Overuse tendinosis, not tendinitis, part 1: a new paradigm for a difficult clinical problem (part 1)
Nine articles on PainSci cite Khan 2000: 1. Deep Friction Massage Therapy for Tendinitis 2. Icing for Injuries, Tendinitis, and Inflammation 3. The Complete Guide to IT Band Syndrome 4. The Complete Guide to Patellofemoral Pain Syndrome 5. Complete Guide to Plantar Fasciitis 6. Tennis Elbow Guide 7. Does Arnica Gel Work for Pain? 8. Pseudo-Quackery in the Treatment of Pain 9. Repetitive Strain Injuries Tutorial
PainSci notes on Khan 2000:
From the abstract: “If physicians acknowledge that overuse tendinopathies are due to tendinosis, as distinct from tendinitis, they must modify patient management … ”
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.
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.
related content
- “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.
- “Treatment of tendinopathy: what works, what does not, and what is on the horizon,” Brett M Andres and George A C Murrell, Clinical Orthopaedics & Related Research, 2008.
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:
- Is Neck Posture Subgroup in Late Adolescence a Risk Factor for Persistent Neck Pain in Young Adults? A Prospective Study. Richards 2021 Phys Ther.
- Photobiomodulation therapy is not better than placebo in patients with chronic nonspecific low back pain: a randomised placebo-controlled trial. Guimarães 2021 Pain.
- No effect of creatine monohydrate supplementation on inflammatory and cartilage degradation biomarkers in individuals with knee osteoarthritis. Cornish 2018 Nutr Res.
- The CANBACK trial: a randomised, controlled clinical trial of oral cannabidiol for people presenting to the emergency department with acute low back pain. Bebee 2021 Med J Aust.
- Relationships Between Sleep Quality and Pain-Related Factors for People with Chronic Low Back Pain: Tests of Reciprocal and Time of Day Effects. Gerhart 2017 Ann Behav Med.