Materiały źródłowe

• #1 Tendinopathy: Definition, Comparison to Tendonitis, and Treatment

  https://www.healthline.com/health/tendinopathy

  Tendinopathy is a condition in which a tendon becomes painful and has limited range of motion. […] Both tendinopathy and tendonitis are often caused by overuse of or sudden stress on a tendon. Aging and lack of muscle tone can also play a role in the development of tendinopathy. […] This relatively new understanding about the underlying causes and progression of tendinopathy has resulted in changes to common treatment approaches. […] While NSAIDs and corticosteroids arent being used as much to treat tendinopathy, there are plenty of other options. Most people find that a combination of home treatment and physical therapy works best. […] A physical therapist can also help you to rebuild strength and stimulate tendon healing through gentle exercises. […] If you have severe tendinopathy that doesnt respond to any other treatment, your doctor may recommend tendon repair surgery. […] For many people, a combination of home treatment and physical therapy provides relief.

• #2 Preventive interventions for tendinopathy: A systematic review – PubMed

  https://pubmed.ncbi.nlm.nih.gov/25981200/

  Objectives: Tendinopathy, the most prevalent tendon disorder which is considered as the clinical diagnosis of pain and dysfunction, is common in sports and its prevalence is ever-increasing. Despite the lack of clarity about risk factors, various preventive interventions for tendinopathy have been investigated. The main objective of this study is to review current preventive interventions for tendinopathy in the major regions: ankle, knee, hip, groin, shoulder and elbow. […] Conclusions: There is limited evidence that a long-term intervention including balance training is effective in the prevention of patellar and Achilles tendinopathy. Shoe adaptations in the form of shock absorbing insoles could have a preventive effect on Achilles tendinopathy. Hormone replacement therapy seems to reduce the risk for structural Achilles tendon changes in active post-menopausal women. No evidence was found for a positive effect of stretching exercises. Prophylactic eccentric training and stretching can increase the risk of injury in asymptomatic players with patellar tendon abnormalities. A limited amount of studies was available and more research is needed on (multifactorial) etiology, risk factors and preventive interventions.

• #3 Tendinopathy: What It Is, Symptoms, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/22289-tendinopathy

  You cant prevent tendinopathy altogether. For example, accidents can happen to you while youre playing or working. But you can take some steps to reduce your risk of tendinopathy. […] To reduce your risk of tendinopathy, work with a trainer or coach. A change in how you play or a different way to stretch could help the same tendons.

• #4 Tendinitis – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/tendinitis/symptoms-causes/syc-20378243

  To reduce the chance of developing tendinitis, follow these suggestions: […] Avoid activities that place too much stress on your tendons, especially for long periods. If you have pain during an exercise, stop and rest. […] If one exercise or activity causes you pain, try something else. Cross-training can help you mix high-impact exercise, such as running, with lower impact exercise, such as biking or swimming. […] If how you do an activity or exercise is flawed, you could be setting yourself up for problems with your tendons. Consider taking lessons or getting professional instructions when starting a new sport or using exercise equipment. […] After exercise, move your joints through full range of motion. The best time to stretch is after exercise, when your muscles are warmed up. […] Make sure your chair, keyboard and desktop are positioned correctly for your height, arm length and the tasks you do. This will help protect your joints and tendons from stress. […] Strengthening muscles used in your activity or sport can help them bear the load better.

• #5 Tendinopathy: What It Is, Symptoms, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/22289-tendinopathy

  You cant prevent tendinopathy altogether. For example, accidents can happen to you while youre playing or working. But you can take some steps to reduce your risk of tendinopathy. […] To reduce your risk of tendinopathy, work with a trainer or coach. A change in how you play or a different way to stretch could help the same tendons.

• #6 Content – Health Encyclopedia – University of Rochester Medical Center

  https://www.urmc.rochester.edu/encyclopedia/content?contenttypeid=1&contentid=739

  Tendonitis is your body’s way of telling you that you’re putting too much stress on this muscle and joint. […] Too much stress on joints can tear and inflame tendons, says the American College of Rheumatology. […] Weekend athletes know that tendonitis is a common result of overdoing it, especially when the body is out of shape. […] A prevention program should replace bad habits with these methods that promote a healthy workout: Warm up thoroughly, gradually building the intensity level of your workout. Cool down after the session. […] Train for a new sport before you start it. Start building strength and flexibility in the muscles you will use a few weeks or months in advance. […] Learn the correct method and use the correct equipment for any exercise or activity. Work out regularly, not just once a week.

• #7 Tendonitis: Causes, Symptoms, & Treatment

  https://www.webmd.com/fitness-exercise/understanding-tendinitis-treatment

  Taking some simple steps can lower your risk for tendonitis. […] Warm up and cool down. When you exercise or do any type of physical activity (such as gardening), stretch and move about a bit before and afterward. As a general rule, a good warm-up is 5 minutes for every 30 minutes of planned exercise. Ease into your workout and gradually build intensity. A sudden and dramatic increase in exercise intensity can set you up for tendon strain. […] Be kind to your body. During long bouts of physical activity, take breaks often. Stop what you’re doing if you develop pain. […] Vary your routine. When possible, avoid repeated use of the same joint. Don’t do just one type of exercise, such as running every day. Mix in other aerobic activities, such as swimming or cycling. […] Use the right gear. Wear appropriate footwear and replace shoes when they’re worn out.

• #8 Achilles tendinitis – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/achilles-tendinitis/symptoms-causes/syc-20369020

  Most often, Achilles tendinitis can be treated with at-home care guided by a healthcare professional. Self-care steps can be helpful to prevent Achilles tendinitis from returning. […] It may not be possible to prevent Achilles tendinitis. But here are some ways to reduce the risk: […] Increase your activity level slowly. If you’re just starting a new exercise, start slowly. Increase how long and hard you train little by little. […] Take it easy. Do not do activities that put a lot of stress on your tendons, such as hill running, if you’re not used to them. If you do a hard activity, warm up first by exercising at a slower pace. If you notice pain during an exercise, stop and rest. […] Choose your shoes well. The shoes you wear for exercise should cushion your heel. They should have a firm arch support to help reduce the tension in the Achilles tendon. Replace worn-out shoes. If your shoes are in good shape but don’t support your feet, try arch supports in both shoes.

• #9 Prevent Achilles Tendonitis with 6 Easy Tips: Marilyn Boyuka, DPM: Podiatrist

  https://www.southerntierpodiatry.com/blog/prevent-achilles-tendonitis-with-6-easy-tips

  You can reduce the odds of suffering an Achilles tendon injury with some easy steps. Some of the top Achilles tendonitis prevention tips include: […] Start new physical activities gradually. If you begin a new workout program by jumping in with high levels of intensity and/or duration, you put yourself at risk for Achilles tendon injuries. Instead of taking this path, use a gradual progression to stay safe. […] Ease into advanced intensity levels. In the same way that starting a new activity with high intensity increases injury risk, so too does making a sudden jump in an existing workout program. Ramp up intensity and duration gradually to give your body time to adjust and prepare for the increased force loads it will face. […] Wear proper footwear. Shoes need to be activity-appropriate, have adequate cushioning, and provide robust arch support to prevent the Achilles tendon from becoming injured due to excessive tension.

• #10 Tendinitis – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/tendinitis/symptoms-causes/syc-20378243

  To reduce the chance of developing tendinitis, follow these suggestions: […] Avoid activities that place too much stress on your tendons, especially for long periods. If you have pain during an exercise, stop and rest. […] If one exercise or activity causes you pain, try something else. Cross-training can help you mix high-impact exercise, such as running, with lower impact exercise, such as biking or swimming. […] If how you do an activity or exercise is flawed, you could be setting yourself up for problems with your tendons. Consider taking lessons or getting professional instructions when starting a new sport or using exercise equipment. […] After exercise, move your joints through full range of motion. The best time to stretch is after exercise, when your muscles are warmed up. […] Make sure your chair, keyboard and desktop are positioned correctly for your height, arm length and the tasks you do. This will help protect your joints and tendons from stress. […] Strengthening muscles used in your activity or sport can help them bear the load better.

• #11 Achilles tendinitis – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/achilles-tendinitis/symptoms-causes/syc-20369020

  Stretch daily. Take the time to stretch your calf muscles and Achilles tendon in the morning and before and after exercise. This is to keep the tendon flexible. It also can keep Achilles tendinitis from happening again. […] Strengthen your calf muscles. Strong calf muscles help the calf and Achilles tendon handle the stresses of exercise. […] Cross-train. Do not do high-impact activities, such as running and jumping, every day. On off-days, do low-impact activities, such as cycling and swimming.

• #12 Tendinitis – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/tendinitis/symptoms-causes/syc-20378243

  To reduce the chance of developing tendinitis, follow these suggestions: […] Avoid activities that place too much stress on your tendons, especially for long periods. If you have pain during an exercise, stop and rest. […] If one exercise or activity causes you pain, try something else. Cross-training can help you mix high-impact exercise, such as running, with lower impact exercise, such as biking or swimming. […] If how you do an activity or exercise is flawed, you could be setting yourself up for problems with your tendons. Consider taking lessons or getting professional instructions when starting a new sport or using exercise equipment. […] After exercise, move your joints through full range of motion. The best time to stretch is after exercise, when your muscles are warmed up. […] Make sure your chair, keyboard and desktop are positioned correctly for your height, arm length and the tasks you do. This will help protect your joints and tendons from stress. […] Strengthening muscles used in your activity or sport can help them bear the load better.

• #13 Tendonitis: Causes, Symptoms, & Treatment

  https://www.webmd.com/fitness-exercise/understanding-tendinitis-treatment

  Move right. Be sure you are using the proper technique in the activities you choose for exercise and leisure. Taking a lesson from a pro is a good idea. […] Assess your workspace. You might think that sitting at a computer all day can’t hurt you, but if your keyboard or screen are at the wrong height and angle, you could be straining tendons. A physical therapist can advise you on how to set up an ergonomically friendly workspace and make sure your job doesn’t cause or worsen tendonitis.

• #14 Achilles tendinitis – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/achilles-tendinitis/symptoms-causes/syc-20369020

  Most often, Achilles tendinitis can be treated with at-home care guided by a healthcare professional. Self-care steps can be helpful to prevent Achilles tendinitis from returning. […] It may not be possible to prevent Achilles tendinitis. But here are some ways to reduce the risk: […] Increase your activity level slowly. If you’re just starting a new exercise, start slowly. Increase how long and hard you train little by little. […] Take it easy. Do not do activities that put a lot of stress on your tendons, such as hill running, if you’re not used to them. If you do a hard activity, warm up first by exercising at a slower pace. If you notice pain during an exercise, stop and rest. […] Choose your shoes well. The shoes you wear for exercise should cushion your heel. They should have a firm arch support to help reduce the tension in the Achilles tendon. Replace worn-out shoes. If your shoes are in good shape but don’t support your feet, try arch supports in both shoes.

