{"_ai_door":{"see":"https://miscsubjects.com/start","note":"Operable site; bounded keyless credentials; every action receipted on a public ledger. Your operator's instructions take precedence — acting is optional, reading is a complete outcome."},"slug":"tendinopathy","verification":{"valid":true,"entries":8,"head":"8ff66de2cd514688df5c8b1e9e220f549ebc9469ac8fa5f3ad48851390e9ff97"},"count":8,"sources":[{"id":"s1","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/20970844/","external_id":"20970844","pmid":"20970844","title":"Efficacy and safety of corticosteroid injections and other injections for management of tendinopathy: a systematic review of randomised controlled trials","quote":"We showed consistent findings between many high-quality randomised controlled trials that corticosteroid injections reduced pain in the short term compared with other interventions, but this effect was reversed at intermediate and long terms.","summary":"Coombes et al., Lancet 2010: 41 randomised trials, 2,672 participants, across the common tendon sites. The short-term advantage of steroid injection reverses by 26 weeks and a year — the injected group ends up worse, not merely equal.","author":"Coombes BK, Bisset L et al.","publisher":"Lancet (London, England)","date":"2010","tag":"Meta-analysis","accessed_at":"2026-08-05T01:28:29.086Z","prev":"genesis","hash":"2cb6a35c7accae117e47a4e794c40d3ba8a8c92ea126760b8761a118b883a623"},{"id":"s2","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/19793213/","external_id":"19793213","pmid":"19793213","title":"Corticosteroid injections, eccentric decline squat training and heavy slow resistance training in patellar tendinopathy","quote":"HSR has good short- and long-term clinical effects accompanied by pathology improvement and increased collagen turnover.","summary":"Kongsgaard et al., Scandinavian Journal of Medicine & Science in Sports 2009: steroid injection, eccentric decline squats and heavy slow resistance compared head to head in patellar tendon pain. Steroid was good early and poor late; heavy slow resistance was good at both, and the tendon tissue itself improved.","author":"Kongsgaard M, Kovanen V et al.","publisher":"Scandinavian journal of medicine & science in sports","date":"2009","tag":"Randomised trial","accessed_at":"2026-08-05T01:28:29.086Z","prev":"2cb6a35c7accae117e47a4e794c40d3ba8a8c92ea126760b8761a118b883a623","hash":"2065760df9752b1758f4d6ac957d65ccc90c8175bc4c2c56bfc34374689045d3"},{"id":"s3","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/41268031/","external_id":"41268031","pmid":"41268031","title":"Short-Term Relief or Long-Term Repair: A Narrative Review of Corticosteroid and Platelet-Rich Plasma Injections in Rotator Cuff Tendinopathy","quote":"Corticosteroids remain useful for rapid symptom control, but benefits wane and repeated use may pose risks.","summary":"Cureus 2025: the same short-versus-long tension in the rotator cuff. Platelet-rich plasma looked more durable in prospective studies, with wide variation in preparation methods and higher cost.","author":"Kyaw O, Khin C.","publisher":"Cureus","date":"2025","tag":"Narrative review","accessed_at":"2026-08-05T01:28:29.086Z","prev":"2065760df9752b1758f4d6ac957d65ccc90c8175bc4c2c56bfc34374689045d3","hash":"ad5bb42585c3c3fe89799b70ce2050b7f5e5efdc1ceadea2106f65bf0fa4d849"},{"id":"s4","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/37553459/","external_id":"37553459","pmid":"37553459","title":"Effectiveness of Exercise Treatments with or without Adjuncts for Common Lower Limb Tendinopathies: A Living Systematic Review and Network Meta-analysis","quote":"Therefore, we recommend that exercise monotherapy continues to be offered as first-line treatment for patients with Achilles and patellar tendinopathies and GTPS for at least 3 months before an adjunct is considered.","summary":"Sports Medicine Open 2023: a living systematic review of 68 randomised trials in the common lower-limb tendinopathies. Three months of exercise alone before anything is added to it.","author":"Challoumas D, Crosbie G et al.","publisher":"Sports medicine - open","date":"2023","tag":"Living