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Tendinopathy

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frequently used to describe this disorder, most histopathologic findings of studies have displayed no evidence of an acute, or a chronic inflammatory process. Histologic studies have demonstrated that this condition is the result of tendon degeneration, which causes normal tissue to be replaced by a disorganized arrangement of collagen. Therefore, the disorder is more appropriately referred to as "tendinosis" or "tendinopathy" rather than "tendinitis".
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are relatively avascular. Corticosteroids are drugs that reduce inflammation. Corticosteroids can be useful to relieve chronic tendinopathy pain, improve function, and reduce swelling in the short term. However, there is a greater risk of long-term recurrence. They are typically injected along with a small amount of a numbing drug called lidocaine. Research shows that tendons are weaker following corticosteroid injections.
432:(NSAIDs), rest, and gradual return to exercise is a common therapy. A meta-analysis revealed that exercise using weights or a resistance band is more effective than using bodyweight alone. In addition, having rest days is more effective than exercising every day. Resting assists in the prevention of further damage to the tendon. Ice, compression and elevation are also frequently recommended. 500:
For example, the majority of patients with Achilles tendinopathy in a general population-based study did not associate their condition with a sporting activity. In another study the population incidence of Achilles tendinopathy increased sixfold from 1979–1986 to 1987–1994. The incidence of rotator cuff tendinopathy ranges from 0.3% to 5.5% and annual prevalence from 0.5% to 7.4%.
440:, orthotics or braces may also be useful. Initial recovery is typically within two to three days and full recovery is within three to six months. Tendinosis occurs as the acute phase of healing has ended (six to eight weeks) but has left the area insufficiently healed. Treatment of tendinitis helps reduce some of the risks of developing tendinosis, which takes longer to heal. 499:
injury and resulting tendinopathy are responsible for up to 30% of consultations to sports doctors and other musculoskeletal health providers. Tendinopathy is most often seen in tendons of athletes either before or after an injury but is becoming more common in non-athletes and sedentary populations.
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Steroid injections have not been shown to have long term benefits for tendonitis, but appear to improve pain and function in the short term more effectively than other treatments except NSAIDs. They appear to have little benefit in tendinitis of the rotator cuff. There are some concerns that they may
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are associated with increased risk of tendinitis and tendon rupture. A 2013 review found the incidence of tendon injury among those taking fluoroquinolones to be between 0.08 and 0.2%. Fluoroquinolones most frequently affect large load-bearing tendons in the lower limb, especially the Achilles tendon
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Tendinitis is a very common, but misleading term. By definition, the suffix "-itis" means "inflammation of". Inflammation is the body's local response to tissue damage which involves red blood cells, white blood cells, blood proteins with dilation of blood vessels around the site of injury. Tendons
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Ultrasound imaging can be used to evaluate tissue strain, as well as other mechanical properties. Ultrasound-based techniques are becoming more popular because of its affordability, safety, and speed. Ultrasound can be used for imaging tissues, and the sound waves can also provide information about
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around the inflamed tendon. In some cases, swelling occurs along with heat and redness, and there may be visible knots surrounding the joint. With this condition, the pain is usually worse during and after activity, and the tendon and joint area can become stiff the following day as muscles tighten
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Load-induced non-rupture tendinopathy in humans is associated with an increase in the ratio of collagen III:I proteins, a shift from large to small diameter collagen fibrils, buckling of the collagen fascicles in the tendon extracellular matrix, and buckling of the tenocyte cells and their nuclei.
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Longitudinal sonogram of the lateral elbow displays thickening and heterogeneity of the common extensor tendon that is consistent with tendinosis, as the ultrasound reveals calcifications, intrasubstance tears, and marked irregularity of the lateral epicondyle. Although the term "epicondylitis" is
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appears to play a role, the relationships among changes to the structure of tissue, the function of tendons, and pain are not understood and there are several competing models, none of which have been fully validated or falsified. Molecular mechanisms involved in inflammation includes release of
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There are multifactorial theories that could include: tensile overload, tenocyte related collagen synthesis disruption, load-induced ischemia, neural sprouting, thermal damage, and adaptive compressive responses. The intratendinous sliding motion of fascicles and shear force at interfaces of
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The most commonly accepted cause for this condition is seen to be an overuse syndrome in combination with intrinsic and extrinsic factors leading to what may be seen as a progressive interference or the failing of the innate healing response. Tendinopathy involves cellular apoptosis, matrix
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and causes extracellular matrix degradation in the tendon. In a 2020 systematic review, it was noted that while various inflammatory markers were present in two thirds of the reviewed articles, the heterogenicity of data and lack of comparable studies meant no conclusion about a common
480:, skin derived fibroblasts etc.) for treating Achilles tendinopathy. As of 2014 there was insufficient evidence to support the use of platelet-rich therapies for treating musculoskeletal soft tissue injuries such as ligament, muscle and tendon tears and tendinopathies. 1548:
Maffulli N, Ewen SW, Waterston SW, Reaper J, Barrass V (2000). "Tenocytes from ruptured and tendinopathic achilles tendons produce greater quantities of type III collagen than tenocytes from normal achilles tendons. An in vitro model of human tendon healing".
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For chronic tennis elbow, histological findings include granulation tissue, microrupture, degenerative changes, and there is no traditional inflammation. As a consequence, "lateral elbow tendinopathy or tendinosis" is used instead of
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or surgery may be done. About 80% of overuse tendinopathy patients recover completely within six months. Tendinopathy is relatively common. Older people are more commonly affected. It results in a large amount of missed work.
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Rowe V, Hemmings S, Barton C, Malliaras P, Maffulli N, Morrissey D (November 2012). "Conservative management of midportion Achilles tendinopathy: a mixed methods study, integrating systematic review and clinical reasoning".
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Classic characteristics of "tendinosis" include degenerative changes in the collagenous matrix, hypercellularity, hypervascularity, and a lack of inflammatory cells which has challenged the original misnomer "tendinitis".
