Injuries Archive - Dr. Tabrizi, Dr. Chwalek, Dr. Gruber

Quadriceps tendon rupture: What now?

dr-dorothee — Tue, 15 Jul 2025 13:14:10 +0000

Quadriceps tendon rupture

What now?

A sudden, sharp pain in the front of the thigh and knee, accompanied by an immediate feeling of not being able to control the leg properly: these symptoms may indicate a quadriceps tendon rupture. Now it is important to get a quick and accurate diagnosis. Is it a partial tear or a complete tear? And which treatment is appropriate in each case? At our orthopedic practice in Frankfurt, an experienced team is at your side—with sound diagnostics, individualized advice, and a clearly structured treatment plan.

What is the quadriceps tendon?

This is a strong tendon at the front of the thigh. It connects the large thigh muscle (musculus quadriceps femoris) to the kneecap (patella).

The main function of this tendon is to transfer force from the thigh to the knee joint. This enables movements such as straightening the leg, walking, climbing stairs, or standing up from a seated position. The quadriceps tendon therefore plays a central role in the stability and function of the knee joint in everyday life and during sports.

What is a quadriceps tendon rupture?

A quadriceps tendon rupture is an injury to the tendon that connects the front thigh muscle to the kneecap. As a result, the transfer of force from the thigh to the knee joint can no longer take place properly. This makes it difficult or impossible to straighten the leg.

A quadriceps tendon rupture can occur in two forms: as a partial tear (partial rupture) or as a complete tear (complete rupture). Both variants differ significantly in severity, symptoms, and treatment requirements.

Partial tear (partial rupture)
In a partial tear, only parts of the tendon are damaged, with some of the tendon fibers remaining intact. In many cases, active extension of the leg is still possible, albeit painful and with reduced strength. The symptoms (see below) are often less pronounced, which can lead to the injury being underestimated at first.
Complete tear (complete rupture)
A complete tear means that the tendon is completely separated from the kneecap – often with an audible tearing sound and immediate loss of strength. This means that you can no longer actively extend your leg. This type of injury is much more serious and is an orthopedic emergency.

What are the symptoms of a quadriceps tendon rupture?

Typical symptoms include:

The pain usually occurs immediately when the injury occurs. Those affected describe it as sharp and deep in the front of the knee and thigh.

Many affected individuals report a clearly audible sound at the moment of injury—often described as a pop or snap. This acoustic signal is usually accompanied by a sharp pain and unmistakably signals the moment of tendon rupture.

A key symptom is the loss of active knee extension. This means that you can no longer straighten your leg against resistance or under your own power, for example when standing up or walking.

Shortly after the injury, there is often visible swelling around the knee. Bruising (hematoma) may spread to the area above or below the kneecap.

In the case of a complete tear, a dent or indentation can be felt where the tendon was originally located (i.e., in the upper knee area).

Many sufferers feel that their knee is “no longer controllable” or unstable. Normal load-bearing capacity is severely restricted. Sufferers have no support in their knee.

Extension is severely impaired, sometimes also flexion. Everyday activities such as climbing stairs or standing up are difficult or impossible.

What causes a quadriceps tendon rupture?

Partial or complete rupture is usually caused by sudden, severe strain on the tendon – often in combination with certain risk factors or previous damage. The most common triggers include:

Falls onto the bent knee, e.g. during sports
Landing from a jump with an abrupt change of direction
Uncontrolled muscle tension, for example when the body reflexively tries to straighten the leg
Accidents in everyday life or at work, e.g. tripping or slipping

Chronic overload, e.g. due to intensive training or physically demanding work
Aging processes, which cause the tendon to lose elasticity and become more susceptible to damage
Tendon calcification or micro-injuries that go unnoticed and weaken the tendon structure

Diabetes mellitus (impairs blood circulation and can weaken the tendon structure)
Kidney disease – especially in dialysis patients (metabolic products and mineral imbalances make the tendon more susceptible to damage)
Rheumatic diseases (inflammatory processes can attack the connective tissue and reduce its resilience)
Metabolic disorders such as gout or thyroid disease (promote structural changes and reduce the elasticity of the tendon)
Cortisone therapy (long-term use interferes with tissue regeneration and weakens the tendon)

Previous knee surgery (can weaken the tendon or alter its alignment, making it more susceptible to tearing under stress)
Scarring or adhesions (interfere with the natural gliding of the tendon and lead to uneven stress with an increased risk of tearing)

A quadriceps tendon rupture rarely occurs “just like that.” It is often caused by a combination of stressful movement and weakened tendon structure. This makes a thorough medical examination that also takes possible risk factors into account all the more important—especially if the rupture is not sports-related.

How is a quadriceps tendon rupture diagnosed?

If you suspect a tendon rupture, our private practice for orthopedics and traumatology in Frankfurt is happy to be your first point of contact. The diagnosis is made in several steps and aims to reliably identify the injury and determine its extent.

Both clinical examinations and imaging techniques are used:

Medical history
The diagnostic process begins with a detailed consultation with a physician. We take the time to record the exact circumstances of the accident, the type of pain, existing movement restrictions, and any pre-existing conditions. Individual risk factors such as previous knee surgery or chronic conditions are also taken into account in the assessment. This careful evaluation forms the basis for further clinical examination and any necessary imaging procedures.
Physical examination
The medical history interview is followed by a physical examination, during which we look specifically for signs of a quadriceps tendon rupture. A key feature is the active knee extension test. If you are unable to straighten your leg against resistance or under your own power, a complete tear is likely. In addition, we carefully palpate the area above the kneecap. A noticeable dent can be a clear sign of a severed or torn tendon. Swelling, bruising, and visible differences in muscle tone between both thighs are also included in the clinical assessment and help to evaluate the severity of the injury.
Imaging techniques
For further clarification, we rely on modern imaging techniques, which usually provide quick and reliable information about the extent of the injury. Ultrasound allows us to assess the continuity of the tendon. This is particularly useful in the case of fresh tears, as it allows us to determine whether the tendon is still intact or has been severed. In addition, an X-ray examination is often used to rule out bone injuries, for example, if a small fragment of the tendon has been torn off along with a piece of bone. In most cases, these two procedures are sufficient to make a clear diagnosis. However, if the findings remain unclear but the symptoms are obvious, we will arrange for magnetic resonance imaging (MRI) for further clarification. This provides a particularly detailed image and also shows possible muscle damage or accompanying injuries in the knee joint.

The combination of clinical findings and modern imaging enables a reliable diagnosis. Depending on the findings, the appropriate therapy—conservative or surgical—is then initiated.

What is the treatment for a quadriceps tendon rupture?

The treatment of a tendon rupture depends primarily on the extent of the injury, your general state of health, and your activity level. A basic distinction is made between conservative and surgical treatment:

Conservative treatment
A conservative treatment approach is only considered in exceptional cases—for example, in cases of partial tears with preserved extension function or in older patients with severely limited health. Treatment then involves immobilizing the leg in a straight position (usually with an orthosis), accompanied by targeted physical therapy. The aim is to stimulate the tendon to heal itself while preventing muscle loss.
Surgical therapy
In the case of a complete tear, surgery is almost always necessary. The aim is to reconnect the torn tendon firmly to the kneecap. This is usually done using a suture or special anchoring techniques (e.g., bone anchors or transosseous sutures). The procedure is performed as soon as possible after the injury, as fresh tears heal better and cause fewer complications. After the operation, the leg is initially immobilized with an orthosis. You may only put limited weight on it for the next few weeks.
Rehabilitation
Rehabilitation usually begins with passive movement exercises and is gradually supplemented by active muscle training. Depending on the severity of the injury and the course of therapy, it usually takes several months before full weight-bearing and a return to sporting activities are possible.

Treating quadriceps tendon tears in Frankfurt

A quadriceps tendon rupture can occur to varying degrees – as a partial or complete tear. While a partial tear can be treated conservatively under certain conditions and healed with targeted physical therapy, a complete tear is an orthopedic emergency. In this case, the knee is unstable, active extension is difficult or impossible, and surgical treatment is usually unavoidable.