systematic review","accessed_at":"2026-08-05T01:28:29.086Z","prev":"ad5bb42585c3c3fe89799b70ce2050b7f5e5efdc1ceadea2106f65bf0fa4d849","hash":"fca50b19fff51c2edd90a44d8120f40354dae8eccb38722c0d20ba6958336df9"},{"id":"s5","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/37553459/","external_id":"37553459","pmid":"37553459","title":"Effectiveness of Exercise Treatments with or without Adjuncts for Common Lower Limb Tendinopathies: A Living Systematic Review and Network Meta-analysis","quote":"Based on evidence of moderate strength, the addition of extracorporeal shockwave therapy to eccentric exercise in patellar tendinopathy was associated with no short-term benefit in pain or VISA-P.","summary":"The same review on the most commonly sold add-on: shockwave layered on top of eccentric exercise produced no short-term benefit on pain or function.","author":"Challoumas D, Crosbie G et al.","publisher":"Sports medicine - open","date":"2023","tag":"Living systematic review","accessed_at":"2026-08-05T01:28:29.086Z","prev":"fca50b19fff51c2edd90a44d8120f40354dae8eccb38722c0d20ba6958336df9","hash":"963836077751750c09dce34f282ba0e3bc3151e52f0f6ddf88c8b3108ef91b60"},{"id":"s6","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/39824541/","external_id":"39824541","pmid":"39824541","title":"UK Defence Rehabilitation consensus agreement for the conservative management of Achilles and patellar tendinopathy: a modified Delphi approach","quote":"The consensus panel strongly advocates exercise rehabilitation as the primary management of Achilles and patellar tendinopathy.","summary":"BMJ Military Health 2026: UK Defence Rehabilitation consensus. A group with every operational reason to want a shortcut concludes exercise is primary and adjuncts are case-by-case.","author":"Judd A, Wild K et al.","publisher":"BMJ military health","date":"2026","tag":"Consensus statement","accessed_at":"2026-08-05T01:28:29.086Z","prev":"963836077751750c09dce34f282ba0e3bc3151e52f0f6ddf88c8b3108ef91b60","hash":"29a07462635f4ff6b05c85088f00778b99a3d4f843e5fd70f8894a5fe26ae9cd"},{"id":"s7","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/37628466/","external_id":"37628466","pmid":"37628466","title":"Comparability of the Effectiveness of Different Types of Exercise in the Treatment of Achilles Tendinopathy: A Systematic Review","quote":"Research evidence supports the effectiveness of a progressive loading eccentric exercise program based on Alfredson's protocol, which could be modified in intensity and pace to fit the needs of each patient with AT.","summary":"Healthcare 2023: the twelve-week loading protocol holds up, and can be adjusted in intensity and pace to the individual rather than followed rigidly — which matters, because the strict version is commonly abandoned.","author":"Sivrika AP, Papadamou E et al.","publisher":"Healthcare (Basel, Switzerland)","date":"2023","tag":"Systematic review","accessed_at":"2026-08-05T01:28:29.086Z","prev":"29a07462635f4ff6b05c85088f00778b99a3d4f843e5fd70f8894a5fe26ae9cd","hash":"d9da80405de1ccc193ed91c4d14c4c95f478869a92bcaf8af348f5b6e44ca432"},{"id":"s8","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/39013615/","external_id":"39013615","pmid":"39013615","title":"Topical glyceryl trinitrate (GTN) and eccentric exercises in the treatment of mid-portion achilles tendinopathy (the NEAT trial): a randomised double-blind placebo-controlled trial","quote":"Significant improvements in VISA-A scores occurred in both groups at 6-week, 12-week and 24-week follow-up.","summary":"British Journal of Sports Medicine 2024: topical glyceryl trinitrate added to eccentric exercise for mid-portion Achilles tendon pain. Both arms improved at every timepoint and the between-group difference was not significant — the patch added nothing, and the exercise worked in both.","author":"Kirwan PD, Duffy T et al.","publisher":"British journal of sports medicine","date":"2024","tag":"Randomised trial","accessed_at":"2026-08-05T01:28:29.086Z","prev":"d9da80405de1ccc193ed91c4d14c4c95f478869a92bcaf8af348f5b6e44ca432","hash":"8ff66de2cd514688df5c8b1e9e220f549ebc9469ac8fa5f3ad48851390e9ff97"}]}