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Dean BJ, Lostis E, Oakley T, Rombach I, Morrey ME, Carr AJ (February 2014). "The risks and benefits of glucocorticoid treatment for tendinopathy: a systematic review of the effects of local glucocorticoid on tendon".
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Conclusions: Steroid injections are well tolerated and more effective for tendonitis in the short-term than pooled other treatments, though similar to NSAIDs. No long-term benefit was shown.
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FDA Drug Safety Communication: FDA advises restricting fluoroquinolone antibiotic use for certain uncomplicated infections; warns about disabling side effects that can occur
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is a horseman's term for tendinitis (inflammation) and tendinosis (degeneration), most commonly seen in the superficial digital flexor tendon in the front leg of horses.
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from the movement of the tendon. Many patients report stressful situations in their life in correlation with the beginnings of pain which may contribute to the symptoms.
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There is insufficient evidence on the routine use of injection therapies (autologous blood, platelet-rich plasma, deproteinised haemodialysate, aprotinin, polysulphated
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Tumilty S, Munn J, McDonough S, Hurley DA, Basford JR, Baxter GD (February 2010). "Low level laser treatment of tendinopathy: a systematic review with meta-analysis".
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may also be beneficial in treating tendinopathy. The effects of deep transverse friction massage for treating tennis elbow and lateral knee tendinitis is unclear.
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Colour Doppler ultrasound reveals structural tendon changes, with vascularity and hypo-echoic areas that correspond to the areas of pain in the extensor origin.
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Causes may include an injury or repetitive activities. Groups at risk include people who do manual labor, musicians, and athletes. Less common causes include
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Pavlova AV, Shim JS, Moss R, Maclean C, Brandie D, Mitchell L, Greig L, Parkinson E, Alexander L, Brown VT, Morrissey D, Cooper K, Swinton PA (2023-10-01).
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du Toit C, Stieler M, Saunders R, Bisset L, Vicenzino B (2008). "Diagnostic accuracy of power Doppler ultrasound in patients with chronic tennis elbow".
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disorder that results in pain, swelling, and impaired function. The pain is typically worse with movement. It most commonly occurs around the shoulder (
3408: 2949:"Current and future regenerative medicine - principles, concepts, and therapeutic use of stem cell therapy and tissue engineering in equine medicine" 2714:
Schett G, Lories RJ, D'Agostino MA, Elewaut D, Kirkham B, Soriano ER, McGonagle D (November 2017). "Enthesitis: from pathophysiology to treatment".
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Tendinitis is still a very common diagnosis, though research increasingly documents that what is thought to be tendinitis is usually tendinosis.
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Zeisig E, Öhberg L, Alfredson H (2006). "Sclerosing polidocanol injections in chronic painful tennis elbow-promising results in a pilot study".
368:". Examination of pathologic tennis elbow tissue reveals noninflammatory tissue, so the term "angiofibroblastic tendinosis" is also used. 488:
Initial recovery from overuse tendinosus is usually within two to three months, and 80% will recover fully within three to six months.
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medicines. Groups at risk include people who do manual labor, musicians, and athletes. Diagnosis is typically based on symptoms,
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Stephenson AL, Wu W, Cortes D, Rochon PA (September 2013). "Tendon Injury and Fluoroquinolone Use: A Systematic Review".
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patches) applied over the area of maximal tenderness was found to reduce pain and increase range of motion and strength.
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NSAIDs may be used to help with pain. They however do not alter long term outcomes. Other types of pain medication, like
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fascicles could be an important mechanical factor for the development of tendinopathy and predispose tendons to rupture.
3281: 562: 2311:"Assessing health needs in primary care. Morbidity study from general practice provides another source of information" 1078:
Millar NL, Murrell GA, McInnes IB (25 January 2017). "Inflammatory mechanisms in tendinopathy - towards translation".
628: 1274:"Lubricin in Human Achilles Tendon: The Evidence of Intratendinous Sliding Motion and Shear Force in Achilles Tendon" 1890:"Effect of resistance exercise dose components for tendinopathy management: a systematic review with meta-analysis" 1405: 1170:
Millar NL, Murrell GA, McInnes IB (2017-01-25). "Inflammatory mechanisms in tendinopathy - towards translation".
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Littlewood C, May S, Walters S (2013-10-01). "Epidemiology of rotator cuff tendinopathy: a systematic review".
1643:"Sonographically guided percutaneous needle tenotomy for treatment of common extensor tendinosis in the elbow" 3403: 3246: 2407: 816:"Time to abandon the "tendinitis" myth: Painful, overuse tendon conditions have a non-inflammatory pathology" 569: 3011: 2125:"Corticosteroid Injections Give Small and Transient Pain Relief in Rotator Cuff Tendinosis: A Meta-analysis" 733: 3606: 3225: 2014:
Loew LM, Brosseau L, Tugwell P, Wells GA, Welch V, Shea B, Poitras S, De Angelis G, Rahman P (2014-11-08).
1123:"Revisiting the continuum model of tendon pathology: what is its merit in clinical practice and research?" 788: 759: 3566: 1399:
Abate M, Silbernagel KG, Siljeholm C, Di Iorio A, De Amicis D, Salini V, Werner S, Paganelli R (2009).
394: 17: 3616: 3443: 3047: 589:, derived from a horse's bone marrow or fat, are currently being used for tendon repair in horses. 3576: 3296: 2806: 444: 166: 2606:
International Journal of Therapeutic Massage & Bodywork: Research, Education, & Practice
548:, inflammation of the bony attachment, generally associated with overuse among growing children. 343:
inflammatory cytokines like IL-1β which reduces the expression of type I collagen mRNA in human
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Pingel J, Lu Y, Starborg T, Fredberg U, Langberg H, Nedergaard A, et al. (2014).