It is crucial to accurately diagnose the type of injury at an early stage through clinical examination and imaging techniques. At our orthopedic practice in Frankfurt, you will receive a thorough diagnosis, individual consultation, and professional treatment – from the initial suspicion to complete recovery.

Feel free to make an appointment!

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Trigger finger treatment: these options are available

dr-dorothee — Wed, 11 Jun 2025 06:38:39 +0000

Trigger finger treatment

These options are available

Does a finger hook, is it difficult or painful to stretch? This symptom may indicate a “trigger finger”. The finding can have a considerable impact on everyday life and is often very unpleasant for those affected. But how can hand tendon disorders be treated effectively? Below we show you the various options that can help you regain pain-free and unrestricted use of your hands.

What is trigger finger?

Known in medical terminology as tendovaginitis stenosans, trigger finger is a functional disorder of the hand that impairs the smooth movement of one or more fingers. The condition occurs when the flexor tendons of a finger can no longer slide freely through their gliding channel, which is stabilized by so-called annular ligaments.

How a trigger finger develops

Imagine the tendons as cords that slide through tight-fitting tubes (the tendon sheaths). These tubes are in turn fixed to the bone by ring ligaments to keep the tendons close to the finger. The following happens with the trigger finger:

Thickening of the tendon
Overloading, irritation or inflammatory processes can cause the flexor tendon to thicken at a certain point. Sometimes a small nodule also forms there.
Narrowing of the annular ligament/tendon sheath
At the same time or in addition, the annular ligament, under which the tendon has to glide, can become inflammatory narrowed or thickened. The A1 annular ligament at the base joint of the finger is most frequently affected.

This combination of thickened tendon and/or narrowed canal prevents the tendon from gliding smoothly through the canal. When attempting to flex or extend the finger, the thickened tendon or the nodule gets caught on the annular ligament. If sufficient force is applied, the tendon “snaps” through the constriction, causing the characteristic sound and sensation.

Underlying diseases such as diabetes mellitus, gout or rheumatism can also promote the development of the condition.

Typical symptoms of a trigger finger

The symptoms often develop gradually and can vary:

Snapping/jerking
The most noticeable indication is the typical “snapping”, “jumping” or “clicking” of the affected finger when bending or stretching.
Pain
In addition, there is often pain in the area of the metacarpophalangeal joint (on the palm of the hand), which can become worse when moving.
Morning stiffness
Many sufferers notice stiffness in the finger, especially in the morning.
Blockage
In advanced stages, the finger can “jam” in a bent position. This means that you can no longer stretch it independently. To release the finger from the blockage, you often have to help with the other hand.
Palpable thickening
Sometimes a small, painful thickening can be felt on the palm of the hand above the affected metacarpophalangeal joint.

A trigger finger can affect any finger. However, the thumb, middle finger and ring finger are most commonly affected. Statistically, women are affected more frequently than men and the condition is more common in middle age.

Different stages of a snap finger

Stage 1: Pain and tenderness

In this initial stage, you primarily feel pain and tenderness in the palm of the hand, directly above the A1 annular ligament at the base joint of the finger.
There is no snapping or sticking of the finger yet. Mobility is usually almost unrestricted.

Stage 2: Snapping symptoms

Now there is the characteristic snapping or jerking of the finger when bending or stretching.
The finger can still be fully extended using its own strength (active), even if this may be associated with noticeable resistance.

Stage 3: Blockage, passively correctable

In this stage, the finger is locked in a bent position and can no longer be stretched under its own power.
However, you can bring the finger back into position with the help of the other hand (passively), although this is often associated with pain.

Stage 4: Fixed blockage

This is the most advanced stage. The finger is fixed in a bent position and cannot be fully extended either actively or passively (i.e. not even with the help of the other hand). A permanent flexed position has developed.

Snap finger treatment: How we can help you

Determining the exact stage is crucial for treatment planning. In the early stages (1 and 2), conservative treatment approaches are often successful. The further the disease progresses and the higher the stage, the more likely it is that surgery will be necessary to permanently correct the problem.

Conservative snap finger treatment in our practice in Frankfurt

Conservative therapy aims to alleviate symptoms without surgery. The aim is to reduce inflammation and promote the smooth gliding of the tendon. It is particularly suitable for early stages. Important measures include

Rest and activity adjustment
Avoid movements that cause pain and adjust gripping patterns.
Splint treatment
A splint (for the night) immobilizes the finger and relieves the tendon.
Drug therapy
NSAID painkillers relieve inflammation and pain.
Cortisone injections
A direct injection into the tendon sheath is very effective in reducing swelling. A single injection is often sufficient for long-lasting improvement.
Physiotherapy/hand therapy
Targeted exercises and manual techniques improve mobility and tendon gliding ability.
Treatment of underlying diseases
In addition, good control of diseases such as diabetes is important for the success of the therapy.

Surgical snap finger treatment in Frankfurt

If conservative measures are not sufficient or the condition is already advanced, surgery is advisable. The aim of the procedure is to remove the bottleneck that is causing the finger to snap or lock.

The procedure: Ring ligament splitting
Snap finger surgery is usually performed on an outpatient basis in our private practice for orthopaedics and traumatology in Frankfurt. You will be given a local anesthetic. This means that only your hand or the affected finger will be anaesthetized. You will remain awake during the entire procedure. We will make a small incision about 1 to 2 centimetres long on the palm of your hand, directly above the affected metacarpophalangeal joint. Under direct vision, we carefully split the thickened A1 annular ligament lengthwise. In this way, we widen the gliding channel for the flexor tendon. The tendon can then glide unhindered and pain-free through the exposed channel again. We then suture the skin wound with a few stitches.
After the operation
You can usually move your finger freely again immediately after the operation. A bandage protects the wound. Swelling and slight pain are normal and can be easily controlled with painkillers. We remove the stitches after 10 to 14 days. Until then, you should keep the wound clean and dry. It is important to move the finger early and regularly to avoid adhesions. Targeted fist-closing and stretching exercises promote full mobility.

Your path to recovery: diagnostics and treatment in Frankfurt

Regardless of whether you notice the first signs of a trigger finger or are already suffering from more severe symptoms: A precise diagnosis and treatment tailored to your situation are crucial for your hand health.

With many years of experience and in-depth expertise in the field of hand surgery, we offer you comprehensive advice and all common conservative and surgical treatment options for snap finger.

Simply contact us to arrange an appointment!

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Osteoarthritis of the knee: When the cartilage in the knee joint wears out

dr-dorothee — Thu, 10 Apr 2025 09:06:46 +0000

Osteoarthritis of the knee

When the cartilage in the knee joint wears out

Pain when walking, climbing stairs or getting up from a sitting position – if the knee joint is increasingly causing problems, there may be more to it than just a temporary overload. The cause is often gradual cartilage degradation, which leads to functional limitations and permanent discomfort. People from middle age onwards are particularly affected, but younger people can also suffer. Dealing with the signs and causes of this joint change at an early stage is crucial in order to alleviate symptoms and maintain mobility for as long as possible. Below we provide you with basic information on osteoarthritis of the knee.

What is osteoarthritis of the knee?

Osteoarthritis of the knee is a chronic, non-inflammatory joint disease in which the protective cartilage between the femur, tibia and kneecap gradually breaks down.

In a healthy knee, this cartilage ensures smooth movement and acts as a shock absorber. However, if it becomes thinner or rough, the bones rub directly against each other during movement – leading to pain, stiffness and limited mobility.

Osteoarthritis of the knee can develop gradually and affect different areas of the knee joint. It is one of the most common forms of osteoarthritis, especially in older people or in people who put a lot of strain on their knees through work, sport or obesity.

What symptoms are associated with osteoarthritis of the knee?

