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

Immunology

Rheumatology: Current Research

Author(s): Cook JL, Purdam CR

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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. This article was published in Br J Sports Med and referenced in Rheumatology: Current Research

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