Tendon pain and muscle ache

Multiple sites of tendon inflammation may be a form
of Enthesitis. Family history is an important part of the evaluation. Do you have any skin related symptoms of
psoriasis involving the scalp or nails.?
Ultrasound of the affected tendons can show sign of
inflammation. I suffered multiple tendinitis sites for
years before being diagnosed with psoriatic arthritis.
Skin signs were subtle and well controlled such that
they were not apparent to my first rheumatologist.
There are no typical lab findings in PsA.

Thanks for the reply. Ultrasound scan and MRI both show no signs of inflammation, which is my my doctor diagnosed it as tendinopathy and not tendinitis. I donot have any eveident skin/skalp or nail issues. Families on both sides has no history of any such auto immune disorders.

It sounds like what the doctor diagnosed. It also seems like you could benefit from seeing a sports medicine doctor for ongoing maintenance and to be sure you don't injure yourself more or continually. It can take 6 months to heal. Return to the doctor if you are not satisfied or get another opinion. And don't over-exercise!

@anagharavi17 You might be interested in Myofascial Release which is a technique for releasing the overly tight fascia that can exert a lot of extra pressure and pull on tendons. I have done this for several conditions and most recently for equalizing the pressure on both sides of my lower leg after healing from an ankle fracture. I used to feel like I had a sprain all the time because of unequal tension and because muscles work in opposition. The strong side was beating up the weak side. Doing MFR relieves my ankle pain.

Neuropathy - "Myofascial Release Therapy (MFR) for treating compression and pain"
https://connect.mayoclinic.org/discussion/myofascial-release-therapy-mfr-for-treating-compression-and-pain/
There is a provider search at http://mfrtherapists.com/

Have you heard of myofacsial release before?

Sure, thank you very much for the advice. Whatever you said makes a lot of sense to me, so I'll check for a MFR expert in my city

If rheumatology has been completely ruled out it could be you are somewhere on the hyper-mobility spectrum. It could be some form of EDS/hEDS/HSD. This results in a lot of weird and poorly understood pain all over. Since collagen is in tendons ligaments tissues etc the pain can be basically anywhere. For me personally, what this looks like is a “use it and lose it” phenomenon where after a certain point of engaging in an activity, a chronic pain can appear

Yes, I use MFR, and there is a great section here for that. I think my connective tissue problem is occurring because of glued fascia and weak muscles. So I go out and exercise too hard, don't stop and get what you got. I have the MFR guy work on it, and it helps, but then I have to do the work on my own, too. It takes a long time to heal, but it does resolve if you follow the orders. I know it is so hard to stop exercising when you know you need it. I stretch my IT band out on the foam roller and then walk less aggressively. So, my cardio is out for a while. But the pain at night is horrible. I'm going to ask about the trigger point injections and this week, I see the awesome sports med doctor at UCSD, and it's going to be about IT syndrome and the burning shin. It went away with the steroid injection L5/S1 for a month. Now it's back. I probably needed to NOT exercise when the injection made the pain go away!

Thank you for your reply. Thing is its hard to find qualified MFR specialists in my place, but I feel keep searching for such massage therapsists atleast. Also, how long or how often do we need to get the MFR done, as long as the pain reduces (along with exercises ofcourse) or is it like till the muscles feel relaxed or something?

@anagharavi17 Finding good MFR therapists can be a challenge. When you learn how to do MFR home stretching, you can start figuring things out to help yourself. I have not been able to see my MFR therapist because of Medicare. Doctors don't want to prescribe physical therapy unless there is a very specific reason or problem that can be solved in 12 sessions or so, and that usually isn't enough. You can't do everything that your therapist can do because you are using things to push on, and your therapist can easily get there hands at the right angles. Insurance may not want to cover it either, so some patients self pay. if you wanted to do an intensive treatment over a week or so, you could go to Therapy on the Rocks in Sedona, AZ, or their second location in Pennsylvania. You would have therapists working on you several times a day and can progress faster. It would be pricey, but it can make a big difference.

In answer to your question about frequency, you may start out at 2 or 3 times a week, and as things get better, that may be once a week. It takes time to work through all the layers of tight tissue. I have seen my PT over 3 or 4 months working this way. Everyone is different, but a trained MFR therapist can usually advise what they think will help you. The more you can do on your own at home while working with a PT, the faster you can progress.

Therapy on the Rocks
https://therapyontherocks.net/

@anagharavi17 there are specific therapists that are trained in MFR therapy. I don’t go to one of those because they’re really pricey and I’m not sure they do anything better than the guy I got the guy have is a licensed massage therapist and he does an awesome job at deep my facial tissue release. He is way better than the guys who I’ve used that have come through Medicare and paid for in my physical therapy. I only pay $60 for an hour plus tip and fees so it turns out to be around $80 compared to the ones who were licensed specifically in a particular kind of MFR therapy who charged $250 an hour. Medicare will cover it if you have a diagnosis of spasticity. Which I do, but I haven’t had time to find a new person who will submit to Medicare. The beauty of the guy I see is his cheap rate for which I’m so grateful but he doesn’t deal with insurance companies. I have acquired my problems from an auto accident at seven years of age that damaged my body and neck and my career was sitting over a drafting table for very long hours 5,6, 7 days a week. how you know it’s working is that you start to feel better and the big rocks of the muscles that are glued solid together start coming apart I have been told by everyone it’s going to take a couple years several years. They can un glue the muscles, but it can be pretty painful but they can glue back together again so it’s something that has to be sustained. I go twice a month for MFR and then I go once a week for physical therapy. On top of that I do other things like trigger point injections, I’ve done Botox, I’ve done epidurals and steroids. I keep the medicines to a bare minimum and only for emergency. I also use muscle relaxer sometimes for my neck. And I work with a special sports medicine doctor who’s taking me under his wing. I didn’t know, for example, that there are particular muscle relaxers that work on particular things in particular muscles. I just find people I trust and I know the difference because I’ve been at doctors, pain management, rehab, surgeries for well over 30 years. I’ve learned to rotate the things that I focus on in my body because I can’t take care of everything all at once so I have to prioritize and then sometimes re-prioritize. I know there’s certain things that really provoke my body. One of those things is wind and another thing is cold weather and the change from day tonight of extreme temperature change. I also know that going into a rain is very difficult for me and I just lighten my schedule when those kind of things happen. I did not take care of my body very well when I was younger by dancing hard, working long hours with poor posture, and then I inherited degenerative disc condition and osteoarthritis not to mention Gouty arthritis.
Sometimes I have to surrender and sometimes I have to push myself and sometimes I don’t know the difference. But finding good doctors and doctors who are patient with me and there for me is really super important. I like this group and I’ve gotten a lot of great tips from this group so it’s a good place to be.