Osteoarthritis of the knee can cause a variety of symptoms that develop gradually and increase as the disease progresses. The symptoms often occur as a result of stress and can persist over time, even at rest. Typical symptoms are

Knee pain
Initially, the knee usually only hurts when weight is placed on it – for example when walking, climbing stairs or standing for long periods. As osteoarthritis progresses, the pain also occurs at rest or at night.
Initial pain
After periods of rest, e.g. in the morning or after sitting for a long time, the first attempt at movement is particularly difficult. The knee feels stiff, but the pain often subsides after a few steps.
Restricted movement
The mobility of the knee decreases. Bending or full extension in particular can become increasingly difficult.
Joint stiffness
The knee joint feels stiff, especially after rest or cold. This often occurs in the morning or during longer periods of sitting.
Swelling and overheating
In the event of irritation or accompanying inflammation, the knee may swell, become overheated and feel firm.
Crunching or rubbing in the joint
When moving, many sufferers experience an unpleasant sensation in the knee caused by the uneven cartilage surfaces. This is often accompanied by a cracking, crunching sound.
Feeling of instability
Some people report that their knee feels “unsteady” or “wobbly” and that they do not have a firm grip – especially when walking on uneven surfaces.
Misalignments
In the later stages, visible changes such as bow legs or knock-knees can occur, which also increase pain and strain.

What types of osteoarthritis of the knee are there?

The knee consists of three main joint parts (compartments). Osteoarthritis can occur in one or more of these areas:

Medial gonarthrosis
This form affects the inner part of the joint between the femur and tibia (medial tibial compartment). It is the most common type of gonarthrosis, as the body weight is predominantly on the inside of the knee when walking.
Lateral gonarthrosis
This affects the outer section of the joint (lateral tibial compartment). It occurs less frequently, but can be particularly painful and is often accompanied by a knock-knee deformity.
Retropatellar gonarthrosis
In this form, the wear and tear is located behind the kneecap (between the kneecap and the thigh bone). Typical symptoms occur when climbing stairs, squatting or sitting for long periods with the knee bent.
Pangonarthrosis
If all three joint sections are affected at the same time, this is known as pangonarthrosis. This form is usually advanced and associated with significant restriction of movement and chronic pain.

What causes osteoarthritis of the knee?

The causes of knee osteoarthritis are varied – several factors often come together.
A basic distinction is made between primary and secondary osteoarthritis of the knee:

Primary osteoarthritis of the knee

This form develops without a clearly identifiable cause. It is mainly associated with the natural ageing process. Over the years, the joint cartilage gradually wears down due to constant stress. Possible contributing factors are

Genetic predisposition
Age (often from the age of 50)
Being overweight, which puts a permanent strain on the knee joints
Lack of exercise, which impairs cartilage nutrition

Secondary osteoarthritis of the knee

In this case, there is a specific cause or previous illness that accelerates cartilage wear or triggers it at an early stage. Common causes in this context are

Injuries such as meniscus tears, cruciate ligament tears or bone fractures in the knee area
Misalignment of the legs (e.g. bow legs or knock-knees), which put uneven strain on the cartilage
Chronic overloading due to heavy physical work or intensive sport
Inflammatory joint diseases, such as rheumatoid arthritis
Metabolic disorders such as gout or diabetes mellitus
Previous operations on the knee joint

How is knee osteoarthritis diagnosed?

The diagnosis of osteoarthritis of the knee is based on several steps and aims to determine the exact cause of the symptoms and the extent of the cartilage wear. A structured procedure helps to rule out other possible diseases and initiate the appropriate treatment.

Medical history

The first step is to ask you specific questions:

The type, duration and intensity of your pain
Accompanying complaints such as swelling or stiffness
Everyday restrictions and previous treatments
Risk factors such as injuries, misalignments or family history

Physical examination

We will now examine your knee for swelling, misalignment, restricted movement and tenderness. The gait pattern, leg axis and stability of the joint also provide us with important information.

Imaging procedures

The following methods are used to confirm the diagnosis:

X-ray
This is the most important imaging procedure for assessing the joint space, bony changes, malpositions or joint deformities.
Ultrasound
Ultrasound is helpful for visualizing joint effusions, bursitis or soft tissue changes.
MRI
Magnetic resonance imaging is used to assess the condition of the cartilage, menisci, ligaments and soft tissues more precisely – especially in the early stages of osteoarthritis or if symptoms are unclear.
Laboratory tests (if required)
If an inflammatory process is suspected – e.g. as part of a rheumatic disease – blood tests can be useful. They help to rule out other causes such as gout or bacterial inflammation.

The combination of medical history, clinical examination and diagnostic imaging enables us to make a reliable assessment of how advanced the osteoarthritis of the knee is – and which treatment options are available.

Treatment of osteoarthritis of the knee in Frankfurt

The treatment of knee joint wear and tear in our private practice for orthopaedics and traumatology in Frankfurt aims to relieve pain, improve your joint function and slow down the progression of the disease.

Depending on the severity and individual factors, various treatment approaches can be considered:

Conservative treatment methods

In the early stages of gonarthrosis, the focus is on non-surgical measures:

Physiotherapy
Targeted exercises strengthen the surrounding muscles, improve mobility and stabilize the knee joint.
Weight reduction
Being overweight puts additional strain on the knee joints. Losing weight can reduce the pressure on the joint and alleviate symptoms.
Drug therapy
Painkillers and anti-inflammatory medication can reduce symptoms.
Orthopaedic aids
Insoles or supports support the joint and can correct misalignments.
Sport and MTT
Joint-friendly sports such as cycling, swimming or Nordic walking can strengthen the muscles around the knee, which can improve joint stability and relieve pain. At the same time, exercise promotes cartilage nutrition, which can counteract the progression of osteoarthritis. Medical training therapy (MTT) also enables structured muscle development – under professional guidance – and helps to avoid incorrect strain. Properly dosed, regular exercise can have a significant positive effect on the course of the disease.

Surgical treatment methods

If conservative measures are no longer sufficient, surgical procedures can be considered:

Arthroscopy
This minimally invasive arthroscopy enables the removal of cartilage abrasion or meniscus damage.
Repositioning osteotomy
This involves the surgical correction of misalignments in order to redistribute the load in the joint.
Knee endoprosthesis
The implantation of an artificial knee joint is often recommended in cases of advanced knee osteoarthritis.

Special therapies offered at Dr. Tabrizi’s practice in Frankfurt

In our private practice for orthopaedics and traumatology in Frankfurt, we offer not only classic treatment methods but also advanced innovative therapies that can be optimally combined with general treatment:

Peri- and intra-articular infiltrations
The injection of anti-inflammatory substances directly into the affected joint or surrounding tissue helps to reduce pain and inhibit inflammation.
Platelet-rich plasma (PRP) therapy
In autologous blood treatment, we inject growth factor-rich plasma into your joint to promote healing processes and slow down cartilage degradation. You can find more information about this treatment option here: PRP therapy for osteoarthritis: How does the procedure work??
Kinesio taping
Elastic tapes support joint function and pain relief.
Acupuncture
We insert special needles at specific points to reduce pain and promote self-healing.

Osteoarthritis therapy in Frankfurt: help with osteoarthritis of the knee

Osteoarthritis of the knee is one of the most common causes of knee pain in adults and can significantly impair quality of life. This makes early and targeted treatment that not only alleviates the symptoms but also slows down the progression of joint wear all the more important.

At our private orthopaedic practice in Frankfurt, you will receive comprehensive care – from in-depth diagnostics to individual treatment planning. With modern, gentle procedures such as PRP therapy, special injections and other supportive measures, we offer you numerous options to reduce pain in the long term and promote mobility.

If you suffer from knee osteoarthritis, we are a competent point of contact for customized treatment based on the latest medical findings. Simply contact us to arrange an appointment!

