RT Journal Article
SR Electronic
T1 Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy
JF British Journal of Sports Medicine
JO Br J Sports Med
FD BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine
SP 409
OP 416
DO 10.1136/bjsm.2008.051193
VO 43
IS 6
A1 J L Cook
A1 C R Purdam
YR 2009
UL http://bjsm.bmj.com/content/43/6/409.abstract
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.