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Tendinopathy

Stephanie Ann Carey, MPH, MD and Shawn F Phillips, MSPT, MD Reviewed 04/2024
 


BASICS

DESCRIPTION

  • Clinical syndrome characterized by localized tendon pain

  • System(s) affected: musculoskeletal

ALERT
  • Tendinopathy is an umbrella term to include acute and chronic tendon changes that caus...

DIAGNOSIS

HISTORY

  • Acute or chronic onset of focal pain and tenderness along affected tendon or around muscle origin or insertion

  • Overuse or overtraining with repetitive motions

  • Reproducible pain with mus...

TREATMENT

GENERAL MEASURES

  • Prevention of tendinopathy is pivotal since recurrence is common.

    • Avoid overtraining. Ensure appropriate technique and use of proper equipment, including shoes.

  • During acute ph...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient is susceptible to reinjury even after resolution of symptoms. 

PATIENT EDUCATION

  • Increase activity in stepwise fashion as long as the patient remains pain-f...

REFERENCES

1
Yang SM, Chen WS. Conservative treatment of tendon injuries. Am J Phys Med Rehabil. 2020;99(6):550–557.
2
Irby A, Gutierrez J, Chamberlin C, et al. Clinical management of tendinopathy: a sys...

ADDITIONAL READING

  • Filardo  G, Di Matteo  B, Kon  E, et al. Platelet-rich plasma in tendon-related disorders: results and indications. Knee Surg Sports Traumatol Arthrosc. ...

CODES

ICD10

  • M77.9 Enthesopathy, unspecified

  • M65.9 Synovitis and tenosynovitis, unspecified

  • M76.50 Patellar tendinitis, unspecified knee

  • M76.60 Achilles tendinitis, unspecified leg

  • M77.00 Medial epicondylit...

CLINICAL PEARLS

  • Chronic tendinopathy is commonly associated with overuse.

  • Signs and symptoms include pain, swelling, and site tenderness.

  • Treatment includes rest of affected muscle–tendon unit, ice, and...

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