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Secondary osteoarthritis: what you need to know

dr-dorothee — Fri, 14 Mar 2025 09:38:43 +0000

Secondary osteoarthritis

What you need to know

Joint pain, restricted movement and persistent discomfort – when the cartilage in the joint wears away excessively, this can have a significant impact on quality of life. It becomes particularly challenging when osteoarthritis is not caused by natural ageing processes, but as a result of another disease or injury. Many sufferers are unaware that early measures can have a positive influence on the course of the disease. But how can this so-called secondary osteoarthritis be recognized, what causes play a role and what treatment options are available? A look at the most important facts helps to better understand complaints.

What is secondary osteoarthritis?

Osteoarthritis is a degenerative joint disease in which the cartilage, which serves as a buffer between the bones, gradually breaks down. As a result, the bones increasingly rub against each other, causing pain, inflammation and restricted movement. Typical symptoms include initial pain, stiffness after periods of rest and increasingly limited mobility. Osteoarthritis can occur in any joint, but is particularly common in the knees, hips, hands and spine.

While so-called primary osteoarthritis is usually caused by natural ageing processes, the secondary variant is caused by the consequences of another disease/external influences.

What are the causes of secondary osteoarthritis?

Injuries and trauma
Joint fractures, torn ligaments or meniscus damage can affect the joint structure in the long term and wear down the cartilage more quickly.
Misalignments and incorrect loading
Congenital or acquired joint misalignments (e.g. knock knees or bow legs) lead to uneven loading and promote cartilage wear.
Inflammatory joint diseases
Rheumatoid arthritis or other autoimmune diseases attack the joints and can destroy the cartilage.
Metabolic diseases
Diseases such as gout, diabetes or haemophilia impair the metabolism in the joint and promote cartilage damage.
Infections
Bacterial infections in a joint (septic arthritis) can permanently damage the joint structure and cause osteoarthritis.
Overloading and chronic stress
Occupational or sporting overload can cause the cartilage to wear out more quickly, especially during intensive, repetitive movements.
Physical changes
Osteoporosis or hormonal changes (e.g. during the menopause) can affect the stability of bones and joints.

Secondary osteoarthritis: diagnostics in Frankfurt

Diagnosis is based on a combination of medical history, physical examination and imaging procedures. As this form of osteoarthritis has a recognizable cause, it is particularly important to identify the underlying disease or damage at an early stage.

Medical history and physical examination

We will ask you questions about your symptoms, previous illnesses, injuries or family history.

Typical questions include

how long has the pain been present?
are there any known injuries or underlying illnesses?
which movements are particularly painful or restricted?

During the examination, we check

the mobility and stability of your affected joint
swelling, misalignment or crunching noises (crepitations)
pain when weight is applied or pressure is exerted on the joint

Imaging procedures

Various imaging procedures can be used to assess the condition of the joint more precisely:

An X-ray examination provides information about cartilage wear, joint space narrowing, bone growths (osteophytes) or misalignments.
Ultrasound can be used to assess joint effusions or soft tissue changes.
MRI (magnetic resonance imaging) allows detailed imaging of cartilage, ligaments and soft tissue. The examination is helpful in the early stages of osteoarthritis or if concomitant injuries are suspected.
CT (computed tomography) is particularly useful for complex joint malpositions or fractures.
Laboratory tests

If an inflammatory or metabolic cause is suspected, blood tests or joint punctures can provide important information:

Inflammation values (CRP, erythrocyte sedimentation rate, rheumatoid factors) provide clarity if rheumatoid arthritis is suspected
Uric acid values help to clarify a possible gout disease
Bacteriological examination of joint fluid confirms or disproves the suspicion of an infection

Comprehensive diagnostics can not only confirm secondary osteoarthritis, but also treat its cause in a targeted manner in order to slow down or prevent the progression of the disease.

Secondary osteoarthritis: treatment in Frankfurt

As this form of joint wear and tear is triggered by a specific cause, it is crucial to treat this specifically. The aim is to relieve pain, maintain mobility and slow down the progression of the disease. The following options are available:

Treatment of the underlying disease

For malpositions
Orthopaedic insoles or surgical corrections can improve the load on the joint.
For rheumatic diseases
Drugs such as immunosuppressants or anti-inflammatory agents slow down the activity of the disease.
For metabolic disorders
An adapted diet and drug therapy (e.g. for gout or diabetes) can reduce joint damage.
After injuries
Consistent rehabilitation and physiotherapy help to prevent consequential damage.

Conservative therapy (without surgery)

Pain and anti-inflammatory medication
NSAIDs (e.g. ibuprofen or diclofenac) relieve discomfort and inhibit inflammation.
Physiotherapy and exercise therapy
Targeted exercises strengthen the muscles, stabilize the joint and improve mobility.
Sports that are easy on the joints
Swimming, cycling or yoga help to keep the joint flexible without overloading it.
Infiltrations
Targeted injections in or around the joint can relieve pain and improve joint function in cases of secondary osteoarthritis. Periarticular injections act on inflamed tissue around the joint, while intraarticular injections are given directly into the joint space. Cortisone reduces inflammation, hyaluronic acid improves lubrication and PRP promotes cartilage regeneration.
Cold and heat applications
Heat promotes blood circulation, cold relieves inflammation and pain.

Surgical therapy (for advanced osteoarthritis)

If conservative measures are no longer sufficient, surgery may be necessary:

Arthroscopy (joint endoscopy)
This involves the minimally invasive removal of damaged cartilage or smoothing of the joint surfaces.
Repositioning osteotomy
This treatment corrects pronounced misalignments in order to redistribute the joint load.
Cartilage transplantation
The body’s own cartilage can be transplanted for regeneration, especially in younger patients.
Joint replacement (endoprosthesis)
In severe cases, the damaged joint is replaced with a prosthesis (e.g. artificial knee or hip joint).

Lifestyle adjustments and prevention

Weight reduction
Particularly in the case of obesity, appropriate weight reduction relieves the joints and slows down cartilage degradation.
Joint-friendly movement patterns
It is very helpful to avoid one-sided strain or heavy physical work or to perform certain movements in a way that is easier on the joints.
Ergonomic aids
Bandages, orthoses or special shoe soles can relieve the affected joints.

How can secondary osteoarthritis be prevented?

The prevention of secondary osteoarthritis primarily addresses the causes that lead to premature joint wear. Targeted measures can reduce many risk factors and maintain joint health in the long term.

Avoid injuries and treat them correctly

Sports with a high risk of injury (e.g. soccer, skiing) require targeted warm-up training and protective measures such as supports.
After accidents or joint injuries, complete rehabilitation should take place to prevent incorrect strain.

Correct misalignments at an early stage

Bow or knock-knees and other joint misalignments can lead to uneven loading and faster cartilage wear.
Insoles, orthoses or surgical corrections can help to distribute the load optimally.

Treat inflammatory diseases in good time

Rheumatoid arthritis, gout or infections can destroy the cartilage. Early diagnosis and treatment of these diseases protects the joints.
Regular check-ups are important in order to detect inflammatory processes at an early stage.

Joint-friendly exercise and sport

Regular exercise strengthens the muscles and stabilizes the joints without overloading them.
Swimming, cycling or moderate strength training are particularly easy on the joints.

Maintain a healthy body weight

Being overweight puts strain on the joints, especially the knees, hips and ankles.
A balanced diet and regular exercise help to reduce weight and then keep it stable, thus reducing the risk of osteoarthritis.

Control metabolic diseases

Diseses such as diabetes or gout can accelerate cartilage degradation. Good control of these diseases helps to protect the joints.
A low-purine diet can help to prevent gout attacks.

Reduce overloading in everyday life and at work

Anyone who lifts heavy loads at work or works on their knees for long periods should use techniques that are easy on the joints.
Ergonomic aids, breaks and targeted compensatory movements take the strain off the joints.

Expert help for joint problems in Frankfurt

Secondary osteoarthritis can be caused by injury, inflammation or misalignment and often leads to pain and limited mobility. Early and targeted treatment is crucial to slow down joint wear and tear and improve quality of life.

