Do I Need Tendon Surgery?

Tendon Surgery is a Last Resort

Not every tendon injury requires surgery.

It's generally understood by doctors and surgeons that surgery will introduce more scar tissue into your joint. This added scar tissue will be problematic, requiring visits to a PT clinic and often significant treatment post-surgery. If not dealt with properly, you could end up in worse condition than before the surgery! This is why surgery is only performed as a last resort.

If You Haven't Done So Yet, Get a Proper Diagnosis

Some serious cases of tendon injury may be considered as Surgically Necessary (SN) and will require surgery. In infection, which can be very serious, you will most likely require antibiotic medications as well as surgery. This is why it is important to get to a physician and find out what is really going on - this is known as getting a proper diagnosis. Getting a proper diagnosis would also determine if your pain is a side effect from another condition or disease (Lyme disease is one example). This is less common but nonetheless, very serious. So yes, it is important to get a proper diagnosis.

The Good News

Most cases of tendonitis are not Surgically Necessary, and will heal on their own. This is why most doctors, physicians and orthopaedic specialists will recommend conservative treatments for non-SN tendon injuries before considering surgery.

Some conservative treatment methods considered:

Rest - This is important for initial healing to reduce pain, swelling and inflammation in the early stage of your tendon injury. Too much rest can also be harmful as joint immobility can actually cause stiffening, overcompensation and atrophy (wasting away of soft tissue). This is why rest should be used when reducing initial pain and swelling, but should not be considered for more long-term conservative treatment.
Avoid Activities that Caused Your Injury - While resting your problematic joint, it's important to avoid activities that may have caused your injury in the first place and this definitely includes pretty much any type of sport or repetitive movements that might be undertaken when working. Continuing on with regular activities will not only make your injury worse, but trying to 'work around' your injury will eventually give rise to over-compensation injuries in other areas of your body.
Use a Cold Compress or Ice Pack - Cold is very effective at reducing pain and inflammation - use at the onset of the injury and during flareups.
Use a TShellz Wrap^® - You can use your own blood flow to maximize your rehabilitation, maintain healthy blood flow to your tendons and muscles, decrease recovery time, and boost overall long-term healing. Promoting blood flow to the injury will help to minimize the growth of scar tissue, increase flexibility and helping prevent atrophy.
PT - Surgery is usually the last resort. This means doctors or surgeons typically won't perform a surgery until they feel that their patient has put effort into treating their injury with conservative treatment methods. This includes 4 to 6 months of PT. If you haven't experienced any improvement in your condition during that time then surgery may be considered. Aggressive PT approaches will focus on forced or manual manipulation of your joint - this means your physical therapists will be trying to move your frozen joint past the point of comfort as they strive to increase range of motion and prevent further atrophy. This can be painful and end up making your injury worse if not done correctly. (reference: 1)
Stretching - Stretching your joint in PT and at home will help you to regain your range of motion much faster than not stretching at all. Stretching in many ways is key maintaining good Range of Motion (ROM) in your joint, and stretching can be made much easier with use of a TShellz Wrap^® before to warm up soft tissue, and a Cold Compress or Ice Pack treatment after to prevent any return of swelling and inflammation.

What Happens When You Are Not Using Conservative Treatment Methods (as Outlined Above)

Painful soft tissue injuries such as tendinitis, tenosynovitis, tendinosis and bursitis are all injuries that cannot really be ignored. If you choose to ignore the injury, then this means you will still be be trying to do certain tasks (ie. using a fork, putting on your seat belt, etc) using soft tissue (strained and/or partially torn ligaments & tendons) that is already compromised. This means it will inevitably get worse.

Since the tissue is probably inflamed, lack of proper blood flow will drop your healing rate to a crawl.
Continually straining the soft tissue (just by doing daily tasks such as walking, cooking or driving) worsens the injury and will introduce more scar tissue.
Increased scar tissue buildup will tighten the soft tissue in your joint, decreasing your already limited flexibility (reduced range of motion). After a week or more of limited flexibility in the joint, you may start to experience atrophy - a wasting away of soft tissue that inevitably weakens the joint.

Trying to use your joints once they have not been used for a week or more can easily introduce more scar tissue, cause pain, freeze you up again and happen again and again... As you can see this is a cycle that just gets worse and worse, eventually becoming a chronic (long term) injury. This is the cycle you need to stop or you will probably wind up having surgery once your injury becomes chronic. This is why you need to treat your injury with the TShellz Wrap^® every single day, at least twice per day.

What Are the Two Biggest "Gotchas" When Treating Tendonitis Using
Conservative Treatment Methods?