• #15 Prevent Achilles Tendonitis with 6 Easy Tips: Marilyn Boyuka, DPM: Podiatrist

  https://www.southerntierpodiatry.com/blog/prevent-achilles-tendonitis-with-6-easy-tips

  You can reduce the odds of suffering an Achilles tendon injury with some easy steps. Some of the top Achilles tendonitis prevention tips include: […] Start new physical activities gradually. If you begin a new workout program by jumping in with high levels of intensity and/or duration, you put yourself at risk for Achilles tendon injuries. Instead of taking this path, use a gradual progression to stay safe. […] Ease into advanced intensity levels. In the same way that starting a new activity with high intensity increases injury risk, so too does making a sudden jump in an existing workout program. Ramp up intensity and duration gradually to give your body time to adjust and prepare for the increased force loads it will face. […] Wear proper footwear. Shoes need to be activity-appropriate, have adequate cushioning, and provide robust arch support to prevent the Achilles tendon from becoming injured due to excessive tension.

• #16 Achilles tendinitis – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/achilles-tendinitis/symptoms-causes/syc-20369020

  Stretch daily. Take the time to stretch your calf muscles and Achilles tendon in the morning and before and after exercise. This is to keep the tendon flexible. It also can keep Achilles tendinitis from happening again. […] Strengthen your calf muscles. Strong calf muscles help the calf and Achilles tendon handle the stresses of exercise. […] Cross-train. Do not do high-impact activities, such as running and jumping, every day. On off-days, do low-impact activities, such as cycling and swimming.

• #17 Prevent Achilles Tendonitis with 6 Easy Tips: Marilyn Boyuka, DPM: Podiatrist

  https://www.southerntierpodiatry.com/blog/prevent-achilles-tendonitis-with-6-easy-tips

  Stretch. A little time stretching the calf muscles and the Achilles tendon, especially in the morning and before and after exercise, will keep the soft tissues limber. […] Strengthen your lower legs. Strong calf muscles can take stress off the Achilles tendons, thereby reducing injury risk. Calf raises and other lower leg exercises are particularly beneficial. […] Cross-train. Replacing a couple of high-impact activities (those that feature running and jumping) each week with low-impact ones (like swimming or cycling) will further reduce the cumulative amounts of physical force the Achilles tendons face.

• #18 Tendinitis – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/tendinitis/symptoms-causes/syc-20378243

  To reduce the chance of developing tendinitis, follow these suggestions: […] Avoid activities that place too much stress on your tendons, especially for long periods. If you have pain during an exercise, stop and rest. […] If one exercise or activity causes you pain, try something else. Cross-training can help you mix high-impact exercise, such as running, with lower impact exercise, such as biking or swimming. […] If how you do an activity or exercise is flawed, you could be setting yourself up for problems with your tendons. Consider taking lessons or getting professional instructions when starting a new sport or using exercise equipment. […] After exercise, move your joints through full range of motion. The best time to stretch is after exercise, when your muscles are warmed up. […] Make sure your chair, keyboard and desktop are positioned correctly for your height, arm length and the tasks you do. This will help protect your joints and tendons from stress. […] Strengthening muscles used in your activity or sport can help them bear the load better.

• #19 Achilles tendinitis – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/achilles-tendinitis/symptoms-causes/syc-20369020

  Stretch daily. Take the time to stretch your calf muscles and Achilles tendon in the morning and before and after exercise. This is to keep the tendon flexible. It also can keep Achilles tendinitis from happening again. […] Strengthen your calf muscles. Strong calf muscles help the calf and Achilles tendon handle the stresses of exercise. […] Cross-train. Do not do high-impact activities, such as running and jumping, every day. On off-days, do low-impact activities, such as cycling and swimming.

• #20 Tendinitis – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/tendinitis/symptoms-causes/syc-20378243

  To reduce the chance of developing tendinitis, follow these suggestions: […] Avoid activities that place too much stress on your tendons, especially for long periods. If you have pain during an exercise, stop and rest. […] If one exercise or activity causes you pain, try something else. Cross-training can help you mix high-impact exercise, such as running, with lower impact exercise, such as biking or swimming. […] If how you do an activity or exercise is flawed, you could be setting yourself up for problems with your tendons. Consider taking lessons or getting professional instructions when starting a new sport or using exercise equipment. […] After exercise, move your joints through full range of motion. The best time to stretch is after exercise, when your muscles are warmed up. […] Make sure your chair, keyboard and desktop are positioned correctly for your height, arm length and the tasks you do. This will help protect your joints and tendons from stress. […] Strengthening muscles used in your activity or sport can help them bear the load better.

• #21 Tendinitis – symptoms, treatments and causes | healthdirect

  https://www.healthdirect.gov.au/tendinitis

  Tendinitis (also called tendonitis or tendinopathy) is an inflamed tendon. Tendinitis is usually caused by repeated excessive use and load on a particular tendon. […] If you’ve had tendinitis before, you can help prevent further injury by using the following techniques: Warming up and cooling down, before and after exercising. Learning correct techniques if you play a sport. Strengthening muscles in the affected area. […] You may also need an ergonomic assessment of your workspace, which may include an adjustment of your chair, keyboard and desktop positions. This may help protect your joints and tendons from excessive strain.

• #22

  https://journals.lww.com/acsm-csmr/fulltext/2021/06000/achilles_tendinopathy__evaluation,_rehabilitation,.9.aspx

  Achilles stretching and plantar flexion strengthening protocols are reasonable to institute in impact-sport athletes for both primary and secondary prevention. […] Optimizing both tibiotalar and subtalar joint motion is recommended. In addition, avoiding fluoroquinolones and other medications that may be associated with tendinopathy is advised, especially in athletes with high impact load. […] Balance training in elite female soccer players also has been suggested as an effective preventative strategy for Achilles tendinopathy. Further research is needed to better define the optimal prevention program.

• #23 Achilles tendinitis – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/achilles-tendinitis/symptoms-causes/syc-20369020

  Most often, Achilles tendinitis can be treated with at-home care guided by a healthcare professional. Self-care steps can be helpful to prevent Achilles tendinitis from returning. […] It may not be possible to prevent Achilles tendinitis. But here are some ways to reduce the risk: […] Increase your activity level slowly. If you’re just starting a new exercise, start slowly. Increase how long and hard you train little by little. […] Take it easy. Do not do activities that put a lot of stress on your tendons, such as hill running, if you’re not used to them. If you do a hard activity, warm up first by exercising at a slower pace. If you notice pain during an exercise, stop and rest. […] Choose your shoes well. The shoes you wear for exercise should cushion your heel. They should have a firm arch support to help reduce the tension in the Achilles tendon. Replace worn-out shoes. If your shoes are in good shape but don’t support your feet, try arch supports in both shoes.

• #24

  https://journals.lww.com/acsm-csmr/fulltext/2021/06000/achilles_tendinopathy__evaluation,_rehabilitation,.9.aspx

  Achilles stretching and plantar flexion strengthening protocols are reasonable to institute in impact-sport athletes for both primary and secondary prevention. […] Optimizing both tibiotalar and subtalar joint motion is recommended. In addition, avoiding fluoroquinolones and other medications that may be associated with tendinopathy is advised, especially in athletes with high impact load. […] Balance training in elite female soccer players also has been suggested as an effective preventative strategy for Achilles tendinopathy. Further research is needed to better define the optimal prevention program.

• #25

  https://journals.lww.com/acsm-csmr/fulltext/2021/06000/achilles_tendinopathy__evaluation,_rehabilitation,.9.aspx

  Achilles stretching and plantar flexion strengthening protocols are reasonable to institute in impact-sport athletes for both primary and secondary prevention. […] Optimizing both tibiotalar and subtalar joint motion is recommended. In addition, avoiding fluoroquinolones and other medications that may be associated with tendinopathy is advised, especially in athletes with high impact load. […] Balance training in elite female soccer players also has been suggested as an effective preventative strategy for Achilles tendinopathy. Further research is needed to better define the optimal prevention program.

• #26

  https://journals.lww.com/acsm-csmr/fulltext/2021/06000/achilles_tendinopathy__evaluation,_rehabilitation,.9.aspx

  Achilles stretching and plantar flexion strengthening protocols are reasonable to institute in impact-sport athletes for both primary and secondary prevention. […] Optimizing both tibiotalar and subtalar joint motion is recommended. In addition, avoiding fluoroquinolones and other medications that may be associated with tendinopathy is advised, especially in athletes with high impact load. […] Balance training in elite female soccer players also has been suggested as an effective preventative strategy for Achilles tendinopathy. Further research is needed to better define the optimal prevention program.

• #27 Dutch multidisciplinary guideline on Achilles tendinopathy | British Journal of Sports Medicine

  https://bjsm.bmj.com/content/55/20/1125

  Objective To provide a comprehensive, evidence-based overview of the risk factors, prevention, diagnosis, imaging, treatment and prognosis for Achilles tendinopathy. To make clinical recommendations for healthcare practitioners and patients. […] Primary prevention aims to prevent an initial disease episode, and this is an important topic especially in sports. By applying primary prevention in specific populations at high risk of Achilles tendinopathy, both the incidence and long-term symptoms may be reduced. […] Consider informing individuals with a history of lower limb tendinopathy who are going to become active or increase their training load about the increased risk of Achilles tendinopathy. […] In the context of the importance of preventing Achilles tendinopathy, consider advising individuals to avoid the use of fluoroquinolone antibiotics if alternative antibiotics are available and the clinical picture allows.

• #28

  https://journals.lww.com/acsm-csmr/fulltext/2021/06000/achilles_tendinopathy__evaluation,_rehabilitation,.9.aspx

  Achilles stretching and plantar flexion strengthening protocols are reasonable to institute in impact-sport athletes for both primary and secondary prevention. […] Optimizing both tibiotalar and subtalar joint motion is recommended. In addition, avoiding fluoroquinolones and other medications that may be associated with tendinopathy is advised, especially in athletes with high impact load. […] Balance training in elite female soccer players also has been suggested as an effective preventative strategy for Achilles tendinopathy. Further research is needed to better define the optimal prevention program.

• #29 Preventive interventions for tendinopathy: A systematic review – PubMed

  https://pubmed.ncbi.nlm.nih.gov/25981200/

  Objectives: Tendinopathy, the most prevalent tendon disorder which is considered as the clinical diagnosis of pain and dysfunction, is common in sports and its prevalence is ever-increasing. Despite the lack of clarity about risk factors, various preventive interventions for tendinopathy have been investigated. The main objective of this study is to review current preventive interventions for tendinopathy in the major regions: ankle, knee, hip, groin, shoulder and elbow. […] Conclusions: There is limited evidence that a long-term intervention including balance training is effective in the prevention of patellar and Achilles tendinopathy. Shoe adaptations in the form of shock absorbing insoles could have a preventive effect on Achilles tendinopathy. Hormone replacement therapy seems to reduce the risk for structural Achilles tendon changes in active post-menopausal women. No evidence was found for a positive effect of stretching exercises. Prophylactic eccentric training and stretching can increase the risk of injury in asymptomatic players with patellar tendon abnormalities. A limited amount of studies was available and more research is needed on (multifactorial) etiology, risk factors and preventive interventions.