At our private practice for orthopaedics and traumatology in Frankfurt, you will find a first-class point of contact for the diagnosis and treatment of joint wear and tear.

Thanks to innovative procedures and comprehensive expertise, our practice is ideally equipped to provide you with the best possible care. If you are looking for a precise diagnosis and effective, gentle treatment, you will find the ideal partner for sustainable joint health here.

Simply contact us to arrange an appointment!

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Biceps tendon rupture treatment: what can be done?

dr-dorothee — Wed, 20 Mar 2024 07:10:49 +0000

Biceps tendon rupture treatment

What can be done?

Whether lifting heavy objects around the house, working in the garden, playing sport or even during everyday movements – a torn biceps tendon can affect anyone. It is definitely a painful and limiting injury.

In the following, we will show you what a ruptured tendon means in detail. We also explain what treatment is advisable.

What is the biceps tendon?

The biceps tendon is a thick tendon that connects the biceps muscle in the upper arm to the bone. This muscle is responsible for the movement of the elbow joint and the shoulder joint. The tendon runs along the front of the upper arm and attaches to two points: the shoulder blade (scapula) and the radius bone in the forearm. It plays an important role in many everyday movements such as lifting, gripping and carrying objects.

What is a biceps tendon rupture?

This condition occurs when the tendon that connects the biceps muscle to the bone ruptures partially or completely. The rupture can occur both in the upper part of the tendon (close to the shoulder blade) and in the lower part (close to the elbow). A partial rupture is also possible. In this case, the tendon is partially, but not completely, separated from its attachment point on the bone. This type of (partial) rupture of the biceps tendon can be caused by various factors:

Sudden overload or traumatic injury
When lifting very heavy objects or falling on the outstretched arm, the biceps muscle suddenly becomes very tense. This can cause the tendon to tear.

Repetitive strain
Continuous and repeated strain on the biceps muscle over a long period of time, as can be the case with certain sports or occupational activities, for example, can gradually weaken the tendon. This increases the risk of it tearing.

Degenerative changes
With increasing age, degenerative changes can occur in the tissue, which can also affect the biceps tendon. These make the tendon more susceptible to tears.

Pre-existing conditions
Tendon inflammation or osteoarthritis, for example, can increase the risk of a tendon rupture as they can impair its structure and strength.

Anatomical factors
In some cases, anatomical features such as a tendon structure that deviates from the norm or anomalies in the shoulder or elbow joint can increase the risk of a biceps tendon rupture.

What are the symptoms of a biceps tendon rupture?

Depending on the severity of the injury, a biceps tendon rupture can be accompanied by various symptoms:

Popping sound
There is often a distinct popping sound at the time of the injury, which is caused by the rupture of the tendon.

Pain in the upper arm or elbow
In particular, movements that strain the biceps muscle, such as bending the arm or lifting objects, can be painful if the tendon is torn.

Swelling and bruising
Swelling can also occur in the upper arm or elbow area. This is often accompanied by bruising along the tendon.

Loss of strength and limited mobility
A biceps tendon rupture can lead to a noticeable loss of strength. This is particularly noticeable when bending or lifting the arm. At the same time, the mobility of the affected arm is often restricted.

Diagnosis of a biceps tendon rupture at our practice in Frankfurt

It is crucial that you seek medical help immediately if you suspect a torn tendon. Early diagnosis and treatment can significantly improve your chances of recovery. Untreated tendon ruptures can cause long-term dysfunction and complications. For this reason, it is important to take the injury seriously.

At our private practice for orthopaedics and traumatology in Frankfurt, we are highly experienced in diagnosing and treating a wide range of injuries. We have state-of-the-art technology such as high-resolution ultrasound and fully digital X-ray equipment to examine your tendons in detail.

As experts in the field of sports medicine and sports injuries, we are also your ideal contact in Frankfurt.

Biceps tendon tear treatment: various options

The treatment of a biceps tendon rupture depends on the severity of your injury and your individual needs. In general, there are two approaches to treatment:

Conservative treatment of the biceps tendon tear
If you have a partial tear of the tendon, there are medical contraindications for surgery or you would like non-surgical treatment initially, conservative treatment can be used. The RICE method is helpful here:

Rest
Temporarily restricting the movements and activities of the affected arm can help to prevent further damage and promote healing.
Ice
By cooling the affected area with ice or cool packs, you can relieve pain and reduce inflammation and swelling. We recommend applying ice several times a day for around 15-20 minutes.
Compression
A compression bandage or a special bandage can control the swelling and support the stability of the arm.
Elevation
Elevating the arm can also help to reduce swelling and promote the healing process.

We can also prescribe painkillers. Physiotherapy is also useful. With targeted exercises, manual techniques and other therapeutic interventions, it can help to restore the mobility of your arm and strengthen the surrounding muscles.

Surgical treatment of a torn biceps tendon
If the biceps tendon is completely torn, conservative measures are not sufficient or complications are to be expected, surgery may be necessary. During the procedure, the surgeon can repair the torn tendon or reattach it to another location.

A rehabilitation phase is important after the operation.

For partial tears of the biceps tendon or minor injuries, recovery takes around 6-12 weeks. In the case of pronounced ruptures or more severe injuries, healing can take longer. In some cases, full recovery may take 3-6 months or longer.

Biceps tendon rupture treatment: other options without surgery at our practice in Frankfurt

We can supplement your conservative treatment with other therapy options:

PRP treatment
In a PRP treatment, we take a small amount of blood from you, which we centrifuge to isolate the platelet-rich plasma. We then inject this into the injured tendon with the aim of promoting the growth of healthy tissue and accelerating healing.

Acupuncture
The small needles can help to relieve pain and promote relaxation. In certain cases, this can help to support the recovery process.

Kinesio taping
Taping can be useful as an adjunctive measure in conjunction with other therapies to relieve pain, improve arm stability and support the muscles.

Biceps tendon tear treatment in Frankfurt

A (partial) rupture of the biceps tendon is a painful and limiting injury that can have various causes. Depending on the severity of the injury and your individual needs, treatment options range from conservative approaches such as rest, physiotherapy and possibly complementary methods to surgical procedures.

It is important to seek immediate medical attention if you suspect a biceps tendon rupture so that you receive the appropriate diagnosis and treatment for the best possible recovery.

We are here for you! Simply contact us!

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SIJ pain: Diagnostics important for treating problems

dr-dorothee — Mon, 05 Feb 2024 07:54:58 +0000

SIJ pain

Diagnostics important for treating problems

Although the sacroiliac joint (SIJ) appears inconspicuous at first glance, it can cause considerable discomfort and pain in many people. This small but extremely important joint connects the sacrum to the two pelvic bones and plays a crucial role in the stability of the entire musculoskeletal system. If the sacroiliac joint does not function properly, this can lead to back and pelvic pain, restricted mobility and more. A key question for sufferers is: how can these SIJ problems be alleviated? In the case of SIJ pain, it is first important to carry out a comprehensive diagnosis to find out exactly where the pain is coming from. Depending on the diagnosis, we can draw up an individual treatment plan for you.

SIJ: What is the sacroiliac joint and what does it do?

The sacroiliac joint (SIJ) is a joint in the human body that is located between the pelvic bone (ilium) and the sacrum. This joint belongs to the category of amphiarthrosis joints, which means that its mobility is limited.

The sacroiliac joint has two important functions:

Providing stability
The joint plays a crucial role in maintaining the correct position of the pelvis. It also controls the movements between the pelvis and the spine. This stabilization is crucial for the upright posture and balance of the body.

Shock absorption
The sacroiliac joint also acts as a shock absorber. It absorbs shocks and stresses during activities such as walking, running or jumping. The joint distributes these forces evenly across the pelvis and spine to prevent injuries.

