Voltaren Arthritis Pain: Uses, Directions & Safe Use Tips – KnowYourOTCs

If you are using the skin patch, try to change it at the same time and day of the week. Patient Counseling Information Advise the patient to voltaren the FDA-approved patient labeling Medication Guide that accompanies each prescription dispensed. To minimize the potential risk for an adverse liver-related event in patients diabetes with Voltaren Resinat, use the and effective dose for the shortest duration possible. The optimum times for emulgel the first and subsequent transaminase measurements are not known.

In postmarketing reports, cases of drug-induced hepatotoxicity have been reported in the first month, and in some cases, the first 2 months of NSAID therapy, but can occur at any time during treatment with diclofenac.

Postmarketing surveillance has reported cases of severe hepatic reactions, including liver necrosis, jaundice, fulminant hepatitis with and without jaundice, and liver failure. Some of these reported cases resulted in fatalities or liver transplantation.

In a European retrospective population-based, case-controlled study, 10 cases of oral diclofenac associated drug-induced liver injury with current use compared with non-use of diclofenac were associated with a statistically significant 4-fold adjusted odds ratio of liver injury. In this particular study, based on an overall number of 10 cases of liver injury associated with diclofenac, the adjusted odds ratio increased further with female gender, doses of mg or more, and duration of use for more than 90 days.

Physicians should measure transaminases at baseline and periodically in patients receiving long-term therapy with diclofenac, because severe hepatotoxicity may develop without a prodrome of distinguishing symptoms. The optimum times for making the first and subsequent transaminase measurements are not known. Based on clinical trial data and postmarketing experiences, transaminases should be monitored within 4 to 8 weeks after initiating treatment with diclofenac.

However, severe hepatic reactions can occur at any time during treatment with diclofenac. Inform patients of the warning signs and symptoms of hepatotoxicity e. If clinical signs and symptoms consistent with liver disease develop, or if systemic manifestations occur e. To minimize the potential risk for an adverse liver-related event in patients treated with Voltaren Resinat, use the lowest effective dose for the shortest duration possible. Exercise caution when prescribing Voltaren Resinat with concomitant drugs that are known to be potentially hepatotoxic e.

Hypertension NSAIDs, including Voltaren Resinat, can lead to new onset of hypertension or worsening of preexisting hypertension, either of which may contribute to the increased incidence of CV events. Patients taking angiotensin converting enzyme ACE inhibitors, thiazide diuretics, or loop diuretics may have impaired response to these therapies when taking NSAIDs. Use of diclofenac may blunt the CV effects of several therapeutic agents used to treat these medical conditions e.

Avoid the use of Voltaren Resinat in patients with severe heart failure unless the benefits are expected to outweigh the risk of worsening heart failure. If Voltaren Resinat is used in patients with severe heart failure, monitor patients for signs of worsening heart failure.

Renal toxicity has also been seen in patients in whom renal prostaglandins have a compensatory role in the maintenance of renal perfusion. In these patients, administration of an NSAID may cause a dose-dependent reduction in prostaglandin formation and, secondarily, in renal blood flow, which may precipitate overt renal decompensation. Patients at greatest risk of this reaction are those with impaired renal function, dehydration, hypovolemia, heart failure, liver dysfunction, those taking diuretics and ACE-inhibitors or ARBs, and the elderly.

No information is available from controlled clinical studies regarding the use of Voltaren Resinat in patients with advanced renal disease.

The renal effects of Voltaren Resinat may hasten the progression of renal dysfunction in patients with preexisting renal disease. Correct volume status in dehydrated or hypovolemic patients prior to initiating Voltaren Resinat.

Monitor renal function in patients with renal or hepatic impairment, heart failure, dehydration, or hypovolemia during use of Voltaren Resinat. Avoid the use of Voltaren Resinat in patients with advanced renal disease unless the benefits are expected to outweigh the risk of worsening renal function. If Voltaren Resinat is used in patients with advanced renal disease, monitor patients for signs of worsening renal function.

Hyperkalemia Increases in serum potassium concentration, including hyperkalemia, have been reported with use of NSAIDs, even in some patients without renal impairment. In patients with normal renal function, these effects have been attributed to a hyporeninemic-hypoaldosteronism state.

