifting. Trying to build lean mass and remove small amounts of body fat from stingy areas such as love handles and chest. I stay very active volunteering at a Fire Dept. Is this just a sign of aging?

----

Joshua Comments:

Hi Aaron.

Is what a sign of aging?

Going on a diet? Absolutely that's a sign of aging!

Dude, if you want to build lean muscle mass, you need to eat some protein.

You're burning that 20-40 grams of protein for energy, not using it for building anything.

Aug 29, 2011
Rating

What's Going On With Me? -- Tenosynovitis and Tendonitis in multiple joints, what can cause this?
by: Sandra

I'm a 59 year old overweight female. Over the last ten years I have had plantar faciitis bilateral, tennis elbow bilateral, carpal tunnel bilateral (had surgery but it's back) trigger finger in the right hand and now a very very painful Achilles tendon problem that has gotten worse even though I have stopped walking for exercise.

I have been weight lifting for l8 months but have been advised to stop as the extra weight is making the lump on my ankle worse and now the other heel is showing signs too. Most of these problems cropped up for no apparent reason.

I am lactose intolerant but drink lactose free milk. I have hypothyroidism. I take Vitamin D and omega 3. My doctor has also told me I just have "bad luck" but I can't believe this many tendons can be compromised for no reason.

----

Joshua Comments:

Hi Sandra.

One thing that's going on with you, is that your doctor has no idea what's going on with you.

'Bad Luck'??!? WTF? Fire that clueless moron.

1. Nutritional deficiency. Lack of Magnesium, Vitamin D (how much are you taking, and what was your Vit D level when you last got it tested? Secific number, please.)

See:
MAGNESIUM FOR TENDONITIS Magnesium for Tendonitis

MAGNESIUM SIDE EFFECTS Magnesium Side Effects

2. Gluten intolerant. Gluten intolerance, or gluten insensitivity, etc, over time, leads to exactly what you are describing; overweight/weight gain, nutritional deficiency, physical pain, etc.

3. Protein deficiency. More protein, more good fats, less carbs.

4. The more fat you have, the more you have to take Vit D. Vit D stores itself in bodyfat, which can then make it difficult to pull it back out to utilize it.

Again, how much are you taking and what is your level?

5. Gluten Intolerance, over time, also messes up your body in other ways, like helps toss the thyroid out of balance. That's pretty complicated and outside my realm. Check out Kerri's site: www.Easy-Immune-Health.com

LOADS of relevant information there.

****ALL THE ABOVE LEAD TO YOUR SITUATION****

6. So while technically you have Tendonitis and could benefit from some physical things to reverse the tendonitis dynamic, your primary issue is nutritional/systemic.

You can attack them both at the same time, but first thing's first:

* Get off ALL Gluten for at least two months.
* Get Magnesium and Vit D into you at the appropriate levels.
* Eat more protein, more good fats, less carbs. Carbs and processed foods mess you up. How do I know? Because it's obvious.

Lets start there. Look through Kerri's website, read what I linked to above, and let me know what your vitamin D level is and how much you're taking.

Sep 03, 2011
Rating

Multiple joint tendonitis -- Paleo diet -- Tenosynovitis and Tendonitis in multiple joints, what can cause this?
by: Michael

Hi all,

Some of these comments sound as if I wrote them. I'm 19 & was an athlete until I got a shoulder injury (part of my tendon tore off and embedded itself in the cartilage) now have had surgery 5 months ago and is improving slowly but now i'm developing tendonitis all over, both achilles, both patella tendons, both medial elbow tendons & now my left shoulder is inflamed.

However, I switched to a 'PALEOLITHIC' diet. I highlight that because it is what i put my recovery down to. I know this sounds like yet another fad diet.

But bare with me, it makes logical sense. It only includes the food our ancestors ate before the agricultural revolution.

Our ancestors did not grow crops or milk wild cows. Our genetics did not evolve to eat cereals, grains, dairy, legumes so now in our modern diet when we eat them every day our body can't cope & inflammatory conditions follow.

If this even remotely sounds reasonable to you i recommend reading either dr. loren cordains 'paleo diet' or robb wolfs 'paleo solution' i hope this helps. I feel your pain but it doesn't need to last!

I'm sorry to advertise on your board but this has helped so much i needed to share it.

----

Joshua Comments:

Hi Michael.

I don't mind advertising when I agree with it. I went to high school with Robb Wolf, fun factoid.