1526: 3534: 3529: 3418: 3413: 3325: 3291: 3172: 3058: 2970: 2929: 2925: 2893: 2844: 2774: 2731: 2668: 2633: 2582: 2564: 2481: 2446: 2438: 2402: 2389: 2340: 2291: 2242: 2190: 2186: 2154: 2102: 2053: 2035: 1988: 1927: 1909: 1870: 1821: 1772: 1715: 1707: 1664: 1623: 1594:"A review on the use of cell therapy in the treatment of tendon disease and injuries" 1566: 1530: 1487: 1479: 1434: 1381: 1330: 1295: 1254: 1195: 1187: 1152: 1095: 1060: 1052: 1003: 974: 956: 915: 880: 845: 643: 477: 372: 178: 170: 107: 79: 3109: 2792: 2743: 2493: 2000: 1727: 1676: 1578: 1307: 1207: 1107: 1015: 935:"Is adiposity an under-recognized risk factor for tendinopathy? A systematic review" 3301: 2960: 2921: 2883: 2875: 2836: 2766: 2723: 2660: 2623: 2613: 2572: 2556: 2473: 2430: 2379: 2371: 2330: 2322: 2281: 2277: 2273: 2232: 2228: 2224: 2182: 2144: 2136: 2092: 2084: 2043: 2031: 2027: 1980: 1953: 1917: 1901: 1860: 1856: 1852: 1811: 1807: 1803: 1762: 1754: 1699: 1654: 1613: 1605: 1558: 1522: 1499: 1469: 1461: 1424: 1414: 1371: 1361: 1285: 1244: 1234: 1179: 1142: 1134: 1087: 1042: 995: 946: 892: 872: 835: 827: 526:, the sites where tendons or ligaments insert into the bone. It is associated with 433: 182: 192:
Causes may include an injury or repetitive activities. Less common causes include
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Leppilahti J, Puranen J, Orava S (1996). "Incidence of Achilles tendon rupture".
2375: 1905: 1562: 1138: 403: 335: 281: 221: 205: 117: 71: 1659: 1642: 1322: 3458: 3258: 3232: 3194: 3063: 2664: 2326: 1957: 1841:"Strain-induced damage reduces echo intensity changes in tendon during loading" 3026: 2840: 2770: 2434: 2140: 1703: 1239: 999: 3621: 3600: 3463: 3313: 3211: 3184: 2879: 2727: 2568: 2485: 2442: 2039: 1913: 1711: 1609: 1483: 1465: 1223:"A systematic review of inflammatory cells and markers in human tendinopathy" 1191: 1183: 1091: 1056: 1047: 1030: 876: 831: 296:
or fatness, has also been linked to an increasing incidence of tendinopathy.
240: 217: 132: 113: 37: 2602:"Tendinopathy: Why the Difference Between Tendinitis and Tendinosis Matters" 2088: 760:"Fluoroquinolones and risk of Achilles tendon disorders: case-control study" 629:"Common overuse tendon problems: A review and recommendations for treatment" 3581: 3554: 3423: 3369: 2974: 2933: 2897: 2848: 2778: 2735: 2672: 2637: 2618: 2586: 2393: 2295: 2246: 2194: 2158: 2106: 2057: 1992: 1931: 1874: 1825: 1776: 1719: 1668: 1627: 1570: 1491: 1438: 1385: 1366: 1334: 1299: 1258: 1199: 1156: 1099: 1064: 1007: 960: 919: 884: 849: 651: 647: 580: 558: 339: 225: 174: 2450: 2344: 1984: 1889: 1534: 3558: 3093: 2360:"Incidence of midportion Achilles tendinopathy in the general population" 906:
Nirschl RP, Ashman ES (2004). "Tennis elbow tendinosis (epicondylitis)".
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remains, with the underlying problem related to weak or disrupted tendon
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Duenwald S, Kobayashi H, Frisch K, Lakes R, Vanderby R (February 2011).
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Cultures from tendinopathic tendons contain an increased production of
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Rees JD, Maffulli N, Cook J (Sep 2009). "Management of tendinopathy".
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National Institute of Arthritis and Musculoskeletal and Skin Diseases
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National Institute of Arthritis and Musculoskeletal and Skin Diseases
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National Institute of Arthritis and Musculoskeletal and Skin Diseases
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Moraes VY, Lenza M, Tamaoki MJ, Faloppa F, Belloti JC (2014-04-29).
3266: 1946:"Weights, resistance bands and rest days are best for tendinopathy" 1419: 523: 344: 285: 209: 2123:
Mohamadi A, Chan JJ, Claessen FM, Ring D, Chen NC (January 2017).
63: 3074: 2713: 1398: 527: 289: 229: 2359: 3517: 3021: 3006: 1401:"Pathogenesis of tendinopathies: inflammation or degeneration?" 814:
Khan KM, Cook JL, Kannus P, Maffulli N, Bonar SF (2002-03-16).
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Treatment of tendon injuries is largely conservative. Use of
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Hendrix CL (2005). "Calcaneal apophysitis (Sever disease)".
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Nirschl RP (October 1992). "Elbow tendinosis/tennis elbow".
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Kearney RS, Parsons N, Metcalfe D, Costa ML (26 May 2015).
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Symptoms include tenderness on palpation, swelling, and
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Gaujoux-Viala C, Dougados M, Gossec L (December 2009).
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exercises involving lengthening muscular contractions.
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Cook JL, Rio E, Purdam CR, Docking SI (October 2016).
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D'Agostino MA, Olivieri I (June 2006). "Enthesitis".
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McShane JM, Nazarian LN, Harwood MI (October 2006).
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which ruptures in approximately 30 to 40% of cases.
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from the original on Oct 9, 2023 – via RePub.