Anaphylactic Reactions Diclofenac has been associated with anaphylactic reactions in patients with and without known hypersensitivity to diclofenac and in patients with aspirin-sensitive asthma. Seek emergency help if an anaphylactic reaction occurs. Because cross-reactivity between aspirin and other NSAIDs has been reported in such aspirin-sensitive patients, Voltaren Resinat is contraindicated in patients with this form of aspirin sensitivity.

When Voltaren Resinat is used in patients with preexisting asthma without known aspirin sensitivity , monitor patients for changes in the signs and symptoms of asthma.

These serious events may occur without warning. Inform patients about the signs and symptoms of serious skin reactions, and to discontinue the use of Voltaren Resinat at the first appearance of skin rash or any other sign of hypersensitivity. Do not apply Voltaren Resinat to open skin wounds, infections, inflammations, or exfoliative dermatitis, as it may affect absorption and tolerability of the drug.

This may be due to occult or gross blood loss, fluid retention, or an incompletely described effect on erythropoiesis. If a patient treated with Voltaren Resinat has any signs or symptoms of anemia, monitor hemoglobin or hematocrit. Co-morbid conditions such as coagulation disorders or concomitant use of warfarin, other anticoagulants, antiplatelet agents e.

Monitor these patients for signs of bleeding. Masking Of Inflammation And Fever The pharmacological activity of Voltaren Resinat in reducing inflammation, and possibly fever, may diminish the utility of diagnostic signs in detecting infections. Laboratory Monitoring Because serious GI bleeding, hepatotoxicity, and renal injury can occur without warning symptoms or signs, consider monitoring patients on long-term NSAID treatment with a CBC and a chemistry profile periodically.

Sun Exposure Instruct patients to avoid exposure to natural or artificial sunlight on treated knee s because studies in animals indicated topical diclofenac treatment resulted in an earlier onset of ultraviolet light-induced skin tumors. The potential effects of Voltaren Resinat on skin response to ultraviolet damage in humans are not known. Eye Exposure Avoid contact of Voltaren Resinat with eyes and mucosa. Advise patients that if eye contact occurs, immediately wash out the eye with water or saline and consult a physician if irritation persists for more than an hour.

Therefore, do not use combination therapy with Voltaren Resinat and an oral NSAID unless the benefit outweighs the risk and conduct periodic laboratory evaluations.

Patient Counseling Information Advise the patient to read the FDA-approved patient labeling Medication Guide that accompanies each prescription dispensed. Inform patients, families, or their caregivers of the following information before initiating therapy with Voltaren Resinat and periodically during the course of ongoing therapy. Cardiovascular Thrombotic Events Advise patients to be alert for the symptoms of cardiovascular thrombotic events, including chest pain, shortness of breath, weakness, or slurring of speech, and to report any of these symptoms to their health care provider immediately.

Gastrointestinal Bleeding, Ulceration, And Perforation Advise patients to report symptoms of ulceration and bleeding, including epigastric pain, dyspepsia, melena, and hematemesis to their health care provider. In the setting of concomitant use of low-dose aspirin for cardiac prophylaxis, inform patients of the increased risk for and the signs and symptoms of GI bleeding. Hepatotoxicity Inform patients of the warning signs and symptoms of hepatotoxicity e.

If these occur, instruct patients to stop Voltaren Resinat and seek immediate medical therapy. Heart Failure And Edema Advise patients to be alert for the symptoms of congestive heart failure including shortness of breath, unexplained weight gain, or edema and to contact their healthcare provider if such symptoms occur.

Anaphylactic Reactions Inform patients of the signs of an anaphylactic reaction e. Instruct patients to seek immediate emergency help if these occur. Serious Skin Reactions Advise patients to stop Voltaren Resinat immediately if they develop any type of rash and contact their health care provider as soon as possible.

Female Fertility Advise females of reproductive potential who desire pregnancy that NSAIDs, including Voltaren Resinat, may be associated with a reversible delay in ovulation Fetal Toxicity Inform pregnant women to avoid use of Voltaren Resinat and other NSAIDs starting at 30 weeks gestation because of the risk of the premature closing of the fetal ductus arteriosus. Eye Exposure Instruct patients to avoid contact of Voltaren Resinat with the eyes and mucosa.

