Bromelain Protects the Rotator Cuff Against the Onset of Tendinitis

By Kyle J. Norton

Tendinitis is inflammation or irritation of a tendon as a result of overuse, infection or rheumatic disease.

In other words, people who have an occupation or sport that requires a repetition of particular movement putting stress on the tendons over time are associated with the risk of tendinitis, including the tennis elbow, golfer's elbow, swimmer's shoulder, and jumper's knee.

Most common symptoms of tendinitis are a dull pain that affects limb or joint, tenderness and mild swelling.

Most common prevalent factors of tendinitis are aging, sport, occupation.

According to the Bureau of Labor Statistics, in the US, tendonitis (swelling of the tendons) is a fairly common problem, accounting for more than 70,000 people to miss work per year.

Tendinitis if untreated may induce complication of tendon rupture, a serious condition that may require surgery.

Long-term or persistently of tendon irritation has been found to induce tendinosis that leads to the degenerative changes in the tendon.

Conventionally, the immediate treatment for tendonitis caused by occupation is rest, ice, compression, and elevation of the injured tendon. pain relievers and anti-inflammatory drugs are prescribed to ease inflammation and pain.

Bromelain, a proteolytic enzyme found in pineapples (Ananas comosus) has been used in traditional medicine as an inflammatory agent and to treat pains, strains, and muscle aches and pains and ease back pain and chronic joint pain, skin diseases, etc.

On finding a natural compound for the treatment of tendinitis, researchers examined the effect of bromelain on patients with rotator cuff tendinitis.

Tenosan * (arginine L-alpha-ketoglutarate, methylsulfonylmethane, hydrolyzed type I collagen and bromelain), a commercial supplement sold in Italy was used in the study to test for its activity in tendon healing and mitigating the pain due to tendonitis.

Participants in the study included 90 consecutive patients with a large, postero-superior rotator cuff tear (RCT). managed with an arthroscopic repair randomly assigned into either Group I with or Group II without the supplement. 

Supplement treated group showed a significant effect on the shoulder pain (follow-up: 6 months) and repair integrity on the final follow-up.

In other words, supplement after 3 months and after cuff repair decreases shoulder post-operative pain and a slight improvement in repair integrity.  

Additional observation of the results, researchers suggested that these improvements may have a strong impact on the postoperative rehabilitation program and reduced the re-rupture rate. 

Taken altogether, bromelain used alone or combined with other herbal remedies may be considered supplements for the treatment of rotator cuff tendinitis, pending to the confirmation of the larger sample size and multicenter human study.

Intake of bromelain in the form of supplement should be taken with extreme care to prevent overdose acute liver toxicity.

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Author Biography
Kyle J. Norton (Scholar, Master of Nutrition, All right reserved)
Health article writer and researcher; Over 10.000 articles and research papers have been written and published online, including worldwide health, ezine articles, article base, health blogs, self-growth, best before it's news, the karate GB daily, etc.,.
Named TOP 50 MEDICAL ESSAYS FOR ARTISTS & AUTHORS TO READ by Disilgold.com Named 50 of the best health Tweeters Canada - Huffington Post
Nominated for shorty award over last 4 years
Some articles have been used as references in medical research, such as international journal Pharma and Bioscience, ISSN 0975-6299.

Sources
(1) Arginine L-alpha-ketoglutarate, methylsulfonylmethane, hydrolyzed type I collagen and bromelain in rotator cuff tear repair: a prospective randomized study by Gumina S1, Passaretti D, Gurzì MD, Candela V. (PubMed)
(2) Naturopathic treatment of rotator cuff tendinitis among Canadian postal workers: a randomized controlled trial by Szczurko O1, Cooley K, Mills EJ, Zhou Q, Perri D, Seely D. (PubMed)