Treating tendinopathy: perspective on anti-inflammatory intervention and therapeutic exercise.
Clin Sports Med. 2015 Apr ;34(2):363-74. Epub 2015 Jan 24. PMID: 25818719
Michael F Joseph
Tendinopathy is a common and complex disorder. Once viewed as an inflammatory condition labeled tendinitis, it is now viewed along a continuum that can lead to tissue necrosis and risk of tendon rupture. Anti-inflammatory medications can alter symptoms but may also promote tissue degeneration. Loading of the tendon through exercise, especially exercise involving eccentric muscle contraction, has been shown to promote symptom resolution and functional recovery in many patients. This article reviews the pathoetiology of tendinopathy and the role anti-inflammatory interventions and therapeutic exercise in treatment of active patients.