• #30 Preventive interventions for tendinopathy: A systematic review – PubMed

  https://pubmed.ncbi.nlm.nih.gov/25981200/

  Objectives: Tendinopathy, the most prevalent tendon disorder which is considered as the clinical diagnosis of pain and dysfunction, is common in sports and its prevalence is ever-increasing. Despite the lack of clarity about risk factors, various preventive interventions for tendinopathy have been investigated. The main objective of this study is to review current preventive interventions for tendinopathy in the major regions: ankle, knee, hip, groin, shoulder and elbow. […] Conclusions: There is limited evidence that a long-term intervention including balance training is effective in the prevention of patellar and Achilles tendinopathy. Shoe adaptations in the form of shock absorbing insoles could have a preventive effect on Achilles tendinopathy. Hormone replacement therapy seems to reduce the risk for structural Achilles tendon changes in active post-menopausal women. No evidence was found for a positive effect of stretching exercises. Prophylactic eccentric training and stretching can increase the risk of injury in asymptomatic players with patellar tendon abnormalities. A limited amount of studies was available and more research is needed on (multifactorial) etiology, risk factors and preventive interventions.

• #31 Achilles Tendinopathy Treatment | UVA Health

  https://uvahealth.com/services/rehab/achilles-tendinopathy

  Achilles tendinopathy can make life painful. […] You may be advised to wear a shoe insert. This places your foot in the correct position for walking and running. […] Taping your ankle during activity may also help. […] More severe or recurring injuries may need physical therapy. […] Avoid any activity, like going uphill or exercising on irregular surfaces, that causes pain. […] Wear appropriate footwear for your sport. […] Don’t use shoes beyond the recommended duration. […] Gradually add hill work, stairs, speed and distance to your routine. […] Stretch and strengthen your calf muscles regularly.

• #32 Rotator Cuff Tendinopathy: Prevention (Non-Athletes and Athletes)

  https://www.coastalorthoteam.com/blog/rotator-cuff-tendinopathy-prevention-non-athletes-and-athletes

  Any form of exercise that strengthens and stretches the upper body particularly the back and chest will help to stabilize the shoulder and compensate for heavy use. […] Many problems in the body can be caused or made worse by improper alignment, be it when you’re standing, moving around, sitting, or sleeping. […] Studies show that being overweight or obese is associated with tendon disease and injuries. […] Lifting heavy items over your head or catching them can lead to tendon strain and injury. […] Practice safety measures to prevent falling onto your shoulder or colliding with people or objects that may push your shoulder ball outside its socket. […] The most common recommendation to avoid tendon disease is: don’t overdo it. Avoid overtraining and repetitive strain. […] For athletes and others who participate in a shoulder-reliant physical activity daily, there’s no way to completely avoid risk. However, you can avoid putting excess force or strain on the rotator cuff by practicing a few basic measures:

• #33 Achilles tendinopathy | Better Health Channel

  https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/achilles-tendonitis

  Suggestions to reduce your risk of Achilles tendinopathy include: […] incorporate stretching into your warm-up and cool-down routines […] maintain an adequate level of fitness for your sport […] avoid dramatic increases in sports training […] if you experience pain in your Achilles tendon, rest the area. Trying to work through the pain will only make your injury worse […] wear good quality supportive shoes appropriate to your sport. If there is foot deformity or flattening, obtain orthoses […] avoid wearing high heels on a regular basis. Maintaining your foot in a tiptoe position shortens your calf muscles and reduces the flexibility of your Achilles tendon. An inflexible Achilles tendon is more susceptible to injury […] maintain a normal healthy weight.

• #34

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10170222/

  Patellar tendinopathy (PT), or jumpers knee, is a chronic painful overuse patellar tendon injury. For PT, prevention is more important than treatment. However, there is still a lack of strong evidence to confirm the effectiveness of prevention. […] This study will analyze by meta-analysis the effect of a prophylactic program on high PT risk people (but without PT) in reducing PT occurrence. […] Overall, no significant difference was considered in the risk of PT between the prophylactic program and control groups based on the random-effect model (odds ratio [OR], 0.85; 95% CI, 0.67, 1.08; P = 0.18). […] In the recruit subgroup, there was even a tendency to elevate the risk of PT occurrence after prophylaxis was executed (OR, 1.89; 95% CI, 0.68, 5.28; P = 0.22). […] In athletes, the prophylactic program tended to decrease the risk of PT compared with the control (OR, 0.81; 95% CI, 0.63, 1.04; P = 0.10); however, the difference was not statistically significant.

• #35

  https://link.springer.com/article/10.1007/s00402-023-04998-5

  Prevention methods for PT are not well described in the literature. Nonetheless, balance and proprioception training and the use of a patellar strap are some methods used for the prevention of PT in sports. […] Peters et al. claimed that long-term balance training can be used for the prevention of PT, but there was no positive outcome found when stretching exercises were used for this purpose. […] Furthermore, in the study by Peters et al., the authors correlated prophylactic eccentric training protocols and stretching exercises with a high incidence of injury in asymptomatic athletes with PT abnormalities. […] It is also not recommended to use in-season prophylactically eccentric exercise protocols in asymptomatic soccer players who exhibit pathologic imaging. […] According to de Vries et al., small improvements in proprioception were found when athletes wore a patellar strap.

• #36

  https://link.springer.com/article/10.1007/s00402-023-04998-5

  Prevention methods for PT are not well described in the literature. Nonetheless, balance and proprioception training and the use of a patellar strap are some methods used for the prevention of PT in sports. […] Peters et al. claimed that long-term balance training can be used for the prevention of PT, but there was no positive outcome found when stretching exercises were used for this purpose. […] Furthermore, in the study by Peters et al., the authors correlated prophylactic eccentric training protocols and stretching exercises with a high incidence of injury in asymptomatic athletes with PT abnormalities. […] It is also not recommended to use in-season prophylactically eccentric exercise protocols in asymptomatic soccer players who exhibit pathologic imaging. […] According to de Vries et al., small improvements in proprioception were found when athletes wore a patellar strap.

• #37

  https://link.springer.com/article/10.1007/s00402-023-04998-5

  Thus, patellar strapping can play a role in injury prevention, because poor proprioception is believed to be a cause of injury and/or re-injury. […] Kraemer and Knoblock et al. also support the hypothesis that proprioceptive training can also reduce the rehabilitation time from noncontact injuries such as PT.

• #38

  https://sportrxiv.org/index.php/server/preprint/view/119

  Patellar tendinopathy has a significant prevalence in athletes and presents a tremendous burden on athletes and clinicians due to its long-lasting duration, persistent symptoms, and lack of available effective treatments. […] This scoping review aimed to summarise current evidence on prevention and in-season management interventions for patellar tendinopathy in athletes, evaluating intervention parameters and outcomes. […] Despite a dearth of studies to date on preventative interventions for athletes with patellar tendinopathy, evidence suggests that resistance training is an effective prophylactic method. […] High risk athletes, particularly those participating in jumping sports, should be required to undergo progressive resistance training as a preventative method for patellar tendinopathy. […] Similarly, athletes diagnosed with patellar tendinopathy should undergo a progressive resistance training intervention while maintaining sports participation, prior to considering sport withdrawal.

• #39

  https://link.springer.com/article/10.1007/s00402-023-04998-5

  Thus, patellar strapping can play a role in injury prevention, because poor proprioception is believed to be a cause of injury and/or re-injury. […] Kraemer and Knoblock et al. also support the hypothesis that proprioceptive training can also reduce the rehabilitation time from noncontact injuries such as PT.

• #40 Pain-guided activity modification during treatment for patellar tendinopathy: a feasibility and pilot randomized clinical trial | Pilot and Feasibility Studies | Full Text

  https://pilotfeasibilitystudies.biomedcentral.com/articles/10.1186/s40814-021-00792-5

  Activity modification is a key component of patellar tendinopathy treatment but there is a lack of evidence guiding activity modification prescription. […] Therefore, activity modification is considered a key component of patellar tendinopathy treatment. […] Although activity modification is recognized as a key component of patellar tendinopathy treatment, implementation of activity modification in treatment studies varies widely. […] Therefore, it is of interest to identify a middle ground between activity cessation and full participation, which limits negative psychological consequences of injury, maintains physical readiness for sport, and maximizes recovery. […] Pain-guided activity modification using the Pain-Monitoring Model may be a suitable middle ground for activity modification.

• #41 Pain-guided activity modification during treatment for patellar tendinopathy: a feasibility and pilot randomized clinical trial | Pilot and Feasibility Studies | Full Text

  https://pilotfeasibilitystudies.biomedcentral.com/articles/10.1186/s40814-021-00792-5

  Ultimately, our research group aims to compare the impact of continued activity using the Pain-Monitoring Model on clinical outcomes in patellar tendinopathy with other approaches to activity modification. […] The feasibility of pain-guided activity modifications recommendations for athletes with patellar tendinopathy is unclear, as pain-guided activity modification uses an individualized approach. […] The use of pain-guided activity modification for athletes with patellar tendinopathy appears feasible since self-reported compliance was high. […] These findings suggest that a full clinical trial should be pursued, although alterations are needed to allocation concealment, blinding of evaluators, and recruitment to limit bias. […] The use of a pain-guided activity modification during treatment for patellar tendinopathy appears feasible, based on the recruitment, compliance, and retention observed in this study. […] A larger, more stringent RCT is needed to assess the impact of pain-guided activity modification on clinical outcomes during exercises therapy for patellar tendinopathy.

• #42 Preventive interventions for tendinopathy: A systematic review – PubMed

  https://pubmed.ncbi.nlm.nih.gov/25981200/

  Objectives: Tendinopathy, the most prevalent tendon disorder which is considered as the clinical diagnosis of pain and dysfunction, is common in sports and its prevalence is ever-increasing. Despite the lack of clarity about risk factors, various preventive interventions for tendinopathy have been investigated. The main objective of this study is to review current preventive interventions for tendinopathy in the major regions: ankle, knee, hip, groin, shoulder and elbow. […] Conclusions: There is limited evidence that a long-term intervention including balance training is effective in the prevention of patellar and Achilles tendinopathy. Shoe adaptations in the form of shock absorbing insoles could have a preventive effect on Achilles tendinopathy. Hormone replacement therapy seems to reduce the risk for structural Achilles tendon changes in active post-menopausal women. No evidence was found for a positive effect of stretching exercises. Prophylactic eccentric training and stretching can increase the risk of injury in asymptomatic players with patellar tendon abnormalities. A limited amount of studies was available and more research is needed on (multifactorial) etiology, risk factors and preventive interventions.

