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Current trends in tendinopathy management.

Tanusha B Cardoso1, Tania Pizzari2, Rita Kinsella2

  • 1The Alphington Sports Medicine Clinic, 339 Heidelberg Road, Northcote, Victoria, 3070, Australia.

Best Practice & Research. Clinical Rheumatology
|August 22, 2019
PubMed
Summary

Tendinopathy, a common tendon injury in active individuals, is often caused by excessive load. Evidence supports progressive loading programs over rest for managing this challenging condition.

Keywords:
Achilles tendinopathyManagementRehabilitationRotator cuff tendinopathyTendinopathy

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Area of Science:

  • Musculoskeletal health
  • Sports medicine
  • Clinical orthopedics

Background:

  • Tendinopathy is a frequent cause of musculoskeletal pain and dysfunction, particularly in active populations.
  • It is characterized by pain and impaired function due to excessive tendon load.
  • Managing tendinopathy is challenging due to its chronic nature and impact on athletic performance.

Purpose of the Study:

  • To review the current understanding of tendinopathy.
  • To discuss the complexities of tendon pathology, pain, and function.
  • To evaluate existing and emerging treatment strategies for tendinopathy.

Main Methods:

  • Literature review of tendinopathy research.
  • Analysis of clinical presentations and diagnostic approaches.
  • Evaluation of evidence supporting various treatment modalities.

Main Results:

  • Tendinopathy is a heterogeneous condition with unclear pathoetiology and an incompletely understood pain-function relationship.
  • Clinical diagnosis is primary; imaging has limited utility.
  • Many treatments lack robust evidence; progressive loading is supported over rest.

Conclusions:

  • Progressive loading is the cornerstone of tendinopathy management.
  • Adjunctive therapies should focus on pain relief.
  • Further research is needed to clarify tendon pathoetiology and optimize treatment strategies.