74 | AustrAliAn triAthlete© Shutterstock.comTITLE: Txxxxxxx
The progression
of tendinopathy
2
TENDON DYSREPAIR
Similar to the reactive stage, tendon
dysrepair is an attempt of tendon
healing. However, now with greater
tendon fibre matrix breakdown further
emphasis on recovery may be required.
Tendon dysrepair may occur if inadequate recovery
parameters have occurred after the first stage or if
high tendon loading occurs in a short period of time.
Changes in the tendon may now be visible on imaging
such as an ultrasound or MRI. During this stage, more
specific tendon strengthening may need to be
integrated rather than solely allowing recovery time.
Isometric and eccentric exercises are generally first
point of call for introducing load, and gradual
progressions are then needed to progress rehab and
continue to regain tendon strength.1
REACTIVE
TENDINOPATHY
A reactive tendon usually
follows an episode of
increased load, or an increase
in training demands. This is a non-
inflammatory proliferative response in
attempt to start the recovery process.
The tendon attempts to repair from the
normal micro damage that occurs
during activity.
Pain generally subsides and function
improves with adequate recovery
between loading episodes.Diagram: © Zachary Turner