The Absence of Pain Does Not Mean Your Injury is Gone

After most of our clients use a Cold Compress or Ice Pack for a couple days, pain will typically drop very significantly. This where most people wrongly associate the pain with the injury, whereas in truth, almost all of the pain really came from the inflammation and swelling. Once the inflammation is gone, do not assume you are fully healed.

Time Is Not Your Friend

So you have used a Cold Compress or Ice Pack on your tendon injury and most of the pain is gone, but it's been a couple of months and the injury keeps flaring up. If this is you, then you probably know why this is happening now... the injury was never full healed. To really heal a tendon injury, you really need to rest until it is healed, and you don't need me to tell you this is a pain in the butt! This is why the TShellz Wrap^® is such an important tool, as it introduces the concept of localized enhanced circulation - this means more blood flow in the treatment area. Blood flow is what the body uses for healing tissue; with a boost in the body's healing capability, you should be able to get back on your feet faster and avoid the re-injury cycle.

Why Your Tendon Won't Heal

If our body is designed to heal our own injuries, why does it take so long to heal?

When we have an injured ligament, muscle, tendon or bursa, this means soft tissue at a microscopic level is damaged. Your body responds to this damage with healing right away. During this healing process the injured tissue spasms. These spasms are contractions, and are meant to hold the tissue still to prevent any further injury.

Creating localized pain to tell you something is wrong there and to stop moving it, and
Sending blood to the area to start healing. Healing at this point will also expand the blood vessels in the injured tissue - they enlarge and swell causing you pain. This pain is a signal for you to lessen activity that would put more undue stress on your tendon.

However, there is a significant problem with swelling and inflammation with respect to healing rate. Once soft tissue is inflamed, blood-flow is restricted. The body heals itself by sending nutrients through the blood to the injured tissue, and if the injured tissue is swollen, the blood-flow is greatly decreased.

Decreased blood-flow to injured tissue, prevents the damaged tissue from healing as fast as it would if the area wasn't swollen.

The other issue is that swelling is also very painful. With many conditions, once you get rid of the inflammation, a lot of the pain will disappear as well.

Once the Pain is Gone, We Think Our Soft Tissue Injury is Healed.

So we start using it more and more for common tasks, and then "boom" we get a sharp pain and then it starts all over. When this happens, the injury was never fully healed - and now it is worse! More scar tissue grows in the new tissue micro-tears and well, lets talk about scar tissue.

Scar Tissue - We Need It For Kick-Starting Soft Tissue Repair But After That It is Nasty Stuff

injured tendons that won't heal might have a build up of scar tissue

Tendons, ligaments, muscle and other soft tissue are all meant to be durable and flexible, ready to work and move extreme forces in everyday activities. When I say extreme force, I mean try to imagine the amount of force that your legs puts on your hip, even when you are just walking, let alone running or jumping. Most of this force is handled by tendons and when they are injured or inflamed, movement will usually result in a lot of pain.

Scar tissue grows in damaged tissue when it tries to heal; little tiny band-aids that overlap each other to bind tiny tissue tears together. With this added scar tissue, muscles & tendons & ligaments become rigid, less flexible and unable to handle the forces that it once could. From this, there is added pressure on the tendons and muscles, which can easily become inflamed once there is other inflamed soft tissue in the vicinity. If you're suffering with scar tissue now you may feel the effects with stiffness, tightness, weakness and pain in your joint. So much pain that you don't want to move it!

On-going issues with scar tissue can result in soft tissue tears and increase chances of strain to nearby tendons or ligaments (as they are now handling higher forces due to overcompensation).

Scar tissue is one of the MAIN reasons why a chronic injury has not healed and your Range of Motion (ROM) is reduced from what it once was.

Scar tissue will form fast to deal with a soft tissue injury, and this scar tissue will also attach to everything in the area, including the surrounding healthy tissue as well. This can result in a fusing together of soft tissue that shouldn't be fused together, causing extreme pain when you try to move your joint - it is literally ripping scar tissue. This is why PT is often painful - the therapist stretches the joint, forcing the scar tissue bonds to break so you can regain your range of motion.

Scar tissue is a significant problem for tendon injury sufferers - causing your injury to become chronic, and taking months or even YEARS to completely heal!

You can help reduce the nasty effects of scar tissue and minimize further injury to your joint bursae/muscles/tendons/ligaments by adding heat to the area. Treating yourself with the TShellz Wrap^® is the easiest and most effective way to add heat while increasing localized circulation - helping your body maximize its healing capability and reducing risk of re-injury (which then triggers more scar tissue).

