Tendinopathy Treatment: Where is the Evidence?

Sensory and motor deficits exist on the non-injured side of patients with unilateral tendon pain and disability—implications for central nervous system involvement: a systematic review with meta-analysis

“…Tendinopathy impacts substantially on participation in physical activity1 and is characterised clinically, by activity-related pain, focal tenderness on palpation and decreased functional capacity of the segment (eg, strength and movement) 2. Historically, tendinopathy has been considered as local degeneration with pathological changes including increased type III collagen fibres, an associated increase in ground substance and subsequent loss of hierarchical structure of the tendon 3 4.…”

Treating Tendinopathy

“…If inflammatory cytokines are present, then one would expect pain relief in response to corticosteroid administration. Skjong and colleagues 36 suggested that an inflammatory response in tissues surrounding the degenerative tendon tissue may be responsible for the pain associated with the condition. The suppression of inflammation through intratendinous or peritendinous injection would explain the analgesic response to corticosteroid injection.…”

“…Oral and topical administration may provide short-term pain relief for patients suffering from tendinopathy, 36,40 although not all investigators report a positive effect. 41 The mechanism is unclear, although the notion of inflammation in surrounding tissue offers a possible explanation.…”

Análisis de los efectos de un protocolo de electroestimulación y ejercicios excéntricos, isométricos y concéntricos sobre el dolor y la funcionalidad en el tratamiento y readaptación de la tendinopatía rotuliana o rodilla del saltador

“…El tratamiento de las tendinopatías con inyecciones con corticosteroides parece ofrecer un alivio del dolor a corto plazo, pero hay poca evidencia de su beneficio a largo plazo [202,203]. Su uso está cuestionado por la inhibición que produce en la síntesis de colágeno, pudiendo llegar a provocar roturas espontáneas del tendón [204,205].…”