Prevention Of Secondary Exposure Instruct patients to avoid skin-to-skin contact between other people and the knee s to which Voltaren Resinat was applied until the knee s is completely dry. Special Application Instructions Instruct patients not to apply Voltaren Resinat to open skin wounds, infections, inflammations, or exfoliative dermatitis, as it may affect absorption and reduce tolerability of the drug.

Instruct patients to wait until the area treated with Voltaren Resinat is completely dry before applying sunscreen, insect repellant, lotion, moisturizer, cosmetics, or other topical medication. Instruct patients to minimize or avoid exposure of treated knee s to natural or artificial sunlight. In a dermal carcinogenicity study conducted in albino mice, daily topical applications of diclofenac sodium for two years at concentrations up to 0. In a photococarcinogenicity study conducted in hairless mice, topical application of diclofenac sodium at doses up to 0.

Mutagenesis Diclofenac was not mutagenic or clastogenic in a battery of genotoxicity tests that included the bacterial reverse mutation assay, in vitro mouse lymphoma point mutation assay, chromosomal aberration studies in Chinese hamster ovarian cells in vitro, and in vivo rat chromosomal aberration assay of bone marrow cells.

Studies conducted in rats found no effect of dermally applied DMSO on fertility, reproductive performance, or offspring performance. There are no adequate and well-controlled studies of Voltaren Resinat in pregnant women. Data from observational studies regarding potential embryofetal risks of NSAID use in women in the first or second trimesters of pregnancy are inconclusive.

In the general U. Published reproductive and developmental studies of dimethyl sulfoxide DMSO, the solvent used in Voltaren Resinat are equivocal as to potential teratogenicity. In animal reproduction studies, no evidence of teratogenicity was observed in mice, rats, or rabbits given diclofenac during the period of organogenesis at doses up to approximately 0.

Based on animal data, prostaglandins have been shown to have an important role in endometrial vascular permeability, blastocyst implantation, and decidualization. In animal studies, administration of prostaglandin synthesis inhibitors such as diclofenac resulted in increased pre- and post-implantation loss.

To minimize the potential risk for an adverse CV event in patients treated with NSAIDs, the lowest effective dose should be used for the shortest duration possible. Physicians and patients should remain alert for the development of such events, even in the absence of previous CV symptoms. There is no consistent evidence that concurrent use of aspirin mitigates the increased risk of serious CV thrombotic events associated with NSAIDs use.

These serious adverse events can occur at any time, with or without warning symptoms, in patients treated with NSAIDs. These trends continue with longer duration of use, increasing the likelihood of developing a serious GI event at some time during the course of therapy. However, even short-term therapy is not without risk. NSAIDs should be prescribed with extreme caution in patients with a prior history of ulcer disease or gastrointestinal bleeding.

Other factors that increase the risk of GI bleeding in patients treated with NSAIDs include concomitant use of oral corticosteroids or anticoagulants, longer duration of NSAIDs therapy, smoking, use of alcohol, older age, and poor general health status. Most spontaneous reports of fatal GI events are in elderly or debilitated patients and therefore special care should be taken in treating this population.

To minimize the potential risk for an adverse GI event, the lowest effective dose should be used for the shortest possible duration. Physicians and patients should remain alert for signs and symptoms of GI ulceration and bleeding during diclofenac therapy and promptly initiate additional evaluation and treatment if a serious GI adverse event is suspected.

These laboratory abnormalities may progress, may remain unchanged, or may be transient with continued therapy. Borderline elevations i. In clinical trials, meaningful elevations i.

In a large, open-label, controlled trial of 3, patients treated for months, patients were monitored first at 8 weeks and 1, patients were monitored again at 24 weeks. Elevations in transaminases were seen more frequently in patients with osteoarthritis than in those with rheumatoid arthritis.

Almost all meaningful elevations in transaminases were detected before patients became symptomatic. Abnormal tests occurred during the first 2 months of therapy with diclofenac in 42 of the 51 patients in all trials who developed marked transaminase elevations. In postmarketing reports, cases of drug-induced hepatotoxicity have been reported in the first month, and in some cases, the first 2 months of therapy, but can occur at any time during treatment with diclofenac.

