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Tendinopathy

Stephanie A. Carey, MD, MPH, Theodore J. Demetriou, DO and Shawn F. Phillips, MD, MSPT Reviewed 06/2019
 


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 pain and has repl...

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, relative rest for the involved tendon

  • Treatment plans vary bas...

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
Cook JL, Rio E, Purdam CR, et al. Revisiting the continuum model of tendon pathology: what is its merit in clinical practice and research? Br J Sports Med.  2016;50(19):1187–1191. [Vi...

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. [View Abstract on OvidMedline]

  • ...

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 analges...

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