While I'm not 100% onboard the paleo diet theory ancestor-wise, I very much do agree with a diet of:

* no processed foods
* no gluten
* If milk, ONLY organic raw milk from pastured cows (I'm a HUGE fan of raw milk)

As far as the health affects, absolutely. MOST Tendonitis comes from a nutritional deficiency and/or inflammatory condition.

It's more complex than that of course, but still.

But ultimately, your body can put more energy into healing when it doesn't have to deal with the negative factors of inflammatory agents taken in as food.

Thanks for sharing!

And what do you mean your tendon 'embedded' itself into the cartiledge? You mean like punctured??

Sep 05, 2011
Rating

Still frustrated with travelling tendonitis
by: jennybenny

I am a 43 year old slightly overweight woman with traveling tendonitis. It started a year and a half ago when I was down in weight and running about 15 miles a week. I ran a 5K and really pushed it and injured my peroneal tendon in my ankle.

After letting it rest for 3 months, I tried to run again only to have it swell again, so I saw a doctor who ruled out a tear and immobilized it for two weeks.

Shortly after that, I developed mid back pain which wouldn't go away even with ibuprofen. I began to see a chiropractor who said my muscles are as tight as an 80 year old and began adjusting and doing massage.

The back pain has subsided with the treatments, but in working on my back muscles, I developed tennis elbow. After ultrasound and wearing a band, it is starting to also subside, but now my knee is in horrible pain. I can't run, walk, vacuum the house or even sit cross-legged. The pain has occurred on both sides of my body. In the middle of all this, I was diagnosed with Graves disease and have been started on methimazole for that.

In the last three years, my blood tests have also shown my rheumatoid factor is high - in 2006 it was 97, and this last spring it was down to 34.

However, the Rheumatologist said I do not have Rheumatoid arthritis since I don't have red, swollen joints or parallel pain in my body. I have switched my diet to higher protein, eliminated breads and reduced carbs drastically, stopped drinking any Diet drinks, upped my fruits and veggies, and reduced calories. I have not eliminated gluten or dairy. I have added about 600 mg of magnesium to my daily diet.

I am concerned that this is either related to the rheumatoid factor or the Graves disease but my doctors don't seem to think so. I'm sick of this!!! Help!

Joshua Comments In Next Section

Oct 02, 2011
Rating

Joshua Responds to Jenny - Still frustrated with travelling tendonitis
by: The Tendonitis Expert

Joshua Comments:

Hi Jenny.

Well, good news/bad news.

YOU. MUST. ELIMINATE. ALL. GLUTEN

Period.

No if's and's or buts.

Might as well go off milk too, but switch to Raw milk.

Anytime there's any kind of auto-immune issue, you have to go off gluten.

Because, in short, gluten is an inflammatory agent, and auto-immune disease is the result of that.

It can and does mess up your body in all sorts of ways, including rheumatoid arthritis symptoms, thyroid imbalance, increased weight, etc, etc, etc, etc, etc, etc, etc, etc, etc, etc.

Notice how many 'etc's I added? There's a reason for that.

YOU MUST GO OFF ALL GLUTEN.

And you're doing other good things. More protein, great. More good fats, great.

You've cut the soft drinks (your body thanks you!). You've increased protein. Great, do more of that.

You've cut calories, which may or may not be a good thing, as if you cut carbs you're now using protein for fuel....so increase your protein again.

If you can switch from nasty pastuerized/homogenized milk to Raw milk, go right ahead. Raw milk is GOOD food. Regular milk would be undrinkable without the pasteurization, and pasteurization has it's own problems, and homogenization has it's own problems.

600mg of Magnesium is great, but it may not be enough. You need as much as your body needs. Get more into and onto your body (Hot epsom salt baths with about half a pound or so of epsom salt in it, more magnesium taken more times throughout the day, ionic liquid magnesium, magnesium gel for topical application (I don't like that it makes my skin itch, but doesn't do that for everyone)).

And, what's your Vitamin D level? It's low, I promise. Get your Vit D level tested and make sure it's between 50-80.

Check out my Kerri's site www.Easy-Immune-Health.com. She's got tons of information relevant to you.

Yes you have some Symptoms of Tendonitis, but you've got some deeper systemic issues that need to get dealt with first and foremost (as they're causing most of your tendonitis symptoms.

Oct 04, 2011
Rating

just beginning my search for answers
by: WK

Hard to say where to start. I am a 58 year old male (not overweight), always been pretty active, that has had an interesting year medically. Now trying to piece the entire history together. In April due to a splinter sliver type puncture on the front of my right index finger I developed a fast moving and severe tenosynovitis that within 3 days resulted in a 4 day hospitalization with operation to clean out the synovium of the finger into the top of the palm.

