Overuse tendinosis, not tendinitis. Part 1

a new paradigm for a difficult clinical problem

K. M. Khan, JL Cook, Jack E. Taunton, F Bonar

Research output: Contribution to journalReview article

120 Citations (Scopus)

Abstract

Overuse tendinopathies are common in primary care. Numerous investigators worldwide have shown that the pathology underlying these conditions is tendinosis or collagen degeneration. This applies equally in the Achilles, patellar, medial and lateral elbow, and rotator cuff tendons. If physicians acknowledge that overuse tendinopathies are due to tendinosis, as distinct from tendinitis, they must modify patient management in at least eight areas. These include adaptation of advice given when counseling, interaction with the physical therapist and athletic trainer, interpretation of imaging choice of conservative management, and consideration of whether surgery is an option.

Original languageEnglish
Pages (from-to)38-48
Number of pages11
JournalPhysician and Sportsmedicine
Volume28
Issue number5
DOIs
Publication statusPublished - May 2000
Externally publishedYes

Keywords

  • CHRONIC ACHILLES TENDINOPATHY
  • JUMPERS KNEE
  • LATERAL EPICONDYLITIS
  • PATELLAR TENDON
  • TENNIS ELBOW
  • ULTRASOUND
  • ULTRASONOGRAPHY
  • ETIOLOGY
  • EXERCISE

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