Tendinopathy

Question 1

What is it

Answer 1

Disorder of the tendons, often involving degeneration. It includes tendinitis (inflammation) and tendinosis (dengeneration without inflammation)

Question 2

Features

Answer 2

Pain - worsens with activity
Swelling
Tenderness
Reduced ROM
Weakness

Question 3

Epidemiology

Answer 3

Common MSK issue - active individuals
Affecting 30%- 50% athletes
5 - 10% of general population
High incidences in athletes - repetitive stress

Question 4

Age

Answer 4

30 - 60
Rare in younger unless involved in high impact sports
Older - general degenerative changes

Question 5

Risk/ causes

Answer 5

Age
Overuse/ repetitive movements
Previous tendon injuries
Poor biomechanics - imbalances
Genetic factors
Medical conditions - diabetes, obesity, autoimmune

Question 6

Presentation

Answer 6

Gradually onset of pain
Pain worsens with activity
Morning stiffness
Localised tenderness and swelling
Crepitus

Question 7

Prognosis

Answer 7

Mild cases - may resolve within weeks with rest
Chronic cases - possibly permanent damage

Physical therapy
High risk of recurrence