Cultures never grew whatever the organism was that caused the infection. During the one month with stitches my right shoulder developed tendonitis due to the way I was having to carry my arm. Went through both occupational and physical therapy and reclaimed about 95% of the movement back to the finger (which I understand is good given the condition).

During that period I whacked the tip of my left elbow resulted in inflamation that was minor at first but developed into full blown tennis elbow. Went to ortho and got a cortisone shot but it did not really knock back the inflamation.

Background - 8 years ago I had severe tennis elbow in my right arm due to repetitive stress (stripping paint) that over the course of a few years did not respond to multiple cortisone shots. When in therapy discovered trigger point manipulation (dry needling) to get the forarm muscles to relax their death grip on the tendon and the condition finally gave way.
Left arm is currently still in process as I found the therapist that did the work 8 years ago. Both shoulders now are in a constant state of discomfort with tendonitis.

The other problem -
Over the past 3 or so decades I have been subjected to a recurring condition called left on left sacral torsion (I only learned it had a name this past month) and have been receiving treatment for it. The same muscle spasm triggers the issue each time.The time period between episodes has been shortening. I know that this condition deals with the sacroiliac joint and tendons that maybe don't hold as tight as they should.

more background -
some 30+ years ago I had a hard fall that landed square on the hip. First I was treated for bursitis then for sciatic type pain as the therapies seemed to chase the pain around. At some point dots were connected to result in a tentative diagnosis of Reiters arthritis.

The blood test came up negative for the marker but was given naprosin (pre-over the counter) and the conditions disapeared. I am thinking the tosion probs date back to the event.

Trying to move forward. nutrition is next.
Advice?

Oct 18, 2011
Rating

Joshua Replies To - just beginning my search for answers -- Tenosynovitis and Tendonitis in multiple joints, what can cause this?
by: The Tendonitis Expert

Hi WK.

1. So you got a sliver and got infected, it sounds like, yes?

2. It also sounds like you hit your elbow and it kicked in a, well, really it aggravated a currently existing Pain Causing Dynamic.

3. Your sacral thing isn't an issue of not tight enough, it's an issue of TOO TIGHT. The joint is being compressed 24/7 by too tight muscle and connective tissue. Gotta open that up.

The Tendonitis dynamic causes Arthritis due to that compressive, joint-grinding mechanism.

This is kind of a short answer, but...

A. Learn How To Reduce Inflammation for your Tennis Elbow dynamic.

B. See Magnesium for Tendonitis.

C. Wouldn't hurt to get The Tennis Elbow Treatment That Works or even Reversing Wrist Tendonitis ebook (both focus on the forearm which is the culprit of both). Both include the nutritional informaiton you're looking for.

D. For the Hip, other than specific self massage, ice massage, and nutrition, my big gun to suggest is The ARPwave System.

More questions, more answers.

Oct 24, 2011
Rating

Similar problems!
by: Anonymous

I am 33, and have had tendinitis in my knees since I was 24. About 2 years ago I started getting it in my shoulders as well, and was diagnosed with Lyme disease and treated.

During treatment I felt great. Since it ended it has all gone downhill. The pain in my knees is worse than ever, along with my hips, shoulders, neck and jaw.

I've seen a rheumatologist, and after a battery of tests (positive ANA, high sed rate, high C-reactive protein, high C3), she has diagnosed me with psoriatic arthritis (I've had psoriasis since I was 5). I'm meeting with her this week to discuss treatment options, but thought if anyone could benefit from hearing my story, I would add it to this thread. I am leaning toward agreeing to take methotrexate, because I'm desperate for some sort of relief. Whatever we end up doing, I look forward to being able to walk again without being in screaming pain.

----

Joshua Comments:

So you were diagnosed with psoriatic arthritis. Ok. But that's a symptom of something, not a cause. Ask your doc what CAUSED the psoriatic arthritis.

Maybe it's LYME's disease. If you've been bitten by a tick. Have you been bitten by a tick?

If you haven't been bitten by a tick, even if you have, you MUST MUST MUST go ENTIRELY off of ALL gluten.

Gluten intolerance causes auto-immune issues. Period.

I highly suggest that you talk with Kerri over at www.Easy-Immune-Health.com What you describe is within her area of expertise.

She's systemic, I'm local/specific injury. You may have Tendonitis symptoms, but they're not coming from true, repetitive strain type factors. They're coming from auto-immune inflammation and nutritional deficiency.

I can answer general questions here, but do talk with Kerri.

