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Tendon pain

MedGen UID:
533848
•Concept ID:
C0231529
•
Sign or Symptom
Synonyms: Tenalgia; Tenodynia
SNOMED CT: Tenalgia (21545007); Tenodynia (21545007); Tendon pain (21545007)
 
HPO: HP:0032510

Definition

An unpleasant sensation characterized by physical discomfort (such as pricking, throbbing, or aching) localized to a tendon. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVTendon pain

Professional guidelines

PubMed

Management of Patellar Tendinopathy Through Monitoring, Load Control, and Therapeutic Exercise: A Systematic Review.
Núñez-Martínez P, Hernández-Guillen D
J Sport Rehabil 2022 Mar 1;31(3):337-350. Epub 2021 Dec 23 doi: 10.1123/jsr.2021-0117. PMID: 34942594
Management of Lateral Elbow Tendinopathy: One Size Does Not Fit All.
Coombes BK, Bisset L, Vicenzino B
J Orthop Sports Phys Ther 2015 Nov;45(11):938-49. Epub 2015 Sep 17 doi: 10.2519/jospt.2015.5841. PMID: 26381484
Heavy-load eccentric calf muscle training for the treatment of chronic Achilles tendinosis.
Alfredson H, Pietilä T, Jonsson P, Lorentzon R
Am J Sports Med 1998 May-Jun;26(3):360-6. doi: 10.1177/03635465980260030301. PMID: 9617396

Recent clinical studies

Etiology

Management of Patellar Tendinopathy Through Monitoring, Load Control, and Therapeutic Exercise: A Systematic Review.
Núñez-Martínez P, Hernández-Guillen D
J Sport Rehabil 2022 Mar 1;31(3):337-350. Epub 2021 Dec 23 doi: 10.1123/jsr.2021-0117. PMID: 34942594
Overuse injuries in sport: a comprehensive overview.
Aicale R, Tarantino D, Maffulli N
J Orthop Surg Res 2018 Dec 5;13(1):309. doi: 10.1186/s13018-018-1017-5. PMID: 30518382Free PMC Article
Heavy Slow Resistance Versus Eccentric Training as Treatment for Achilles Tendinopathy: A Randomized Controlled Trial.
Beyer R, Kongsgaard M, Hougs Kjær B, Øhlenschlæger T, Kjær M, Magnusson SP
Am J Sports Med 2015 Jul;43(7):1704-11. Epub 2015 May 27 doi: 10.1177/0363546515584760. PMID: 26018970
Corticosteroid injections, eccentric decline squat training and heavy slow resistance training in patellar tendinopathy.
Kongsgaard M, Kovanen V, Aagaard P, Doessing S, Hansen P, Laursen AH, Kaldau NC, Kjaer M, Magnusson SP
Scand J Med Sci Sports 2009 Dec;19(6):790-802. Epub 2009 May 28 doi: 10.1111/j.1600-0838.2009.00949.x. PMID: 19793213
Heavy-load eccentric calf muscle training for the treatment of chronic Achilles tendinosis.
Alfredson H, Pietilä T, Jonsson P, Lorentzon R
Am J Sports Med 1998 May-Jun;26(3):360-6. doi: 10.1177/03635465980260030301. PMID: 9617396

Diagnosis

Overuse injuries in sport: a comprehensive overview.
Aicale R, Tarantino D, Maffulli N
J Orthop Surg Res 2018 Dec 5;13(1):309. doi: 10.1186/s13018-018-1017-5. PMID: 30518382Free PMC Article
Association of Hip and Foot Factors With Patellar Tendinopathy (Jumper's Knee) in Athletes.
Mendonça LD, Ocarino JM, Bittencourt NFN, Macedo LG, Fonseca ST
J Orthop Sports Phys Ther 2018 Sep;48(9):676-684. Epub 2018 May 23 doi: 10.2519/jospt.2018.7426. PMID: 29792104
Isometric Contractions Are More Analgesic Than Isotonic Contractions for Patellar Tendon Pain: An In-Season Randomized Clinical Trial.
Rio E, van Ark M, Docking S, Moseley GL, Kidgell D, Gaida JE, van den Akker-Scheek I, Zwerver J, Cook J
Clin J Sport Med 2017 May;27(3):253-259. doi: 10.1097/JSM.0000000000000364. PMID: 27513733
Revisiting the continuum model of tendon pathology: what is its merit in clinical practice and research?
Cook JL, Rio E, Purdam CR, Docking SI
Br J Sports Med 2016 Oct;50(19):1187-91. Epub 2016 Apr 28 doi: 10.1136/bjsports-2015-095422. PMID: 27127294Free PMC Article
Heavy-load eccentric calf muscle training for the treatment of chronic Achilles tendinosis.
Alfredson H, Pietilä T, Jonsson P, Lorentzon R
Am J Sports Med 1998 May-Jun;26(3):360-6. doi: 10.1177/03635465980260030301. PMID: 9617396

