A Lump On The Tendon

Tendons are the connective tissues that attach muscles to bones, forming a bridge that allows muscles to move bones and joints for various tasks, such as walking, running, and lifting objects. Unfortunately, these hard-working tissues can be prone to injury or damage, resulting in a lump on the tendon.

A lump on the tendon is a small, rounded mass of tissue that forms near or around the tendon. These lumps can cause pain and discomfort when moving the affected limb, making physical activity more challenging and potentially affecting quality of life.

Various underlying conditions can cause these lumps, and treatment depends on the specific diagnosis. At NextPain Care, we can help provide long-term relief from the chronic pain and inflammation associated with tendon lumps.

Symptoms Of Tendon Lumps

When lumps develop on tendons, they can cause several symptoms, which might indicate an underlying condition. The following are some symptoms specifically associated with tendon lumps:

• Soft bump that doesn’t move
• Swelling on the tendons
• Pain that worsens with joint movement
• Weakness
• Tingling or numbness

What Causes Tendon Lumps?

There is no single cause for tendon lumps; various factors can contribute to their development. Some common causes include:

Irritation Of The Tendons

Overuse of the affected tendon can lead to irritation and eventually a lump. This is common in athletes and individuals who perform repetitive motions (e.g., typing). Inflammation around the area can cause the tissue to swell, forming a lump.

Synovial Cyst

A synovial cyst is an abnormal growth of a fluid-filled sac near the tendon, causing pain, swelling, and a noticeable lump. Degenerative joint diseases like arthritis often cause these cysts, but can also result from injury or trauma.

Tendon Abnormalities

Abnormalities in the tendon’s structure, because of congenital disabilities or injuries such as fractures, dislocated joints, tendon tears, and tendonitis, can also cause lumps.

Degeneration Of Tendons Or Joints

Certain diseases or conditions, such as osteoarthritis, rheumatoid arthritis, rotator cuff issues, and gout, can lead to tendon or joint degeneration, causing lumps due to inflammation and swelling.

Health Conditions Associated With Lumps On The Tendons

While tendon lumps can result from injury or wear and tear, several underlying health conditions can also cause them:

Tendonitis

Tendonitis is the inflammation of the tendons, causing pain and swelling, which can lead to lump formation. It is generally caused by overuse or repetitive use.

Rheumatoid Arthritis

The autoimmune disorder, rheumatoid arthritis,  results in joint pain and swelling as the immune system attacks healthy tissue. It can sometimes cause lumps on tendons.

Ganglion Cysts

Ganglion cysts are fluid-filled sacs near tendons. They are usually noncancerous but can be painful and lead to lumps. They may be caused by overuse or injury.

Calcific Tendinopathy

This condition, caused by an imbalance in the body’s calcium levels, leads to calcium deposits around the tendon, resulting in inflammation, pain, stiffness, and lumps.

Tenosynovitis

Inflammation of the tendon sheath can cause pain, swelling, and lumps due to fluid buildup. It is often caused by repetitive use, injury, or conditions like rheumatoid arthritis and diabetes.

Medical Evaluation And Diagnosis

If you notice pain or swelling in a specific area, seek medical attention as soon as possible, especially if the area feels warm or tender to the touch. A lump on the tendon could indicate an underlying condition requiring immediate treatment to prevent further damage and complications. Some tendon lumps from injuries might heal independently, depending on the severity.

To accurately diagnose the problem, a doctor will perform a physical exam and use imaging tests such as X-rays or MRI scans. Blood tests may also be ordered to rule out other medical conditions. Based on the diagnosis, the doctor will recommend appropriate treatment. You should seek medical help if you experience any of the following symptoms:

• Pain that worsens with movement
• Swelling and tenderness
• Limited range of motion
• Noticeable lump on the tendon
• Redness or warmth in the area

Conventional Treatment Options

Most doctors recommend conventional treatments for tendon lumps, varying based on symptom severity and the cause of the lump:

Medications

Doctors typically prescribe pharmaceuticals to provide temporary relief from symptoms. These medications are effective for managing pain and inflammation. They include:

Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)

NSAIDs, such as ibuprofen, naproxen, and aspirin help reduce inflammation and pain. Some are available over-the-counter, while others require a prescription. It’s important to follow your doctor’s instructions to ensure safe and effect use.

Corticosteroid Injections

These injections can help reduce inflammation and pain. Your healthcare provider will determine the appropriate dosage and frequency to manage your condition effectively.

Physical Therapy

Physical therapy treats tendon lumps caused by overuse or injury. A physical therapist will guide exercises to strengthen muscles and tendons, reducing pain and improving function. Techniques may include stretching, range-of-motion exercises, and the use of straps or tape to relieve pain. Physical therapy also helps prevent further injury and restore range of motion and strength after trauma.

Surgical Procedures

In cases where lumps result from traumatic injury or underlying conditions, surgery may be necessary. Surgery is a well-established option and your healthcare professional will carefully consider its appropriateness for your condition. Options include:

• Surgical Excision: Removal of the lump from the tendon.
• Tendon Release: Reducing pressure and strain by cutting part of the tendon.
• Tendon Repair: Repairing the damaged tendon by removing scar tissue, re-aligning tissues, or transferring muscle or fascia.