1839:Duenwald-Kuehl S, Lakes R, Vanderby R (June 2012). 144:
80% better within 6 months for overuse tendinopathy
2653:Best Practice & Research Clinical Rheumatology 1445: 398:Diagram illustrating tendonitis and tendon rupture 3409:Shoulder injury related to vaccine administration 1348:Fu SC, Rolf C, Cheuk YC, Lui PP, Chan KM (2010). 932: 3598: 2785: 1683: 1591: 862: 515:Anatomically close but separate conditions are: 402:Symptoms can vary from aches or pains and local 2542: 2309:McCormick A, Charlton J, Fleming D (Jun 1995). 2210:"Injection therapies for Achilles tendinopathy" 1329:. Treasure Island (FL): StatPearls Publishing. 2757:Schmitt SK (June 2017). "Reactive Arthritis". 2536: 1692:Knee Surgery, Sports Traumatology, Arthroscopy 1347: 979: 3140: 2946: 1320: 905: 728: 726: 348:pathophysiology from this systematic review. 2940: 2820: 1964: 1832: 1783: 1734: 1634: 1585: 1541: 1392: 1341: 933:Gaida JE, Ashe MC, Bass SL, Cook JL (2009). 783: 781: 338:of tendinopathy is poorly understood. While 2759:Infectious Disease Clinics of North America 2750: 2217:The Cochrane Database of Systematic Reviews 1506: 899: 3147: 3133: 2864:"Using nitric oxide to treat tendinopathy" 2799: 2707: 2129:Clinical Orthopaedics and Related Research 723: 699: 697: 695: 693: 691: 626: 622: 102:Injury from repetitive activities, overuse 3154: 2964: 2904: 2887: 2829:Clinics in Podiatric Medicine and Surgery 2627: 2617: 2576: 2401: 2383: 2334: 2285: 2262:"Cochrane Database of Systematic Reviews" 2236: 2148: 2096: 2047: 1921: 1864: 1815: 1766: 1658: 1617: 1473: 1428: 1418: 1375: 1365: 1289: 1248: 1238: 1146: 1046: 950: 839: 778: 689: 687: 685: 683: 681: 679: 677: 675: 673: 671: 620: 618: 616: 614: 612: 610: 608: 606: 604: 602: 224:. A few weeks following an injury little 3195:Stenosing tenosynovitis (Trigger finger) 2793:"OrthoKids - Osgood-Schlatter's Disease" 2545:"Tendons - time to revisit inflammation" 2357: 1354:Sports Med Arthrosc Rehabil Ther Technol 406:, to a burning that surrounds the whole 393: 356:disorganization and neovascularization. 2861: 2826: 2756: 2020:Cochrane Database of Systematic Reviews 1512: 967: 522:, wherein there is inflammation of the 14: 3599: 752: 668: 599: 3128: 1220: 1028: 430:non-steroidal anti-inflammatory drugs 251: 185:, popliteus tendinopathy), or ankle ( 2659:(3). Clinical Rheumatology: 473–86. 2599: 2175:Seminars in Arthritis and Rheumatism 1592:Ho JO, Sawadkar P, Mudera V (2014). 420:the mechanical state of the tissue. 3399:Adhesive capsulitis of the shoulder 2947:Koch TG, Berg LC, Betts DH (2009). 2543:Rees JD, Stride M, Scott A (2013). 1271: 471: 24: 2549:British Journal of Sports Medicine 1894:British Journal of Sports Medicine 1454:British Journal of Sports Medicine 1127:British Journal of Sports Medicine 414: 329: 25: 3633: 1031:"Mini-Review: Toxic Tendinopathy" 443:There is tentative evidence that 2926:10.2165/11635410-000000000-00000 2358:de Jonge S, et al. 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Rheumatology 1139:10.1136/bjsports-2015-095422 1080:Nature Reviews. Rheumatology 483: 423: 389: 235:Treatment may include rest, 74:(a commonly affected tendon) 7: 2716:Nature Reviews Rheumatology 1660:10.7863/jum.2006.25.10.1281 552: 462: 457:paracetamol (acetaminophen) 10: 3640: 2665:10.1016/j.berh.2006.03.007 2327:10.1136/bmj.310.6993.1534d 2266:Cochrane Database Syst Rev 1958:10.3310/nihrevidence_61938 31: 27:Inflammation of the tendon 3553: 3516: 3509: 3477: 3432: 3387: 3368: 3347: 3338: 3257: 3171: 3162: 3084: 2988: 2841:10.1016/j.cpm.2004.08.011 2771:10.1016/j.idc.2017.01.002 2435:10.3109/17453679608994688 2141:10.1007/s11999-016-5002-1 1704:10.1007/s00167-006-0156-0 1323:"Tendinosis (Tendinitis)" 1240:10.1186/s12891-020-3094-y 1000:10.1007/s40264-013-0089-8 636:American Family Physician 459:, may be just as useful. 