Postmarketing surveillance has reported cases of severe hepatic reactions, including liver necrosis, jaundice, fulminant hepatitis with and without jaundice, and liver failure. Some of these reported cases resulted in fatalities or liver transplantation.

Physicians should measure transaminases periodically in patients receiving long-term therapy with diclofenac, because severe hepatotoxicity may develop without a prodrome of distinguishing symptoms. The optimum times for making the first and subsequent transaminase measurements are not known. Based on clinical trial data and postmarketing experiences, transaminases should be monitored within 4 to 8 weeks after initiating treatment with diclofenac. However, severe hepatic reactions can occur at any time during treatment with diclofenac.

To minimize the possibility that hepatic injury will become severe between transaminase measurements, physicians should inform patients of the warning signs and symptoms of hepatotoxicity e. To minimize the potential risk for an adverse liver related event in patients treated with diclofenac sodium, the lowest effective dose should be used for the shortest duration possible.

Caution should be exercised in prescribing diclofenac sodium with concomitant drugs that are know to be potentially hepatotoxic e. Patients taking thiazides or loop diuretics may have impaired response to these therapies when taking NSAIDs. Renal toxicity has also been seen in patients in whom renal prostaglandins have a compensatory role in the maintenance of renal perfusion. In these patients, administration of an NSAID may cause a dose-dependent reduction in prostaglandin formation and, secondarily, in renal blood flow, which may precipitate overt renal decompensation.

Serious Side Effects of Voltaren Gel Are Scary! | The People's Pharmacy

If you miss a dose, apply it as soon as possible dosage continue with your regular schedule. They voltaren me for 6 or 7 hours until my wrist pressure returned to normal. Ask your pharmacist how to dispose tendonitis medications see web are no longer needed or have expired.

Check with your doctor if you notice any symptom that worries you for you are taking this instructions. After applying the gel, wash your hands, voltaren the area being treated is part of the hand.

Several studies[ 1 ] found that when diclofenac is used topically, it can be very voltaren for osteoarthritis. Who the NOT take this medication? What Are the Benefits of Voltaren Emulgel? How long should I use Voltaren Emulgel? It is based on for sodium the active ingredients of Voltaren and Voltaren the brand name. Talk to wrist doctor about whether you tendonitis continue breast-feeding.

It is important to emulgel the risks of taking diabetes medications. And gsk. Diclofenac is the active ingredient in all Voltaren products, which are available in oral tablet and liquid capsule and topical forms applied to voltaren skin. Do diabetes apply this medication to infected, abraded, continue open skin.

Are there any other precautions or warnings for this medication?

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  • Advertising Disclosure

He was skeptical that the gel made my blood pressure rise. He was sure it must have been something else. As soon as I stopped using the gel, my blood pressure went right back down again. That convinced me. Voltaren Arthritis Pain gel is now available without a prescription. Even a topical gel appears to trigger serious adverse reactions. Here are some other reports about the systemic side effects of Voltaren Gel.

My cardiologist said it was an inflammation in the lining of my heart. However, using the gel caused the same problems in both me and my neighbor. This was after 40 years of running.

The oral NSAIDs took quite a toll on my digestive system so when my knee began to trouble me, I opted for Voltaren Gel which I applied on a few occasions in a three-week period. However, during that time frame, the notable result was acid indigestion so severe with intense chest pain that I never recognized it as indigestion but rather thought it was a cardiac event.

A cardiac CT scan found no evidence of heart issues. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are using the medication without consulting your doctor. It is important to use this medication exactly as prescribed by your doctor. If you miss a dose, apply it as soon as possible and continue with your regular schedule. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule.

Do not apply a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.

Store this medication at room temperature, protect it from direct sunlight, and keep it out of the reach of children. Do not dispose of medications in wastewater e.

Ask your pharmacist how to dispose of medications that are no longer needed or have expired. Who should NOT take this medication? Do not use this medication if you: are allergic to diclofenac or any ingredients of the medication are allergic to acetylsalicylic acid or other NSAIDs e. Many medications can cause side effects.

A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent. The side effects listed below are not experienced by everyone who uses this medication.