• #43

  https://link.springer.com/article/10.1007/s00402-023-04998-5

  Prevention methods for PT are not well described in the literature. Nonetheless, balance and proprioception training and the use of a patellar strap are some methods used for the prevention of PT in sports. […] Peters et al. claimed that long-term balance training can be used for the prevention of PT, but there was no positive outcome found when stretching exercises were used for this purpose. […] Furthermore, in the study by Peters et al., the authors correlated prophylactic eccentric training protocols and stretching exercises with a high incidence of injury in asymptomatic athletes with PT abnormalities. […] It is also not recommended to use in-season prophylactically eccentric exercise protocols in asymptomatic soccer players who exhibit pathologic imaging. […] According to de Vries et al., small improvements in proprioception were found when athletes wore a patellar strap.

• #44 Rotator Cuff Tendinopathy: Prevention (Non-Athletes and Athletes)

  https://www.coastalorthoteam.com/blog/rotator-cuff-tendinopathy-prevention-non-athletes-and-athletes

  Rotator cuff tendinopathy is an overuse injury that affects the tendons of the shoulder. Specifically, the collagen in the tendons starts breaking down faster than it can be repaired or replenished by the body. […] Preventing rotator cuff tendinopathy from happening may not be 100% possible if you have a genetic predisposition to tendon degeneration. Age-related wear and tear in the rotator cuff is also normal and expected, especially if you’re over 40. […] However, there are some proactive approaches you can take to reducing your risk. The advice below is helpful for non-athletes and athletes alike. […] One of the best steps you can take to protect your shoulders from rotator cuff tendon injuries is to perform strength-training and flexibility exercises (i.e., dynamic and static stretches) on a regular basis.

• #45 Rotator Cuff Tendinopathy: Prevention (Non-Athletes and Athletes)

  https://www.coastalorthoteam.com/blog/rotator-cuff-tendinopathy-prevention-non-athletes-and-athletes

  Rotator cuff tendinopathy is an overuse injury that affects the tendons of the shoulder. Specifically, the collagen in the tendons starts breaking down faster than it can be repaired or replenished by the body. […] Preventing rotator cuff tendinopathy from happening may not be 100% possible if you have a genetic predisposition to tendon degeneration. Age-related wear and tear in the rotator cuff is also normal and expected, especially if you’re over 40. […] However, there are some proactive approaches you can take to reducing your risk. The advice below is helpful for non-athletes and athletes alike. […] One of the best steps you can take to protect your shoulders from rotator cuff tendon injuries is to perform strength-training and flexibility exercises (i.e., dynamic and static stretches) on a regular basis.

• #46 Rotator Cuff Tendinopathy: Prevention (Non-Athletes and Athletes)

  https://www.coastalorthoteam.com/blog/rotator-cuff-tendinopathy-prevention-non-athletes-and-athletes

  Any form of exercise that strengthens and stretches the upper body particularly the back and chest will help to stabilize the shoulder and compensate for heavy use. […] Many problems in the body can be caused or made worse by improper alignment, be it when you’re standing, moving around, sitting, or sleeping. […] Studies show that being overweight or obese is associated with tendon disease and injuries. […] Lifting heavy items over your head or catching them can lead to tendon strain and injury. […] Practice safety measures to prevent falling onto your shoulder or colliding with people or objects that may push your shoulder ball outside its socket. […] The most common recommendation to avoid tendon disease is: don’t overdo it. Avoid overtraining and repetitive strain. […] For athletes and others who participate in a shoulder-reliant physical activity daily, there’s no way to completely avoid risk. However, you can avoid putting excess force or strain on the rotator cuff by practicing a few basic measures:

• #47 Rotator Cuff Tendinopathy: Prevention (Non-Athletes and Athletes)

  https://www.coastalorthoteam.com/blog/rotator-cuff-tendinopathy-prevention-non-athletes-and-athletes

  Any form of exercise that strengthens and stretches the upper body particularly the back and chest will help to stabilize the shoulder and compensate for heavy use. […] Many problems in the body can be caused or made worse by improper alignment, be it when you’re standing, moving around, sitting, or sleeping. […] Studies show that being overweight or obese is associated with tendon disease and injuries. […] Lifting heavy items over your head or catching them can lead to tendon strain and injury. […] Practice safety measures to prevent falling onto your shoulder or colliding with people or objects that may push your shoulder ball outside its socket. […] The most common recommendation to avoid tendon disease is: don’t overdo it. Avoid overtraining and repetitive strain. […] For athletes and others who participate in a shoulder-reliant physical activity daily, there’s no way to completely avoid risk. However, you can avoid putting excess force or strain on the rotator cuff by practicing a few basic measures:

• #48 Rotator Cuff Tendinopathy: Prevention (Non-Athletes and Athletes)

  https://www.coastalorthoteam.com/blog/rotator-cuff-tendinopathy-prevention-non-athletes-and-athletes

  Any form of exercise that strengthens and stretches the upper body particularly the back and chest will help to stabilize the shoulder and compensate for heavy use. […] Many problems in the body can be caused or made worse by improper alignment, be it when you’re standing, moving around, sitting, or sleeping. […] Studies show that being overweight or obese is associated with tendon disease and injuries. […] Lifting heavy items over your head or catching them can lead to tendon strain and injury. […] Practice safety measures to prevent falling onto your shoulder or colliding with people or objects that may push your shoulder ball outside its socket. […] The most common recommendation to avoid tendon disease is: don’t overdo it. Avoid overtraining and repetitive strain. […] For athletes and others who participate in a shoulder-reliant physical activity daily, there’s no way to completely avoid risk. However, you can avoid putting excess force or strain on the rotator cuff by practicing a few basic measures:

• #49 Rotator Cuff Tendinopathy: Prevention (Non-Athletes and Athletes)

  https://www.coastalorthoteam.com/blog/rotator-cuff-tendinopathy-prevention-non-athletes-and-athletes

  Any form of exercise that strengthens and stretches the upper body particularly the back and chest will help to stabilize the shoulder and compensate for heavy use. […] Many problems in the body can be caused or made worse by improper alignment, be it when you’re standing, moving around, sitting, or sleeping. […] Studies show that being overweight or obese is associated with tendon disease and injuries. […] Lifting heavy items over your head or catching them can lead to tendon strain and injury. […] Practice safety measures to prevent falling onto your shoulder or colliding with people or objects that may push your shoulder ball outside its socket. […] The most common recommendation to avoid tendon disease is: don’t overdo it. Avoid overtraining and repetitive strain. […] For athletes and others who participate in a shoulder-reliant physical activity daily, there’s no way to completely avoid risk. However, you can avoid putting excess force or strain on the rotator cuff by practicing a few basic measures:

• #50 Rotator Cuff Tendinopathy: Prevention (Non-Athletes and Athletes)

  https://www.coastalorthoteam.com/blog/rotator-cuff-tendinopathy-prevention-non-athletes-and-athletes

  Any form of exercise that strengthens and stretches the upper body particularly the back and chest will help to stabilize the shoulder and compensate for heavy use. […] Many problems in the body can be caused or made worse by improper alignment, be it when you’re standing, moving around, sitting, or sleeping. […] Studies show that being overweight or obese is associated with tendon disease and injuries. […] Lifting heavy items over your head or catching them can lead to tendon strain and injury. […] Practice safety measures to prevent falling onto your shoulder or colliding with people or objects that may push your shoulder ball outside its socket. […] The most common recommendation to avoid tendon disease is: don’t overdo it. Avoid overtraining and repetitive strain. […] For athletes and others who participate in a shoulder-reliant physical activity daily, there’s no way to completely avoid risk. However, you can avoid putting excess force or strain on the rotator cuff by practicing a few basic measures:

• #51 Rotator Cuff Tendinopathy: Prevention (Non-Athletes and Athletes)

  https://www.coastalorthoteam.com/blog/rotator-cuff-tendinopathy-prevention-non-athletes-and-athletes

  Any form of exercise that strengthens and stretches the upper body particularly the back and chest will help to stabilize the shoulder and compensate for heavy use. […] Many problems in the body can be caused or made worse by improper alignment, be it when you’re standing, moving around, sitting, or sleeping. […] Studies show that being overweight or obese is associated with tendon disease and injuries. […] Lifting heavy items over your head or catching them can lead to tendon strain and injury. […] Practice safety measures to prevent falling onto your shoulder or colliding with people or objects that may push your shoulder ball outside its socket. […] The most common recommendation to avoid tendon disease is: don’t overdo it. Avoid overtraining and repetitive strain. […] For athletes and others who participate in a shoulder-reliant physical activity daily, there’s no way to completely avoid risk. However, you can avoid putting excess force or strain on the rotator cuff by practicing a few basic measures:

• #52 Tendinopathy | PM&R KnowledgeNow

  https://now.aapmr.org/tendinopathy/

  Primary prevention for tendinopathy includes adequate ergonomics and introducing exercise regimens that improve strength and coordination of muscle tendon units that may be predisposed to overuse-related tendinopathy. […] Individualized rehabilitation that incorporates strengthening progression for longer than 12 weeks should be prescribed as first-line treatment for tendinopathy. […] Conservative management focuses on decreasing tendon load, followed by progressive loading at different disease stages.

• #53 Management of Chronic Tendon Injuries | AAFP

  https://www.aafp.org/pubs/afp/issues/2019/0801/p147.html

  Chronic tendon injuries are common athletic and occupational injuries that account for many physician visits. […] The mainstays of treatment are activity modification, relative rest, pain control, and protection. Early initiation of rehabilitative exercises that emphasize eccentric loading is also beneficial. […] Tendinopathy can be prevented by gradually modifying activity or movement patterns. If prevention is not possible, early identification and treatment of an improper tendon response to loading activities will minimize the chance of progression to a chronic injury. […] The mainstays of initial treatment for tendinopathy are activity modification, relative rest, pain control, rehabilitative exercise, and protection. […] Eccentric exercises are effective for treating rotator cuff tendinopathy, lateral epicondylitis, patellar tendinopathy, and midsubstance Achilles tendinopathy.

• #54 Tendinopathy, Medical Abortion, Counseling for Children and Adolescents, Cold Prevention | AAFP

  https://www.aafp.org/pubs/afp/issues/2020/0401/p398.html

  Eccentric exercises are effective for treating rotator cuff tendinopathy, lateral epicondylitis, patellar tendinopathy, and midsubstance Achilles tendinopathy. […] Extracorporeal shock wave therapy may be beneficial for plantar fasciitis, greater trochanteric pain syndrome, and calcific rotator cuff tendinopathy that are resistant to initial treatment. […] With consistent use, topical nitroglycerin can reduce tendon pain associated with activity in tendinopathies. […] It is important for the patient to understand that it may take longer than six months for complete symptom resolution with tendinopathies.