450: 148: 138: 123: 106: 98: 88: 78: 70: 61: 53: 48: 3444:Iliotibial band syndrome 2880:10.1136/bjsm.2006.034447 2728:10.1038/nrrheum.2017.188 1610:10.1177/2041731414549678 1466:10.1136/bjsm.2007.043901 1227:BMC Musculoskelet Disord 1184:10.1038/nrrheum.2016.213 1092:10.1038/nrrheum.2016.213 1048:10.1177/0192623317711614 877:10.1177/0363546508324283 832:10.1136/bmj.324.7338.626 306: 292:, or more specifically, 263: 32:Not to be confused with 3577:Aggressive fibromatosis 3567:Dupuytren's contracture 2089:10.1136/ard.2008.099572 764:British Medical Journal 468:have negative effects. 445:low-level laser therapy 167:rotator cuff tendinitis 3241:villonodular synovitis 2619:10.3822/ijtmb.v5i1.153 1367:10.1186/1758-2555-2-30 1029:Bolon B (2017-01-01). 587:Mesenchymal stem cells 532:ankylosing spondylitis 530:arthropathies such as 399: 3156:Soft tissue disorders 1985:10.1089/pho.2008.2470 1035:Toxicologic Pathology 397: 366:lateral epicondylitis 300:Quinolone antibiotics 181:), wrist, hip, knee ( 3572:Plantar fibromatosis 3200:De Quervain syndrome 2466:Shoulder & Elbow 1952:. 15 February 2024. 1604:: 2041731414549678. 438:occupational therapy 214:quinolone antibiotic 3607:Disorders of fascia 3454:Achilles tendinitis 3449:Patellar tendinitis 3220:osteochondromatosis 3207:Transient synovitis 3190:Calcific tendinitis 2862:Murrell GA (2007). 2694:The Free Dictionary 2530:The Free Dictionary 2512:The Free Dictionary 563:glyceryl trinitrate 536:psoriatic arthritis 323:Patellar tendinitis 318:Calcific tendinitis 313:Achilles tendinitis 220:, and occasionally 187:Achilles tendinitis 112:Based on symptoms, 3355:Ligamentous laxity 3085:External resources 540:reactive arthritis 400: 252:Signs and symptoms 245:steroid injections 3594: 3593: 3590: 3589: 3505: 3504: 3501: 3500: 3414:Rotator cuff tear 3334: 3333: 3326:Calcific bursitis 3119: 3118: 2807:"Sever's Disease" 2555:(21): 1553–1557. 2478:10.1111/sae.12028 1900:(20): 1327–1334. 1759:10.1111/joa.12164 1698:(11): 1218–1224. 1291:10.1002/jor.22897 973:FDA May 12, 2016 952:10.1002/art.24518 908:Instr Course Lect 570:eccentric loading 561:delivery system ( 478:glycosaminoglycan 373:type III collagen 239:, splinting, and 171:biceps tendinitis 156: 155: 108:Diagnostic method 43:Medical condition 16:(Redirected from 3629: 3617:Overuse injuries 3514: 3513: 3482: 3437: 3392: 3385: 3384: 3345: 3344: 3169: 3168: 3149: 3142: 3135: 3126: 3125: 2986: 2985: 2979: 2978: 2968: 2944: 2938: 2937: 2908: 2902: 2901: 2891: 2859: 2853: 2852: 2835:(1): 55–62, vi. 2824: 2818: 2817: 2815: 2814: 2809:. Kidshealth.org 2803: 2797: 2796: 2789: 2783: 2782: 2754: 2748: 2747: 2711: 2705: 2704: 2702: 2701: 2683: 2677: 2676: 2648: 2642: 2641: 2631: 2621: 2597: 2591: 2590: 2580: 2540: 2534: 2533: 2522: 2516: 2515: 2504: 2498: 2497: 2461: 2455: 2454: 2418: 2412: 2411: 2405: 2387: 2355: 2349: 2348: 2338: 2306: 2300: 2299: 2289: 2257: 2251: 2250: 2240: 2214: 2205: 2199: 2198: 2169: 2163: 2162: 2152: 2120: 2114: 2113: 2100: 2068: 2062: 2061: 2051: 2026:(11): CD003528. 2011: 2005: 2004: 1968: 1962: 1961: 1942: 1936: 1935: 1925: 1885: 1879: 1878: 1868: 1836: 1830: 1829: 1819: 1787: 1781: 1780: 1770: 1738: 1732: 1731: 1687: 1681: 1680: 1662: 1647:J Ultrasound Med 1638: 1632: 1631: 1621: 1589: 1583: 1582: 1545: 1539: 1538: 1510: 1504: 1503: 1477: 1449: 1443: 1442: 1432: 1422: 1396: 1390: 1389: 1379: 1369: 1345: 1339: 1338: 1318: 1312: 1311: 1293: 1269: 1263: 1262: 1252: 1242: 1218: 1212: 1211: 1167: 1161: 1160: 1150: 1118: 1112: 1111: 1075: 1069: 1068: 1050: 1026: 1020: 1019: 983: 977: 971: 965: 964: 954: 930: 924: 923: 903: 897: 896: 860: 854: 853: 843: 811: 805: 804: 802: 800: 785: 776: 775: 773: 771: 756: 750: 749: 747: 745: 730: 721: 720: 718: 716: 711:. September 2021 701: 666: 665: 663: 662: 656: 650:. Archived from 633: 624: 472:Other injections 434:Physical therapy 334:As of 2016, the 243:. Less commonly 66: 46: 45: 21: 3639: 3638: 3632: 3631: 3630: 3628: 3627: 3626: 3597: 3596: 3595: 3586: 3549: 3497: 3478: 3473: 3433: 3428: 3388: 3378: 3373: 3364: 3340: 3330: 3253: 3164: 3158: 3153: 3122: 3120: 3115: 3114: 3080: 3079: 2997: 2983: 2982: 2945: 2941: 2909: 2905: 2868:Br J Sports Med 2860: 2856: 2825: 2821: 2812: 2810: 2805: 2804: 2800: 2791: 2790: 2786: 2755: 2751: 2722:(12): 731–741. 2712: 2708: 2699: 2697: 2685: 2684: 2680: 2649: 2645: 2600:Bass L (2012). 