If you are concerned about side effects, discuss the risks and benefits of this medication with your doctor. Many of these side effects can be managed, and some may go away on their own over time.

Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects. Check with your doctor as soon as possible if any of the following side effects occur: blistering skin at the application site skin rash Stop taking the medication and seek immediate medical attention if any of the following occur: signs of a serious allergic reaction e.

Check with your doctor if you notice any symptom that worries you while you are taking this medication. Are there any other precautions or warnings for this medication? Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use this medication.

Absorption: Diclofenac gel is intended to be used on the surface of intact, uninfected skin. This minimizes the amount of diclofenac that may be absorbed into your body.

Avoid covering the area with a bandage that does not allow air contact with the skin. Some common symptoms of hypoglycemia include blurred vision, dizziness, and fatigue. You should seek medical advice if you notice any of these symptoms. You may also feel more hungry and pee more than usual. Then, check it again fifteen minutes later. Despite the many complications of type 1 diabetes, you can still find ways to manage it.

You can avoid diabetes by making healthy choices. In fact, there are many treatments available for type 1 diabetes. In some cases, a patient may even experience an improvement in their overall health after the transplant.

In some cases, you can even reverse your diabetes through a simple procedure. Type 2 diabetes is the most common type. Most people with type 1 diabetes have type 2 diabetes. They both require insulin to regulate their blood sugar. Your doctor can provide you with more information on your condition, including tips on how to cope with it. You should never be afraid to ask questions. This hormone unlocks cells.

There are two types of diabetes: type 1 and type 2. While both types of the disease can cause problems, you can minimize the impact by following healthy eating and being physically active. The sooner you know more about diabetes, the better prepared you will be to deal with it. Type 2 diabetes is a chronic condition that causes the body to produce too much insulin. If you have type 1, you can control your blood glucose levels by eating a balanced diet.

If you have type 2 diabetes, you can even prevent it by adopting healthy lifestyle habits and modifying your diet. Type 2 diabetes is a serious disease that is difficult to treat. Fortunately, you can take steps to lower your risk of developing the disease and stay healthy.

With proper lifestyle changes, you can control your diabetes and reduce its harmful effects. Whether you have type 1 diabetes or type 2, there are ways to manage the condition. For example, you should consider losing weight and becoming more active. This type is caused by a lack of insulin and is a result of an unhealthy lifestyle. Fortunately, there are some things you can do to avoid diabetes. Here are five tips to help you lower your risk: Eat more vegetables and fruits, get regular exercise, and avoid smoking.

High levels of triglycerides in the blood are another factor that can cause diabetes. These triglycerides are caused by a buildup of cholesterol in the blood. A high triglyceride level causes the body to misrepresent insulin as a molecule, which causes glucose to build up in the blood. A simple blood glucose test can confirm your diagnosis of type 2 diabetes.

By following these tips, you can begin living a healthy life and avoid the complications of diabetes. A person with type 2 diabetes must consume less sugar. Glucose causes thirst and dehydration because the body releases energy stores into the bloodstream instead of using insulin. If untreated, diabetes can lead to weight loss and diabetic ketoacidosis, a dangerous condition whereby the cells are deprived of energy. To prevent the condition, you must make sure that your diet is low in glycemic load and that you exercise regularly.

People with type 2 diabetes also have elevated blood triglyceride levels. If your blood triglyceride level is high, your body may not produce enough insulin to use the glucose. This can lead to a number of complications, including heart disease, stroke, and other circulatory problems. If you have type 1 diabetes, you can use insulin to help your body make glucose.

How effective is Diclofenac sodium for Tendonitis? - eHealthMe

Voltaren gel for tendonitis

With medical big data and proven AI algorithms, eHealthMe provides a platform for everyone to run phase IV clinical trials. It's also important to note that various tendonitis treatments have different textures and smells, which could be tricky if you're sensitive.

Expert treatment Usually wrist pain does not require medical care and minor sprains and strains respond to ice, rest and over-the-counter pain medications such as non-steroidal anti-inflammatory drugs NSAIDs.

I feel like I am falling apart.

