Four articles on PainSci cite Andres 2008: 1. The Complete Guide to IT Band Syndrome 2. Complete Guide to Plantar Fasciitis 3. Tennis Elbow Guide 4. Repetitive Strain Injuries Tutorial
original abstract †Abstracts here may not perfectly match originals, for a variety of technical and practical reasons. Some abstacts are truncated for my purposes here, if they are particularly long-winded and unhelpful. I occasionally add clarifying notes. And I make some minor corrections.
Tendinopathy is a broad term encompassing painful conditions occurring in and around tendons in response to overuse. Recent basic science research suggests little or no inflammation is present in these conditions. Thus, traditional treatment modalities aimed at controlling inflammation such as corticosteroid injections and nonsteroidal antiinflammatory medications (NSAIDS) may not be the most effective options. We performed a systematic review of the literature to determine the best treatment options for tendinopathy. We evaluated the effectiveness of NSAIDS, corticosteroid injections, exercise-based physical therapy, physical therapy modalities, shock wave therapy, sclerotherapy, nitric oxide patches, surgery, growth factors, and stem cell treatment. NSAIDS and corticosteroids appear to provide pain relief in the short term, but their effectiveness in the long term has not been demonstrated. We identified inconsistent results with shock wave therapy and physical therapy modalities such as ultrasound, iontophoresis and low-level laser therapy. Current data support the use of eccentric strengthening protocols, sclerotherapy, and nitric oxide patches, but larger, multicenter trials are needed to confirm the early results with these treatments. Preliminary work with growth factors and stem cells is promising, but further study is required in these fields. Surgery remains the last option due to the morbidity and inconsistent outcomes. The ideal treatment for tendinopathy remains unclear.
- “Overuse tendinosis, not tendinitis, part 1: a new paradigm for a difficult clinical problem (part 1),” KM Khan, JL Cook, JE Taunton, and F Bonar, Phys Sportsmed, 2000.
- “Overuse tendinosis, not tendinitis, part 2: applying the new approach to patellar tendinopathy,” J L Cook, K M Khan, N Maffulli, and C Purdam, Phys Sportsmed, 2000.
- “Histopathology of common tendinopathies. Update and implications for clinical management,” K M Khan, J L Cook, F Bonar, P Harcourt, and M Astrom, Sports Medicine, 1999.
- “Plantar fasciitis: a degenerative process (fasciosis) without inflammation,” Harvey Lemont, Krista M Ammirati, and Nsima Usen, Journal of the American Podiatric Medical Association, 2003.
This page is part of the PainScience BIBLIOGRAPHY, which contains plain language summaries of thousands of scientific papers & others sources. It’s like a highly specialized blog. A few highlights:
- Association of Lumbar MRI Findings with Current and Future Back Pain in a Population-based Cohort Study. Kasch 2022 Spine (Phila Pa 1976).
- A double-blinded randomised controlled study of the value of sequential intravenous and oral magnesium therapy in patients with chronic low back pain with a neuropathic component. Yousef 2013 Anaesthesia.
- Is Neck Posture Subgroup in Late Adolescence a Risk Factor for Persistent Neck Pain in Young Adults? A Prospective Study. Richards 2021 Phys Ther.
- Sudden amnesia resulting in pain relief: the relationship between memory and pain. Choi 2007 Pain.
- Photobiomodulation therapy is not better than placebo in patients with chronic nonspecific low back pain: a randomised placebo-controlled trial. Guimarães 2021 Pain.