TendoMax

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Tendinitis (tendinopathy) is a condition characterized by tendon inflammation caused by overuse, injury, or other medical conditions. It is accompanied by the following symptoms and signs: pain, swelling, redness, elevated temperature…

Tendosynovitis is inflammation of the sheath of the tendon.

Forms of tendinitis:

• elbow tendinitis,

• shoulder tendinitis,

• knee tendinitis,

• wrist tendinitis,

• Achilles tendinitis,

• ankle tendinitis

Tendinitis in the elbow joint

• Lateral epicondylitis (tennis elbow) – causes pain on the outside of the elbow joint
• Medial epicondylitis (golfer’s elbow) – causes pain on the inside of the elbow

Tendinitis of the shoulder joint

Tendinitis of the shoulder joint (inflammation of the tendons of the rotator cuff muscles) – includes the tendons of m. supraspinatus which attaches to the upper part of the humerus at the shoulder joint.

Tendinitis in the wrist

Tendinitis in the wrist usually occurs in the form of De Quervain’s syndrome, the most common type of tendon sheath inflammation affecting the tendons of the thumb. Characteristic symptoms are pain and swelling at the root of the thumb, as well as difficulty moving the thumb and wrist during certain movements. If they are not treated adequately, the painful region can spread to the entire thumb and along the forearm.

Ankle tendinitis (peroneal tendinitis)

Ankle tendinitis (peroneal tendinitis) inflammation of the peroneal tendon that lies behind the lateral malleolus.

Peroneal tendinitis often occurs during the healing phase of an ankle sprain because the ankle becomes weak and unstable, causing the peroneus to work harder to provide the necessary support to the damaged lateral ligaments of the ankle.

Hyaluronic acid

Hyaluronic acid is a typical glycosaminoglycan (GAG), the only one that exists free, not bound to proteins.

Sodium hyaluronate is made of disaccharide units consisting of sodium glucuronate and N-acetylglucosamine. It is present in all tissues, is highly biocompatible and forms the main component of synovial fluid, where it is found in high concentration.

Clinical studies have shown that peritendinous application of hyaluronic acid is a safe and effective therapeutic option for the treatment of chronic tendinopathy.

Effects of hyaluronic acid in tendinopathies:

• It has a lubricating effect
• It has an anti-inflammatory effect
• It affects cell repair
• It has an analgesic effect
• Reduces the need for physical therapy

Mannitol

In addition to its anti-edematous and anti-inflammatory effects, mannitol exhibits a strong antioxidant effect. Mannitol protects hyaluronic acid from degradation caused by free radicals, increases its retention time, without significant modification of the rheological behavior → therefore prolongs the duration of action of hyaluronic acid and its effectiveness.

In addition, mannitol has a very good safety profile even at high doses.

Clinical studies have confirmed the effectiveness of hyaluronic acid in combination with mannitol in the treatment of various forms of tendinopathies.