There has been recent discussion in the Journal regarding the patho-physiological mechanisms of the development of tendonopathy. To date there has been no discussion on the role of the enveloping fascia in this condition. In other related musculo-tendinous conditions, there is evidence that inflammation of the fascia occurs for example, in plantar fasciitis. Histological examination of this condition demonstrates a reactive-type inflammatory infiltrate with accompanying proteoglycan production and oedema seen with collagen thickening. The process is well demonstrated more diffusely in eosinophillic fasciitis, a rare Scleroderma-type condition first described in 1974 by Shulman, which has a wide and varied clinical presentation.