When applied before activity or work, the TShellz Wrap^® will also relax and lengthen your soft tissue to help improve your range of motion and prevent atrophy (tissue wasting & shortening) of your injured joint.

Overall, continued treatment with a TShellz Wrap^® will maintain good health in your soft tissue and significantly reduce your risk of re-injury.

The TShellz Wrap^® - a Home Treatment for Tendinitis

Have you seen what happens when you add water to a flower wilted from drought? In essence, a soft tissue injury is much like a "wilted" flower; your body wants to heal its injury, but needs lots of nutrients to do it. Blood brings new life to your tissue by delivering healing nutrients and oxygen that are vital for its survival. In addition, the blood carries away toxins and waste cleaning the area and healing it faster. Without a good supply of blood, your muscles and/or tendons simply won't heal properly.

Using a TShellz Wrap^® will not expose you to the risk of causing further harm to soft tissue like you can when using rigorous exercise. The TShellz Wrap^® accomplishes the goal of enhanced blood flow without the need for intensive exercise and as such reduces your risk of re-injury.

When to use a TShellz Wrap^®:

Once the swelling is gone (usually after applying cold compression to the injury over 24 to 72 hr period).
BEFORE getting out of bed in the morning. BEFORE going to bed at night.
BEFORE exercise, workouts or activity of any kind to increase joint elasticity (tendons,ligaments,muscles) and decrease the chance of re-injury.
AFTER surgery (once the skin wound has healed over) to increase post-surgery healing rate and minimize scar tissue growth at the surgery location.
Anytime BEFORE you feel you might undertake activity that will put significant strain on the injury area.

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Minimize Your Chance of Tendon Surgery with these Effective Conservative Treatment Options

If your doctor thinks you might be able to avoid surgery by using conservative treatments, you can join our many customers who have had great success treating themselves with the powerful TShellz Wraps^® that we offer through AidYourTendon.

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We also encourage your to Call Our Office at 1-866-237-9608 (toll free continental NA) where we can answer any questions you have and/or take your order via phone.

Soft Tissue Injuries are common and can happen to anyone. Right now there are thousands of doctors and physical therapists dealing with patients that require a solution to treat their injury fast and heal it (where possible). If you want to be pro-active about properly addressing your tendonitis by using optimal home based conservative treatments, then you need to use AidYourTendon's system utilizing TShellz Wraps^® and accessory products.

If Surgery is Required

Ok, well the good news is that our TShellz Wraps^® are highly effective treatments for post-surgery recovery. To learn more about how to get started with recovery after surgery, click here.

The Next Step Is Up To You!

Living with pain is never easy as it affects your entire lifestyle. Living with pain during or after an intensive surgery and lengthy rehabilitation period can be even harder! What is more important than taking your best shot at trying to heal your tendon before signing up for surgery?

Doctors and Surgeons are always improving the technologies used in surgery, and results from surgery now are much more positive than they were in the past. However, all surgeries introduce scar tissue, and recovery from some surgeries can be disappointing. If you do wind up getting surgery, know that rehabilitation at-home while attending regular PT or doctor appointments is vital for your overall recovery. It is especially vital to critical joints that consistently handle extreme forces (body weight). Consistent exercise and conservative treatment on a daily basis during your rehabilitation while working with your doctor, surgeon or physical therapist is key - and this is why you should seriously talk with your PT about maximizing your recovery by using the TShellz Wrap^® at home once you are approved for PT.

AidYourTendon stands out in this regard as our goal is to help you keep your body healthy for the long-term in a cost effective manner. This might mean fixing tendonitis without needing surgery. If you couldn't avoid surgery, then our tools can also help you recover from surgery more quickly and completely..

We strongly believe that we can help you, and we have thousands of happy clients to back this claim. You are welcome to try our products for a 60 day period. If you are committed to following the treatments outlined in the product instructions we are very confident that our TShellz Wraps will aid you immensely - BUT -
if you do not receive the benefits that countless of our other customers have experienced after 7 weeks - call us.
We will send you return instructions and provide you with a full product refund once receiving the product back.

Product Advisors are available 9:00 am to 5:00 pm Eastern Standard Time Monday to Friday.

Learn More About Tendon Injuries & Treatments

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During your recovery, you will probably have to modify and/or eliminate any activities that cause pain or discomfort at the location of your soft tissue injury until the pain and inflammation settle. The more diligent you are with your treatment and rehabilitation, the faster you will see successful results!

Please be aware that this information is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider before using any of our outstanding products to make sure they are right for you and your condition or if you have any questions regarding a medical condition. Always see your doctor for a proper diagnosis as there are often many injuries and conditions (some very serious) that could be the cause of your pain.