Where to start with all over tendonitis wrists, elbows, shoulder

by Jeanine
(Sydney, Australia)

Hi, I am a 32 year old female and I have had wrist tendinitis on and off for over a decade, I usually put my wrist in a brace and it goes away.


Over two months ago I suddenly found myself with wrist tendinitis and both shoulders, both elbows, both thumbs and one Achilles. My shoulders resolved after about three weeks and have only vaguely returned.

The thumbs come and go, but the elbows and wrist have been constant. I can lie in bed doing nothing and feel my Achilles ache. I have been working quite a bit but now even wearing the brace doesn't help, so I have taken a few days off but it's hard not to use my hands and legs.

My doctor told me to stretch but I find that too painful. He also doesnt want me to use painkillers due to a digestive condition. I find I can't tolerate icing the painful areas or much massage.

My bloods were excellent and I have taken a magnesium and multivitamin supplement for months. What should I do first? Concentrate on the most painful? Do I need to quit my job?



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Joshua Answers:

Hi Jeanine.

1. Why can't you tolerate icing? Say more about that.

2. Why can't you tolerate massage? Say more about that.

3. How much magnesium are you taking?

4. What's your Vitamin D level?



Changing your understanding a little bit:

The tendonitis never went away, just the pain did. The mechanism is progressive. Muscles get a little tighter, connective tissue shrinkwraps a little tighter, more nutrition gets used up, circulation decreases, etc. Repeat.

If your Symptoms of Tendonitis spread from wrist to all over the body, basically, then you're definitely looking at nutritional issues.

See: Magnesium for Tendonitis

See: What Is Tendonitis

See: Pain Causing Dynamic


Answer the above questions, and follow/read the above links, and we'll go from there.



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














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Jan 01, 2015
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Small tendon tear and tendinosis - should I be worried?
by: Anonymous

Hello Joshua,

Over 10 years ago, I developed tendonitis in both wrists/elbows while working at a grocery store. I quit the job but still have symptoms.

Just this year, I finally had an ultrasound done. The results showed a small tear in a tendon in my right elbow, and tendinosis in my left elbow (flexor tendon).

The doctor said that it's nothing to worry about. She said the tear is only about 2 mm long and does not need any treatment. And surprisingly, the spot she pointed to is not the same part of my elbow that is hurting.

The pain is mostly on the inside of the elbows and along the inside of the wrists/forearms, and she was pointing to the outside. She also said that my wrist ultrasound came out normal.

Should I be worried, or is this not a big deal like she said?

-Anonymous


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Joshua Comments:

Hi Anonymous.

I'd worry about it. Or maybe not worried, but motivated to 'fix' the problem, and more importantly, the cause of the problem.

Why would a doctor say not to worry about it? That's crazy?

You've been hurting for 10 years, had to quit your job, and your doctor tells you it's nothing to worry about?

"Oh, you've been hurting for 10 years and your body just tore for no reason that I can explain. Don't worry about, it's probably nothing."

Crazy.

If it got to where it's at (it did), chances are it's going to continue to go in a not great direction.

No it's not a big tear, but why is there ANY tear?

If you're 90, that's one thing. If you're 40, that's another thing entirely.

Everyone has some Tendonosis, but 'more' is bad and 'less to none' is better.

You can have Tendonitis most anywhere in the body. Really it's a dynamic of multiple factors progressively causing pain and problem.

See: What Is Tendonitis?

There Are Two Types Of Tendonitis. Sounds like you have some of the second type.




Feb 15, 2017
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I have tendinosis in multiple places through out my body
by: Charlie

Hello,

I wrote this two days ago, but I'm not sure if it went through, so here it goes again.

My name is Charlie I'm a 34 year old male who has been amassing chronic tendon problems for the past 15 years.

I have tendinosis in both achilles tendons and my biceps tendon in my left shoulder.

In my right shoulder I have tendinosis in my biceps tendon, my supraspinatus, and one more tendon whose name escapes me at the moment.

My right achilles issue stems from severe tendonitis I aquired when I was out for a run 15 years ago. It is now thicker and has virtually no dorsiflexion. My left ankle tendon problem was kicked off by tendonitis I obtained while hiking 5 years ago. It hurts and is stiff but has more dorsiflexion than my right ankle tendon.

I encountered my first bout of serious tendonitis in my right shoulder 10 years ago doing shoulder lateral raises. I kept re-agitating it through weight lifting and repetive motion activities I had to perform for my job at the time.

My left shoulder problem started 6 years ago when I got tendonitus from moving heavy sheets of fiber board all day at work.

It hurts to raise my arms above my head, especially while exerting any force. Also, repetitive motion activies hurt them both but my left hurts more than my right.

For the past 15 years I've seen countless orthopedists, physical therapists, and a couple rheumatologists. I've also tried acupuncture, cortisone shots, acupressure, osteopathy, graston technique, dry needling, a dynasplint, and shockwave therapy. Nothing has yielded any results, and nobody seems to have any idea of what could be the cause.