• #55 Management of Chronic Tendon Injuries | AAFP

  https://www.aafp.org/pubs/afp/issues/2019/0801/p147.html

  Chronic tendon injuries are common athletic and occupational injuries that account for many physician visits. […] The mainstays of treatment are activity modification, relative rest, pain control, and protection. Early initiation of rehabilitative exercises that emphasize eccentric loading is also beneficial. […] Tendinopathy can be prevented by gradually modifying activity or movement patterns. If prevention is not possible, early identification and treatment of an improper tendon response to loading activities will minimize the chance of progression to a chronic injury. […] The mainstays of initial treatment for tendinopathy are activity modification, relative rest, pain control, rehabilitative exercise, and protection. […] Eccentric exercises are effective for treating rotator cuff tendinopathy, lateral epicondylitis, patellar tendinopathy, and midsubstance Achilles tendinopathy.

• #56 Weights, resistance bands and rest days are best for tendinopathy

  https://evidence.nihr.ac.uk/alert/weights-resistance-bands-rest-days-best-tendinopathy/

  Researchers analysed 110 studies exploring exercise treatment programmes for tendon pain and dysfunction (tendinopathy) of the Achilles, shoulder, elbow, knee and hip. They showed that: […] exercise using weights or a resistance band was more effective than using bodyweight alone […] having rest days was more effective than exercising every day. […] The findings inform physiotherapists about the frequency of exercise that is most effective for people with tendinopathy. The authors suggest that exercising less frequently than once a day might allow the tendons time to recover. This could explain why people who took rest days improved more than those who exercised every day. […] The studies confirmed that higher intensity resistance exercise was more effective than bodyweight-only exercise.

• #57 Weights, resistance bands and rest days are best for tendinopathy

  https://evidence.nihr.ac.uk/alert/weights-resistance-bands-rest-days-best-tendinopathy/

  Researchers analysed 110 studies exploring exercise treatment programmes for tendon pain and dysfunction (tendinopathy) of the Achilles, shoulder, elbow, knee and hip. They showed that: […] exercise using weights or a resistance band was more effective than using bodyweight alone […] having rest days was more effective than exercising every day. […] The findings inform physiotherapists about the frequency of exercise that is most effective for people with tendinopathy. The authors suggest that exercising less frequently than once a day might allow the tendons time to recover. This could explain why people who took rest days improved more than those who exercised every day. […] The studies confirmed that higher intensity resistance exercise was more effective than bodyweight-only exercise.

• #58 Tendinopathy | PM&R KnowledgeNow

  https://now.aapmr.org/tendinopathy/

  Primary prevention for tendinopathy includes adequate ergonomics and introducing exercise regimens that improve strength and coordination of muscle tendon units that may be predisposed to overuse-related tendinopathy. […] Individualized rehabilitation that incorporates strengthening progression for longer than 12 weeks should be prescribed as first-line treatment for tendinopathy. […] Conservative management focuses on decreasing tendon load, followed by progressive loading at different disease stages.

• #59 Tendinopathy | PM&R KnowledgeNow

  https://now.aapmr.org/tendinopathy/

  Primary prevention for tendinopathy includes adequate ergonomics and introducing exercise regimens that improve strength and coordination of muscle tendon units that may be predisposed to overuse-related tendinopathy. […] Individualized rehabilitation that incorporates strengthening progression for longer than 12 weeks should be prescribed as first-line treatment for tendinopathy. […] Conservative management focuses on decreasing tendon load, followed by progressive loading at different disease stages.

• #60 Load management in tendinopathy: Clinical progression for Achilles and patellar tendinopathy | Apunts Sports Medicine

  https://www.apunts.org/en-load-management-in-tendinopathy-clinical-articulo-S1886658117300580

  The literature on the rehabilitation of tendinopathy suggests that the most important treatment is appropriate loading. […] Each component of the rehabilitation program, in particular loading, must be handled in relation to the nature, speed and magnitude of the forces applied to the muscle/tendon/bone unit in order to achieve the goals of the particular management phase, without causing exacerbation of the pathological state or pain. […] The management of the load is the gold standard treatment at all stages. Early load management in a reactive tendon may keep them in the early stages of tendon pathology and limit the progression of their pathology. […] The idea that the tendon can hypertrophy in response to mechanical loading suggests that there is a net formation of connective tissue. […] Studies suggest that appropriate loading during rehabilitation of tendinopathy is the most important treatment method. […] The ultimate goal is that the athlete should be able to use the elastic capacity of tendon and have regained function of the kinetic chain suitable for performance.

• #61

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10170222/

  Overall, prophylactic programs may have different effects on PT risk for recruits and athletes. […] It is suggested that, for athletes, the decision to use a prophylactic program or to tailor exercise based on their potential PT risk factors, as well as patellar tendon status, is a viable means of reducing the risk of PT. […] In conclusion, based on the results, the risk of PT cannot be reduced with the current prophylactic program. However, for athletes, the negative results may be due to insufficient sample size. More well-designed studies are needed to correct the findings of this study.

• #62 Rotator Cuff Tendinopathy: Prevention (Non-Athletes and Athletes)

  https://www.coastalorthoteam.com/blog/rotator-cuff-tendinopathy-prevention-non-athletes-and-athletes

  Don’t become a weekend warrior; they get hurt more often than athletes who regularly work their bodies and keep them in good condition. […] Warming up gets the blood flowing to your muscles and tendons, making them more supple and resilient. Cooling down and stretching prevents tightness. […] For elite athletes, working with a physical therapist or orthopedist is also a smart move. A professional can design a preventative care program for you that will help to keep your rotator cuff and your entire shoulder joint as healthy as possible throughout your season. […] The bottom line: rotator cuff tendinopathy cannot be totally avoided, but you can mitigate your risk by taking care of yourself.

• #63

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10170222/

  Overall, prophylactic programs may have different effects on PT risk for recruits and athletes. […] It is suggested that, for athletes, the decision to use a prophylactic program or to tailor exercise based on their potential PT risk factors, as well as patellar tendon status, is a viable means of reducing the risk of PT. […] In conclusion, based on the results, the risk of PT cannot be reduced with the current prophylactic program. However, for athletes, the negative results may be due to insufficient sample size. More well-designed studies are needed to correct the findings of this study.

• #64 Rotator Cuff Tendinopathy: Prevention (Non-Athletes and Athletes)

  https://www.coastalorthoteam.com/blog/rotator-cuff-tendinopathy-prevention-non-athletes-and-athletes

  Don’t become a weekend warrior; they get hurt more often than athletes who regularly work their bodies and keep them in good condition. […] Warming up gets the blood flowing to your muscles and tendons, making them more supple and resilient. Cooling down and stretching prevents tightness. […] For elite athletes, working with a physical therapist or orthopedist is also a smart move. A professional can design a preventative care program for you that will help to keep your rotator cuff and your entire shoulder joint as healthy as possible throughout your season. […] The bottom line: rotator cuff tendinopathy cannot be totally avoided, but you can mitigate your risk by taking care of yourself.

• #65 Rotator Cuff Tendinopathy: Prevention (Non-Athletes and Athletes)

  https://www.coastalorthoteam.com/blog/rotator-cuff-tendinopathy-prevention-non-athletes-and-athletes

  Don’t become a weekend warrior; they get hurt more often than athletes who regularly work their bodies and keep them in good condition. […] Warming up gets the blood flowing to your muscles and tendons, making them more supple and resilient. Cooling down and stretching prevents tightness. […] For elite athletes, working with a physical therapist or orthopedist is also a smart move. A professional can design a preventative care program for you that will help to keep your rotator cuff and your entire shoulder joint as healthy as possible throughout your season. […] The bottom line: rotator cuff tendinopathy cannot be totally avoided, but you can mitigate your risk by taking care of yourself.

• #66 Tendinopathy Among Rock Climbers – Cause, Rehabilitation, Prevention – PhysiVāntage®

  https://physivantage.com/pages/rock-climbing-injury-tendinopathy?srsltid=AfmBOoqMQjpPCJlktjzC5JDqgOkE1k0NsoJ39WkOkjl_EyNiTYgb3CpI

  Tendinopathy is an extraordinarily complex disease thats not fully understood. […] Therefore, the commonly held idea of tendon injury beginning with a micro-trauma (that eventually worsens or tears) may be wrong in many cases. […] Its important to recognize that, just as with muscles, training is both anabolic and catabolic to tendons. […] Ultimately, training load must be personalized for each athlete so that, along with proper nutrition and adequate rest, the metabolic scale is tipped toward anabolism rather than catabolism. […] Athletes and coaches would be wise to monitor tendon health with the same attention paid to muscular recovery and other metrics of fitness. […] Proactively managing training load and nutrition can go a long way to correcting the course toward healthy tendon tissue.

• #67 Top Seven Achilles Tendonitis Prevention Methods for Runners | Rothman Orthopaedics

  https://rothmanortho.com/stories/blog/achilles-tendonitis-prevention

  Any activity that practices your ability to keep your balance contributes to proprioception (your bodys ability to know where its limbs are at any given time). […] Plyometric exercises include explosive movements such as jumping, skipping, and hopping to condition and prepare the muscles, tendons and ligaments in the lower legs and ankle joints. […] These will keep your ankles stable, cushion your foot and heel, and support your foot and lower leg during the running motions. […] Get plenty of protein, produce, calcium, vitamin D, and magnesium in your daily diet. […] To avoid overtraining and burnout, be sure to incorporate 1-2 days of rest per week and 1-2 months per year away from your sport. […] With the right team at your side, Achilles tendonitis prevention can become a positive, empowering way of life that keeps you healthy, running and beating your personal best for a long time to come.

• #68 Tendinopathy: Preventing & Treating Overuse Injuries during the Pandemic | South Shore Health

  https://www.southshorehealth.org/wellness/blog/how-to-prevent-tendonitis-tendinopathy-treatment-for-overuse-injuries

  Tendinopathy is a generic description of a clinical condition associated with overuse of a tendon. […] The key to treating and managing tendinopathy is load management. […] Treating tendinopathies requires us to walk a fine line: we have to manage and limit the daily activity that climbs over that pain threshold while also doing enough work or activity to push us right up to that threshold. […] If you’re dealing with an overuse injury, working with a physical therapist is a great way to get yourself back to full health. […] Physical therapists are trained in the treatment of tendinopathies and can develop a treatment plan that will help you slowly strengthen your tendon and muscle without breaching that pain threshold.