Various problems can cause SIJ pain

There are different types of problems that can be associated with the sacroiliac joint (SIJ). They can be accompanied by a wide range of complaints and symptoms. In most cases, there is sometimes severe pain in the lower back, buttocks, hips or legs. The pain is often worse when you stand, walk, bend or turn. Sometimes numbness or tingling can also occur.

The most common SIJ problems and clinical pictures include:

Dysfunction of the sacroiliac joint
In sacroiliac joint dysfunction, the joint does not function as it should, often due to overuse, trauma or misalignment. This can lead to pain, stiffness and limited mobility. This finding occurs quite frequently.

Arthritis of the SI joint
In arthritis, a joint is inflamed. This clinical picture can also affect the sacroiliac joint.

Pregnancy-related SIJ problems
During pregnancy, the connective tissue in a woman’s body loosens to make room for the growing baby. This can lead to the sacroiliac joint becoming unstable. This can be accompanied by pain.

Injuries to the sacroiliac joint
Traumatic injuries such as falls or accidents can affect the sacroiliac joint.

These are often referred to as SIJ syndrome. This term is used as a collective term for the various problems that can affect the sacroiliac joint.

Diagnosis of SIJ pain

Medical history and physical examination
First, we take a careful, detailed medical history. We will ask you about your symptoms, your medical history and possible injuries or traumatic events (such as accidents or falls). We will then carry out a physical examination. We will have you make certain movements, palpate you and carry out tests with you to determine the exact location of the symptoms. By applying pressure to the sacroiliac joint, for example, we can check whether this is already causing pain. This is an indication of SIJ syndrome.

Exclusion of other causes using imaging procedures
As the symptoms of SIJ syndromes can be similar to those of other lower back conditions, it is important to rule out other possible causes. These include, for example, bulging discs, slipped discs or hip problems.

For differential diagnoses, we use imaging techniques such as ultrasound and X-rays. If these are not informative enough, we can use MRI (magnetic resonance imaging) or CT scans. These diagnostic methods can help to detect structural anomalies or changes in the area of the sacroiliac joint.

SIJ pain: treatment options in our practice in Frankfurt

The treatment of sacroiliac joint problems depends on your exact diagnosis and your individual circumstances and needs. In principle, the following treatments are possible at our private practice for orthopaedics and traumatology in Frankfurt:

Drug therapy
For acute and basic treatment, we can prescribe painkillers or anti-inflammatory medication to alleviate your symptoms. In some cases – especially if the muscles surrounding the SI joint are particularly tense – muscle relaxants are also useful. These are medications with special active ingredients that reduce and relieve muscle tension and muscle spasms.

Injections
For severe pain, we can inject local anesthetics and/or anti-inflammatory medication into your SI joint. There are various options for this in spinal therapy (e.g. neural therapy, segmental therapy, infiltrations close to the spine). The aim of the treatment is to relieve your pain and reduce any existing inflammation.

Chiropractic therapy
Chiropractic treatment is a form of manual therapy that we also offer at our practice in Frankfurt. Chiropractic treatment can help with SI joint problems in various ways: Firstly, it can restore the flexibility of your joint and thus improve your mobility. If the sacroiliac joint is displaced or misaligned, we can bring it back into the correct position. This can relieve pain and discomfort. Furthermore, the targeted manual techniques can help to relieve muscle tension around the sacroiliac joint.

Traction treatments
Traction is a method in which we apply controlled traction forces to your spine and the affected joint. Traction treatments can be particularly helpful if compression or misalignment of the sacroiliac joint is causing the symptoms. This can lead to unusual pressure on the joint. We can reduce the pressure through traction. We can also improve mobility if the function of the SIJ is restricted, e.g. due to adhesions. The treatment can also help to relax the muscles around the sacroiliac joint. In many cases, this all helps to improve the symptoms.

Acupuncture
Another option for treating SIJ pain is acupuncture. This is a traditional Chinese healing method in which we insert thin needles into your skin at specific points. Your body then releases endorphins – your body’s own pain-relieving substances. We can also use the needles to help relieve muscle tension. Acupuncture also improves blood circulation, which can further promote healing.

Complementary methods to treat SIJ problems

Physiotherapy
Physiotherapists can support the treatment of SIJ pain. They use targeted manual techniques and show you exercises to strengthen your muscles and improve the mobility of the sacroiliac joint. This can help to stabilize the joint and increase your freedom of movement.

Osteopathy
This holistic medical approach uses special manual techniques to diagnose, treat and prevent functional disorders and imbalances in the body. This concept can also be used to support the treatment of SI joint pain.

Sport or MTT
With a targeted training plan tailored to your symptoms, you can strengthen the muscles surrounding the SI joint and achieve improved stability. Medical training therapy (MTT for short) is also ideal for this.

Treating SIJ pain in Frankfurt

Pain originating from the sacroiliac joint can be very stressful and grueling – especially if it is particularly severe. At our practice in Frankfurt, we carry out a thorough diagnosis to determine the source of your pain and then draw up a treatment plan that is tailored to your individual situation.

We are here for you and won’t leave you alone with your pain! Simply contact us to make an appointment!

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Treating sports injuries: Does it always have to be surgery?

dr-dorothee — Thu, 05 Oct 2023 06:09:50 +0000

Treating sports injuries

Does it always have to be surgery?

Unexpected trauma, for example from falls, collisions or sudden, energetic movements during sports, can overstress or even damage tissue, muscles, ligaments or bones. At the same time, overuse can also occur when repeated stresses and movements without adequate recovery cause microscopic tissue damage. Additionally, environmental factors such as slippery surfaces, inadequate equipment, or adverse weather conditions can increase the risk of injury. So sports injuries can occur in a variety of ways. But how can they be treated?

What sports injuries are there?

Depending on the sport, individual circumstances, and type of activity, sports injuries can take many forms. These include:

Contusions and bruises
Bruises or hematomas result from a fall, for example. The skin and underlying tissue are then temporarily damaged. These sports injuries are often painful and cause swelling and discoloration.

Strains and sprains
A strain is an injury in which muscle fibers are overstretched by very forceful movements. There is a similar situation with ligaments. Here we speak of sprains. Symptoms include pain, swelling and limited mobility.

Injuries to ligaments and tendons
Ligament injuries are damage to the connective tissue structures that stabilize joints. These can be, for example, overstretching, strains or tears. Sports injuries can also affect the tendons. Strains, inflammations or tears are typical. You can read more about this here: Tendon Injuries Frankfurt and Tendon Rupture Frankfurt.

Bursitis
These are inflammations of the bursae, which are located near joints and serve to reduce friction. They can result from repetitive strain or traumatic injury to the area of a bursa, causing inflammation and pain. Other typical symptoms include swelling and limited motion.

Bone fractures
Collisions, direct blows, falls or similar can lead to fractures. A distinction is made between small cracks in the bones up to a complete fracture. One bone can be affected, but also several.

Joint injuries
If you put excessive strain on your joints or twist them in an unfavorable way, this can lead to meniscus tears or cartilage damage, for example. Such injuries may be accompanied by pain, swelling, stiffness, limited mobility, redness, a feeling of warmth, and possibly cracking sounds in the affected joint.

Overuse syndromes
These occur when repetitive stress and activities without adequate recovery result in tissue damage. Typical symptoms include persistent pain in the affected area, muscle weakness or fatigue, impaired performance and often inflammation. These symptoms indicate the need to adjust training and provide adequate rest to prevent further injury. Typical examples are patellar tendinitis (runner’s knee) or tibial tendinitis. These two syndromes often occur in sports that require repetitive motion.

Dislocations
A dislocation occurs when the bones at a joint leave their normal position, resulting in a significant shift or dislocation. This can cause severe pain, swelling and limited mobility, and usually requires immediate medical attention to reposition the joint.

Sports medicine Frankfurt: Diagnostics before treatment

In order for us to know how to treat your sports injury, we first need to know what exactly is causing your discomfort. The diagnosis of sports injuries involves several steps:

Medical history and physical examination
First, we ask you about the circumstances of the injury, any presenting symptoms and your medical history. We then perform a thorough examination of the injured area to detect swelling, pain, limited range of motion and other signs.