Nov 01, 2011
Rating

Celiac Disease, off of all gluten and back pain and tummy issues are gone but still have bouts of inflammation and other symptoms
by: Martina

Hi, i have just come across this page and i just have to try for some answers...my husband (32) has had skin and tummy problems all his life.

Also chronic back pain. 3yrs ago doc tested for coeliac disease, bloods came back positive. he went for biopsy and it was negative.

However coeliac specialist doctor in northern Ireland advised a strict gluten free diet for life which he sticks to.

After a few weeks on the diet back pain has almost completely disappeared. BUT... still flares up now and again. He also has carpel tunnel syndrome and teitz syndrome. More recently he gets pain in his knees and hands and feet.

He also experiences tingling in his hands when he comes in from outside to inside (not just in extremely cold weather but not so much in hot summer weather. usually start in autumn) his hands go stiff and he finds it hard to pick up things and has a lot of pain.

He is otherwise fit and healthy and has a very low sitting heart rate (which is good i guess?) the only other health problems he has ever had is he caught meningitis 3yrs ago.

I should also add that his mum suffers from factor 8 thrombophelia. my husband was tested for this and we got told his ptt time was 9seconds, a little quicker than average but nothing to be concerned about. His tummy and skin problems have resolved with the gluten free diet (he never eats glten) but the inflamation just keeps coming.

Sometimes none, sometimes everything inflamed at once. im just thinking...he also has probs with his ears, he cant hear very well out of one or both ears at times and at other times he hears perfectly well. Doctors have said all this stuff is not related...what do you think??

----

Joshua Comments:

Hi Martina.

I imagine it's all related.

Celiac disease (or Coeliac as it's also spelled) is a serious inability to deal with gluten. Gluten, btw, is an inflammatory agent and nobody should be eating it. Especially Irish genetics, something like 85% of Irish bloodline is gluten intolerant.

So that's great that he doesn't eat any. I bet he occasionally is eating gluten in foods that he thinks are gluten free but aren't.

Long term gluten intolerance causes things like Leaky Gut which causes systemic inflammation and auto-immune issues, and nutritional deficiency.

Make sure he's getting plenty of Magnesium. Magnesium deficiency is a big factor in a variety of hearing/ear issues.

Make sure his Vitamin D level is between 50-80 ng/ml.

Getting off of all gluten is step 1. Step 2 is getting enough good nutrition into him so his body can heal from a lifetime of negative factors.

Nov 14, 2011
Rating

me too, milk allergy, and other causes: childhood diabetes
by: Anonymous

First, I echo all the sentiments of being SO glad to find this page.

Second, to the people who mentioned milk allergies. I started having the same vaguely allergic reactions to milk, eggs, and peanut butter at puberty. The symptoms stopped at menopause; I don't know what the relationship there is.

The allergy I have is NOT lactose intolerance. There is a protein -- starts with "o", I learned about it off-hand in 1985 but never mastered the name in time to write it down -- in all 3 of those foods, and people who are allergic to it tend to go massively underdiagnosed.

The problem for me was, when my outward symptoms more or less disappeared after menopause, I started revelling in diary, eggs, and peanuts. I did notice the coincidence of my rapid increase in tendon problems in my hands, and kept asking doctors and physical therapists if they knew if it was related, and they all said there was no relationship. As of today I won't be asking them any more. It will be SO hard to give up milk all over again, though. :-(

Third, I learned a few days ago that part of my problem is my life-long diabetes. (Should have been obvious, what can I say.) I don't know if this applies to anybody else writing here, but a highly-recommended rheumatologist told me that children with badly controlled Type 1 diabetes (which I was 5 decades ago) tend to have shortened tendons. I've had short tendons surgically severed internally and diagnosed in my ankles, and tendon problems in my hips and shoulders, so this finally explains a lifetime of tendon problems.

Mind you, with diabetes come a host of other complications that just aggravate the tenosynovitis, including 4 decades of poor circulation in my hands (plus Raynaud's Phenomenon). My tenosynovitis kicks up every October like clockwork, when it gets cold, and driving becomes a humongous problem, as my hands turn to icicles. I tried electric gloves but haven't found any that you can shovel wet snow in and without shorting out.

On top of that, add a family tendency towards excessive scar tissue formation, a family tendency towards extreme osteoarthritis, and an intolerance for aspirin and other NSAIDs, and *all* my tendons, but especially my hands, are waging an uphill battle.

But I am going to try to give up milk (with huge quantities of self-pity), and to eat more of the other foods recommended here and elsewhere: foods high in connective tissue (chicken, fish), foods high in Vitamin C, Calcium, enzymes, and anti-inflammatory benefits (papaya, broccoli, brussel sprouts, spinach, turmeric, ginger (among others)). Here's hoping the next time I write I can bend and straighten my fingers better, at least.