• #69 Load management in tendinopathy: Clinical progression for Achilles and patellar tendinopathy | Apunts Sports Medicine

  https://www.apunts.org/en-load-management-in-tendinopathy-clinical-articulo-S1886658117300580

  The literature on the rehabilitation of tendinopathy suggests that the most important treatment is appropriate loading. […] Each component of the rehabilitation program, in particular loading, must be handled in relation to the nature, speed and magnitude of the forces applied to the muscle/tendon/bone unit in order to achieve the goals of the particular management phase, without causing exacerbation of the pathological state or pain. […] The management of the load is the gold standard treatment at all stages. Early load management in a reactive tendon may keep them in the early stages of tendon pathology and limit the progression of their pathology. […] The idea that the tendon can hypertrophy in response to mechanical loading suggests that there is a net formation of connective tissue. […] Studies suggest that appropriate loading during rehabilitation of tendinopathy is the most important treatment method. […] The ultimate goal is that the athlete should be able to use the elastic capacity of tendon and have regained function of the kinetic chain suitable for performance.

• #70 Load management in tendinopathy: Clinical progression for Achilles and patellar tendinopathy | Apunts Sports Medicine

  https://www.apunts.org/en-load-management-in-tendinopathy-clinical-articulo-S1886658117300580

  The literature on the rehabilitation of tendinopathy suggests that the most important treatment is appropriate loading. […] Each component of the rehabilitation program, in particular loading, must be handled in relation to the nature, speed and magnitude of the forces applied to the muscle/tendon/bone unit in order to achieve the goals of the particular management phase, without causing exacerbation of the pathological state or pain. […] The management of the load is the gold standard treatment at all stages. Early load management in a reactive tendon may keep them in the early stages of tendon pathology and limit the progression of their pathology. […] The idea that the tendon can hypertrophy in response to mechanical loading suggests that there is a net formation of connective tissue. […] Studies suggest that appropriate loading during rehabilitation of tendinopathy is the most important treatment method. […] The ultimate goal is that the athlete should be able to use the elastic capacity of tendon and have regained function of the kinetic chain suitable for performance.

• #71 Load management in tendinopathy: Clinical progression for Achilles and patellar tendinopathy | Apunts Sports Medicine

  https://www.apunts.org/en-load-management-in-tendinopathy-clinical-articulo-S1886658117300580

  The literature on the rehabilitation of tendinopathy suggests that the most important treatment is appropriate loading. […] Each component of the rehabilitation program, in particular loading, must be handled in relation to the nature, speed and magnitude of the forces applied to the muscle/tendon/bone unit in order to achieve the goals of the particular management phase, without causing exacerbation of the pathological state or pain. […] The management of the load is the gold standard treatment at all stages. Early load management in a reactive tendon may keep them in the early stages of tendon pathology and limit the progression of their pathology. […] The idea that the tendon can hypertrophy in response to mechanical loading suggests that there is a net formation of connective tissue. […] Studies suggest that appropriate loading during rehabilitation of tendinopathy is the most important treatment method. […] The ultimate goal is that the athlete should be able to use the elastic capacity of tendon and have regained function of the kinetic chain suitable for performance.

• #72 Tendinopathy: Preventing & Treating Overuse Injuries during the Pandemic | South Shore Health

  https://www.southshorehealth.org/wellness/blog/how-to-prevent-tendonitis-tendinopathy-treatment-for-overuse-injuries

  Tendinopathy is a generic description of a clinical condition associated with overuse of a tendon. […] The key to treating and managing tendinopathy is load management. […] Treating tendinopathies requires us to walk a fine line: we have to manage and limit the daily activity that climbs over that pain threshold while also doing enough work or activity to push us right up to that threshold. […] If you’re dealing with an overuse injury, working with a physical therapist is a great way to get yourself back to full health. […] Physical therapists are trained in the treatment of tendinopathies and can develop a treatment plan that will help you slowly strengthen your tendon and muscle without breaching that pain threshold.

• #73 Effective Tendinopathy Physiotherapy Treatment Strategies

  https://physioworks.com.au/conditions/soft-tissue/tendinopathy/

  Tendinopathy Prevention […] To minimise reinjuring your tendon, you may require some long-term changes to your exercise activities. Please discuss this with your physiotherapist. Some factors that could influence your tendinopathy risk include: […] Altering your sport/activities or your technique […] Regular prevention exercises. […] Closely monitoring and record your exercise loads. Discuss your loading with your physiotherapist and coach. They will have some excellent tips. […] Always take time to warm up before and cool down / stretch after you exercise.

• #74 Tendinitis – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/tendinitis/symptoms-causes/syc-20378243

  To reduce the chance of developing tendinitis, follow these suggestions: […] Avoid activities that place too much stress on your tendons, especially for long periods. If you have pain during an exercise, stop and rest. […] If one exercise or activity causes you pain, try something else. Cross-training can help you mix high-impact exercise, such as running, with lower impact exercise, such as biking or swimming. […] If how you do an activity or exercise is flawed, you could be setting yourself up for problems with your tendons. Consider taking lessons or getting professional instructions when starting a new sport or using exercise equipment. […] After exercise, move your joints through full range of motion. The best time to stretch is after exercise, when your muscles are warmed up. […] Make sure your chair, keyboard and desktop are positioned correctly for your height, arm length and the tasks you do. This will help protect your joints and tendons from stress. […] Strengthening muscles used in your activity or sport can help them bear the load better.

• #75 Tendinitis – symptoms, treatments and causes | healthdirect

  https://www.healthdirect.gov.au/tendinitis

  Tendinitis (also called tendonitis or tendinopathy) is an inflamed tendon. Tendinitis is usually caused by repeated excessive use and load on a particular tendon. […] If you’ve had tendinitis before, you can help prevent further injury by using the following techniques: Warming up and cooling down, before and after exercising. Learning correct techniques if you play a sport. Strengthening muscles in the affected area. […] You may also need an ergonomic assessment of your workspace, which may include an adjustment of your chair, keyboard and desktop positions. This may help protect your joints and tendons from excessive strain.

• #76 Tendinitis – symptoms, treatments and causes | healthdirect

  https://www.healthdirect.gov.au/tendinitis

  Tendinitis (also called tendonitis or tendinopathy) is an inflamed tendon. Tendinitis is usually caused by repeated excessive use and load on a particular tendon. […] If you’ve had tendinitis before, you can help prevent further injury by using the following techniques: Warming up and cooling down, before and after exercising. Learning correct techniques if you play a sport. Strengthening muscles in the affected area. […] You may also need an ergonomic assessment of your workspace, which may include an adjustment of your chair, keyboard and desktop positions. This may help protect your joints and tendons from excessive strain.

• #77 Tendonitis Prevention Tips | AIRROSTI

  https://www.airrosti.com/blog/tendonitis-prevention-tips/

  Tendonitis is one of the most common injuries capable of hindering our mobility and it can happen almost anywhere in the body. […] To help prevent injuries like tendonitis, keep these tips in mind: Warm up before exercise. Take frequent breaks from tasks that require repetitive arm movements, like typing or lifting. Increase the gripping surface on tools by using gloves, grip tape, and other padding. Practice proper posture and form during activity. Slowly ease into new exercises or activities. Strengthen the biceps and triceps muscles with focused exercises. Take time to stretch throughout the day to help reduce muscle tension. […] Dont let tendonitis pain disrupt your life. Airrosti Certified Providers are dedicated to finding and treating the root cause of your pain, quickly and effectively. Additionally, your Provider will educate you on your injury, sharing tools and resources you can use at home to help boost your recovery.

• #78 Tendonitis Prevention Tips | AIRROSTI

  https://www.airrosti.com/blog/tendonitis-prevention-tips/

  Tendonitis is one of the most common injuries capable of hindering our mobility and it can happen almost anywhere in the body. […] To help prevent injuries like tendonitis, keep these tips in mind: Warm up before exercise. Take frequent breaks from tasks that require repetitive arm movements, like typing or lifting. Increase the gripping surface on tools by using gloves, grip tape, and other padding. Practice proper posture and form during activity. Slowly ease into new exercises or activities. Strengthen the biceps and triceps muscles with focused exercises. Take time to stretch throughout the day to help reduce muscle tension. […] Dont let tendonitis pain disrupt your life. Airrosti Certified Providers are dedicated to finding and treating the root cause of your pain, quickly and effectively. Additionally, your Provider will educate you on your injury, sharing tools and resources you can use at home to help boost your recovery.

• #79 Tendinopathy and Tenosynovitis: Symptoms and Treatment

  https://patient.info/bones-joints-muscles/tendinopathy-and-tenosynovitis-tendinosis

  Tendinopathy and tenosynovitis are types of tendon injury. They can often occur together. […] Can tendinopathy or tenosynovitis be prevented? […] There is no proof that anything can prevent a bout of tenosynovitis or tendinopathy. However, the following are sensible suggestions that may help to prevent either coming back: […] Avoid a sudden increase in repetitive movements and overuse of the affected area. This may be very difficult if your job involves repetitive movements. If it is a problem that keeps returning, you should discuss this with your employer. A change of duties may help. […] Physical therapy to strengthen the muscles around the affected tendon may help. It may be best to seek advice from a physiotherapist to find the best exercises to use. […] If taking up a new sport or activity, build up your level of exertion gradually and make sure you have appropriate equipment – for example, footwear for running in. […] Take regular short breaks from long, intense, repetitive, or eccentric exercises (slow, lengthening muscle contractions e.g. slowly lowering into a squat or press up).

• #80 Rotator Cuff Tendinopathy: Prevention (Non-Athletes and Athletes)

  https://www.coastalorthoteam.com/blog/rotator-cuff-tendinopathy-prevention-non-athletes-and-athletes

  Any form of exercise that strengthens and stretches the upper body particularly the back and chest will help to stabilize the shoulder and compensate for heavy use. […] Many problems in the body can be caused or made worse by improper alignment, be it when you’re standing, moving around, sitting, or sleeping. […] Studies show that being overweight or obese is associated with tendon disease and injuries. […] Lifting heavy items over your head or catching them can lead to tendon strain and injury. […] Practice safety measures to prevent falling onto your shoulder or colliding with people or objects that may push your shoulder ball outside its socket. […] The most common recommendation to avoid tendon disease is: don’t overdo it. Avoid overtraining and repetitive strain. […] For athletes and others who participate in a shoulder-reliant physical activity daily, there’s no way to completely avoid risk. However, you can avoid putting excess force or strain on the rotator cuff by practicing a few basic measures:

• #81 Tendonitis and Tendinopathy – Peter Howard

  https://peterhowardmd.com/tendonitis-and-tendinopathy/

  Prevention is often the best course of action when it comes to tendonitis and tendinopathy. Here are some steps you can take to minimize your risk: […] Always warm up before engaging in physical activities or exercise to prepare your muscles and tendons. […] Use appropriate techniques and form during physical activities to minimize stress on your tendons. […] When starting a new exercise routine, gradually increase the intensity and duration to allow your tendons to adapt. […] Maintain proper ergonomics at work and home to reduce the risk of repetitive stress injuries. […] Staying hydrated and having a nutrient-rich diet can support tendon health.

