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Why is Tricep Tendinopathy So Hard to Heal?

Why is Tricep Tendinopathy So Hard to Heal?
Why is Tricep Tendinopathy So Hard to Heal?

Understanding Tricep Tendinopathy

Tricep tendinopathy is a condition characterized by pain and inflammation in the tendon connecting the triceps muscle to the elbow. This condition is particularly challenging to heal, often causing prolonged discomfort and impairment. To understand why tricep tendinopathy is so difficult to manage, we need to delve into the anatomy, causes, and complexities of tendon healing.

Anatomy and Function of the Triceps

The triceps brachii is a large muscle located at the back of the upper arm. It has three heads (long, lateral, and medial) that converge into a single tendon attaching to the olecranon process of the ulna at the elbow. The primary function of the triceps is to extend the elbow, enabling movements such as pushing and lifting. The triceps tendon, therefore, bears significant mechanical loads, making it susceptible to overuse injuries.

Causes of Tricep Tendinopathy

Tricep tendinopathy typically results from repetitive strain or overuse, especially in activities that involve extensive elbow extension and forceful contractions of the triceps. Common causes include:

1. Weightlifting and Resistance Training: Exercises like bench presses, dips, and tricep extensions can place excessive stress on the triceps tendon.

2. Occupational Activities: Jobs that require repetitive arm movements, such as carpentry or painting, can contribute to tendon strain.

3. Sports: Activities like throwing sports (e.g., baseball, javelin) and racquet sports can also lead to tricep tendinopathy.

4. Poor Technique: Improper form during exercise or physical activities can exacerbate tendon stress.

The Healing Challenges

Limited Blood Supply

Tendons, including the triceps tendon, have a limited blood supply compared to muscles. This poor vascularity means that essential nutrients and oxygen are not as readily available to support the healing process. As a result, tendon injuries tend to heal more slowly than muscle injuries.

Mechanical Load

Even during rest, tendons are subject to mechanical loads. The triceps tendon, in particular, is constantly engaged in everyday arm movements. This continuous strain can impede the healing process, as the tendon is rarely completely unloaded.

Tendon Structure

The collagen fibers in tendons are densely packed and aligned in a parallel arrangement, providing strength but limiting flexibility. When injured, the repair process involves the formation of scar tissue, which is less organized and weaker than the original tendon structure. This makes the tendon more susceptible to re-injury.

Inflammation and Degeneration

Tendinopathy often involves both inflammation and degeneration of the tendon fibers. Chronic inflammation can lead to the breakdown of collagen and other structural components, further complicating the healing process. Degenerative changes can weaken the tendon, making recovery even more challenging.

Role of Physiotherapy and Chiropractic Care

Effective treatment of tricep tendinopathy requires a comprehensive, multidisciplinary approach. At CARESPACE Health+Wellness, our team of regulated health professionals, including physiotherapists and chiropractic doctors, work together to create personalized, coordinated care plans that address the root causes of the condition and promote long-lasting healing.

Physiotherapy

Physiotherapists play a crucial role in managing tricep tendinopathy. Their approach includes:

1. Assessment and Diagnosis: A thorough assessment to understand the extent of the injury and identify contributing factors such as muscle imbalances or poor biomechanics.

2. Manual Treatment: Techniques such as deep tissue massage, myofascial release, and joint mobilizations to reduce pain, improve circulation, and promote tissue healing.

3. Exercise Prescription: A tailored exercise program that includes stretching and strengthening exercises to enhance tendon resilience, correct imbalances, and restore function. Eccentric exercises, where the muscle lengthens under load, are particularly effective in promoting tendon healing.

4. Education and Ergonomic Advice: Guidance on activity modification, proper technique, and ergonomic adjustments to prevent further strain on the triceps tendon.

Chiropractic Care

Chiropractic doctors complement physiotherapy by focusing on the alignment and biomechanics of the musculoskeletal system. Their interventions include:

1. Spinal and Extremity Adjustments: Chiropractic adjustments can help improve joint function, reduce stress on the triceps tendon, and enhance overall biomechanics.

2. Soft Tissue Treatment: Techniques such as Active Release Technique (ART) and Graston Technique to break down scar tissue, reduce adhesions, and promote optimal tendon function.

3. Rehabilitation Exercises: Collaboration with physiotherapists to ensure a comprehensive and cohesive rehabilitation program that addresses all aspects of the condition.

4. Lifestyle and Nutritional Counseling: Advice on lifestyle modifications and nutritional support to enhance the body’s natural healing processes.

How CARESPACE Can Help

At CARESPACE Health+Wellness, our client-focused approach ensures that each individual receives a customized plan that addresses their unique needs. Our integrated care model combines the expertise of physiotherapists, chiropractic doctors, and other health professionals to provide a holistic treatment plan.

Personalized Care Plans

Our team works together to develop evidence-based care plans that incorporate the latest research and best practices. We use a combination of manual therapy, exercise therapy, and client education to promote healing and prevent recurrence.

Multidisciplinary Collaboration

By leveraging the strengths of various health disciplines, we offer a comprehensive approach to managing tricep tendinopathy. This collaboration ensures that all aspects of the condition are addressed, from pain management to functional restoration.

Long-term Health Goals

Beyond treating the immediate symptoms, we focus on helping our clients achieve their long-term health goals. Whether it’s returning to sports, improving occupational performance, or enhancing overall quality of life, our goal is to support our clients in reaching their full potential.

Tricep tendinopathy is a challenging condition due to the inherent complexities of tendon healing. The severity of triceps tendinopathy can affect recovery time, but with the right approach, recovery is achievable. At CARESPACE Health+Wellness, our integrated care model and multidisciplinary team provide the comprehensive support needed to manage tricep tendinopathy effectively. By addressing the root causes and promoting optimal healing, we help our clients achieve fast, effective, and long-lasting results.

About the Author

Nitin Nair, MScPT is a physiotherapist at CARESPACE Victoria North. He helps clients improve their health through personalized, evidence-based care. If you’re looking for physiotherapy in Kitchener, CARESPACE offers coordinated support designed to help you be your best.