Tendon Tears & Repair

Tendons are strong, fibrous tissues that connect muscles to bones, allowing for movement and providing stability to joints. They are crucial for transmitting the force generated by muscles, which allows for the movement of bones and joints.

Tendon injuries or tears may result from sudden trauma, repetitive stress, overuse, or medical conditions like diabetes and rheumatoid arthritis. Aging also plays a role, as tendons may deteriorate over time with reduced blood flow. Moreover, activities that require eccentric loading, which involves the muscle contracting while it is being lengthened, can heighten the likelihood of tendon injuries.

Symptoms include pain, swelling, stiffness, weakness, tenderness, and a crackling sensation when moving the affected area.

Diagnosis typically involves a physical examination, patient history, and imaging tests such as X-rays, MRI, or ultrasound to assess the extent of the damage.

Non-surgical treatments include rest, activity modification, physical therapy, anti-inflammatory medications, splinting, bracing, and steroid injections.

Surgery is usually considered when non-surgical treatments fail to relieve symptoms, or if the tendon is completely torn or severely damaged.

Tendon repair surgery involves reattaching the torn ends of the tendon using sutures or specialized anchors. It can be performed using open surgery or minimally invasive techniques.

Recovery time varies depending on the severity of the injury and the type of surgery performed but generally ranges from several weeks to a few months.

Physical therapy is crucial for restoring strength, flexibility, and range of motion after tendon repair. It involves a structured program of exercises and stretches tailored to the patient’s needs.

While not all tendon damage can be prevented, maintaining good overall health, avoiding repetitive strain, using proper techniques during physical activities, and allowing adequate rest can reduce the risk.

Risks include infection, nerve damage, stiffness, and incomplete healing. However, these complications are relatively rare.

Pain can be managed with prescribed medications, ice packs, elevation, and rest. Following the surgeon’s postoperative care instructions is essential.

Minor tendon injuries may heal with rest and conservative treatments, but significant tears often require surgical intervention to heal properly.

Activities that put strain on the repaired tendon, such as heavy lifting or high-impact sports, should be avoided until the tendon is fully healed and the doctor gives clearance.

Steroid injections can be effective in reducing inflammation and pain in the short term, but they may not provide a permanent solution and are usually part of a broader treatment plan.

Tendon grafting involves using a piece of tendon from another part of the body or a donor to replace severely damaged tendon tissue.

Improvement with physical therapy can vary, but many patients start to see positive changes within a few weeks of consistent therapy.

Persistent pain, swelling, stiffness, and inability to perform normal movements can indicate that the tendon is not healing as expected.

Yes, tendon damage can recur, especially if the underlying causes are not addressed or if the tendon is subjected to excessive strain again.

The Hand Center of Boca and Delray, led by Dr. Nadler, offers specialized care with advanced treatment options and personalized rehabilitation plans, ensuring optimal recovery for tendon injuries.

The success rate of tendon repair surgeries is generally high, especially when combined with a comprehensive rehabilitation program and proper postoperative care.