1. Look at the Location of the Pain
Tendonitis shows up in very specific locations, some more frequently than others. Wrist and elbow tendonitis are especially common, because many jobs require the use of the arms in repetitive movements that can eventually cause inflammation and injury. In the upper body, tendonitis also appears, although less frequently, in the shoulders. Some people experience tendonitis in the heel, below the kneecap or on the inside of the thigh, extending up to the groin.
2. Evaluate the Level of Pain
While tendonitis can be painful, the sensation should feel like a dull ache, rather than an acute shooting pain. Acute pain that comes and goes may be a sign of other medical problems and should be evaluated by a doctor. Tendonitis pain is characterized by a feeling of tenderness, almost like a soft, underlying burning sensation that is constant most of the time, although it can get worse after you use that area of the body repeatedly. Pain that changes intensity during the day is another sign of tendonitis. Mornings are often the most painful time, as the muscles and tendons relax during the night and are sensitive to movement early in the day.
3. Try Moving the Affected Area
Since tendonitis can cause swelling, it often restricts movement considerably. This can show in the form of being unable to stretch or contract the area completely, being unable to sustain heavy weight or not being capable of a normal range of motion. If picking up or pushing against a heavy object cause localized pain or proves too difficult, tendonitis can be suspected.
4. Look For Swelling
In tendonitis, the swelling is limited to the area surrounding the specific point where you feel the pain. If the pain extends over a large portion of your arm or leg, you may have a more extensive or serious injury. In tendonitis, swelling is often accompanied by a reddening of the skin. Itchiness or a burning feeling are also possible.


