Stage | Pharmacological management | Physical management |
Reactive tendinopathy/early tendon dysrepair | Tenocyte inhibitors (ibuprofen, celecoxib, corticosteroid), aggrecan inhibitors (ibuprofen, naproxen sodium, indomethacin) | Load management. Reduction in frequency ± intensity of tendon load |
Late tendon dysrepair/degeneration | Prolotherapy (including blood), aprotinin, sclerosing therapy, glyceryl trinitrate | Exercise with eccentric component, ESWT, frictions, ultrasound |
ESWT, extracorporeal shock wave therapy.