PT  - JOURNAL ARTICLE
AU  - J L Cook
AU  - C R Purdam
TI  - Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy
AID  - 10.1136/bjsm.2008.051193
DP  - 2009 Jun 01
TA  - British Journal of Sports Medicine
PG  - 409--416
VI  - 43
IP  - 6
4099  - http://bjsm.bmj.com/content/43/6/409.short
4100  - http://bjsm.bmj.com/content/43/6/409.full
SO  - Br J Sports Med2009 Jun 01; 43
AB  - 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.