2598: 2594: 2541: 2537: 2524: 2523: 2519: 2506: 2505: 2501: 2462: 2458: 2419: 2415: 2364:Br J Sports Med 2356: 2352: 2307: 2303: 2272:(4): CD010071. 2258: 2254: 2223:(5): CD010960. 2212: 2206: 2202: 2170: 2166: 2121: 2117: 2077:Ann. Rheum. Dis 2069: 2065: 2012: 2008: 1969: 1965: 1944: 1943: 1939: 1886: 1882: 1837: 1833: 1788: 1784: 1739: 1735: 1688: 1684: 1639: 1635: 1590: 1586: 1551:Am J Sports Med 1546: 1542: 1515:Clin Sports Med 1511: 1507: 1460:(11): 572–576. 1450: 1446: 1397: 1393: 1346: 1342: 1319: 1315: 1270: 1266: 1219: 1215: 1168: 1164: 1133:(19): 1187–91. 1119: 1115: 1076: 1072: 1027: 1023: 984: 980: 972: 968: 939:Arthritis Rheum 931: 927: 904: 900: 865:Am J Sports Med 861: 857: 826:(7338): 626–7. 812: 808: 798: 796: 795:. 12 April 2017 787: 786: 779: 769: 767: 758: 757: 753: 743: 741: 740:. 12 April 2017 732: 731: 724: 714: 712: 703: 702: 669: 660: 658: 654: 631: 625: 600: 595: 578: 555: 506: 494: 486: 474: 465: 453: 426: 417: 415:Medical imaging 404:joint stiffness 392: 336:pathophysiology 332: 330:Pathophysiology 325:(jumper's knee) 309: 282:thyroid disease 266: 254: 222:medical imaging 212:and the use of 206:thyroid disease 118:medical imaging 72:Achilles tendon 44: 41: 28: 23: 22: 15: 12: 11: 5: 3637: 3636: 3625: 3624: 3619: 3614: 3609: 3592: 3591: 3588: 3587: 3585: 3584: 3579: 3574: 3569: 3563: 3561: 3551: 3550: 3548: 3547: 3542: 3537: 3532: 3522: 3520: 3511: 3507: 3506: 3503: 3502: 3499: 3498: 3496: 3495: 3485: 3483: 3480:other/general: 3475: 3474: 3472: 3471: 3466: 3461: 3459:Calcaneal spur 3456: 3451: 3446: 3440: 3438: 3430: 3429: 3427: 3426: 3421: 3419:Golfer's elbow 3416: 3411: 3406: 3401: 3395: 3393: 3382: 3366: 3365: 3363: 3362: 3357: 3351: 3349: 3342: 3336: 3335: 3332: 3331: 3329: 3328: 3323: 3322: 3321: 3311: 3310: 3309: 3304: 3299: 3297:Retrocalcaneal 3294: 3289: 3284: 3279: 3274: 3263: 3261: 3255: 3254: 3252: 3251: 3250: 3249: 3236: 3235: 3233:Plica syndrome 3230: 3229: 3228: 3215: 3214: 3209: 3204: 3203: 3202: 3197: 3192: 3177: 3175: 3166: 3160: 3159: 3152: 3151: 3144: 3137: 3129: 3117: 3116: 3113: 3112: 3101: 3089: 3088: 3086: 3082: 3081: 3078: 3077: 3066: 3055: 3044: 3029: 3014: 2998: 2993: 2992: 2990: 2989:Classification 2981: 2980: 2939: 2920:(11): 941–67. 2903: 2854: 2819: 2798: 2784: 2765:(2): 265–277. 2749: 2706: 2686:"Enthesitis". 2678: 2643: 2592: 2535: 2517: 2508:"Inflammation" 2499: 2472:(4): 256–265. 2456: 2429:(3): 277–279. 2413: 2370:(13): 1026–8. 2350: 2321:(6993): 1534. 2301: 2252: 2200: 2164: 2135:(1): 232–243. 2115: 2083:(12): 1843–9. 2063: 2006: 1963: 1937: 1880: 1851:(9): 1607–11. 1831: 1782: 1733: 1682: 1653:(10): 1281–9. 1633: 1584: 1557:(4): 499–505. 1540: 1505: 1444: 1420:10.1186/ar2723 1391: 1340: 1313: 1264: 1213: 1178:(2): 110–122. 1162: 1113: 1086:(2): 110–122. 1070: 1041:(7): 834–837. 1021: 978: 966: 925: 898: 871:(9): 1855–67. 855: 806: 777: 751: 722: 667: 597: 596: 594: 591: 577: 574: 554: 551: 550: 549: 543: 505: 502: 493: 490: 485: 482: 473: 470: 464: 461: 452: 449: 425: 422: 416: 413: 391: 388: 331: 328: 327: 326: 320: 315: 308: 305: 265: 262: 253: 250: 179:golfer's elbow 154: 153: 150: 146: 145: 142: 136: 135: 125: 121: 120: 110: 104: 103: 100: 96: 95: 94:Pain, swelling 92: 86: 85: 82: 76: 75: 68: 67: 59: 58: 55: 51: 50: 42: 26: 9: 6: 4: 3: 2: 3635: 3634: 3623: 3620: 3618: 3615: 3613: 3612:Inflammations 3610: 3608: 3605: 3604: 3602: 3583: 3580: 3578: 3575: 3573: 3570: 3568: 3565: 3564: 3562: 3560: 3556: 3552: 3546: 3543: 3541: 3538: 3536: 3533: 3531: 3527: 3524: 3523: 3521: 3519: 3515: 3512: 3508: 3494: 3490: 3487: 3486: 3484: 3481: 3476: 3470: 3467: 3465: 3464:Metatarsalgia 3462: 3460: 3457: 3455: 3452: 3450: 3447: 3445: 3442: 3441: 3439: 3436: 3431: 3425: 3422: 3420: 3417: 3415: 3412: 3410: 3407: 3405: 3402: 3400: 3397: 3396: 3394: 3391: 3386: 3383: 3381: 3376: 3371: 3367: 3361: 3360:Hypermobility 3358: 3356: 3353: 3352: 3350: 3346: 3343: 3337: 3327: 3324: 3320: 3317: 3316: 3315: 3314:Synovial cyst 3312: 3308: 3305: 3303: 3300: 3298: 3295: 3293: 3290: 3288: 3285: 3283: 3280: 3278: 3275: 3273: 3270: 3269: 3268: 3265: 3264: 3262: 3260: 3256: 3248: 3245: 3244: 3243: 3242: 3238: 3237: 3234: 3231: 3227: 3224: 3223: 3222: 3221: 3217: 3216: 3213: 3212:Ganglion cyst 3210: 3208: 3205: 3201: 3198: 3196: 3193: 3191: 3188: 3187: 3186: 3185:Tenosynovitis 3182: 3179: 3178: 3176: 3174: 3170: 3167: 3161: 3157: 3150: 3145: 3143: 3138: 3136: 3131: 3130: 3127: 3123: 3111: 3107: 3106: 3102: 3100: 3096: 3095: 3091: 3090: 3087: 3083: 3076: 3072: 3071: 3067: 3065: 3061: 3060: 3056: 3054: 3050: 3049: 3045: 3043: 3039: 3038: 3034: 3030: 3028: 3024: 3023: 3019: 3015: 3013: 3009: 3008: 3004: 3000: 2999: 2996: 2991: 2987: 2976: 2972: 2967: 2962: 2959:(2): 155–65. 