Work

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

Year: 2008

Type: review

Abstract: 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.

Source: British Journal of Sports Medicine

DOI: 10.1136/bjsm.2008.051193

Authors: J L Cook, C R Purdam

Institutions: Deakin University, Centre d'Etudes des Maladies Infectieuses et Pharmacologie Anti-Infectieuse

Language: English

Topic: Tendon Structure and Treatment

Subfield: Orthopedics and Sports Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: bronze

Funder: Australian Institute of Sport