Therapy

Immediate and Short-Term Effects of Short- and Long-Duration Isometric Contractions in Patellar Tendinopathy.
Pearson SJ, Stadler S, Menz H, Morrissey D, Scott I, Munteanu S, Malliaras P
Clin J Sport Med 2020 Jul;30(4):335-340. doi: 10.1097/JSM.0000000000000625. PMID: 30095504
Comparison of effects of eccentric training, eccentric-concentric training, and eccentric-concentric training combined with isometric contraction in the treatment of lateral elbow tendinopathy.
Stasinopoulos D, Stasinopoulos I
J Hand Ther 2017 Jan-Mar;30(1):13-19. Epub 2016 Nov 4 doi: 10.1016/j.jht.2016.09.001. PMID: 27823901
Heavy Slow Resistance Versus Eccentric Training as Treatment for Achilles Tendinopathy: A Randomized Controlled Trial.
Beyer R, Kongsgaard M, Hougs Kjær B, Øhlenschlæger T, Kjær M, Magnusson SP
Am J Sports Med 2015 Jul;43(7):1704-11. Epub 2015 May 27 doi: 10.1177/0363546515584760. PMID: 26018970
Isometric exercise induces analgesia and reduces inhibition in patellar tendinopathy.
Rio E, Kidgell D, Purdam C, Gaida J, Moseley GL, Pearce AJ, Cook J
Br J Sports Med 2015 Oct;49(19):1277-83. Epub 2015 May 15 doi: 10.1136/bjsports-2014-094386. PMID: 25979840
Corticosteroid injections, eccentric decline squat training and heavy slow resistance training in patellar tendinopathy.
Kongsgaard M, Kovanen V, Aagaard P, Doessing S, Hansen P, Laursen AH, Kaldau NC, Kjaer M, Magnusson SP
Scand J Med Sci Sports 2009 Dec;19(6):790-802. Epub 2009 May 28 doi: 10.1111/j.1600-0838.2009.00949.x. PMID: 19793213

Prognosis

Sonographic Screening of Distance Runners for the Development of Future Achilles and Patellar Tendon Pain.
Cushman DM, Petrin Z, Cummings K, Eby SF, English J, Teramoto M
Clin J Sport Med 2022 Sep 1;32(5):493-500. Epub 2021 Nov 10 doi: 10.1097/JSM.0000000000000984. PMID: 34759186Free PMC Article
Time before return to play for the most common injuries in professional football: a 16-year follow-up of the UEFA Elite Club Injury Study.
Ekstrand J, Krutsch W, Spreco A, van Zoest W, Roberts C, Meyer T, Bengtsson H
Br J Sports Med 2020 Apr;54(7):421-426. Epub 2019 Jun 10 doi: 10.1136/bjsports-2019-100666. PMID: 31182429Free PMC Article
Significance of Asymptomatic Tendon Pathology in Athletes.
Splittgerber LE, Ihm JM
Curr Sports Med Rep 2019 Jun;18(6):192-200. doi: 10.1249/JSR.0000000000000600. PMID: 31385834
Comparison of effects of eccentric training, eccentric-concentric training, and eccentric-concentric training combined with isometric contraction in the treatment of lateral elbow tendinopathy.
Stasinopoulos D, Stasinopoulos I
J Hand Ther 2017 Jan-Mar;30(1):13-19. Epub 2016 Nov 4 doi: 10.1016/j.jht.2016.09.001. PMID: 27823901
Eccentric overload training for patients with chronic Achilles tendon pain--a randomised controlled study with reliability testing of the evaluation methods.
Silbernagel KG, Thomeé R, Thomeé P, Karlsson J
Scand J Med Sci Sports 2001 Aug;11(4):197-206. doi: 10.1034/j.1600-0838.2001.110402.x. PMID: 11476424

