Tendons-Time to Revisit Inflammation?

Posted by NAIOMT on Nov 5, 2014 8:53:54 AM

By: Brett Windsor, PT


The subject of tendinopathy has been at the forefront of the physical therapy profession for many years now. In recent times, the body of knowledge has largely moved away from the idea that inflammation plays any real role in the pathogenesis and propagation of tendinopathy, towards a more mechanistic explanation that at its core, implies degeneration absent inflammation. The significance of this lies in the approach to treatment - aggressive, mechanistic and stimulatory treatments have become favored. For example - Graston, ASTYM, and cross friction massage have all thrived as PT has come around to the belief that tendinopathy is largely 'solved' by using hands or tools to aggressively work tissue - breaking down free nerve endings and small blood vessels that grow into the tissue, in addition to stimulating fibroblasts to lay down new collagen tissue that can then be optimized through targeted neuromuscular rehabilitation techniques. may be time to rethink this. Just published in the British Journal of Sports Medicine, Jonathan Rees and colleagues offer a persuasive argument that perhaps we've gone a little too far in eliminating inflammation from the tendinopathy equation. It's a great read and you can enjoy the free full-text discourse by clicking on the link below:

Enjoy the read!! In our next post, we'll 'break it down' for you.

Best regards. Brett

Topics: Uncategorized

NAIOMT Course Schedule

Get an overview of all upcoming courses. Click the headlines to sort by course title, location, instructor or start date.



NAIOMT Course Locations

Access local course schedules and instructor videos.

NAIOMT Course Registrations

Registration for all NAIOMT's courses, tests and exams are now done through the industry-leading event registration platform Eventbrite. To register, simply go to NAIOMT's Eventbrite page at to view all upcoming courses, tests and exams.


Subscribe to Email Updates

Recent Posts

Posts by Topic

see all