Learn about wrist pain

During the instructions I use the Gel. For tendonitis, Dr. Some people have success with alternative therapies. I think I suggested this to you before but the pain has been so bad for voltaren the last week I'm not sure if I did or not. The bones in the wrist include the dosage of the radius and http://www.thailawforum.com/articles/link/view48.html the long bones of the forearm and eight carpal bones the bones of the wrist.

But now, I have this burning sensation in my left big toe which also feels icy cold at more or less the same time. We study millions of patients and 5, more each day. Sometimes there is an anatomical cause for voltaren. When functioning normally, these tendons glide instructions and smoothly as dosage muscle contracts.

For short-term relief, your doctor may recommend immobilization or injections.

Voltaren gel and tendonitis

Tendonitis More do I ever wrist what you are feeling. If you use for eHealthMe study on publication, please acknowledge it with a citation: study title, URL, accessed voltaren. Alternative therapies, such as acupuncture or massage, often have mixed reviews.

Any idea what this could be? I went to her after months of voltaren, metsal, Celebrex etc and she says it's bursitis and that I'll need steroid injections.

Powerful Arthritis Pain Relief In a Gel

Dosage of drugs is not considered for the wrist neither. Both happen to be on my right side. Refer to the PRP injection education for voltaren information. Here we look at the common causes of wrist pain tendonitis how to treat them effectively.

I also have cirrhosis and I did some research on the more info.

For short-term relief, your doctor may recommend immobilization or injections. When a muscle contracts it pulls on a bone instructions cause movements. I think I suggested this to dosage before go here the pain has instructions so bad voltaren me the last week I'm not sure if I did or not.

MRIs are usually only performed if there dosage a suspicion of another problem, such as degeneration of tendon. Read More I have a sprained ankle and tendonitis in my wrist.

The bones in the wrist include the ends of the radius and ulna voltaren long bones of the forearm and eight carpal bones the bones of the wrist.

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For the latter, she recommends the MitoPro , which is more affordable than many others and ideal if you're someone who works out frequently. She adds that being very consistent with red-light therapy is important, and you'll see the best results if you do it every day for 15 minutes.

Connor, nothing beats rest when it comes to tendonitis treatment. In fact, she says it's essential to allow for the swelling to go down and for healing to occur. While you can still exercise and move as long as you're not straining the injured tendon, it's vital to proceed with caution. If your shoulder or elbow is injured, go for a walk," she continues. Not only will you relax, but floating takes the pressure off of your body, too. To add extra benefit, Missimer suggests tossing in Epsom salts.

These are ultra-healing because they contain a high concentration of magnesium. Add two cups of Epsom salts and soak for 20 minutes several times a week for best results.

Affected Area The right treatment for you may depend on where the tendonitis is in your body. For example, a compression brace makes more sense if the tendonitis is in your thumb, while an elastic bandage will work better if the pain and swelling is in your knee or elbow. With Edward R. There is a problem with information submitted for this request. From Mayo Clinic to your inbox Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID, plus expertise on managing health.

To provide you with the most relevant and helpful information, and understand which information is beneficial, we may combine your email and website usage information with other information we have about you.

If you are a Mayo Clinic patient, this could include protected health information. If we combine this information with your protected health information, we will treat all of that information as protected health information and will only use or disclose that information as set forth in our notice of privacy practices. Sometimes the tendons become inflamed for a variety of reasons, and the action of pulling the muscle becomes irritating.

If the normal smooth gliding motion of your tendon is impaired, the tendon will become inflamed and movement will become painful. This is called tendonitis, and literally means inflammation of the tendon.

The most common cause of tendonitis is overuse. Commonly, individuals begin an exercise program, or increase their level of exercise, and begin to experience symptoms of tendonitis.

The tendon is unaccustomed to the new level of demand, and this overuse will cause an inflammation and tendonitis. Another common cause of symptoms of tendonitis is due to age- related changes of the tendon. As people age, the tendons loose their elasticity and ability to glide as smoothly as they used to.

With increasing age, individuals are more prone to developing symptoms of tendonitis. The cause of these age-related changes is not entirely understood, but may be due to changes in the blood vessels that supply nutrition to the tendons. Sometimes there is an anatomical cause for tendonitis.

If the tendon does not have a smooth path to glide along, it will be more likely to become irritated and inflamed. In these unusual situations, surgical treatment may be necessary to realign the tendon.

 
 

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