Rheumatology Advance Access originally published online on August 12, 2008
Rheumatology 2008 47(10):1444-1445; doi:10.1093/rheumatology/ken337
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© The Author 2008. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org
EDITORIALS |
How do eccentric exercises work in tendinopathy?
1Department of Trauma and Orthopaedic Surgery, University Hospital of North Staffordshire, Keele University School of Medicine, Stoke on Trent, UK and 2Department of Orthopaedic and Trauma Surgery, Campus Biomedico University, Rome, Italy
Correspondence to: N. Maffulli, Department of Trauma and Orthopaedic Surgery, Keele University School of Medicine, Thornburrow Drive, Hartshill Stoke on Trent ST4 7QB, UK. E-mail: osa14@keele.ac.uk
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Painful tendon disorders are a major problem in competitive and recreational sports [1, 2]. Tendon injuries are difficult to manage, and current conservative and surgical management options have shown limited and often unpredictable success [3, 4]. Even when early diagnosis of Achilles tendinopathy is combined with appropriate and intensive management, rehabilitation can take several months.
Conservative management options for tendinopathy of the main body of the Achilles tendon include modified rest, exercise, analgesics, injections, electrotherapy, identification and correction of possible intrinsic and extrinsic causes [4]. This abundance of management modalities has arisen from the lack of consensus as to the cause of tendinopathy [5–8].
The lack of suitable