As far as family history is concerned there is a trend of osteo-arthritis on my mother's side, and some auto-immune issues on my father's side as my grandfather had psoriasis and my father has multiple sclerosis.

Regarding physical activity I used to enjoy cycling, hiking, weight lifting, and wood working, but for the past two years I have been pretty much sedentary aside from walking my dogs for about a mile once a day.

Given the above information, do you have any insights that could help identify the cause and aid in the treatment of my tendon problems? Any input is appreciated.

Thanks,

Charlie


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Joshua Comments:


Hi Charlie.

One thing nobody has (almost certainly) ever talked to you about is nutrition.

1. "trend of osteo-arthritis on my mother's side, and some auto-immune issues on my father's side"

Auto-immune issues are, long story short, due to damaged gut ecology and inflammatory process due primarily to intake of inflammatory foods like gluten, processed vegetable oils, and sugar.

If you want to stop the progression of your pain/problem, it is my assertion that you need to stop the intake of all gluten (at least until you're out of pain and active again then you can introduce it again and see how much you can do before it becomes problematic), all processed vegetable oils (forever, they're just terrible), and (most) sugar (again, until you're feeling better, then introduce it in again.

Maybe you historically eat a lot of a little of any of those, respond as appropriate.

And, maybe your particular genetics respond a lot or a little to any of the above, such that maybe you can eat a lot with little problem (but it still catches up to you eventually) or a little (such that even a little results in a big inflammatory response).


2. You started having tendonitis symptoms young, so I would just go with that you have A. chronic systemic inflammation and likely a damaged gut ecology and B. you're nutritionally insufficient/deficient (for any of a number of reasons including A.).

Unfortunately, that's something "countless orthopedists, physical therapists, and a couple rheumatologists" just don't talk about. And it helps explains why all the manual therapy you've tried hasn't helped.

The body can't respond beneficially when it's lacking the nutrition it requires to respond beneficially.

So if from a young age (15 or younger) your body wasn't able to work right, then it's a no brainer that you've started to develop tendonitis/tendonosis/muscle and or tendon pain, etc.


FYI, you don't have to have any digestive complaints to have a damaged gut ecology.


Ultimately, with or without a damaged gut ecology, your body isn't working correctly, and it's stuck in a downward spiral. The most common explanation for that is 'nutritional insufficiency/deficiency'.

And again, your body CAN'T work correctly and CAN'T recover when it is A. inflamed and B. nutritionally insufficient.


I'd get either Reversing Achilles Tendonitis or Reversing Shoulder Tendonitis, whichever locations are the 'worst' and would make the most difference for you to get functional again (probably the achilles one).

Both contain the nutrition info/guidance you need, and explain the pain dynamic (same dynamic to matter where it shows up).


Tendonosis is caused by the same factors that cause tendonitis, so the 'fix' is the same.


But you specifically need to focus on the nutrition first. Cut the gluten and processed vegetable oils, get the suggested nutrition into you (for a couple weeks before even bothering to do the manual self care).

Then we see what happens, and fine tune as necessary. You may or may not need to put extra effort into fixing your gut (but, you may or may not have a gut problem that cutting out gluten etc won't fix).

So I'd start with cutting out the inflammatory foods and getting required nutrition into you, and see what happens/see what required next steps are depending on how your body responds.


I guess I should also say, while you do have 'physical' problems (tendonosis etc), those are symptoms, not actual problems/not actual causes.

So we focus on the CAUSES, and see what happens to the symptoms, and then work on the symptoms as necessary.


So...that's my 'insight'.

Let me know if you have any questions.



See Related: Tenosynovitis And Tendonitis In Multiple Joints What Can Cause This?

See Related: My All Over Tendonitis Problem


Nov 19, 2017
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Stretchy pain on wrist while lifting heavy object
by: Kalpana limbu

Hi, i am 37yr old lady from sydney. For few weeks i have been suffering from some kind of pulling or stretchy pain around my wrist area whenever i lift any slightly heavy object up to 500gms .

More i try to lift worst it is. The pain is other thań of muscles, i feel like my tendons is being pulled forcely with the slight pain particularly on my wrist. i have not done MRI yet coz my physiotherapist told me its too early for it.

I work in supermarket so have to do lot of liftings. My vit D level is very low. I am in rest now but its not helping me . Doctor could you please tell what should i do next. please i am in desperate help.Thank you....kalpana


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Joshua Comments:

Hi Kalpana.

I'm not a doctor, but if I were I'd scold your doctors for allowing you to still have a low Vit D level. You should have to to optial levels (60-80ng/ml) within a week or two (but your doctors have probably just left you with low levels).

Depending on how low your Vit D levels are, that may be the sole cause of your tendon pain/the symptoms you describe.

It could be a tendonitis dynamic, absolutely (of which low Vit D can play a role).

And, you can have even disabling tendon pain with no actual injury at all. So unless you're at risk for actually having a rip/tear, you probably don't.



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