Thank you EVERYONE for this thread.

----

Joshua Comments:

Hi Anonymous.

1. I didn't see Magnesium, B6, B12, or Vit D on your list. They should be on your list, as symptoms you describe match up with those nutritional deficiencies.

2. What's your Vitamin D level?

Nov 15, 2011
Rating

magnesium and vitamin d and celiac disease
by: Martina

Hi Joshua, thanks for getting back to me, so you think that if he takes magnesium and vitamin d that the inflamation should settle down? or is it something he will have to deal with because of being gluten intolerant and the damage it has done when he was eating it? is there anything else you would suggest he should take to speed recovery? he has been gluten free for over 2years now. I should have mentioned before that he would be quite tired a lot, he would describe his brain as being blurry or mushy sometimes...i guess he means he cant think straight...cant find the words he wants sometimes. i suspect this comes from a lack of something also? thankyou so much again for your reply, your site is great. it fantastic to have someone acknowledge that there is a link between it all...we knew it all along!! Martina

----

Joshua Comments:

Hi Martina.

1. If he's actually been off gluten for 2 years and still has foggy brain etc, then it's safe to say that A. his gut hasn't healed yet because/and B. he's still significantly nutrient deficient.

2. And, depending on how sensitive he is, it may be worth it to pay MORE attention to what he's eating, in the sense that lots of foods have gluten that you wouldn't expect them too. Basically, anything processed is likely to be guilty.

3. I don't know if Mag and Vit D will cause his inflammation to reduce, but I do know that if he's short on those nutrients he doesn't have lots of potential to get better in the first place. Both are big players in brain fog too.

If he has a lifetime of suffering and physical breakdown from nutritional deficiency and systemic inflammation and the side effects of gluten breaking down in the gut into morphine-like byproducts, then it may take some time doing the right things to help his body revive and heal and get back towards optimal working mechanics.

Also see this for Brain Fog:
http://www.easy-immune-health.com/brain-fog-and-vitamin-d-deficiency.html

Nov 28, 2011
Rating

Tendonitis in multiple joints, what's going on with me???
by: luci

Hi!

I'm 36 healthy and active and for the past year and half i've been having tendonitis all over my joints, calcific shoulder, aquiles tend., tennis elbow, knee, plantar fasciitis... it's keeping me from doing sports and exercises I love, please help!!!

I also forgot to menton that I'm lactose intolerant, and I've been gluten free for about 3 weeks now.I'm taking magnesium 400mg a day, vitamin C,D and B complex, using dmso gel, doing ice, P.T (ultrasound once a week) and my tennis elbow still here, it's been painful for about a month and half,
thanks!

Luci

----

Joshua Comments:

Hi Luci.

If you have all over pain showing up like that, that's nutritional deficiency (which includes auto-immune issues from gluten intolerance and Leaky Gut.

Why 400mg of Mag?

More Magnesium.

NO GLUTEN. Make sure you're reading labels and also do some research to see all the ingredients that actually are gluten.

Get your Vitamin D3 level up to between 50-80ng/ml.

Ask questions, keep me updated.

Dec 13, 2011
Rating

Vit D deficiency and overall health and pinot noir and inflammation
by: Susan

After reading a lot of these posts, I think I know what my issues are :). Thank you!

Based on the feedback I've seen from you, it appears that lack of proper nutrition is likely a huge factor in my pain.

So, I think I only have 2 questions, but they're long questions!

1) I think you said not to take prescription Vitamin D. Why not? And if that's not advisable, how in the world do I raise my levels...I was tested in May '11 and it was at 13!!! :( I took prescription Vit D for 6 weeks but haven't been re-tested.

2) you say that Gluten intolerance likely contributes to autoimmune diseases like RA...I understand that from the standpoint of inflammation in the body, but is RA reversible? I'm a runner, and I want to keep running. I don't know that I have any auto-immune condition, but I know I'm having chronic pain that I shouldn't have at age 39.

I am absolutely positive that I am protein deficient and that a change in diet could be helpful and will be necessary. But cutting out all gluten??? Come on! I exist for a couple of glasses of red wine at night! How do you know if someone needs to not only improve nutrition but also cut out all gluten?

If you say inflammation, I might start crying because there's no question that I have inflammation running rampant, but I need to know if I have to go without it entirely to benefit or if I can cheat with a glass of Pinot Noir?

Thank you!