Clinical prediction guides

Clinical Outcomes, Structure, and Function Improve With Both Heavy and Moderate Loads in the Treatment of Patellar Tendinopathy: A Randomized Clinical Trial.
Agergaard AS, Svensson RB, Malmgaard-Clausen NM, Couppé C, Hjortshoej MH, Doessing S, Kjaer M, Magnusson SP
Am J Sports Med 2021 Mar;49(4):982-993. Epub 2021 Feb 22 doi: 10.1177/0363546520988741. PMID: 33616456
Association of Hip and Foot Factors With Patellar Tendinopathy (Jumper's Knee) in Athletes.
Mendonça LD, Ocarino JM, Bittencourt NFN, Macedo LG, Fonseca ST
J Orthop Sports Phys Ther 2018 Sep;48(9):676-684. Epub 2018 May 23 doi: 10.2519/jospt.2018.7426. PMID: 29792104
Isometric Contractions Are More Analgesic Than Isotonic Contractions for Patellar Tendon Pain: An In-Season Randomized Clinical Trial.
Rio E, van Ark M, Docking S, Moseley GL, Kidgell D, Gaida JE, van den Akker-Scheek I, Zwerver J, Cook J
Clin J Sport Med 2017 May;27(3):253-259. doi: 10.1097/JSM.0000000000000364. PMID: 27513733
Do isometric and isotonic exercise programs reduce pain in athletes with patellar tendinopathy in-season? A randomised clinical trial.
van Ark M, Cook JL, Docking SI, Zwerver J, Gaida JE, van den Akker-Scheek I, Rio E
J Sci Med Sport 2016 Sep;19(9):702-6. Epub 2015 Dec 7 doi: 10.1016/j.jsams.2015.11.006. PMID: 26707957
Isometric exercise induces analgesia and reduces inhibition in patellar tendinopathy.
Rio E, Kidgell D, Purdam C, Gaida J, Moseley GL, Pearce AJ, Cook J
Br J Sports Med 2015 Oct;49(19):1277-83. Epub 2015 May 15 doi: 10.1136/bjsports-2014-094386. PMID: 25979840

Recent systematic reviews

Can we really say getting stronger makes your tendon feel better? No current evidence of a relationship between change in Achilles tendinopathy pain or disability and changes in Triceps Surae structure or function when completing rehabilitation: A systematic review.
Murphy MC, Travers M, Chivers P, Debenham J, Docking SI, Rio EK, Gibson W, Ardern C
J Sci Med Sport 2023 Apr-May;26(4-5):253-260. Epub 2023 Mar 17 doi: 10.1016/j.jsams.2023.03.007. PMID: 36990866
Association between knee pain location and abnormal imaging or arthroscopic findings: A systematic review.
Sahota B, Howes M, Rio E, Docking S, Cook J
Ann Phys Rehabil Med 2022 Jun;65(4):101638. Epub 2022 Apr 27 doi: 10.1016/j.rehab.2022.101638. PMID: 35093586
Management of Patellar Tendinopathy Through Monitoring, Load Control, and Therapeutic Exercise: A Systematic Review.
Núñez-Martínez P, Hernández-Guillen D
J Sport Rehabil 2022 Mar 1;31(3):337-350. Epub 2021 Dec 23 doi: 10.1123/jsr.2021-0117. PMID: 34942594
Is higher serum cholesterol associated with altered tendon structure or tendon pain? A systematic review.
Tilley BJ, Cook JL, Docking SI, Gaida JE
Br J Sports Med 2015 Dec;49(23):1504-9. Epub 2015 Oct 15 doi: 10.1136/bjsports-2015-095100. PMID: 26474596Free PMC Article
Fluoroquinolones and tendinopathy: a guide for athletes and sports clinicians and a systematic review of the literature.
Lewis T, Cook J
J Athl Train 2014 May-Jun;49(3):422-7. Epub 2014 Apr 24 doi: 10.4085/1062-6050-49.2.09. PMID: 24762232Free PMC Article

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