Overuse-related damage to the tendon insertions

Overuse-related damage to the tendon insertions is an inflammatory reaction of the tendon insertions caused by repetitive strain or incorrect movement patterns. These injuries are particularly common in children and adolescents during periods of intensive growth. Young athletes who are confronted with frequent and intensive strain, such as in football, basketball or athletics, are particularly affected. These injuries can also be caused by training too early and too often without sufficient breaks.

The symptoms range from pain at the affected tendon insertions and swelling to limited mobility. The symptoms are particularly pronounced during sport, for example when running, jumping or making sudden changes of direction. This damage is acquired, as it is caused by external factors such as excessive strain and is not congenital.

Overloading of tendon insertions is particularly common in growing children and adolescents, especially in active athletes.

The main cause of these overloads is repetitive physical strain, especially in sports that require jumps, rapid changes of direction or intense muscle tension. Often these strains are not caused by sufficient breaks or incorrect technique.

Tendon insertion strains are usually acquired complaints caused by external influences such as sport or inadequate rest. However, they are more susceptible in adolescents who are actively growing.

Treatment is usually conservative. The first measures include reducing the load, often accompanied by physiotherapy exercises to strengthen the muscles and promote mobility. Targeted stretching and strengthening of the affected tendon can also help to alleviate the pain. Cold therapy or anti-inflammatory medication can combat the inflammation.

In very rare cases, if conservative treatments are unsuccessful or in the case of severe injuries, surgical treatment may be necessary. However, this is only an option in extreme cases if there is permanent damage to the tendon insertions.

Without treatment, the symptoms can worsen in the long term and permanently impair the function of the affected joint. In most cases, however, the prognosis is very good with appropriate treatment and children and adolescents can resume their sporting activities. Early diagnosis and the right treatment can speed up healing and prevent chronic inflammation. It is important that the affected tendon insertions continue to be loaded carefully after treatment in order to avoid relapses.