2958: 2954: 2950: 2943: 2935: 2931: 2927: 2923: 2919: 2915: 2907: 2899: 2895: 2890: 2885: 2881: 2877: 2874:(4): 227–31. 2873: 2869: 2865: 2858: 2850: 2846: 2842: 2838: 2834: 2830: 2823: 2808: 2802: 2794: 2788: 2780: 2776: 2772: 2768: 2764: 2760: 2753: 2745: 2741: 2737: 2733: 2729: 2725: 2721: 2717: 2710: 2695: 2691: 2690: 2682: 2674: 2670: 2666: 2662: 2658: 2654: 2647: 2639: 2635: 2630: 2625: 2620: 2615: 2611: 2607: 2603: 2596: 2588: 2584: 2579: 2574: 2570: 2566: 2562: 2558: 2554: 2550: 2546: 2539: 2531: 2527: 2521: 2513: 2509: 2503: 2495: 2491: 2487: 2483: 2479: 2475: 2471: 2467: 2460: 2452: 2448: 2444: 2440: 2436: 2432: 2428: 2424: 2417: 2409: 2404: 2399: 2395: 2391: 2386: 2381: 2377: 2373: 2369: 2365: 2361: 2354: 2346: 2342: 2337: 2332: 2328: 2324: 2320: 2316: 2312: 2305: 2297: 2293: 2288: 2283: 2279: 2275: 2271: 2267: 2263: 2256: 2248: 2244: 2239: 2234: 2230: 2226: 2222: 2218: 2211: 2204: 2196: 2192: 2188: 2184: 2180: 2176: 2168: 2160: 2156: 2151: 2146: 2142: 2138: 2134: 2130: 2126: 2119: 2112: 2108: 2104: 2099: 2094: 2090: 2086: 2082: 2078: 2074: 2067: 2059: 2055: 2050: 2045: 2041: 2037: 2033: 2029: 2025: 2021: 2017: 2010: 2002: 1998: 1994: 1990: 1986: 1982: 1978: 1974: 1967: 1959: 1955: 1951: 1950:NIHR Evidence 1947: 1941: 1933: 1929: 1924: 1919: 1915: 1911: 1907: 1903: 1899: 1895: 1891: 1884: 1876: 1872: 1867: 1862: 1858: 1854: 1850: 1846: 1842: 1835: 1827: 1823: 1818: 1813: 1809: 1805: 1801: 1797: 1793: 1786: 1778: 1774: 1769: 1764: 1760: 1756: 1753:(5): 548–55. 1752: 1748: 1744: 1737: 1729: 1725: 1721: 1717: 1713: 1709: 1705: 1701: 1697: 1693: 1686: 1678: 1674: 1670: 1666: 1661: 1656: 1652: 1648: 1644: 1637: 1629: 1625: 1620: 1615: 1611: 1607: 1603: 1599: 1595: 1588: 1580: 1576: 1572: 1568: 1564: 1560: 1556: 1552: 1544: 1536: 1532: 1528: 1524: 1521:(4): 851–70. 1520: 1516: 1509: 1501: 1497: 1493: 1489: 1485: 1481: 1476: 1471: 1467: 1463: 1459: 1455: 1448: 1440: 1436: 1431: 1426: 1421: 1416: 1412: 1408: 1407: 1402: 1395: 1387: 1383: 1378: 1373: 1368: 1363: 1359: 1355: 1351: 1344: 1336: 1332: 1328: 1324: 1317: 1309: 1305: 1301: 1297: 1292: 1287: 1283: 1279: 1275: 1268: 1260: 1256: 1251: 1246: 1241: 1236: 1232: 1228: 1224: 1217: 1209: 1205: 1201: 1197: 1193: 1189: 1185: 1181: 1177: 1173: 1166: 1158: 1154: 1149: 1144: 1140: 1136: 1132: 1128: 1124: 1117: 1109: 1105: 1101: 1097: 1093: 1089: 1085: 1081: 1074: 1066: 1062: 1058: 1054: 1049: 1044: 1040: 1036: 1032: 1025: 1017: 1013: 1009: 1005: 1001: 997: 994:(9): 709–21. 993: 989: 982: 976: 970: 962: 958: 953: 948: 944: 940: 936: 929: 921: 917: 913: 909: 902: 894: 890: 886: 882: 878: 874: 870: 866: 859: 851: 847: 842: 837: 833: 829: 825: 821: 817: 810: 794: 790: 784: 782: 766:. 1 June 2002 765: 761: 755: 739: 735: 729: 727: 710: 706: 700: 698: 696: 694: 692: 690: 688: 686: 684: 682: 680: 678: 676: 674: 672: 657:on 2007-09-29 653: 649: 645: 641: 637: 630: 623: 621: 619: 617: 615: 613: 611: 609: 607: 605: 603: 598: 590: 588: 584: 582: 576:Other animals 573: 571: 566: 564: 560: 557:The use of a 547: 544: 541: 537: 533: 529: 525: 521: 518: 517: 516: 513: 510: 501: 498: 489: 481: 479: 469: 460: 458: 448: 446: 441: 439: 435: 431: 421: 412: 409: 405: 396: 387: 383: 380: 376: 374: 369: 367: 361: 357: 353: 349: 346: 341: 337: 324: 321: 319: 316: 314: 311: 310: 304: 301: 297: 295: 291: 287: 283: 279: 275: 271: 261: 259: 249: 246: 242: 241:physiotherapy 238: 233: 231: 227: 223: 219: 215: 211: 207: 203: 199: 195: 190: 188: 184: 183:jumper's knee 180: 176: 172: 168: 164: 161:is a type of 160: 