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Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy

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journal contribution
posted on 2009-01-01, 00:00 authored by Jill Cook, C Purdam
Overuse tendinopathy is problematic to manage clinically. People of different ages with tendons under diverse loads present with varying degrees of pain, irritability, and capacity to function. Recovery is similarly variable; some tendons recover with simple interventions, some remain resistant to all treatments.

The pathology of tendinopathy has been described as degenerative or failed healing. Neither of these descriptions fully explains the heterogeneity of presentation. This review proposes, and provides evidence for, a continuum of pathology. This model of pathology allows rational placement of treatments along the continuum.

A new model of tendinopathy and thoughtful treatment implementation may improve outcomes for those with tendinopathy. This model is presented for evaluation by clinicians and researchers.

History

Journal

British journal of sports medicine

Volume

43

Issue

6

Pagination

409 - 416

Publisher

BMJ Publishing Group

Location

London, England

ISSN

0306-3674

eISSN

1473-0480

Language

eng

Publication classification

C1 Refereed article in a scholarly journal

Copyright notice

2009, BMJ Publishing Group