----

Joshua Comments:

Hey Susan.

Good!

1. Prescription Vit D is Vit D2. Research shows that D2 brings levels up but confers little to none of the benefits.

What do you mean 'how in the world do I raise my levels' (without prescription Vit D)?

Easy. You go to the store and get a bottle of liquid Vit D3 that provides 2,000i.u.'s per -drop-.

You can take a day's worth at once or a week's worth at once or a months worth, 3 month's worth, 6 month's worth at once. Your body is designed to store it.

Once a month I take four -dropper- fulls. That's approx 350,000i.u.'s. A little less in summer.

You may want to do the same. Though if you were at a 13, you may want to do that twice a month for a couple months.

Make sure to take it with Magnesium, as A. magnesium is required to convert the supplement into it's active form in your blood and B. you may get magnesium deficiency symptoms if you take Vit D and don't have enough Magnesium in you.

And of course, you need adequate B6 to utilize Magnesium....

2. Aside from that, it depends. Do you have RA symptoms? Or are you just sore from working out?

But yes, you have inflammation. Everybody does. Want to cut it down and be healthier? Cut down/out gluten products.

There's gluten in wine? Are you sure about that?

Go find out for sure (that's your homework).

Dec 14, 2011
Rating

Red wine, gluten, running injuries & chronic pain
by: Susan

Gluten isn't naturally found in wine but is now in some wines due to contamination from the barrels used and some winemakers are using wheat as a clarifying agent.

I'm 39, have run 4 Half Marathons in the past 2 years, and started training for a Full in June. I ignored some nagging sore spots and ended up with stress fractures in both tibias by Sept. I knew I was vit D deficient and I had a bone density test...it's in the normal range.

Prior to my injury, I had no serious physical problems or injuries. I had PF and runner's knee briefly but got those symptoms to mostly go away. I did PT and strengthening exercises for the supporting muscle groups, but I didnt address nutrition, and I am sure that was a factor in my injuries. I was strong enough in the cardiovascular realm to be able to run a lot more than my body could handle.

Took 6 weeks off after the injury, but I didn't change much else :(. The first few days of my break from running were extremely painful. I hurt evrrywhere. I felt torn to shreds. I asked my ortho about it at my 3 wk check-up because I was still very sore in lots of places (shins of course, but also my shoulders, biceps, hips, knees, ankles and feet). He said it was tendonitis, bursitis and lots of inflammation. He said my body was probably in shock from stopping my physical activity so abruptly and to "get in the pool ASAP!".. but I didn't....i am a stubborn and non-compliant patient at times. I have 3 kids, a husband who is frequently laid up with various physical issues, and I also work in a high stress field. My daily life wears me out (stairs, on my feet a TON at home but sedentary at the office, skip meals at times, constantly juggling).

I'm 5ft 2 in, 100 pounds, dont get enough calories, probably don't eat enough protein but if I don't have enough calories, the protein doesn't help build my muscles anyway! I used to drink a couple of Boosts with Extra Protein daily, but have slacked on that too. Basically, I'm a nutrient-deficient, almost 40 year old woman, with the metabolism of a hummingbird!

I'll post the rest in a second comment...sorry!

Dec 14, 2011
Rating

Continued comment (gluten, Nutrition, running injuries)
by: Anonymous

(continued)
I have some very tight muscles and tendons (obviously), and I knew this could be a problem, but I didn't take action in my previous training periods. I know that I have to make changes because the downward spiral has begun. I feel tight and sore every day, and the slightest extra physical activity triggers new pain. I'm doing Pilates 1 X per wk and am back to running a few miles 2 X per wk. But I can feel the weakness everywhere, and Pilates kicks my ass (big time sore shoulders, hips, and shaky thighs and hams).

I got scared when the soreness didn't improve much after lots of time off. started wondering if I could have RA or lupus because I have pain in so many places, and it's always beating in the background, even when it's not screaming at me from strain due to exercise or over-use. My doc ran tests for Lupus and RA and I'll get those results soon. I believe my traveling aches and pains are systemic so I want to find out more about what I need to do nutritionally.

So...Liquid Vit D3, magnesium, B-complex vitamins, tons of pure protein and?? Go gluten-free? If I do these things and do them correctly, do you know how long it will take to see results? Will it hurt me to continue running and doing Pilates or do you think I need to take more time off? Should I be doing the ice massages and ice dipping along with changing my diet?

----

Joshua Comments:

Hey Susan.

Well the good news is, there's plenty of gluten free wine out there!

