Osteoarthritis and inflammation of tendons and ligaments

Läufer mit Schmerzen


Schmerzende Achillessehne

Inflammation of tendons and ligaments

Sitzende Figur mit Schmerzen

Other typical complaint patterns



Osteoarthritis is often part of the natural aging process that every person goes through, because it is normal for our joints to wear out over the years.

It often develops very slowly over many years. Often slight pain is accepted and only perceived as significant when the joint damage is already present. In principle, this can happen in all body joints, such as the knee, hip and wrist joints as well as the joints of the spine.

About eight million people in Germany suffer from osteoarthritis, with the knee joint being the most common reason for a visit to the doctor. In recent studies, ten percent of people over 55 years of age were found to have both knee joint wear and tear on X-ray as well as pain and discomfort.

The frequency and severity of arthrosis increases with age.

Knee and hip joint osteoarthritis are among the ten most common diagnoses in orthopaedic practice. During in-patient stays, they are among the 30 most common diseases. In line with the high prevalence and high demand for medical treatment, a good seven billion euros were spent on the treatment of osteoarthritis in Germany in 2004. In addition, degenerative joint diseases account for a considerable proportion of all incapacities to work, early retirement and rehabilitation, making them one of the most important chronic diseases in the national economy.

Läufer mit Schmerzen

Typical symptoms of osteoarthritis

  • Pain at the beginning of movement
  • Load-dependent pain
  • Pain at rest and pain at night with advanced clinical picture
  • Limited mobility
  • Stiffness
  • Swelling
  • Crunching noises
  • Weather sensitivity

Many people intuitively react to severe pain with calm and relief. However, prolonged immobilization accelerates the progression of the disease. At the same time, joint-stabilizing ligaments and muscles are weakened and atrophy. Changes in the muscles, ligaments and joint capsule can lead to a further worsening of the symptoms.

Inflammation of tendons and ligaments

The cause of tendon and ligament inflammation is not always unknown. They occur mainly in middle and old age, when the tissue becomes weaker and more susceptible to micro-injuries. Injuries and inflammation also occur in younger people who are very active in sports and in people who perform one-sided activities. Over time, the weakening of the tissue leads to many small tears.

Certain tendons and ligaments are more prone to inflammation:

  • Shoulder tendons (rotator cuff): Inflammation of these tendons is the most common cause of shoulder pain
  • Elbow tendons (golfer’s and tennis elbow): stabbing pain during exertion, later also at rest
  • Biceps tendon: Pain when bending the elbow, lifting or turning the arm.
  • Achilles tendon: pain at the heel cap or elsewhere
  • Runners Knee: Iliotibial Band Syndrome (ITBS): Persistent stabbing pain on the outside of the knee.
  • Jumpers Knee Patellar Tip Syndrome: Severe pain at the tip of the patella, e.g. when climbing stairs

Typical symptoms of inflammation of tendons and ligaments

  • inflamed tendons hurt when touched and moved
  • already strong pain with even slight movement of the nearest joint
  • cracking and creaking in the joint during movement
  • Occasionally the tendons or tendon sheaths may swell and feel warm. This indicates an inflammation.
  • In shoulder joints, for example, “calcium” can be deposited during a longer lasting tendon inflammation. This can lead to pain, stiffness and weakness in the shoulder.

Protection and immobilization as well as heating or cooling applications help in many cases.

When the inflammation is under control, mobility should be improved several times a day through exercises. Regenerative medicine can also be used here.

Other typical complaint patterns



Cartilage defects behind the patella

Meniscus damage



Impingement Syndrome

Rotator cuff injuries


Facet joint arthrosis

Spinal canal stenosis

Slipped disc

Nerve root irritation


any joints of the fingers and hand affected by arthrosis

e.g. rhizarthrosis



Labrum injury

Impingement syndrome



Injuries of the ligamentous apparatus


different muscular injuries and inflammatory complaints

Schmerz Achillessehne



Inflammation (tennis/golfer elbow)