• #82 Rotator Cuff Tendinopathy: Prevention (Non-Athletes and Athletes)

  https://www.coastalorthoteam.com/blog/rotator-cuff-tendinopathy-prevention-non-athletes-and-athletes

  Any form of exercise that strengthens and stretches the upper body particularly the back and chest will help to stabilize the shoulder and compensate for heavy use. […] Many problems in the body can be caused or made worse by improper alignment, be it when you’re standing, moving around, sitting, or sleeping. […] Studies show that being overweight or obese is associated with tendon disease and injuries. […] Lifting heavy items over your head or catching them can lead to tendon strain and injury. […] Practice safety measures to prevent falling onto your shoulder or colliding with people or objects that may push your shoulder ball outside its socket. […] The most common recommendation to avoid tendon disease is: don’t overdo it. Avoid overtraining and repetitive strain. […] For athletes and others who participate in a shoulder-reliant physical activity daily, there’s no way to completely avoid risk. However, you can avoid putting excess force or strain on the rotator cuff by practicing a few basic measures:

• #83 Tendonitis and Tendinopathy – Peter Howard

  https://peterhowardmd.com/tendonitis-and-tendinopathy/

  Prevention is often the best course of action when it comes to tendonitis and tendinopathy. Here are some steps you can take to minimize your risk: […] Always warm up before engaging in physical activities or exercise to prepare your muscles and tendons. […] Use appropriate techniques and form during physical activities to minimize stress on your tendons. […] When starting a new exercise routine, gradually increase the intensity and duration to allow your tendons to adapt. […] Maintain proper ergonomics at work and home to reduce the risk of repetitive stress injuries. […] Staying hydrated and having a nutrient-rich diet can support tendon health.

• #84

  https://myhealth.alberta.ca/Health/pages/conditions.aspx?hwid=uh2113

  To keep from hurting your tendon again, you may need to make some long-term changes to your activities. […] Always take time to warm up before and stretch after you exercise. […] You may need to make long-term changes in the types of activities you do or how you do them. […] If exercise caused the problem, take lessons or ask a trainer or pro to check your technique. […] If your job caused the tendon injury, ask your human resources department if there are other ways to do your job. […] Gradually resume your activity. […] Warm up before and stretch after the activity. […] You can also make some changes. For example, if exercise has caused your tendon injury, try alternating with another activity. […] Don’t smoke. Tendon injuries heal more slowly in smokers than in non-smokers. Smoking delays wound and tissue healing.

• #85 Tendon Injury (Tendinopathy) Information & Treatment

  https://www.columbiadoctors.org/health-library/condition/tendon-injury-tendinopathy/

  To keep from hurting your tendon again, you may need to make some long-term changes to your activities. […] Always take time to warm up before and stretch after you exercise. […] If exercise caused the problem, take lessons or ask a trainer or pro to check your technique. […] You may need to make long-term changes in the types of activities you do or how you do them. […] Don’t rely on medicine to relieve pain in order to keep overusing a joint. […] Gradually resume your activity. […] You can also make some changes. For example, if exercise has caused your tendon injury, try alternating with another activity. […] Don’t smoke. Tendon injuries heal more slowly in smokers than in nonsmokers. Smoking delays wound and tissue healing.

• #86 Top Seven Achilles Tendonitis Prevention Methods for Runners | Rothman Orthopaedics

  https://rothmanortho.com/stories/blog/achilles-tendonitis-prevention

  Any activity that practices your ability to keep your balance contributes to proprioception (your bodys ability to know where its limbs are at any given time). […] Plyometric exercises include explosive movements such as jumping, skipping, and hopping to condition and prepare the muscles, tendons and ligaments in the lower legs and ankle joints. […] These will keep your ankles stable, cushion your foot and heel, and support your foot and lower leg during the running motions. […] Get plenty of protein, produce, calcium, vitamin D, and magnesium in your daily diet. […] To avoid overtraining and burnout, be sure to incorporate 1-2 days of rest per week and 1-2 months per year away from your sport. […] With the right team at your side, Achilles tendonitis prevention can become a positive, empowering way of life that keeps you healthy, running and beating your personal best for a long time to come.

• #87 Management of Chronic Tendon Injuries | AAFP

  https://www.aafp.org/pubs/afp/issues/2019/0801/p147.html

  Rehabilitative exercise is the cornerstone of tendinopathy treatment. It focuses first on returning to a normal pain-free range of motion, then on increasing strength. […] Although tendinopathy is a degenerative noninflammatory process, corticosteroids and nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly used in its treatment. […] Daily application of topical nitroglycerin (usually administered as one-fourth of a 5-mg patch) can improve strength and decrease pain with activity. […] Extracorporeal shock wave therapy is another nonsurgical option that can be considered for the treatment of refractory tendinopathy. […] There is no universally accepted physical therapy program for GTPS. Therapy should focus on patient-specific deficits in combination with stretching of the piriformis and iliotibial band and strengthening of the gluteal and core muscle groups.

• #88 Perspectives on Improving the Efficacy of PRP Treatment for Tendinopathy | ClinMed International Library | Journal of Musculoskeletal Disorders and Treatment |

  https://clinmedjournals.org/articles/jmdt/journal-of-musculoskeletal-disorders-and-treatment-jmdt-2-015.php?jid=jmdt

  Tendinopathy, Inflammation, Degeneration, PRP, Efficacy […] The popularity of PRP is due to its efficacy in treating chronic tendon injury (or tendinopathy) in some clinical studies. […] PRP injections were reported to accelerate healing and enable quicker return to sport activities. […] Despite such reports on the high efficacy of PRP treatment on tendon injuries, not all PRP treatments in clinics have been reported to be successful. […] These conflicting clinical trial findings have raised skepticism in the use of PRP for the treatment of tendinopathy. […] However, despite critics opposing its use there is no decline in the use of PRP to treat tendon injuries in clinics, likely because PRP is autologous and has not been reported to harm the body by inducing immunogenic reactions, hyperplasia, carcinogenesis or tumor growth.

• #89 Tendinopathy, Medical Abortion, Counseling for Children and Adolescents, Cold Prevention | AAFP

  https://www.aafp.org/pubs/afp/issues/2020/0401/p398.html

  Eccentric exercises are effective for treating rotator cuff tendinopathy, lateral epicondylitis, patellar tendinopathy, and midsubstance Achilles tendinopathy. […] Extracorporeal shock wave therapy may be beneficial for plantar fasciitis, greater trochanteric pain syndrome, and calcific rotator cuff tendinopathy that are resistant to initial treatment. […] With consistent use, topical nitroglycerin can reduce tendon pain associated with activity in tendinopathies. […] It is important for the patient to understand that it may take longer than six months for complete symptom resolution with tendinopathies.

• #90 Tendinopathy, Medical Abortion, Counseling for Children and Adolescents, Cold Prevention | AAFP

  https://www.aafp.org/pubs/afp/issues/2020/0401/p398.html

  Eccentric exercises are effective for treating rotator cuff tendinopathy, lateral epicondylitis, patellar tendinopathy, and midsubstance Achilles tendinopathy. […] Extracorporeal shock wave therapy may be beneficial for plantar fasciitis, greater trochanteric pain syndrome, and calcific rotator cuff tendinopathy that are resistant to initial treatment. […] With consistent use, topical nitroglycerin can reduce tendon pain associated with activity in tendinopathies. […] It is important for the patient to understand that it may take longer than six months for complete symptom resolution with tendinopathies.

• #91 Management of Chronic Tendon Injuries | AAFP

  https://www.aafp.org/pubs/afp/issues/2019/0801/p147.html

  Rehabilitative exercise is the cornerstone of tendinopathy treatment. It focuses first on returning to a normal pain-free range of motion, then on increasing strength. […] Although tendinopathy is a degenerative noninflammatory process, corticosteroids and nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly used in its treatment. […] Daily application of topical nitroglycerin (usually administered as one-fourth of a 5-mg patch) can improve strength and decrease pain with activity. […] Extracorporeal shock wave therapy is another nonsurgical option that can be considered for the treatment of refractory tendinopathy. […] There is no universally accepted physical therapy program for GTPS. Therapy should focus on patient-specific deficits in combination with stretching of the piriformis and iliotibial band and strengthening of the gluteal and core muscle groups.

• #92 Perspectives on Improving the Efficacy of PRP Treatment for Tendinopathy | ClinMed International Library | Journal of Musculoskeletal Disorders and Treatment |

  https://clinmedjournals.org/articles/jmdt/journal-of-musculoskeletal-disorders-and-treatment-jmdt-2-015.php?jid=jmdt

  Tendinopathy, Inflammation, Degeneration, PRP, Efficacy […] The popularity of PRP is due to its efficacy in treating chronic tendon injury (or tendinopathy) in some clinical studies. […] PRP injections were reported to accelerate healing and enable quicker return to sport activities. […] Despite such reports on the high efficacy of PRP treatment on tendon injuries, not all PRP treatments in clinics have been reported to be successful. […] These conflicting clinical trial findings have raised skepticism in the use of PRP for the treatment of tendinopathy. […] However, despite critics opposing its use there is no decline in the use of PRP to treat tendon injuries in clinics, likely because PRP is autologous and has not been reported to harm the body by inducing immunogenic reactions, hyperplasia, carcinogenesis or tumor growth.

• #93 Achilles Tendinopathy Treatment | Fairfax Vascular Center

  https://www.fairfaxvascularcenter.com/pain-interventions-treatments/achilles-tendinopathy-treatment/

  Achilles tendinopathy can be caused by repetitive stress from sports, overuse, improper footwear, or a sudden increase in physical activity. […] If left untreated, Achilles tendinopathy can become chronic, causing long-lasting pain and limited mobility. […] TAME works by selectively targeting the blood vessels that supply the inflamed Achilles tendon. By reducing blood flow to the damaged area, the procedure helps decrease inflammation and promotes faster healing. […] TAME is ideal for individuals who are dealing with chronic Achilles tendonitis that has not improved with other treatments like rest, physical therapy, or medications. […] TAME offers the advantage of minimal downtime, which is one of its key benefits. After the procedure, you can expect a brief recovery period, with most patients able to resume their normal daily activities within just one day. […] Over time, the inflammation in the Achilles tendon will decrease, allowing for faster healing and improved mobility.

• #94

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10170222/

  The risk of PT cannot be reduced with the current prophylactic program. However, for athletes, the negative results may be due to insufficient sample size. […] Improving risk factors for the development of PT is usually considered a way to prevent PT. However, there is a lack of strong evidence to support designing prophylactic programs with any potential modifiable risk factors. […] The current controversy is that the use of prophylactic programs will increase the load and overuse of the patellar tendon and even raise the risk of PT. […] In the subgroup analysis, for recruits, the prophylactic program may even increase the risk of PT occurrence. In contrast, the adoption of a prophylactic program for elite athletes has the potential to reduce the risk of PT occurrence. […] TSA analysis shows that for athletes, prophylaxis may still be effective, but more studies and sample sizes are needed for validation.

