Abstract

Among physicians today it is still common not to distinguish between the acute and chronic stage of tendon pain, either in terms of diagnosis or treatment. Thus treatment is often aimed at reducing acute, prostaglandin mediated inflammation in both acute and chronic stages of tendon pain. This was confirmed. In the chronic stage anti-inflammatory treatment will at best have symptomatic effects. The effects will not be curative and a number of studies now support that it actually has negative effects. Adverse events in the cardiac, gastrointestinal and renal systems accompanying treatment with NSAID are well documented. Injection of corticosteroids only provides temporary relief from pain.