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Br J Sports Med. 2014 Nov;48(21):1553-7. doi: 10.1136/bjsports-2012-091957. Epub 2013 Mar 09.

Tendons--time to revisit inflammation.

British journal of sports medicine

Jonathan D Rees, Matthew Stride, Alex Scott

Affiliations

  1. Department of Rheumatology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
  2. Isokinetic Medical Group, FIFA Medical Centre of Excellence, London, UK.
  3. Department of Physical Therapy, University of British Columbia, Vancouver, Canada.

PMID: 23476034 PMCID: PMC4215290 DOI: 10.1136/bjsports-2012-091957

Abstract

It is currently widely accepted among clinicians that chronic tendinopathy is caused by a degenerative process devoid of inflammation. Current treatment strategies are focused on physical treatments, peritendinous or intratendinous injections of blood or blood products and interruption of painful stimuli. Results have been at best, moderately good and at worst a failure. The evidence for non-infammatory degenerative processes alone as the cause of tendinopathy is surprisingly weak. There is convincing evidence that the inflammatory response is a key component of chronic tendinopathy. Newer anti-inflammatory modalities may provide alternative potential opportunities in treating chronic tendinopathies and should be explored further.

Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Keywords: Immune Function; Immunology; Tendons

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