Imaging procedures
Depending on the nature of the injury, we may involve imaging procedures. Two of these are available right in our office. For example, we work with a modern, high-resolution ultrasound machine as well as a fully digital X-ray machine. This enables us to secure many findings. If there is any uncertainty or if these two measures are not sufficient, we can consult MRI or CT. These examinations are performed externally.

Functional tests
In some cases, special functional tests are useful to check the mobility, strength and stability of the injured area. This allows us to determine the degree of impairment. This supports treatment planning.

Laboratory tests
For certain injuries, especially if infection is suspected, we may involve laboratory tests such as blood tests to detect inflammatory markers or other abnormalities.

Treating a sports injury: What are the options?

The treatment of a sports injury depends on the type and severity of the injury. The treatment options will result from our diagnostics. First, some basic tips:

Rest and sparing
One of the most important things to do with sports injuries is to rest and take it easy on the affected area. This allows your body to recover and heal from injuries.

Cool
Using cool packs, for example, can reduce swelling and inflammation.

Elevate
By elevating the affected area above heart level, this can also help reduce swelling.

As part of sports medicine, we also offer you in our private practice for orthopedics and traumatology in Frankfurt.

Compression
In some cases, we will apply a compression bandage or elastic bandage. These methods can reduce swelling and improve the stability of the injured area.

Medication
We may prescribe pain medications for you to take as directed by us.

Cast or splints
More serious injuries, such as broken bones or more extensive ligament injuries, may require wearing a cast or splint to stabilize the area.

Kinesio taping
This is a technique in which we apply elastic tape to your skin to support muscle and joint function. Kinesio taping can help treat sports injuries by relieving pain, promoting circulation and reducing swelling. Furthermore, taping can help stabilize the affected area, allowing for faster recovery.

Acupuncture
In our practice in Frankfurt, we also offer the traditional Chinese healing method of acupuncture to complement conservative therapy. It can help treat sports injuries by relieving pain and reducing inflammation. Thin needles that we place at specific acupuncture points on your body promote the release of the body’s own pain-relieving substances and increase blood flow. This can contribute to accelerated healing of injured tissue.

Shockwave Therapy
In this non-invasive treatment method, we direct high-energy sound waves specifically at the injured area. It can help treat sports injuries because: The therapy can improve blood flow and metabolism in the affected tissue, reduce inflammation and promote tissue regeneration. It can relieve pain and speed healing, especially for tendon and muscle conditions such as tendonitis or fascia problems.

Physical Therapy
For many sports injuries, physical therapy can be helpful in restoring mobility, strength and stability. A physical therapist can recommend specific exercises and techniques.

Treating sports injuries: When is surgery necessary?

Surgery for a sports injury is usually considered when the injury is severe in nature and/or the above conservative treatment methods are not sufficient to adequately treat the injury.

Examples of sports injuries that may require surgery include complex bone fractures, severe ligament or tendon tears, and joint dislocations or instabilities. Surgery may also be indicated if your injury becomes chronic and conservative measures do not bring you improvement.

Factors such as the type and severity of the injury, your age and general health, and your athletic activities all influence the decision to have surgery. Careful evaluation and consultation is critical to choosing the best possible treatment option.

Sports medicine Frankfurt: treat sports injuries with Dr. Tabrizi

At our practice in Frankfurt, we specialize in treating sports injuries. With comprehensive diagnostics, a wealth of experience and a wide range of treatments, we can help you get back on your feet.

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Tendon rupture: What happens when a tendon tears?

dr-dorothee — Fri, 15 Sep 2023 06:07:47 +0000

Tendon rupture Frankfurt

What happens when a tendon tears?

Tendon rupture, also called tendinosis, can occur due to a variety of factors that can compromise the structural integrity of tendons. A common cause is the combination of acute traumatic injury and chronic overuse. In traumatic injuries, a sudden impact or fall can stress a tendon beyond its breaking point and lead to rupture. However, chronic overuse can also cause tendons to gradually suffer micro-injuries. Prolonged stress from repetitive motion (e.g., at work or during sports) can cause these micro-injuries to accumulate and eventually lead to a complete rupture. In addition, degenerative changes due to aging or chronic diseases such as osteoarthritis or rheumatoid arthritis can increase the risk of tendon rupture. In the following, we will introduce you to different types of tendon ruptures and explain how we can treat them in our practice in Frankfurt.

Biceps tendon tear on the arm

A biceps tendon injury can result in the tearing of a portion of the tendon that attaches the biceps muscle to your shoulder or forearm. The biceps muscle is largely responsible for bending the elbow joint and consists of three tendons. In the upper area, it is connected to the shoulder via two tendons (long and short biceps tendon) – in the lower area, it is connected to the forearm via a common tendon. Tears in the forearm area often occur suddenly due to intense tension. Tears in the shoulder area are usually caused by degenerative changes in the shoulder joint. Prolonged shoulder discomfort often precedes a tear.

Typical symptoms of a rupture of the biceps tendon

Sudden, stabbing pain
Audible “pop”
Large bruise on the forearm and in the area of the flexor elbow joint
The biceps muscle pulls back, when tensing it shifts upwards

Therapy in Frankfurt
Injuries to the shoulder and elbow have different effects. In the case of forearm injuries, a major loss of strength in flexion and external rotation of the forearm usually leads to surgical treatment, especially in younger patients. In this case, the tendon is reattached to the attachment on the forearm with the help of suture anchors.

In the case of tendon rupture at the shoulder, the loss of strength is less, and treatment is usually without surgery.

Rupture of the extensor or flexor tendons of the hand

Hand tendon injuries can result in tears, bony avulsions or severances of the affected tendons. Sharp severances of the tendon often occur due to injuries with broken glass or knives. A bony avulsion of the tendon can result from violent bending or extending movements of the fingers. Sometimes a tendon tears even without a direct (sports) accident, for example, due to inflammatory or rheumatic diseases.

Typical symptoms of a tear of the extensor or flexor tendons of the hand

Restricted movement of the fingers or hand
Malpositioning of the fingers
Pain
Swelling
Bruises

Therapy in Frankfurt
A thorough physical examination is crucial in hand tendon injuries, and we pay particular attention to the type and extent of movement restrictions in the fingers. To rule out possible bone injuries, it often requires an X-ray examination.

Treatment options for injured tendons are varied and depend on the type of injury. We can often successfully treat extensor tendon injuries in the front of the fingers with a splint or cast without surgery.

Flexor tendon injuries usually require surgical treatment, which should be performed promptly after the injury to suture the tendon. If treatment is delayed, a tendon graft is sometimes required.

Tear of the quadriceps or patellar tendon at the knee

Both tendons attach to the kneecap (patella). A rupture of the quadriceps tendon is the rupture of the tendon that connects the thigh extensor (quadriceps muscle) to the kneecap. In the case of an affected patellar tendon, the tendon that runs from the lower pole of the kneecap to the lower leg tears. Both tendons are part of the extensor apparatus of the leg and transmit force from your thigh to your lower leg. Tendon rupture usually occurs due to degenerative changes in the tendons. Acutely, it can also be caused by severe muscle strain in a flexed position of the knee joint, and less commonly by direct trauma to the kneecap.

Typical symptoms of a tear of the quadriceps or patellar tendon at the knee

Loud cracking in the knee
Swelling soon after
Restricted ability to walk / running often no longer possible at all
Reduced strength when stretching the knee joint
Instability of the knee
Inability to move the knee

Therapy in Frankfurt
In this case, surgical treatment is usually required. The tendon is either sutured or, in the case of tears close to the bone, reattached to the bone.