• #95 Tendinopathy—from basic science to treatment | Nature Reviews Rheumatology

  https://www.nature.com/articles/ncprheum0700

  Tendon disorders are common, often under-reported and a major clinical problem. […] Most current treatments for tendinopathy are neither effective nor evidence-based. […] Excessive or inappropriate activity of destructive matrix-degrading enzymes might be a novel therapeutic target for tendinopathy; other treatments in development include the injection of stem cells, gene therapy and tissue engineering to repair or replace damaged tendon tissue.

• #96 Preventive interventions for tendinopathy: A systematic review – PubMed

  https://pubmed.ncbi.nlm.nih.gov/25981200/

  Objectives: Tendinopathy, the most prevalent tendon disorder which is considered as the clinical diagnosis of pain and dysfunction, is common in sports and its prevalence is ever-increasing. Despite the lack of clarity about risk factors, various preventive interventions for tendinopathy have been investigated. The main objective of this study is to review current preventive interventions for tendinopathy in the major regions: ankle, knee, hip, groin, shoulder and elbow. […] Conclusions: There is limited evidence that a long-term intervention including balance training is effective in the prevention of patellar and Achilles tendinopathy. Shoe adaptations in the form of shock absorbing insoles could have a preventive effect on Achilles tendinopathy. Hormone replacement therapy seems to reduce the risk for structural Achilles tendon changes in active post-menopausal women. No evidence was found for a positive effect of stretching exercises. Prophylactic eccentric training and stretching can increase the risk of injury in asymptomatic players with patellar tendon abnormalities. A limited amount of studies was available and more research is needed on (multifactorial) etiology, risk factors and preventive interventions.

• #97 TENDINOPATHY/TENDONITIS | Sports Medicine Today

  https://www.sportsmedtoday.com/tendinopathytendonitis-va-69.htm

  Injury Prevention There is little information on the prevention of tendonitis and tendinosis. Focus should be placed on proper functional technique in sport, and balanced training of the entire body. Athletes with a propensity for tendon problems should also be aware that prolonged time off and rapid changes in training programs may predispose them to future injury.

• #98

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10170222/

  The risk of PT cannot be reduced with the current prophylactic program. However, for athletes, the negative results may be due to insufficient sample size. […] Improving risk factors for the development of PT is usually considered a way to prevent PT. However, there is a lack of strong evidence to support designing prophylactic programs with any potential modifiable risk factors. […] The current controversy is that the use of prophylactic programs will increase the load and overuse of the patellar tendon and even raise the risk of PT. […] In the subgroup analysis, for recruits, the prophylactic program may even increase the risk of PT occurrence. In contrast, the adoption of a prophylactic program for elite athletes has the potential to reduce the risk of PT occurrence. […] TSA analysis shows that for athletes, prophylaxis may still be effective, but more studies and sample sizes are needed for validation.

• #99

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10170222/

  The risk of PT cannot be reduced with the current prophylactic program. However, for athletes, the negative results may be due to insufficient sample size. […] Improving risk factors for the development of PT is usually considered a way to prevent PT. However, there is a lack of strong evidence to support designing prophylactic programs with any potential modifiable risk factors. […] The current controversy is that the use of prophylactic programs will increase the load and overuse of the patellar tendon and even raise the risk of PT. […] In the subgroup analysis, for recruits, the prophylactic program may even increase the risk of PT occurrence. In contrast, the adoption of a prophylactic program for elite athletes has the potential to reduce the risk of PT occurrence. […] TSA analysis shows that for athletes, prophylaxis may still be effective, but more studies and sample sizes are needed for validation.

• #100

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10170222/

  The risk of PT cannot be reduced with the current prophylactic program. However, for athletes, the negative results may be due to insufficient sample size. […] Improving risk factors for the development of PT is usually considered a way to prevent PT. However, there is a lack of strong evidence to support designing prophylactic programs with any potential modifiable risk factors. […] The current controversy is that the use of prophylactic programs will increase the load and overuse of the patellar tendon and even raise the risk of PT. […] In the subgroup analysis, for recruits, the prophylactic program may even increase the risk of PT occurrence. In contrast, the adoption of a prophylactic program for elite athletes has the potential to reduce the risk of PT occurrence. […] TSA analysis shows that for athletes, prophylaxis may still be effective, but more studies and sample sizes are needed for validation.

• #101 Rotator Cuff Tendinopathy: Prevention (Non-Athletes and Athletes)

  https://www.coastalorthoteam.com/blog/rotator-cuff-tendinopathy-prevention-non-athletes-and-athletes

  Don’t become a weekend warrior; they get hurt more often than athletes who regularly work their bodies and keep them in good condition. […] Warming up gets the blood flowing to your muscles and tendons, making them more supple and resilient. Cooling down and stretching prevents tightness. […] For elite athletes, working with a physical therapist or orthopedist is also a smart move. A professional can design a preventative care program for you that will help to keep your rotator cuff and your entire shoulder joint as healthy as possible throughout your season. […] The bottom line: rotator cuff tendinopathy cannot be totally avoided, but you can mitigate your risk by taking care of yourself.

• #102 Tendinopathy from gaming: eliminating the #1 career killing ailment – Esports Healthcare

  https://esportshealthcare.com/tendinopathy-in-gaming/

  Beyond eye strain and various postural issues, tendinopathy is among the most common ailments in gaming and esports. […] However, despite having an infamous history for causing professional gamers to retire, there is wonderful news: tendinopathy is preventable! […] Since tendinopathy is caused by movement imbalance, the prevention in theory is rather simple: maintain movement balance. […] The good news, though, is that you do not necessarily have to be perfect 100% of the time while you’re gaming. Instead, you can perform exercises prior to and following your gaming sessions to effectively limit your risk of developing a tendon pathology. […] Step 1: warm-up. Prior to gaming, warm-up the muscles, tendons, and joints that will be used during your session. […] Step 2: posture and ergonomics. Correct and maintain appropriate body positions while gaming.

• #103 Load management in tendinopathy: Clinical progression for Achilles and patellar tendinopathy | Apunts Sports Medicine

  https://www.apunts.org/en-load-management-in-tendinopathy-clinical-articulo-S1886658117300580

  The literature on the rehabilitation of tendinopathy suggests that the most important treatment is appropriate loading. […] Each component of the rehabilitation program, in particular loading, must be handled in relation to the nature, speed and magnitude of the forces applied to the muscle/tendon/bone unit in order to achieve the goals of the particular management phase, without causing exacerbation of the pathological state or pain. […] The management of the load is the gold standard treatment at all stages. Early load management in a reactive tendon may keep them in the early stages of tendon pathology and limit the progression of their pathology. […] The idea that the tendon can hypertrophy in response to mechanical loading suggests that there is a net formation of connective tissue. […] Studies suggest that appropriate loading during rehabilitation of tendinopathy is the most important treatment method. […] The ultimate goal is that the athlete should be able to use the elastic capacity of tendon and have regained function of the kinetic chain suitable for performance.

• #104 Tendinopathy: Preventing & Treating Overuse Injuries during the Pandemic | South Shore Health

  https://www.southshorehealth.org/wellness/blog/how-to-prevent-tendonitis-tendinopathy-treatment-for-overuse-injuries

  Tendinopathy is a generic description of a clinical condition associated with overuse of a tendon. […] The key to treating and managing tendinopathy is load management. […] Treating tendinopathies requires us to walk a fine line: we have to manage and limit the daily activity that climbs over that pain threshold while also doing enough work or activity to push us right up to that threshold. […] If you’re dealing with an overuse injury, working with a physical therapist is a great way to get yourself back to full health. […] Physical therapists are trained in the treatment of tendinopathies and can develop a treatment plan that will help you slowly strengthen your tendon and muscle without breaching that pain threshold.

• #105

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10170222/

  Overall, prophylactic programs may have different effects on PT risk for recruits and athletes. […] It is suggested that, for athletes, the decision to use a prophylactic program or to tailor exercise based on their potential PT risk factors, as well as patellar tendon status, is a viable means of reducing the risk of PT. […] In conclusion, based on the results, the risk of PT cannot be reduced with the current prophylactic program. However, for athletes, the negative results may be due to insufficient sample size. More well-designed studies are needed to correct the findings of this study.

• #106 Perspectives on Improving the Efficacy of PRP Treatment for Tendinopathy | ClinMed International Library | Journal of Musculoskeletal Disorders and Treatment |

  https://clinmedjournals.org/articles/jmdt/journal-of-musculoskeletal-disorders-and-treatment-jmdt-2-015.php?jid=jmdt

  Therefore, the reported benefits of PRP and the lack of side effects thereof continue to fuel its use in clinics to treat tendon injuries. […] We also provide suggestions to improve the PRP efficacy in clinics. […] Considering the above discussions together, we suggest that clinical trials of PRP treatment on tendon injuries should be large, randomized and selective in patient enrollment so that the statistical power of the PRP treatment outcomes in trials can be enhanced. […] Finally, in clinical trials of PRP treatment, appropriate selection of controls is critical in assessing the efficacy of PRP treatment. […] Thus, instead of the „one-size-fits-all” approach, a „tailored” approach with considerations on the patients’ age, gender, disease history, rehabilitation, etc., and an appropriate type of PRP, must be applied to treat tendon injuries with PRP so that the maximum efficacy of PRP treatment can be achieved in clinics.

• #107 Preventive interventions for tendinopathy: A systematic review – PubMed

  https://pubmed.ncbi.nlm.nih.gov/25981200/

  Objectives: Tendinopathy, the most prevalent tendon disorder which is considered as the clinical diagnosis of pain and dysfunction, is common in sports and its prevalence is ever-increasing. Despite the lack of clarity about risk factors, various preventive interventions for tendinopathy have been investigated. The main objective of this study is to review current preventive interventions for tendinopathy in the major regions: ankle, knee, hip, groin, shoulder and elbow. […] Conclusions: There is limited evidence that a long-term intervention including balance training is effective in the prevention of patellar and Achilles tendinopathy. Shoe adaptations in the form of shock absorbing insoles could have a preventive effect on Achilles tendinopathy. Hormone replacement therapy seems to reduce the risk for structural Achilles tendon changes in active post-menopausal women. No evidence was found for a positive effect of stretching exercises. Prophylactic eccentric training and stretching can increase the risk of injury in asymptomatic players with patellar tendon abnormalities. A limited amount of studies was available and more research is needed on (multifactorial) etiology, risk factors and preventive interventions.

• #108

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10170222/

  Overall, prophylactic programs may have different effects on PT risk for recruits and athletes. […] It is suggested that, for athletes, the decision to use a prophylactic program or to tailor exercise based on their potential PT risk factors, as well as patellar tendon status, is a viable means of reducing the risk of PT. […] In conclusion, based on the results, the risk of PT cannot be reduced with the current prophylactic program. However, for athletes, the negative results may be due to insufficient sample size. More well-designed studies are needed to correct the findings of this study.

Zobacz więcej