Enthesenprobleme

Enthesenprobleme, also known as enthesopathies, refer to conditions affecting entheses. Entheses are the sites where tendons or ligaments attach to bone. These areas are crucial for musculoskeletal function, providing a strong connection that allows for the transmission of force during movement. Enthesenprobleme encompass a range of issues, including inflammation, degeneration, and pain at these attachment points.

The causes of enthesenprobleme are varied. They can arise from overuse or repetitive strain, particularly in athletes or individuals with physically demanding jobs. Acute trauma, such as a sudden tear or sprain, can also damage entheses. Degenerative changes associated with aging can weaken these structures, making them more susceptible to problems. Furthermore, certain systemic inflammatory conditions, such as spondyloarthropathies (e.g., ankylosing spondylitis, psoriatic arthritis), frequently manifest with enthesitis, which is inflammation of the entheses. Genetic predisposition and biomechanical factors can also play a role in the development of these conditions.

Symptoms of enthesenprobleme typically include pain, tenderness, and stiffness at the affected enthesis. This pain may worsen with activity and improve with rest. Swelling or a palpable thickening at the site of attachment can also occur. The location of the pain depends on which enthesis is affected, with common sites including the heel (Achilles tendon), elbow (tennis or golfer's elbow), shoulder, and hip. Diagnosis usually involves a thorough medical history, physical examination, and often imaging studies such as ultrasound or MRI to visualize the enthesis and surrounding tissues. Treatment aims to reduce pain and inflammation, improve function, and address the underlying cause. This may include rest, physical therapy, pain medication, corticosteroid injections, or treatment of any underlying systemic disease.