151: 147: 143: 141: 137: 134: 133:physiotherapy 131:, splinting, 130: 126: 122: 119: 115: 111: 109: 105: 101: 97: 93: 91: 87: 83: 81: 77: 73: 69: 65: 60: 56: 52: 47: 39: 38:Tenosynovitis 35: 30: 19: 3582:Knuckle pads 3555:Fibromatosis 3545:Eosinophilic 3479: 3434: 3424:Tennis elbow 3389: 3380:Tendinopathy 3379: 3370:Enthesopathy 3319:Baker's cyst 3282:Trochanteric 3239: 3218: 3173:Synoviopathy 3121: 3103: 3092: 3068: 3057: 3046: 3031: 3016: 3001: 2956: 2952: 2942: 2917: 2913: 2906: 2871: 2867: 2857: 2832: 2828: 2822: 2811:. Retrieved 2801: 2787: 2762: 2758: 2752: 2719: 2715: 2709: 2698:. Retrieved 2693: 2688: 2681: 2656: 2652: 2646: 2609: 2605: 2595: 2552: 2548: 2538: 2529: 2520: 2511: 2502: 2469: 2465: 2459: 2426: 2422: 2416: 2367: 2363: 2353: 2318: 2314: 2304: 2269: 2265: 2255: 2220: 2216: 2203: 2181:(4): 570–6. 2178: 2174: 2167: 2132: 2128: 2118: 2110: 2080: 2076: 2066: 2023: 2019: 2009: 1976: 1972: 1966: 1949: 1940: 1897: 1893: 1883: 1848: 1844: 1834: 1802:(3): 424–9. 1799: 1795: 1785: 1750: 1746: 1736: 1695: 1691: 1685: 1650: 1646: 1636: 1601: 1598:J Tissue Eng 1597: 1587: 1554: 1550: 1543: 1518: 1514: 1508: 1457: 1453: 1447: 1410: 1404: 1394: 1357: 1353: 1343: 1326: 1316: 1284:(6): 932–7. 1281: 1278:J Orthop Res 1277: 1267: 1230: 1226: 1216: 1175: 1171: 1165: 1130: 1126: 1116: 1083: 1079: 1073: 1038: 1034: 1024: 991: 987: 981: 969: 945:(6): 840–9. 942: 938: 928: 911: 907: 901: 868: 864: 858: 823: 819: 809: 797:. Retrieved 792: 789:"Tendinitis" 770:21 September 768:. Retrieved 763: 754: 742:. Retrieved 737: 734:"Tendinitis" 713:. Retrieved 708: 705:"Tendinitis" 659:. Retrieved 652:the original 642:(5): 811–8. 639: 635: 585: 581:Bowed tendon 579: 567: 559:nitric oxide 556: 514: 511: 507: 495: 492:Epidemiology 487: 475: 466: 454: 442: 427: 418: 401: 384: 381: 377: 370: 362: 358: 354: 350: 340:inflammation 333: 298: 267: 255: 234: 226:inflammation 191: 175:tennis elbow 159:Tendinopathy 158: 157: 84:Primary care 49:Tendinopathy 29: 3559:contracture 3540:Necrotizing 3518:Fasciopathy 3339:Noncapsular 3287:Subacromial 3277:Prepatellar 3094:MedlinePlus 2612:(1): 14–7. 2526:"avascular" 1979:(1): 3–16. 1475:10072/22142 988:Drug Safety 799:18 November 744:18 November 546:Apophysitis 504:Terminology 218:examination 114:examination 54:Other names 3601:Categories 3493:Tendinosis 3489:Tendinitis 3435:lower limb 3390:upper limb 3375:Enthesitis 3259:Bursopathy 3059:DiseasesDB 2914:Sports Med 2813:2014-04-29 2761:(Review). 2718:(Review). 2700:2010-11-27 2689:Enthesitis 2385:1765/30870 1413:(3): 235. 1327:StatPearls 914:: 587–98. 661:2007-04-02 593:References 520:Enthesitis 173:), elbow ( 57:tendinosus 18:Tendinitis 3526:Fasciitis 3469:Bone spur 3307:Iliopsoas 3272:Olecranon 3181:Synovitis 3110:emerg/570 3105:eMedicine 3070:SNOMED CT 2953:Can Vet J 2569:0306-3674 2486:1758-5740 2443:0001-6470 2403:206879020 2040:1465-1858 1914:0306-3674 1845:J Biomech 1796:J Biomech 1712:0942-2056 1484:0306-3674 1233:(1): 78. 1192:1759-4804 1057:1533-1601 484:Prognosis 424:Treatment 390:Diagnosis 345:tenocytes 294:adiposity 274:arthritis 270:infection 198:arthritis 194:infection 149:Frequency 140:Prognosis 124:Treatment 80:Specialty 34:Tenonitis 3510:Nonjoint 3348:Symptoms 3292:Achilles 3267:Bursitis 3163:Capsular 3075:68172002 2975:19412395 2934:23006143 2898:17289859 2849:15555843 2779:28292540 2744:24724763 2736:29158573 2673:16777577 2638:22553479 2587:23476034 2494:74208378 2408:Archived 2394:21926076 2296:24782334 2247:26009861 2238:10804370 2195:24074644 2159:27469590 2107:19054817 2058:25380079 2001:10634480 1993:19708800 1932:37169370 1923:10579176 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Index

Tendinitis
Tenonitis
Tenosynovitis

Achilles tendon
Specialty
Symptoms
Diagnostic method
examination
medical imaging
NSAIDs
physiotherapy
Prognosis
tendon
rotator cuff tendinitis
biceps tendinitis
tennis elbow
golfer's elbow
jumper's knee
Achilles tendinitis
infection
arthritis
gout
thyroid disease
diabetes
quinolone antibiotic
examination
medical imaging
inflammation
fibrils

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