by Nancy W » Sun Nov 07, 2010 6:28 am
Hi Vicki,
I am responding to your recent post, but I didn't look back to see your statin history...
If you read some of my posts, you will read that I am a physical therapist. My response to your question about tendons is not a "clinical" one, however, but a personal one. In some of my recent posts you will see that, despite 40 years as a PT, my own experince confounds me, goes against much of what I have been taught. This is probably why most docs don't "get it" when you come to them with unusual complaints.
My own experience spans the last 15 months. The symptom set began with neuropathy, then fatigue. One thing seems to blend into another. For the most part, the neuropathy and fatigue have ever so slowly gotten better with supplementation. But lately I am having some tendon issues. I would say that, at times, it feels as if the tendon could, or is, tearing near its bony insertion. I am having particular problems around my left hip, also including some bursitis. Sometimes I have pain in my heel cords.
What I am describing in my hip is not unlike tennis elbow. Tennis elbow results from micro tears to the tendon where it inserts on the bones just above your elbow. The "usual" way that someone gets tennis elbow is a repetitive motion, like tennis (could be either the forehand or the back hand, resulting in a different tendon for each one), but you can also have the same effect from any repetitive motion. The usual physical therapy is cold in the acute phase, then heat or cold in the post acute phase, with gentle "cross fiber" massage to the involved tendon, gentle stretches, and once the pain has gone, gradual strengthening, then return to the activity. People often wear a band around the affected tendon that changes the relationship of the tendon with the bone.
What I don't know is the mechanism of the tendon injury or failure as it relates to the statins...I would only be guessing. But one thing I could say, with some confidence, is that, if your muscles are weakened by the statins, or if they have tightened up in the process, or from disuse, then the biomechanics of how you move can change, and this can cause strain to structural units like a tendon. Also, if you move differently as a response to pain or weakness, it can cause strain and injury to another place...for instance, people who sprain and ankle will limp, and the next thing you know, thier knee or hip on the opposite side begins to hurt, and then they report back pain, or headaches. The human body, when aligned, functions so beautifully, but, when out of alignment due to structural changes, goes out of whack pretty fast.
So, what could cause your tennis elbow? Aside from the possible issues with statins, gripping a steering wheel for long times could do it. Change your grip frequently, don't grip too hard, rest at stop lights. When you are stopped, you could do very gentle stretches to your arms from your fingers, all the way to your shoulders.
I have become skeptical about heading to see an allopathic doc, since, like you, many tests come back negative...I do see a naturopath and work hard to eat right and get the supplementation fine tuned.
So, while I can't answer your question directly, I can say that I am definitely having tendon issues. What kind of testing have you had done? Have you had an MRI? Any physical therapy?
As with many of us, I hope you can find some answers...
Nancy