Enthesitis is inflammation of the entheses – the point where ligaments or tendons insert into the bone.

Enthesitis  often occurs in patients with a form of inflammatory arthritis – particularly the spondyloarthropies.  It also occurs in Rhematoid Arthritis, but is less common.  In the absence of an inflammatory arthritis, it is usually caused by an injury or overuse.

Symptoms of Enthesitis

Enthesitis is often a very painful condition. Symptoms may include pain and swelling, however sometimes there are no visible signs.   It very commonly affects the Achilles tendon which makes walking difficult.  Fingers and toes, elbows, hips and even the chest wall can become inflamed.

Treatment of Enthesitis

When enthesitis is related to an inflammatory arthritis condition, treatment is usually with NSAIDS (non-steroidal anti-inflammatory drugs) e.g. ibuprofen, naproxen  or mobic.  DMARDs (Disease Modifying Anti Rheumatics) also assist by controlling the underlying disease processes.  Treatment will depend on the severity of the condition.