0:00 / 0:00
Headshot of the Doctor

Robert Moghim MD

Anchor Healthcare

Tendon or Ligament Injection

1746872299

A tendon or ligament injection is a treatment that involves injecting medication directly into or around a tendon or ligament. The tendon is the connection between muscle and bone. The ligament is the connective tissue that connects bones together. These injections are commonly used when tendons or ligaments become inflamed or irritated, a condition known as tendinopathy, which can occur due to overuse or injury. The injection usually includes a corticosteroid or regenerative therapy (like platelet rich plasma, bone marrow or fat) to reduce inflammation and relieve pain. This procedure could help if you’re experiencing pain from conditions like tennis elbow, rotator cuff disorders or Achilles tendinopathy in the calf.

During the procedure, imaging is typically used, like ultrasound, to precisely guide the needle to the affected area. In some cases, imaging is not required for landmark-guided injections, and this will be discussed before the procedure. The injection can provide significant pain relief and help the tendon or ligament heal properly. Relief can last from several weeks to a few months and beyond, depending on factors like the severity of your condition and your activity level.

There are alternatives to the injection. Physical therapy can strengthen the tendons and ligaments which can improve flexibility. Medications, such as nonsteroidal anti-inflammatory drugs (N SEDS), offer another way to manage pain and inflammation. For some, advanced treatments, like platelet-rich plasma (PRP) injections (or other regenerative therapies)—where a small sample of your blood is used to promote healing—can be effective.

As with any procedure, there are risks, including temporary pain after the injection, infection, and, in rare cases, tendon or ligament weakening. It’s important to rest for a day or two and avoid strenuous activity for about a week to support proper recovery. Monitoring for signs of redness or swelling is essential. If the injection does not provide relief, alternative treatments, including surgery if needed, may be considered.

FAQs

Are there alternatives to tendon or ligament injections for treating tendinopathy?

Yes, there are alternatives including physical therapy to strengthen and increase flexibility, and medications like NSAIDs for pain and inflammation management. In some cases, advanced regenerative treatments like PRP injections or surgery might be considered if injections and conservative treatments don't provide relief.

What are the potential risks associated with tendon or ligament injections?

While generally safe, potential risks of tendon or ligament injections include temporary pain after the injection, infection, and in rare cases, weakening of the tendon or ligament. It's important for patients to rest post-procedure to avoid complications.

What conditions can be treated with tendon or ligament injections?

These injections are used to treat conditions like tennis elbow, rotator cuff disorders, and Achilles tendinopathy. Such conditions often arise from overuse or injuries leading to inflammation and pain in the tendons or ligaments.

What is a tendon or ligament injection?

A tendon or ligament injection involves injecting medication directly into or around a tendon or ligament. This procedure is commonly used to treat inflammation or irritation (tendinopathy) in these structures, which connect muscles to bones and bones to each other, respectively.

What substances are commonly used in these injections?

The injections usually contain corticosteroids to reduce inflammation and relieve pain. Alternatively, regenerative therapies such as platelet-rich plasma (PRP), bone marrow, or fat can be used to promote healing.