8 votes
Accepted

Gamekeeper's thumb - long term healing

"Gamekeeper's thumb" - named because of the chronic injury incurred when rabbit keepers broke rabbits' necks between the base of the thumb and index finger - has more recently been referred to as "...
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6 votes

To heal a tendinitis, how to decide when to exercise, stretch and rest?

Purely anecdotal, but I've never seen good results from pushing tendinitis (and bursitis, and really any connective tissue inflammation). Decades of (amateur) athletics have taught me that the magic ...
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  • 356
6 votes
Accepted

What is this study on the efficacy of tenocyte therapy?

There's no way to be sure from such scant information, but it would quite possibly be this one: Autologous Tenocyte Implantation in Patients With Chronic Achilles Tendinopathy (ATI)
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  • 9,314
5 votes

Does astaxanthin help prevent or heal a tendinopathy?

Source 3 is a book sponsered by Cyanotech Corporation claiming beneficial effects for the human health using Astaxanthin. The author is employee of Cyanotech Corporation. There is a small chapter ...
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  • 171
5 votes

How important is the experience of the radiologist to diagnose a tendinopathy when reading an MRI?

Have a look at this publication of Sein et al., 'Reliability of MRI assessment of supraspinatus tendinopathy.' (PMID 17289860) Sein ML et al. Reliability of MRI assessment of supraspinatus ...
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5 votes

Does cannabidiol (CBD) help prevent or heal a tendinopathy?

A quick look through the medical literature leads me to the conclusion that there is no evidence that CBD promotes healing of tendinopathy. The anti-arthritic effect in your referenced paper is based ...
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  • 471
5 votes
Accepted

Which medical imaging procedures allow to see a tendon's extracellular matrix?

The pictures you posted are simply light microscopy of tissue (and prepared quite well). For a source, just look at the illustrations to Wikipedia's histopathology article and see for yourself what ...
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  • 2,770
5 votes

Do vertical mice cause less stress on the hand, wrist and arm than traditional mice?

Carpal Tunnel Syndrome (CTS) is numbness, tingling, weakness, and other problems in your hand because of pressure on a nerve (median nerve) going through your wrist. {1} Pressure or swelling of the ...
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  • 4,896
4 votes
Accepted

How does the efficiency of a diclofenac patch decrease over time?

As previously said, this is dependent on the product. However, there is at least one study available comparing the bioavailability (which is what you are asking about - in this case, how much ...
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  • 6,998
4 votes

Does ice pack therapy have any healing effect for a tendinopathy?

As I mentioned in this answer, icing is not meant to heal tendinopathy. It is supposed to be a painkiller. It can have some effects that may feel like they are fixing the problem though. The cold ice ...
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  • 7,717
4 votes

Why does tendon overuse sometimes evolve into a tendinitis and sometimes evolve into a tendinosis?

Here's my (non professional take), from reading and listening to Jill Cook and Steven Low: TL;DR: Tendonitis/tendinosis are obsolete terms. If someone uses them, they are probably 10 or more years ...
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  • 141
3 votes

Do nonsteroidal anti-inflammatory drugs (NSAIDs) decrease or increase swelling during the acute phase of a tendon injury?

A big difference here is due to the structures involved. Mature tendons are composed of cartilage and contain a very poor blood supply. They rely on localized synovial fluid for tissue perfusion and ...
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  • 1,089
3 votes

Why does smoking increase the risk of developing medial epicondylitis?

Not too many studies showed any correlation between smoking and risk of epicondylitis but only one study mentioned it. They say: Smoking may interfere with the circulation to tendons, which not ...
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  • 301
3 votes

Can an individual further aggravate a full tear of the gluteus minimus tendon (trochanter insertion)?

A torn muscle will not stagnate: it will attempt to heal itself, although this process can result in poor outcomes if the native structure isn’t well-aligned during healing (e.g. when surgical repair ...
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3 votes
Accepted

Diclofenac patch before or after the effort?

