Tendinitis & Bursitis
Risk Factors, Prevention and Wellness Tips

WHAT ARE YOUR RISK FACTORS?

The most widely recognized causes of tendinitis and bursitis are repetitive or excessive movement of a joint/joints, and excessive exercise to which the body is unaccustomed. As the body ages, the blood flow to the tendons may be decreased. This diminishes the ability to heal and may initiate tendinitis. Here are the most common risk factors:

• Habitual wearing of poorly fitted shoes that rub against foot tendons.
• Presence of bone spurs in the feet or elsewhere that irritate tendons.
• Being overweight. Obesity puts abnormal pressure on the legs and feet.
• Repeated overuse of the wrist, which can inflame the tendons.
• Overuse of the tendons, often occurring in the shoulders of swimmers or
  in the serving arm of a tennis player.
• Overuse of the arm muscles, which can cause inflammation of tendons in the elbow (“tennis elbow”).
• Being unfit. Having a poor level of fitness results in weakened tendons.
• Having poor posture. Poor posture and awkward use of limbs put excessive stress on the tendons.
• Genetic predisposition. The tendency to develop defective connective tissue (e.g. collagen abnormalities) or decreased circulation runs in families. These conditions can lead to tendinitis. Pain and inflammation may not show up until a person is middle-aged or older or experiences some form of trauma to the genetically weakened areas.
• Having an infection. Sometimes an infection within the bursa or tendon sheath will give rise to inflammation.
• Having certain systemic illnesses such as rheumatoid arthritis, psoriatic arthritis, systemic sclerosis, gout, Reiter’s syndrome, diabetes, hypercholesteremia, osteoarthritis and thyroid disease may increase the tendency to develop tendinitis.

WELLNESS TIPS

The following tips will help you manage the pain of bursitis and tendinitis:

• Use hot and cold therapy. Application of heat or cold can provide temporary relief of pain. Heat helps to reduce pain and stiffness increasing circulation to the area and relaxing aching muscles. (Some health professionals believe that heat may make the condition more painful, so caution should be exercised when applying heat. Cold helps to numb the area by constricting the blood vessels and blocking nerve impulses. Always keep a towel or other barrier between the source of heat or cold and your skin.
• Keep moving. Exercise helps keep joint structures, including the tendons, strong and healthy. Gradually build up the intensity and frequency of activity and always warm up and cool down before and after exercise.
• Choose shoes that fit properly and that fully support your feet.
• Change position frequently. This is particularly important if you sit at a desk for many hours. Changing your position and posture frequently will help minimize stress on specific tendons. Also, be sure to take frequent breaks.
• Position joints wisely to avoid excessive stress on joints. Use your back, arms and legs to avoid putting extra stress on joints. For example, carry a heavy load close to your body. Using grab bars and shower seats in the bathroom can help you to conserve energy and avoid falls. Use your larger, stronger joints to bear the weight of loads. (For example, use a shoulder bag instead of a handheld one.) Avoid staying in the same position for long periods of time.
• Revise your diet. Add more raw seeds such as pumpkin, walnut and flax seeds and fatty fish like salmon or sardines to your food intake; these foods contain health promoting omega 3 fatty acids, to reduce tendon inflammation. Increase your intake of fresh fruit and vegetables; eat more legumes (beans, peas); cut down on foods rich in animal fats, particularly fatty meats (beef, pork) and high-fat dairy products.
• Consult your doctor / healthcare professional about new food-based non-drug supplements formulated to help improve quality of life* such as Recovery® with Nutricol®.