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Current trends in tendinopathy management.
Best Pract Res Clin Rheumatol 2019; 33(1):122-140BP

Abstract

Tendinopathy (pain and dysfunction in a tendon) is a prevalent clinical musculoskeletal presentation across the age spectrum, mostly in active and sporting people. Excess load above the tendon's usual capacity is the primary cause of clinical presentation. The propensity towards chronicity and the extended times for recovery and optimal function and the challenge of managing tendinopathy in a sporting competition season make this a difficult condition to treat. Tendinopathy is a heterogeneous condition in terms of its pathology and clinical presentation. Despite ongoing research, there is no consensus on tendon pathoetiology and the complex relationship between tendon pathology, pain and function is incompletely understood. The diagnosis of tendinopathy is primarily clinical, with imaging only useful in special circumstances. There has been a surge of tendinopathy treatments, most of which are poorly supported and warrant further exploration. The evidence supports a slowly progressive loading program, rather than complete rest, with other treatment modalities used as adjuncts mainly targeted at achieving pain relief.

Authors+Show Affiliations

The Alphington Sports Medicine Clinic, 339 Heidelberg Road, Northcote, Victoria, 3070, Australia. Electronic address: alphsportsmed@hotkey.net.au.La Trobe University Sport and Exercise Medicine Research Centre, La Trobe University, Corner of Plenty Road and Kingsbury Drive, Bundoora, Victoria, 3083, Australia. Electronic address: t.pizzari@latrobe.edu.au.La Trobe University Sport and Exercise Medicine Research Centre, La Trobe University, Corner of Plenty Road and Kingsbury Drive, Bundoora, Victoria, 3083, Australia. Electronic address: r.kinsella@latrobe.edu.au.MP Sports Physicians, Frankston Clinic, Suite 1, 20 Clarendon Street, Frankston, Victoria, 3199, Australia. Electronic address: dan@barwood.net.au.La Trobe University Sport and Exercise Medicine Research Centre, La Trobe University, Corner of Plenty Road and Kingsbury Drive, Bundoora, Victoria, 3083, Australia. Electronic address: j.cook@latrobe.edu.au.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

31431267

Citation

Cardoso, Tanusha B., et al. "Current Trends in Tendinopathy Management." Best Practice & Research. Clinical Rheumatology, vol. 33, no. 1, 2019, pp. 122-140.
Cardoso TB, Pizzari T, Kinsella R, et al. Current trends in tendinopathy management. Best Pract Res Clin Rheumatol. 2019;33(1):122-140.
Cardoso, T. B., Pizzari, T., Kinsella, R., Hope, D., & Cook, J. L. (2019). Current trends in tendinopathy management. Best Practice & Research. Clinical Rheumatology, 33(1), pp. 122-140. doi:10.1016/j.berh.2019.02.001.
Cardoso TB, et al. Current Trends in Tendinopathy Management. Best Pract Res Clin Rheumatol. 2019;33(1):122-140. PubMed PMID: 31431267.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Current trends in tendinopathy management. AU - Cardoso,Tanusha B, AU - Pizzari,Tania, AU - Kinsella,Rita, AU - Hope,Danielle, AU - Cook,Jill L, Y1 - 2019/03/08/ PY - 2019/8/22/entrez KW - Achilles tendinopathy KW - Management KW - Rehabilitation KW - Rotator cuff tendinopathy KW - Tendinopathy SP - 122 EP - 140 JF - Best practice & research. Clinical rheumatology JO - Best Pract Res Clin Rheumatol VL - 33 IS - 1 N2 - Tendinopathy (pain and dysfunction in a tendon) is a prevalent clinical musculoskeletal presentation across the age spectrum, mostly in active and sporting people. Excess load above the tendon's usual capacity is the primary cause of clinical presentation. The propensity towards chronicity and the extended times for recovery and optimal function and the challenge of managing tendinopathy in a sporting competition season make this a difficult condition to treat. Tendinopathy is a heterogeneous condition in terms of its pathology and clinical presentation. Despite ongoing research, there is no consensus on tendon pathoetiology and the complex relationship between tendon pathology, pain and function is incompletely understood. The diagnosis of tendinopathy is primarily clinical, with imaging only useful in special circumstances. There has been a surge of tendinopathy treatments, most of which are poorly supported and warrant further exploration. The evidence supports a slowly progressive loading program, rather than complete rest, with other treatment modalities used as adjuncts mainly targeted at achieving pain relief. SN - 1532-1770 UR - https://www.unboundmedicine.com/medline/citation/31431267/Current_trends_in_tendinopathy_management L2 - https://linkinghub.elsevier.com/retrieve/pii/S1521-6942(19)30023-3 DB - PRIME DP - Unbound Medicine ER -