Rupture of the Achilles tendon on the foot

The Achilles tendon transmits the force of the calf muscles to the heel bone and allows the movement where you can lower the toe down. This allows you to stand on your toes or push off the ground when running or jumping. Although the Achilles tendon is the strongest tendon in the human body, it can tear. External trauma is rarely the cause. In most cases, there is a chronic change in the tendon. The tear then occurs due to sudden strain or abrupt stopping.

Typical symptoms of tendon rupture of the Achilles tendon in the foot

Sudden, whip-like pop
Sharp pain above the heel and in the calf
Limited ability to walk
Therapy in Frankfurt
First, a careful ultrasound examination of the tendon is performed to determine if the ruptured tendon ends are sufficiently approaching in a pointed foot position. If this is the case, conservative therapy can be performed in a special lower leg boot.

If the tendon ends are too far apart or the tendon is torn directly at the calcaneus, surgery is required.

Also possible: partial tear of a tendon

In a partial tendon tear, the tendon in question is partially, but not completely, torn away from its attachment point to bone or muscle. This type of injury falls between a tendon strain, in which the tendon is overstretched or irritated, and a complete tendon tear, in which the tendon is completely separated.

Causes of a partial tear of a tendon can include acute trauma, overuse or degenerative changes. For example, a sudden fall or heavy load can damage the tendon and cause a partial tear. With repetitive stress or chronic overuse, the tendon may gradually wear down and tear.

Symptoms of a partial tear of a tendon may include pain, swelling and dysfunction in the affected region. The severity of symptoms depends on the degree of the tear.

Treatment can be conservative and includes rest, physical therapy, anti-inflammatory medications and targeted exercises to strengthen the muscles around the injured tendon.

Other tendon injuries with similar symptoms

There are other tendon injuries or conditions where the tendon is not torn but causes similar symptoms.

These include:

Inflammation of the tendon and tendon sheath.
Strains
Tendon slippage
Tendon calcification
Tendon dislocation
Tendon tissue thickening

You can learn more about the individual tendon diseases here: Tendon injuries Frankfurt

Diagnostics and treatment of tendon ruptures in Frankfurt

It is important to seek medical attention immediately if a tendon tear is suspected. Early diagnosis and treatment can greatly improve the chances of recovery. Untreated tendon tears can lead to long-term dysfunction and complications, so you should take the injury seriously.

At our private practice for orthopedics and traumatology in Frankfurt, we specialize in the diagnosis and treatment of a wide variety of injuries. We have a state-of-the-art, high-resolution ultrasound as well as a fully digital X-ray machine to examine your tendons. Since we are also experts in the field of sports medicine as well as sports injuries, we are also your perfect contact in Frankfurt for all these issues.

We can complement the respective conservative treatment with, for example, PRP treatment, acupuncture or kinesio-taping in our practice in Frankfurt.

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Tendon injuries: Which ones are there?

dr-dorothee — Mon, 14 Aug 2023 13:57:23 +0000

Tendon Injuries Frankfurt

Which ones are there?

Tendons are there to transfer the force of a muscle to a bone. They are made of special fibrous tissues that contain collagen fibers. Compared to other tissues in the body, their blood supply is poor. For the most part, it is supplied passively through vessels from muscles, bones and tendon sheaths. Tendons have few cells that divide slowly. In the process, they renew the tissue – or repair damage such as injuries. Because of metabolism, tendon injuries take longer to heal. Below, we provide an overview of possible tendon injuries and basic information on how to treat them.

Causes of tendon injuries

Tendon injuries can occur in a number of ways.

Poor warm-up and stretching
Inadequate warm-up and stretching before exercise can make tendons less flexible and increase the risk of injury.

Overuse
Tendon injuries are often the result of chronic overuse. Repeated, intense stress on the tendons, without adequate rest and recovery, can lead to microtears. This often occurs in sports that require repetitive movements such as running, tennis, golf or baseball.

Trauma
Acute injuries, such as sudden impacts or falls, can lead to tendon tears. For example, a fall on the extended leg can lead to an Achilles tendon tear.

Incorrect posture and inadequate technique
Incorrect posture or inadequate technique during certain activities can place excessive stress on tendons. This is often the case with weight training or sports involving explosive movements. These are fast and powerful activities in which the muscles release a high amount of energy in a short period of time to produce maximum power. These are for example jumps, sprints and throws.

Age
As we age, the elasticity and strength of tendons decreases, increasing the risk of tendon injury. This is a natural process and can lead to injury.

Anatomical factors
Some individuals have a higher risk of tendon injury due to their anatomical structure. For example, an abnormal tendon path can increase the risk.

Medications and diseases
Certain medications, such as fluoroquinolones, can make tendons more unstable, making you more likely to injure them. In addition, diseases such as rheumatism or diabetes can make tendons more vulnerable.

Inflammation, tear and strain: the most common tendon injuries

Tendon inflammation (tendinitis)
So-called tendinitis is an inflammation of a tendon. In this case, it is irritated and swollen. This causes pain that usually occurs near the affected tendon. The pain often intensifies with movement or strain on the affected region, with limited functionality. The affected region may feel stiff, especially in the morning or after prolonged rest. In some cases, the skin over the affected tendon may also be red and warmer than the surrounding skin.

The cause is usually overuse, e.g. due to repetitive movements, incorrect technique in sports or unfavorable workplace conditions.

Typical examples of tendonitis are Achilles tendonitis and tennis or golfer’s elbow.

Tendon strain
Another possible tendon injury is a strain. It occurs when a tendon is stretched beyond its normal extent. Again, there may be pain, swelling, redness and sometimes bruising at the affected area. The severity of the stretch can vary from mild to severe.

Tendon strain can occur when a tendon is abruptly or excessively stretched, for example, by a sudden impact, a strong tensile load, or a rapid movement. Repetitive motions or stresses that strain a tendon over a long period of time can also cause it. This often occurs in sports or occupational activities that require repetitive motion. If you do not warm up or stretch adequately before exercising or doing physical work, this can increase your risk for a pulled tendon.

A typical example is the strain of the tendons in the thigh area (quadriceps tendon strain).

Tendon rupture
When a tendon partially or completely ruptures, it is called tendinosis. Tendon rupture is usually accompanied by severe, sudden pain near the injured tendon. The pain can be so severe that it significantly restricts movement of the affected area. In addition, there is swelling. Since the small blood vessels near the torn tendon are usually damaged as well, there is also a bruise in most cases.

A tendon rupture can significantly affect the normal function of the muscle associated with the torn tendon. This often leads to a noticeable loss of strength as well as a restriction of movement.

The causes are, for example, accidents or overuse of the tendon. Degenerative changes, as can occur through the natural aging process, or congenital malpositions are also often to blame for ruptures. Tendon ruptures are also common sports accidents or the result of improper technique during training.

Typical examples are the rupture of the biceps tendon or the patellar tendon.

You can also read more about this topic here: Tendon rupture: What happens when a tendon tears?

Diagnostics and therapy for tendon injuries in Frankfurt

It is important to take tendon injuries seriously and seek medical attention to ensure the best possible recovery.

If you have had an accident or suddenly notice pain, limited range of motion or other problems that may indicate tendon injuries and disorders listed above, please make an appointment with our private practice for orthopedics and traumatology in Frankfurt.

We specialize in the diagnosis and treatment of a wide variety of injuries. In addition, we are also experts in the field of sports medicine and sports injuries. To find out what exactly is wrong with you, we work with a modern, high-resolution ultrasound machine as well as a fully digital X-ray machine.

The particular treatment depends on the type and severity of your individual tendon problem. Therapy may include immobilization with bandages and orthotics, physical therapy, anti-inflammatory medications and targeted exercises to strengthen the muscles around the affected tendon. Peri- and intra-articular infiltrations, PRP treatment, shock wave therapy, acupuncture or kinesio-taping in our practice in Frankfurt are also possible.

In severe cases, surgery may be necessary.

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Der Beitrag Tendon injuries: Which ones are there? erschien zuerst auf Dr. Tabrizi, Dr. Chwalek, Dr. Gruber.

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