Treating tendinopathy: perspective on anti-inflammatory intervention and therapeutic exercise

Michael F Joseph; Craig R Denegar

doi:10.1016/j.csm.2014.12.006

Treating tendinopathy: perspective on anti-inflammatory intervention and therapeutic exercise

Clin Sports Med. 2015 Apr;34(2):363-74. doi: 10.1016/j.csm.2014.12.006. Epub 2015 Jan 24.

Authors

Michael F Joseph¹, Craig R Denegar²

Affiliations

¹ Department of Kinesiology, University of Connecticut, 2095 Hillside Road, U-1110, Storrs, CT 06269-1110, USA.
² Department of Kinesiology, University of Connecticut, 2095 Hillside Road, U-1110, Storrs, CT 06269-1110, USA. Electronic address: craig.denegar@uconn.edu.

PMID: 25818719
DOI: 10.1016/j.csm.2014.12.006

Abstract

Tendinopathy is a common and complex disorder. Once viewed as an inflammatory condition labeled tendinitis, it is now viewed along a continuum that can lead to tissue necrosis and risk of tendon rupture. Anti-inflammatory medications can alter symptoms but may also promote tissue degeneration. Loading of the tendon through exercise, especially exercise involving eccentric muscle contraction, has been shown to promote symptom resolution and functional recovery in many patients. This article reviews the pathoetiology of tendinopathy and the role anti-inflammatory interventions and therapeutic exercise in treatment of active patients.

Keywords: Anti-inflammatory; Eccentric loading; Tendinopathy; Therapeutic exercise.

Publication types

Review

MeSH terms

Anti-Inflammatory Agents / therapeutic use*
Cumulative Trauma Disorders / etiology
Cumulative Trauma Disorders / pathology
Cumulative Trauma Disorders / therapy*
Exercise Therapy*
Humans
Resistance Training
Tendinopathy / etiology
Tendinopathy / pathology
Tendinopathy / therapy*

Substances

Anti-Inflammatory Agents