Sports and exercise-related tendinopathies: a review of selected topical issues by participants of the second International Scientific Tendinopathy Symposium (ISTS) Vancouver 2012.
Mechanical demands vary greatly among tendons at different anatomical locations. Knowledge is lacking regarding the pathological mechanism of tendon pain, especially in its early stages. Tendinopathies frequently remain asymptomatic, and it seems that symptoms are only elicited by temporary increases in tendon loading.
Symptoms of tendinopathy include focal pain and thickening of the tendon. However, pain resulting from either palpation or clinical tests may be highly sensitive, but not very specific. In a clinical setting, Ultrasound and MRI are used frequently to confirm the presence of tendon abnormalities, yet, in line with the previous, structural changes are often present without significant symptoms.
Corresponding to the mechanical demands placed on tendons and the continuum of tendinopathy, rehabilitation can vary substantially: since exercise can induce tissue remodeling processes, affect tendon compliance or cause analgesia, adequate loading is the most important factor determining the treatment of choice, and over the rehabilitation period, outcomes should be evaluated using the VISA scales. > From: Scott et al., Br J Sports Med 47 (2013) 536-544. Published under the Creative Commons Attribution Non Commercial license.