I am quite sure that there is no valid study to address your question per se. First of all it seems that topical NSAID is pretty much the only some way effective treatment for lateral epicondylitis. ...
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  • 2,322
3 votes
Accepted

Should I go to the occupational therapist or the physical therapist if I have a tendinopathy in the USA?

You should probably go to a physical therapist. Physicals therapists are more specialized in that they will treat the actual injury and its source. "Occupational therapy (OT) addresses patients' ...
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  • 7,717
3 votes
Accepted

How to distinguish a non-inflammatory tendinopathy (a.k.a tendinosis) from an inflammatory tendinopathy (a.k.a. tendinitis)?

Basically, something falls under the classification of "inflammed" based on the following five criteria: Redness Swelling Heat Pain Loss of Function If any of these apply to your tendinopathy, then ...
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2 votes

How does the efficiency of a diclofenac patch decrease over time?

Basically this depends of the product you use. Your question does not give enough information to provide a "curve", as this has many variants including the produc you use, skin temperature(!), ...
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  • 226
2 votes
Accepted

Why do testosterone / anabolic steroid injection increase the risk of tendon rupture?

I found a 2017 article pointing specifically to a case of AAS usage associated with a Bilateral Patellar Tendon Rupture, which mentions: we suppose that combined AAS and exercise can increase ...
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  • 4,896
2 votes

Do non-insertional tendinopathies tend to be more often caused by cumulative microtrauma compared to insertional tendinopathies?

Tendinopathy is a type of tendon disorder: Traditionally, tendons have been considered to be a mechanism by which muscles connect to bone as well as muscles itself, functioning to transmit forces. ...
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  • 1,513
2 votes

What is the lifetime incidence for tendinopathy for regular humans?

My estimate is ~25% of lifetime incidence for tendinopathy in the general population based on the following 2 studies. The lifetime incidence for Achilles tendinopathy in 6% in the general population ...
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1 vote

Are collagen supplements of any use to help prevent or treat a tendinopathy?

Easy answer is simply "we don't know". The burden of proof is on the manufacturer, who probably will never spend the millions to know. But since it is a nutritional agent, one does not have to ...
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1 vote

Does cissus quadrangularis help prevent or heal a tendinopathy?

Moshiri et al (2017) talks of Cissus quadrangularis with osteoporosis and mentions Cissus quadrangularis in relation to Osteobolin-C. Osteobolin-C is claimed to aid in the repair of joint, muscle, ...
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  • 5,852
1 vote

Does cissus quadrangularis help prevent or heal a tendinopathy?

I performed a search of PubMed and found no studies for "cissus quadrangularis" and "tendinopathy". Looks like at this point there is no scientific evidence one way or another.
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  • 1,251
1 vote

Is exceeding the recommended time for ice application detrimental (delay healing) for soft tissue injuries?

Of course. Icing helps by numbing the pain sensation, thereby providing relief. If iced continuously it would lead to tissue damage with exact same effect of exposing your skin to below freezing temps....
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1 vote

What clinical studies demonstrated that CelGro improves tissue in-growth and repair for the rotator cuff tendon injuries?

Try this: "Evidence of healing of partial-thickness rotator cuff tears following arthroscopic augmentation with a collagen implant: a 2-year MRI follow-up" Source - https://www.ncbi.nlm.nih.gov/...
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1 vote

What is the role of surgery when treating an overuse tendinitis?

Depending on your age, clinical treatment with rest, physiotherapy, NSAID, epicondylitis, both lateral and medial, may take one to several months to resolve. Surgery is a last resort and should be ...
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  • 267
1 vote

Why does the use of quinolones increase the risk of tendinopathies?

"FQs have chelating properties against several metal ions (e.g., calcium, magnesium, aluminum), and have been known to cause direct toxicity to type 1 collagen synthesis and promote collagen ...
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1 vote

What nutrients are worth taking for a tendinosis?

There's a paucity of experimental human data on this topic. Rodent studies such as this one http://www.ncbi.nlm.nih.gov/pubmed/21117902 show that glucosamine might improve healing and strength of ...
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