By - ciderenthusiast
Yes I had tendinitis on both sides of both elbows at the same time (golfer’s and tennis elbow). Still troubles me sometimes, but about 20% of previous intensity.
What helped: PT, moist heat (buckwheat or similar microwaved, applied for 15min 3x a day), tennis elbow strap (can be applied to spot for golfer’s), avoiding triggering activities / resting it when it was bad, and time.
Is it related to a flare up for you ?
I feel otherwise really good and I thought you just get this with a flare up.
So I was a little puzzled when they found no inflammation.
No I don’t think my tendinitis is flare related. It’s really common with Lupus.
When my auto immune disease significantly worsened last year (after carpal tunnel surgery) I developed widespread tendinitis, then joint pain, hair loss, worsened fatigue, etc. Some tendinitis resolved and some has been off & on at a lower level. They’ve never found elevations in standard inflammation markers in my blood. I do have some misc signs of inflammation though. Plus steroids and DMARDs help. So it does seem to be an issue for me.
If the pain is bad I’d ask for a physical therapy referral from your primary or rheum.
Seeing an orthopedic is an option. But they don’t typically do injections for this. And they don’t consider surgery unless it’s been a year or similar and hasn’t resolved. Apparently it’s self limiting for > 90% of people. So they mostly diagnose and refer to PT. I only saw an ortho for mine as it was my surgeon about new issues post surgery.
Also try a tennis elbow strap. I was surprised neither my orthopedic or PT recommended one when it instantly reduced my pain ~ 70%. I wore them (both arms) constantly for about 2 weeks when my pain was worst. Others just wear them for triggering activities. I think they aren’t good for long term constant wear though, similar to any other brace.
If you’re in the U.S., this was my favorite strap brace after trying a few (note the package insert shows how to apply it to the other side for golfer’s elbow): https://www.amazon.com/gp/aw/d/B01H2123YU
Entirely possible this is not related to lupus, that it's just a muscle/tendon strain.
I'd recommend seeing a sports medicine doc so they can analyze what's going on in your arm. They will possibly give a steroid shot. Not for inflammation in the joint, but for inflammation in the muscle or tendon. During the magical heyday of the decreased inflammation, they'll refer you to PT, who will help you with exercises or stretches to prevent future occurrences.
Source: person who had non-lupus knee pain and rotator cuff impingement.
Yes! I get it the same way, nothing helps me.
Hey, I’m a massage therapist. You may try finding someone who specializes in shoulder pain and see if they find anything. Do not let them do “deep work” but something like Body Mobilization may be helpful. Of course Lupus can cause flares but if you went driving, cars are not ergonomically friendly and often people get pain like this after travel for sitting in one position for too long.
We I am currently trying to figure out my diagnosis but know that when I drive and it’s stressful that I squeeze the wheel. This can be taxing on all of the joints in the arm and stress your tendons. I hope you start to feel better soon!
Manual Lymphatic Drainage is something anyone with autoimmune issues should look into as well for reducing inflammation. There are a lot of people who cannot receive it so make sure you read up before visiting someone.
Update: was at an orthopedic got a bandage and helps a lot .
Thanks to everybody