Tendonitis, tenosynovitis, bursitis or enthesitis as well fasciitis problems are strictly an area of expertise of osteopathy.
In fact, problems of this nature are almost always the result of mechanical malfunctions.
They do not in fact arise spontaneously but in response to an excessive or non-physiological mechanical stress.
Tendinitis of the patellar tendon, an inflammation of the extensor muscles of the carpus (tennis elbow), a retro-calcaneal bursitis or inflammation of the sheath of the long head of the biceps, to make examples of the frequent cases, constitute a class of disorders that, however different in appearance all have an origin of a mechanical nature.
Of course depending on the part that doesn't work properly, you will have a symptom or another but basically the problem is closely related to the mobility.
However, it is quite rare that the origin of the problem is the point that hurts, and indeed very often the opposite is true.
The technical difficulty of Osteopathy in fact lies in the research of osteopathic dysfunctions whose location hardly ever coincides with the head of the symptoms.
It is possible, therefore, that a pain in the flexor tendon of the finger of a hand is not dependent on a dysfunction of that finger.
It may actually depend on a dysfunction of the forearm, where the flexor muscle originates, or on even higher dysfunctions involving the spine, skull or sometimes internal organs.
The assessment must be made on a case by case basis.
As an example I'll describe the case of a young football player who complained of a strong tendonitis under effort in the Achilles tendon on both sides.
Osteopathic examination showed a restriction at the level of the palatine bone right in external rotation and a dorsal vertebra rotation, he also had a torsion of the sacrum with an adaptation of compensation at the level of the iliac and lower limbs.
Once dysfunction has been reduced the patient no longer reported problems.
In this case the primary dysfunction were predominantly localized at the level of the palate bone, spine and pelvis.
The lower limbs showed no mechanical problems but they were forced to adapt their dysfunctions to other locations.
As a result they worked badly.
In such cases Osteopathy is useful and indeed it can definitely be considered a remedy of first choice.
Incidentally this patient had already tried local therapies but with only temporary results.
In general, however, the use of other forms of intervention is not excluded, but in such cases a global mechanical rebalancing should be sought as a priority.
It is useless to act on the effects if you don't put a remedy to their causes.