About Tendonitis in Children

Tendonitis is an inflammation of the tendons which results in severe pain and hindrances to mobility. The tendons are thick bands of tissues that connects the bones to the muscles. The chances of children contracting tendonitis is increasing nowadays due to the increased in activity level amongst them. Due to an emphasis on leading a healthier lifestyle, more kids are getting involved in sports.

Tendonitis is an overuse injury and the symptoms differ among patients. Initially, pain will only be experienced during involvement in sports. Gradually, it will start to pop up at random timings of the day. Eventually, pain will be felt even at rest and this will affect the different joints in the body. Tendonitis may also lead to instability in the knee due to the tendons loosening. Some patients may hear clicking sounds when they are flexing their knees.  Another contributing factor is growth spurts or enthesis. This is a genetic issue that is not caused by overuse of the tendons. When a child is born with enthesis, there is no way to prevent or control him from getting tendonitis. The area that is most prone to tendon inflammation is the largest tendon in the body – the Achilles tendon.

Other reasons causing inflammation in the tendons may be due to excessive calcium intake causing calcium to deposit at the tendon sites. Improper warm ups and cool downs will also increase the risk of injuring the tendon. Obesity is also a contributing factor due to the need for the tendon to bear extra weight.

There are many common symptoms and these include experiencing pain at the joints accompanied by swelling and tenderness. The affected area will also be stiff and mobility is limited.  The surrounding muscles may feel weak and sore to the touch.

Treatment methods will differ amongst patients but the most common ones are the usage of ice packs, gel cooling packs and hot packs to soothe and relieve muscles. In cases that are slightly more serious, doctors may prescribe anti-inflammatory drugs such as aspirin. In severe cases, surgery may be required to replace the tendon with a graft.

Tendonitis can be prevented through proper warm ups and cooling down sessions before and after engaging in sport activities. However for kids with growth spurts, it cannot be prevented. A healthy lifestyle must be maintained but not at the expense of suffering an injury during the course of keeping fit.

Introduction to Various Shoulder Injuries

Our shoulder is a very delicate and complex component of our body that is kept together by bones, tendons and muscles. A shoulder injury is very painful and can cause a lot of discomfort and inconvenience to us. There are many different kinds of shoulder injuries and they are caused by different reasons such as strain, cyclic motion and injuries.

Rotator cuff strain

Rotator cuff strain is a common injury which is due to an inflammation of a tendon located in the shoulder. 4 muscles make up the rotator cuff namely the supraspinatus, infraspinatus, teres minor and subscapularis. The most common reason for a rotator cuff strain is because of insufficient warm up prior to the start of an activity or overload of the muscles. Poor posture and accidentally falls causing you to land on your shoulders can also cause rotator cuff strain. A strain can slowly evolve into a tear if it is left untreated. For immediate treatment, RICE is sufficient. If symptoms get worse, consult a doctor immediately.


Our shoulder joint is an unstable joint due to the functions of it. The shoulder joint can be described as a ball and socket joint and the ball is the arm bone and the socket is the shoulder blade. It is the part of our body which has the most motion compared to all other joints. It is because of this fact that causes instability to the area. Instability can get worse when the ligaments are overstretched and are unable to hold the ball and socket firmly in place. Dislocation of the shoulder joint can occur due to injuries or trauma, causing the ball to go out of the socket.


Impingement of the shoulder joint occurs when the supraspinatus, bicep tendons, bursa and subacromial are compressed over time, causing inflammation. It is due to repeated overhead usage of the shoulder joints. Activities which causes these include swimming and overhead press. To prevent impingement, you should allow adequate rest period between activities and strengthening of the rotator cuff muscles to allow it to take more load.


Our muscles are connected to the bones through connective tissues called tendons and tendonitis is an inflammation of these tendons. The tendons that are most susceptible are the biceps tendons as well as the rotator cuff muscles. Tendonitis are usually caused by overuse, pulling or over-compression of the tendons, causing pain, tenderness and discomfort. To prevent tendonitis, ensure that proper warm up of the whole body is done and add on weights gradually to allow the body to adapt to it.

Above are 4 shoulder injuries that are frequently experienced by people. Our shoulder is an integral part of our daily life and any injuries to it will cause great discomfort and inconvenience our lives. They can be easily reduced by doing proper stretching, gradually load up and sufficient rest periods between activities.