On the topic of tendons, time for a refresher
This is one of the most important papers ever published in the arena of sports medicine, and it has really helped us format our understanding of tendon injury.
The full paper, and I highly recommend you read it in its entirety, may be viewed here: is tendon pathology a continuum.pdf
Let's take a look at some of the key take-home messages.
The opening statement clearly sets out the problem we face with tendon injury:
"Overuse tendon injury (tendinopathy) occurs in loaded tendons of the upper and lower limb and results in pain, decreased exercise tolerance of the tendon and a reduction in function. Characteristic changes occur in tendon structure, resulting in a tendon that is less capable of sustaining repeated tensile load."
Right away we get a sense that the old model, suggesting that tendon injury, like all overuse injury, is based on a simple model that the structure is unable to recover from excessive load.
Director of Bartold Clinical