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A Question About The Difference Between
Tendonosis and Tendonitis
Marc Darrow, M.D.,J.D.
In some areas, chronic pain is caused by soft tissues, specifically tendons that have
worn down and can't repair themselves, we call this tendonosis.
In tendonosis there is also an
absence of inflammation.
Why didn't the tendon repair
itself?
Because tendons do not have a good blood supply
to them. In tendonosis, the blood supply dead ends before it is able
to irrigate the area with the necessary immune cells needed to heal
and rebuild. What we do with this area is stimulate it to heal by
creating new
collagen (the building blocks of soft tissue)
growth by inflaming the area with
Prolotherapy.
Tendonitis is where there is inflammation and irritation.
Where inflammation is present, we need to create a bigger,
"healing" inflammation, because the inflammation that is going
on, while it may be painful, is not strong enough to bring
enough of the healing immune response to the area. The body is
trying to heal itself with inflammation, because that is the way
the body naturally heals. Prolotherapy tries to heal the body
the same way and that is with inflammation.
A side note:
ligaments and tendons are made of
collagen. When the ligaments and tendons are injured, the body
produces collagen to heal them. The problem with ligaments and
tendons is that the body offers them a poor blood supply and,
because of it, a poor chance to completely heal.
The poor supply of blood to the
ligaments and tendons is very apparent from their white color.
Muscles on the other hand are red because they have a very good
blood supply. Ligaments and tendons therefore are prone to not heal
completely from injury, because their limited blood supply does not
offer, among other things, the supplies necessary to rebuild
collagen.
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