Tendinopathy

Publication Title: 
BMC musculoskeletal disorders

BACKGROUND: Recent reviews have indicated that low level level laser therapy (LLLT) is ineffective in lateral elbow tendinopathy (LET) without assessing validity of treatment procedures and doses or the influence of prior steroid injections. METHODS: Systematic review with meta-analysis, with primary outcome measures of pain relief and/or global improvement and subgroup analyses of methodological quality, wavelengths and treatment procedures. RESULTS: 18 randomised placebo-controlled trials (RCTs) were identified with 13 RCTs (730 patients) meeting the criteria for meta-analysis.

Author(s): 
Bjordal, Jan M.
Lopes-Martins, Rodrigo Ab
Joensen, Jon
Couppe, Christian
Ljunggren, Anne E.
Stergioulas, Apostolos
Johnson, Mark I.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: Chronic tendon pathology is a soft tissue condition commonly seen in chiropractic practice. Tendonitis, tendinosis, and tendinopathy are terms used to describe this clinical entity. The purpose of this article is to review interventions commonly used by doctors of chiropractic when treating tendinopathy. METHODS: The Scientific Commission of the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) was charged with developing literature syntheses, organized by anatomical region, to evaluate and report on the evidence base for chiropractic care.

Author(s): 
Pfefer, Mark T.
Cooper, Stephan R.
Uhl, Nathan L.
Publication Title: 
BMC musculoskeletal disorders

BACKGROUND: Recent reviews have indicated that low level level laser therapy (LLLT) is ineffective in lateral elbow tendinopathy (LET) without assessing validity of treatment procedures and doses or the influence of prior steroid injections. METHODS: Systematic review with meta-analysis, with primary outcome measures of pain relief and/or global improvement and subgroup analyses of methodological quality, wavelengths and treatment procedures. RESULTS: 18 randomised placebo-controlled trials (RCTs) were identified with 13 RCTs (730 patients) meeting the criteria for meta-analysis.

Author(s): 
Bjordal, Jan M.
Lopes-Martins, Rodrigo Ab
Joensen, Jon
Couppe, Christian
Ljunggren, Anne E.
Stergioulas, Apostolos
Johnson, Mark I.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: Chronic tendon pathology is a soft tissue condition commonly seen in chiropractic practice. Tendonitis, tendinosis, and tendinopathy are terms used to describe this clinical entity. The purpose of this article is to review interventions commonly used by doctors of chiropractic when treating tendinopathy. METHODS: The Scientific Commission of the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) was charged with developing literature syntheses, organized by anatomical region, to evaluate and report on the evidence base for chiropractic care.

Author(s): 
Pfefer, Mark T.
Cooper, Stephan R.
Uhl, Nathan L.
Publication Title: 
The American Journal of Sports Medicine

BACKGROUND: Systematic reviews indicate that exercise has the most evidence of effectiveness in treatment of midportion Achilles tendinopathy. However, there is a lack of long-term follow-ups (>4 years). PURPOSE: To evaluate the 5-year outcome of patients treated with exercise alone and to examine if certain characteristics, such as level of kinesiophobia, age, and sex, were related to the effectiveness of the treatment. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Thirty-four patients (47% women), 51 ± 8.2 years old, were evaluated 5 years after initiation of treatment.

Author(s): 
Silbernagel, Karin Grävare
Brorsson, Annelie
Lundberg, Mari
Publication Title: 
Der Unfallchirurg

Tendinopathy in the region of the knee joint is a common pathological disorder. People active in sports, in particular, have a high probability of suffering from tendinopathy. Despite its high clinical relevance, the level of evidence of therapy options for tendinopathy in the knee region differs greatly. This review gives an overview of current evidence levels for therapy options in tendinopathy of the quadriceps, patellar and pes anserinus insertion tendons as well as of the distal iliotibial tract tendon.

Author(s): 
Horstmann, H.
Clausen, J. D.
Krettek, C.
Weber-Spickschen, T. S.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: The purpose of this systematic review was to evaluate the effectiveness of multimodal care for the management of soft tissue injuries of the shoulder. METHODS: We conducted a systematic review and searched MEDLINE, EMBASE, CINAHL, PsycINFO, and the Cochrane Central Register of Controlled Trials from 1990 to 2015. Two independent reviewers critically appraised studies using the Scottish Intercollegiate Guidelines Network criteria. We used best evidence synthesis to synthesize evidence from studies with low risk of bias.

Author(s): 
Goldgrub, Rachel
Côté, Pierre
Sutton, Deborah
Wong, Jessica J.
Yu, Hainan
Randhawa, Kristi
Varatharajan, Sharanya
Southerst, Danielle
Mior, Silvano
Shearer, Heather M.
Jacobs, Craig
Stupar, Maja
Chung, Chadwick L.
Abdulla, Sean
Balogh, Robert
Dogra, Shilpa
Nordin, Margareta
Taylor-Vaisey, Anne
Publication Title: 
The American Journal of Clinical Hypnosis

Acupuncture treatment uses ultrafine needles which are inserted into specified points on the skin (acupoints). Acupuncture can help alleviate pain and inflammation, possibly through the increased release of pituitary beta-endorphins and ACTH. Hypnosis can also help alleviate pain syndromes, and may have centrally mediated immunomodulatory effects. The use of these 2 treatments simultaneously may potentially assist and augment the effects of each another.

Author(s): 
Samuels, Noah
Publication Title: 
Primary Care

Prolotherapy is an injection-based complementary and alternative medical therapy for chronic musculoskeletal pain. Prolotherapy techniques and injected solutions vary by condition, clinical severity, and practitioner preferences; over several treatment sessions, a fairly small volume of an irritant or sclerosing solution is injected at sites on painful ligament and tendon insertions and in adjacent joint space during several treatment sessions. Prolotherapy is becoming increasingly popular in the United States and internationally and is actively used in clinical practice.

Author(s): 
Rabago, David
Slattengren, Andrew
Zgierska, Aleksandra
Publication Title: 
The Orthopedic Clinics of North America

The rheumatoid shoulder is a frequent manifestation in the rheumatoid patient. Most of the symptoms are of a mild to moderate degree and can usually be ameliorated by heat, massage, and gently exercise. Local injection therapy may be of value in selected cases. Strenuous exercise or manipulation is contraindicated. Tendon ruptures and rotator cuff tears are not amenable to surgical reconstruction and are adequately treated with a conservative regimen. Prophylactic synovectomy is not performed as a routine, because the majority of patients do not develop disabling symptoms.

Author(s): 
Sbarbaro, J. L.

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