Magazine
Question:
What is the difference between tendonitis and tendinopathy and how can they be treated?
Answer:
Tendons attach muscle to bone and help the joints to move fluidly. They are made of different types of collagen. When injured, tendons have difficulty healing because they are poorly vascularized. The tendon will attempt to heal itself by laying down collagen that is not as strong as the original tendon fibers, which can create thickening and pain over time.
An injury to tendons can take up to 10 weeks to heal. In these initial weeks of healing, patients are diagnosed with tendonitis. If pain persists longer than 10 weeks, or the tendon appears thickened on imaging (such as MRI), patients are diagnosed with tendinosis or tendinopathy. Tendinopathy is a mix of tendinitis and tendinosis. Tendinosis typically refers to tendons that have chronic inflammation resulting in tendon thickening.
It Hurts! Now What?
There are many treatment options available. Initially, self-care should focus on icing the area, gentle massage and/or stretching, anti-inflammatories and rest.
A physician may recommend conservative treatment options such as physical therapy or cortisone injections into the tendon to reduce pain. We caution our patients against repeated cortisone injections though, because they may weaken the tendon over time. There is some evidence that supports eccentric-based exercises — stretching a muscle while it is under a load. A biceps curl with a dumbbell is an example. This type of exercise remodels the tendon and can lessen pain. More advanced tendinopathy may be treated surgically, but this is rare and may result in only some improvement.
Another treatment option is platelet-rich plasma and stem cell injections for tendon injuries. This is a procedure in which your own blood platelets or adult stem cells are injected into the injured area.
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My thanks to Emerson, Lake & Palmer for a convenient headline. Spring is in the air, music everywhere and Janice Olszewski has a new book about Northeast Ohio’s historic performance venues.
Oh, who am I kidding? Jan is my co-author for our latest book, “Smoky, Sweaty, Rowdy, and Loud: Tales of Cleveland’s Legendary Rock & Roll Landmarks.”
We do not cover all the venues in this first volume. There are too many to include and way too many stories. The research was great fun but the only real problem was picking out the best stories from each venue.
One of the most surprising aspects was how well the artists who played here remembered even the smallest details. Even though he debuted at Cleveland Music Hall in 1972 and played two sold-out dates at Public Hall just a few weeks later, David Bowie loved the Agoras. He played keyboards behind Iggy Pop at the location near Cleveland State and later with his band Tin Machine when Hank LoConti moved operations to East 50th and Euclid.
You can write volumes about the Agora and the people who played there. Bruce Springsteen’s 1978 show was the most heavily bootlegged concert ever, Free made its U.S. debut on that stage, Prince’s bodyguard roughed up a TV cameraman, U2 and The Police made a huge impact and Buddy Maver showed Elvis Costello’s manager why you NEVER insult The Plain Dealer’s rock critic Jane Scott. Let’s just say it never happened again.
More Stories
Derek Hess booked Green Day at The Euclid Tavern after the band was starting to get really huge, and flat-out refused another act for “hygiene” issues. That huge cloud of powder that Trent Reznor threw out at Nine Inch Nail’s Empire Concert Club show wasn’t talcum, and Jimi Hendrix played a little-attended third show when he appeared here in March 1968.
...By Dr. Jorge Garcia-Zuagaza
Who doesn’t like the sun? Our skin.
One in five Americans will develop skin cancer in their lifetime. With sun season here, it’s a good time to review why skin cancer is a big risk, especially as we age.
Here are the top reasons we get skin cancer, and what we should watch, according to local dermatologist and skin cancer surgeon Jorge Garcia-Zuazaga.
Age
As we age, our cells become less and less efficient in their reproduction. That, combined with extra time in the sun, is a recipe for skin cancer.
“Most skin cancer patients are over 50 since there is a direct relationship between sun exposure over time and skin cancer,” says Dr. Garcia-Zuazaga.
It’s important to note that the most dangerous form of cancer, melanoma, can strike at any age. It’s one of the most common cancers among young adults.
Fair skin
“The Caucasian population is more at risk for skin cancer. Skin cancer is most commonly found on sun-exposed areas such as the scalp, face, hands and neck,” he says.
If you have very fair skin, avoiding the sun, using sunscreen and wearing sun-protective clothing are your best options to prevent skin cancer.
Personal or family history of skin cancer
“Statistics show that 50% of the population that have had a previous basal cell or squamous cell cancer will develop another within five years. This is why dermatologists recommend a skin check every six months. For melanoma, the guidelines recommend skin checks every four months,” Dr. Garcia-Zuagaza says.
Immunosuppression
Immunosuppressants are used for several reasons. Some people may need them to treat autoimmune diseases or as part of a transplant procedure.
“All patients taking these medications need to be aware of sun protection. In addition, these patients often have warts that develop. Any change in lesions such as crusty/scale/bleeding or pain should be evaluated promptly.”
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If you want a case of dog envy, check out the All-Around Dog Agility Championships, July 4-7 at Cleveland Metroparks Polo Field in Chagrin Falls.
The free event brings in more than 200 dogs and their handlers who will cajole, encourage and coax their canine charges to jump, climb, run, see-saw and weave their way through agility challenges.
No, your dog probably can’t do what they do. And, yes, it’s perfectly fine if yours takes power naps and begs for treats. Stop by anyway. Well-behaved dogs are welcome to watch as long as they’re on a leash. See how yours stacks up. You can test their agility aptitude on Saturday and Sunday in the Agility 101 ring for a $5 donation. Proceeds benefit Geauga County Humane Society’s Rescue Village.
To learn more about what your dog probably can’t do, but could if either of you really tried, go to usdaa.com
Tall Order
Ship Shape
You can enjoy the thrill of tall ships this summer without swabbing a deck or hoisting a sail.
The Tall Ships Challenge returns to Cleveland’s waterfront on July 11 for a four-day festival of live entertainment, historical exhibits, food and tours of the traditionally rigged sailing ships.
The event starts with a dramatic Parade of Sail at 4 p.m. on Thursday, July 11 with 10 ships from Canada, the United States and New Zealand. The Captain’s Reception and Opening Ceremony are at 7 p.m.
Gates open at 9:30 a.m. July 12, 13 and 14 with festival activities, exhibits and public ships boarding from 11 a.m. – 6 p.m. daily. Ninety-minute excursions aboard the Appledore IV, Appledore V and Inland Seas ships are available for an extra charge over regular admission.
You’ll find the Tall Ships Challenge just north of FirstEnergy Stadium. Buy discounted presale tickets at tallshipscle.com.
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