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Overuse tendinosis, not tendinitis, part 1: a new paradigm for a difficult clinical problem (part 1)

PainSci » bibliography » Khan et al 2000
updated
Tags: etiology, treatment, diagnosis, plantar fasciitis, biomechanics, tendinosis, foot, pro, leg, limbs, pain problems, overuse injury, injury

Nine articles on PainSci cite Khan 2000: 1. Deep Friction Massage Therapy for Tendinitis2. Icing for Injuries, Tendinitis, and Inflammation3. The Complete Guide to IT Band Syndrome4. The Complete Guide to Patellofemoral Pain Syndrome5. Complete Guide to Plantar Fasciitis6. Tennis Elbow Guide7. Does Arnica Gel Work for Pain?8. Pseudo-Quackery in the Treatment of Pain9. 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.

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