Thanks for the history. I use the word 'deficient' loosely, but yes, you're deficient. And your body basically literally can't heal (not optimally, anyway) or even recover because it doesn't have the building blocks it needs.

Should you be doing the ice massages and dipping? Absolutely.

Should you be running? Probably not yet. Walk fast, like in Tim Ferriss' 'The 4-Hour Body'.

IMHO, your sports goals for the moment should be to become a nutritional athlete. Your sport is getting necessary nutrients into your body, and utilizing them to heal and recover. Ice massaging and ice dipping are part of the training.

Get to work.

Build yourself up, and then start running again. You've got some healing to do first.

Jan 03, 2012
Rating

Tenosynovitis and Vitamin D deficiency
by: Anonymous

Hi Joshua,

Thanks for maintaining such a treasure-trove of information online. I have developed new wrist/hand and foot pains that do not seem to be responding to steroids or NSAIDs - MRI of the wrist shows flexor tenosynovitis and Tc99 scan of the joints shows uptake in both hands, knees and shoulders though I have no symptoms besides in the hands and feet. I'm seronegative (RF, ANA, CCP) and have no elevation of ESR/CRP. My understanding is that the radioisotope uptake is due to nonspecific leak through porous vasculature at sites of inflammation and correlates with likelihood of an inflammatory (i.e., seronegative rheumatoid) arthritis. I am also vitamin D deficient (4ng/ml) by virtue of vegetarianism, milk avoidance, indoor lifestyle and dark skin. I'm in the process of replacing this.

In your experience, is there any connection between hypovitaminosis D and increased joint uptake of Tc99? If there is, I would feel a whole lot better about not having seronegative RA. If not, I have to assume it's hypovitaminosis complicating underlying seroneg RA...

Thanks in advance for any light you can shed on this.

Regards,

Jay

----

Joshua Comments:

Hi Jay.

A 4???? Wow. That's BAD.

Yes, Vitamin D deficiency is absolutely correlative to ALL SORTS of pain and problem. See the Vitamin D pages at www.Easy-Immune-Health.com.

Vitamin D is required to utilize calcium. Vitamin D deficiency causes all sorts of bone related problem. Which then causes inflammation, pain, shrinkage of the bone, etc.

Along those lines, fair warning. You may or may not experience bone pain when replacing the Vit D in your body. Suck it up and get through it. The pain is from your bone regaining size and density inside the shrinkwrapping of the periosteum.

1. You must get your Vit D levels up NOW. It doesn't take months to do. Get liquid Vit D3 that comes in 2,000i.u.'s per drop.

2. All the technical questions are moot (and theoretical) until you get your level up. Get your level up to between 50-80 ng/ml, using Vitamin D3 (NOT prescription Vit D which is Vit D2).

2. You must take Magnesium (anything other than Magnesium Oxide) with your Vit D to convert the supplement into it's active form in the blood. And of course B6 is required to utilize Magnesium.

3. Food is not a source of Vitamin D. It's sunshine or supplement.

4. Don't let a doctor scare you with Rheumatoid Arthritis diagnosis. If you do have joint pain etc, vit d deficiency is a huge factor, and gluten intolerance is the other. Your bones have no chance of operating healthily without Vitamin D.

So.

Tell me what your doctor has said/done about your vit d level and get the level up.

Jan 05, 2012
Rating

continued comments re: low Vit D
by: Anonymous

Thanks, Joshua.
Yeah, I just started replacing Vit D with 50000IU of D3, 1gm of calcium, and have just checked magnesium levels. No increase in pain so far (3 days). Will recheck levels in a month and again in 2 months. Will keep you posted.
Jay

Jan 27, 2012
Rating

Peanut is Exhausted - Tenosynovitis and Tendonitis in multiple joints, what can cause this?
by: Peanut Norah

Hi, I read this page a few months ago and have come back to it. I'm trying to read experiences of others, and what you've recommended to them, but I'm exhausted from disturbed sleep so this may be easier!

So last February I thought I'd pulled a muscle in one arm. Then the other, then the left shoulder, then the right, then back to the first upper arm, then the left instep, then my wrist, then my knee, then... you get it, the list goes on. Sleepless nights, unable to drive every 3rd day because of the pain, etc. etc. Pain in each place lasted 3-4 days, then I had a day pain-free before it 'travelled' to a new spot.

In October I had full blood screens, and my Dr found little other than I was anaemic. 3 days later I found this page, started taking Mag & Vit D, and have been off the pain killers ever since... Wonderful!

But now I've had a shoulder, my neck (never before, related?) and at this moment, my right instep. I'm on as many pain killers as we're allowed (in UK) and it hasn't touched it. I have an ice pack in the freezer that's almost ready for application... can't wait!

