Tendinopathy
Encyclopedia
Tendinopathy refers to a disease of a tendon
. More specifically, it can refer to:
Tendon injury arise from a combination of intrinsic and extrinsic factors; acute tendon injuries may be predominantly caused by extrinsic factors, whereas in overuse syndromes as in the case of tendinopathy it may be caused by multifactorial combinations of both intrinsic and extrinsic factors. An example of an intrinsic factor for tendinopathies are: poor biomechanics such as limb malaligments and hyperpronation that may cause increased traction loads acting on the foot and ankle that may increase the incidence of Achilles, flexor hallucis longus and posterior tibialis tendinopathies.
The exact etiology of tedinopathies has not been fully elucidated and different stresses may induce varying responses. There are multifactorial theories such as tensile overload, tenocyte related collagen synthesis disruption, tendon load induced ischemia, neural sprouting, and histological adaptive compressive responses seen as some of the causative factors that give rise to activity disruption and disability due to tendinopathies. The most commonly accepted cause for this condition however is seen to be an overuse syndrome in combination with intrinsic and extrinsic factors leading to what may be seen as a progressive interference or the failing of the innate healing response
Other conservative and non-surgical treatment options available for the management and treatment of tendinopathy include: rest, ice, massage therapy, eccentric exercise, NSAID‟s, ultrasound therapy, LIPUS, acupuncture, electrotherapy, taping, sclerosing injections, blood injection, glyceryl trinitrate patches, and (ESWT) extracorporeal shockwave therapy
Tendon
A tendon is a tough band of fibrous connective tissue that usually connects muscle to bone and is capable of withstanding tension. Tendons are similar to ligaments and fasciae as they are all made of collagen except that ligaments join one bone to another bone, and fasciae connect muscles to other...
. More specifically, it can refer to:
- Tendinitis
- TendinosisTendinosisTendinosis, sometimes called chronic tendinitis, tendinosus, chronic tendinopathy or chronic tendon injury, is damage to a tendon at a cellular level . It is thought to be caused by microtears in the connective tissue in and around the tendon, leading to an increase in tendon repair cells...
Tendon injury arise from a combination of intrinsic and extrinsic factors; acute tendon injuries may be predominantly caused by extrinsic factors, whereas in overuse syndromes as in the case of tendinopathy it may be caused by multifactorial combinations of both intrinsic and extrinsic factors. An example of an intrinsic factor for tendinopathies are: poor biomechanics such as limb malaligments and hyperpronation that may cause increased traction loads acting on the foot and ankle that may increase the incidence of Achilles, flexor hallucis longus and posterior tibialis tendinopathies.
The exact etiology of tedinopathies has not been fully elucidated and different stresses may induce varying responses. There are multifactorial theories such as tensile overload, tenocyte related collagen synthesis disruption, tendon load induced ischemia, neural sprouting, and histological adaptive compressive responses seen as some of the causative factors that give rise to activity disruption and disability due to tendinopathies. The most commonly accepted cause for this condition however is seen to be an overuse syndrome in combination with intrinsic and extrinsic factors leading to what may be seen as a progressive interference or the failing of the innate healing response
Treatment
Steroid injects are helpful in the short term (first approximately 4 weeks) however their long term effectiveness is not known, and quality of evidence for its use remains poor and controversial.Other conservative and non-surgical treatment options available for the management and treatment of tendinopathy include: rest, ice, massage therapy, eccentric exercise, NSAID‟s, ultrasound therapy, LIPUS, acupuncture, electrotherapy, taping, sclerosing injections, blood injection, glyceryl trinitrate patches, and (ESWT) extracorporeal shockwave therapy
External links
- http://www.webmd.com/a-to-z-guides/tendon-injury-tendinopathy-topic-overview