Our Summary

This article reviews recent findings about the role inflammation and metabolism play in how tendon cells function, how tendinitis (tendon inflammation) develops, and how tendons heal. Scientists have made significant progress in understanding what happens inside tendon cells, especially how their environment changes under normal conditions and during healing. They’re also learning more about how inflammation and changes in metabolism affect tendon cells. One important finding is how conditions like diabetes, which impact the body’s overall metabolism, can also disrupt normal tendon function. The authors conclude that we need to learn more about how these processes work to develop better treatments for tendon-related diseases and injuries.

FAQs

  1. What role does inflammation and metabolism play in the function of tendon cells?
  2. How does a condition like diabetes affect normal tendon function?
  3. What is the significance of understanding the changes in tendon cells’ environment during normal conditions and healing process?

Doctor’s Tip

A helpful tip a doctor might tell a patient about tendon repair is to follow a comprehensive rehabilitation program that includes exercises to strengthen the surrounding muscles, improve flexibility, and gradually increase the load on the repaired tendon. It is important to follow the guidance of a physical therapist or healthcare provider to ensure that the tendon heals properly and to prevent re-injury. Additionally, maintaining a healthy diet and staying hydrated can support the healing process and overall tendon health.

Suitable For

Patients who may be recommended tendon repair typically include those who have experienced a tendon injury or tear, such as athletes who have strained or torn a tendon during physical activity. Other patients who may be recommended tendon repair include those with chronic conditions such as tendinitis or tendonitis, which is inflammation of the tendon. In some cases, patients with conditions like diabetes that affect metabolism and can disrupt normal tendon function may also be recommended tendon repair to help alleviate symptoms and improve overall function.

Timeline

Before tendon repair:

  1. Injury occurs, such as a tear or rupture of the tendon.
  2. Patient may experience pain, swelling, and limited range of motion in the affected area.
  3. Patient may undergo imaging tests, such as an MRI, to determine the extent of the injury.
  4. Doctor recommends tendon repair surgery if conservative treatments, such as rest and physical therapy, are not effective.

After tendon repair:

  1. Patient undergoes tendon repair surgery, where the torn or ruptured tendon is reattached or reconstructed.
  2. Patient goes through a period of immobilization and physical therapy to promote healing and regain strength and flexibility in the affected area.
  3. Inflammation and metabolic processes within the tendon cells play a crucial role in the healing process.
  4. Over time, the tendon gradually heals and the patient experiences improved function and reduced pain in the affected area.
  5. Patient continues with physical therapy and rehabilitation to fully regain strength and range of motion in the repaired tendon.

What to Ask Your Doctor

Some questions a patient should ask their doctor about tendon repair may include:

  1. What is the specific type of tendon injury I have and how severe is it?
  2. What are the treatment options available for my tendon injury?
  3. How long will it take for my tendon to heal and what is the expected recovery time?
  4. Are there any potential risks or complications associated with the tendon repair surgery?
  5. What are the success rates for tendon repair surgery in cases similar to mine?
  6. What can I do to help facilitate the healing process and prevent re-injury?
  7. Will I need physical therapy or rehabilitation after the tendon repair surgery?
  8. Are there any lifestyle changes I should make to support the healing of my tendon?
  9. How often should I follow up with you after the surgery for monitoring and evaluation of my progress?
  10. Are there any alternative treatments or therapies that may be beneficial for my specific tendon injury?

Reference

Authors: Ackerman JE, Best KT, Muscat SN, Loiselle AE. Journal: Curr Rheumatol Rep. 2021 Feb 10;23(3):15. doi: 10.1007/s11926-021-00981-4. PMID: 33569739