38yo f, 2yo child, BMI 33, activity level moderate (toddler plus 4 x a week 30 mins on treadmill at 3.5-4kmph)(had pregnancy problems which means I have to take things easy still...)

Please can you suggest something else that might help? Or something I can say to my Dr? She's trying hard, but struggling to find an answer. I didn't sleep through my pregnancy, sleep deprived for a year because of baby, now toddler is sleeping through but I have had a year of this!

---

Joshua Comments:

Hi Peanut.

I need more info...

1. What does this mean, exactly? 2 years later? Please elaborate: "(had pregnancy problems which means I have to take things easy still...)"

2. What is your Vitamin D level?

3. How much Vitamin D do you take?

4. How much magnesium have you been taking? What kind?

5. In general, how flexible are you? Are your joints hyper-mobile? Can you touch your thumb to your forearm? When you straighten your arm/elbow does your elbow/arm go past a straight line?

6. Do you have rough or easy periods historically/presently?

Jan 31, 2012
Rating

Qs answered by Peanut....
by: Anonymous

Hi Joshua, thank you for your response...

1. I had SPD Wikipedia: Symphysis Pubis Dysfunction for 16 weeks before I had my son, and was on crutches for that time, plus for a few months afterwards. I still feel twinges if I walk too fast, swim too hard etc. and suffer the next day for it. My back hurt during the pregnancy too, and I don't feel the strength is back in it yet.

2. We don't get information from that from our Doctors, so I don't know!

3. I take 5 micrograms a day, which is 100% RDA here.

4. I've been taking 300mg a day, again, 100% RDA. As I'm writing this, I'm guessing you might tell me to up this!!

5. I'm not very flexible, I'm certainly not hyper-mobile, which was the first thing my old Doc said to me (before saying I must have been wringing out the laundry too hard when I had a swollen wrist, and that the dogs must have been pulling too hard on their leads when I went about shoulders and arms feeling 'pulled'!) I'd say flexibility was good for my BMI/Age.

6. Menstrual periods or periods of time where I'm in more pain that others? I'll answer both just in case! Menstrual periods are heavy, quite irregular, painful, and I take 600mg of ferrous sulphate a day at the moment. It's just since last Feb that I've had these pains. The only other thing I've really had in my life (other than the pregnancy through which I also had severe morning sickness for 20weeks and never left my bed) is depression, but nothing physical.

Oh, and the Magnesium is just a one a day tablet from a large supermarket, their own brand...

Many thanks for your time and effort... Peanut

----

Joshua Comments:

Oh Peanut, you know me so well!

CONTINUED IN NEXT SECTION:

Jan 31, 2012
Rating

Joshua Responds - Peanut - Tenosynovitis and Tendonitis in multiple joints, what can cause this?
by: The Tendonitis Expert

CONTINUED:

I am absolutely going to tell you to take more...because you essentially aren't taking any.

1. You MUST get your Vitamin D level. This week. If they have tested it, they'll give it to you. If they haven't, make them. If they refuse, you can get a test online, have it sent to you, etc (assuming that you're in the US, if not, you probably still can, but I'm not sure).

2. I don't know how much 5 micrograms of Vit D is. What does that work out to in i.u.'s?

And it's a safe bet that if it's the RDA, it's not nearly enough, not by a long shot.

3. Go get a bottle of Magnesium. Anything but Magnesium Oxide. See: Magnesium Dosage and Magnesium for Tendonitis

Your box store brand has hardly any magnesium in it, and what they do have is magnesium oxide, which is pretty much not absorbable.

4. Look up Vitamin B6 for painful menstrual cycles. That's definitely not my realm of expertise, but if you've had recent changes, that's nutritional.

Inflammation causes B6 deficiency, pregnancy depletes the body of all sorts of nutrition, pain has various side effects, Vit D deficiency as ALL sorts of side effects and you're definitely low.

So there's a lot going on...first thing first. Get your Vitamin D level.

Click here to add your own comments

This site is for information and education purposes only.
It is not intended to diagnose or prescribe for any medical condition.
Always seek the advice of a qualified medical
professional before making any decisions regarding your health.
Copyright ©2008-2009 TendonitisExpert.com
All Rights Reserved. Unauthorized use prohibited.

SBI!

Tenosynovitis and Tendonitis in multiple joints, what can cause this?

Comments for Tenosynovitis and Tendonitis in multiple joints, what can cause this?

Comments for
Tenosynovitis and Tendonitis in multiple joints, what can cause this?