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Tendinopathy

Daniel Warden, MD and Sara Neal, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Clinical syndrome characterized by tendon thickening and chronic, localized tendon pain

  • System(s) affected: musculoskeletal

ALERT
  • The term tendinopathy has replaced the term tendinitis ...

DIAGNOSIS

HISTORY

  • History of repetitive use with onset of pain around muscle origin or insertion

  • History of overuse or overtraining

  • There are validated functional assessment scores such as Victorian Inst...

TREATMENT

GENERAL MEASURES

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

  • During acute phase, rest the involved tendon.

  • Treatment plans vary based on site o...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Patient is susceptible to reinjury up to 3 weeks after resolution of symptoms with increased activity.

  • Follow-up at the discretion of the provider and patient afte...

REFERENCES

1
Goldin M, Malanga GA. Tendinopathy: a review of the pathophysiology and evidence for treatment. Phys Sportsmed.  2013;41(3):36–49. doi:10.3810/psm.2013.09.201993. [View Abstract on Ov...

ADDITIONAL READING

  • Andia I, Martin JI, Maffulli N. Advances with platelet rich plasma therapies for tendon regeneration. Expert Opin Biol Ther.  2018;18(4):389–398.

  • Cumpston M, Johnston RV, Wengie...

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

  • 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 NSAIDs ...

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