{"id":37,"date":"2021-05-18T07:00:51","date_gmt":"2021-05-18T06:00:51","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmjopensem\/?p=37"},"modified":"2021-07-23T09:16:13","modified_gmt":"2021-07-23T08:16:13","slug":"jillcook","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmjopensem\/2021\/05\/18\/jillcook\/","title":{"rendered":"PAST, PRESENT AND FUTURE OF &#8230; TENDINOPATHY"},"content":{"rendered":"<h5><strong>In &#8220;past, present, future&#8221;, we ask clinical or academic experts to reflect on selected Sports &amp; Exercise Medicine topics. <span style=\"color: #ff0000\">Today Jill Cook on Tendinopathy.\u00a0<\/span><\/strong><!--more--><\/h5>\n<p>&nbsp;<\/p>\n<h5><strong>Tell us more about yourself.<\/strong><\/h5>\n<p>Professor at La Trobe University in Melbourne, Australia at the La Trobe Sport and Exercise Medicine Research Centre. My research includes tendons and other musculoskeletal tissues. I am also a part-time clinician.<\/p>\n<p>&nbsp;<\/p>\n<h5><strong>What was hip and happening 10 years ago?<\/strong><\/h5>\n<p>The hippest and happening changes in tendinopathy occurred earlier than 10 years ago, where we improved our understanding of pathology and realised that active treatments were the best. We were moving on from eccentrics and understanding that isometrics may have a role in managing early tendinopathy. The last 10 years have been a consolidation of the findings in the 1990s and 2000s.<\/p>\n<p>&nbsp;<\/p>\n<h5><strong>What are we doing now?<\/strong><\/h5>\n<p>Finding out the differences between the tendon, the upper and lower limb and the role of the central and peripheral nervous system in tendinopathy. Improving reporting in clinical trials and trying to standardise and improve diagnostic criteria.<\/p>\n<p>&nbsp;<\/p>\n<h5><strong>Where do you think we will be 10 years from now?<\/strong><\/h5>\n<p>Revisiting previous concepts as we currently are with inflammation. So many great research findings are ignored or forgotten because they were published decades ago. In tendons, for example, reading Michael Benjamin\u2019s work would be helpful for clinicians to understand how tendons work.<\/p>\n<p>&nbsp;<\/p>\n<hr \/>\n<h5><strong>Would you like to learn more on this topic? Here is a selection of publications on Tendinopathy in our journal.<\/strong><\/h5>\n<div id=\"bmjosem61e000857atom\" class=\"highwire-article-citation highwire-citation-type-highwire-article\" data-pisa=\"bmjosem;6\/1\/e000857\" data-pisa-master=\"bmjosem;6\/1\/e000857\" data-apath=\"\/bmjosem\/6\/1\/e000857.atom\">\n<div class=\"highwire-cite highwire-cite-highwire-article highwire-citation-bmjj-standard clearfix\">\n<ul class=\"highwire-search-results-list\">\n<li class=\"last even search-result result-jcode-bmjosem search-result-highwire-citation\">\n<div class=\"highwire-cite highwire-cite-highwire-article highwire-citation-bmjj-standard clearfix\">\n<div class=\"highwire-cite-authors\"><span class=\"highwire-citation-authors\"><span class=\"highwire-citation-author first\" data-delta=\"0\"><span class=\"nlm-given-names\">Finn<\/span> <span class=\"nlm-surname\">Johannsen<\/span><\/span>, <span class=\"highwire-citation-author\" data-delta=\"1\"><span class=\"nlm-given-names\">Signe<\/span> <span class=\"nlm-surname\">Jensen<\/span><\/span>, <span class=\"highwire-citation-author\" data-delta=\"2\"><span class=\"nlm-given-names\">Eva<\/span> <span class=\"nlm-surname\">Wetke. <\/span><\/span><\/span><a class=\"highwire-cite-linked-title\" style=\"font-size: 1rem\" href=\"https:\/\/bmjopensem.bmj.com\/content\/4\/1\/e000415\" data-icon-position=\"\" data-hide-link-title=\"0\"><span class=\"highwire-cite-title\">10-year follow-up after standardised treatment for Achilles tendinopathy<\/span><\/a><\/div>\n<\/div>\n<\/li>\n<li class=\"even search-result result-jcode-bmjosem search-result-highwire-citation\">\n<div id=\"bmjosem31e000279atom\" class=\"highwire-article-citation highwire-citation-type-highwire-article\" data-pisa=\"bmjosem;3\/1\/e000279\" data-pisa-master=\"bmjosem;3\/1\/e000279\" data-seqnum=\"1\" data-apath=\"\/bmjosem\/3\/1\/e000279.atom\">\n<div class=\"highwire-cite highwire-cite-highwire-article highwire-citation-bmjj-standard clearfix\">\n<div class=\"highwire-cite-authors\"><span class=\"highwire-citation-authors\"><span class=\"highwire-citation-author first\" data-delta=\"0\"><span class=\"nlm-given-names\">Karen M<\/span> <span class=\"nlm-surname\">McCreesh<\/span><\/span>, <span class=\"highwire-citation-author\" data-delta=\"1\"><span class=\"nlm-given-names\">Helen<\/span> <span class=\"nlm-surname\">Purtill<\/span><\/span>, <span class=\"highwire-citation-author\" data-delta=\"2\"><span class=\"nlm-given-names\">Alan E<\/span> <span class=\"nlm-surname\">Donnelly<\/span><\/span>, <span class=\"highwire-citation-author\" data-delta=\"3\"><span class=\"nlm-given-names\">Jeremy S<\/span> <span class=\"nlm-surname\">Lewis. <\/span><\/span><\/span><a class=\"highwire-cite-linked-title\" style=\"font-size: 1rem\" href=\"https:\/\/bmjopensem.bmj.com\/content\/3\/1\/e000279\" data-icon-position=\"\" data-hide-link-title=\"0\"><span class=\"highwire-cite-title\">Increased supraspinatus tendon thickness following fatigue loading in rotator cuff tendinopathy: potential implications for exercise therapy<\/span><\/a><\/div>\n<\/div>\n<\/div>\n<\/li>\n<li class=\"odd search-result result-jcode-bmjosem search-result-highwire-citation\">\n<div id=\"bmjosem41e000446atom\" class=\"highwire-article-citation highwire-citation-type-highwire-article\" data-pisa=\"bmjosem;4\/1\/e000446\" data-pisa-master=\"bmjosem;4\/1\/e000446\" data-seqnum=\"2\" data-apath=\"\/bmjosem\/4\/1\/e000446.atom\">\n<div class=\"highwire-cite highwire-cite-highwire-article highwire-citation-bmjj-standard clearfix\">\n<div class=\"highwire-cite-authors\"><span class=\"highwire-citation-authors\"><span class=\"highwire-citation-author first\" data-delta=\"0\"><span class=\"nlm-given-names\">Gafin Ericson<\/span> <span class=\"nlm-surname\">Morgan<\/span><\/span>, <span class=\"highwire-citation-author\" data-delta=\"1\"><span class=\"nlm-given-names\">Rhodri<\/span> <span class=\"nlm-surname\">Martin<\/span><\/span>, <span class=\"highwire-citation-author\" data-delta=\"2\"><span class=\"nlm-given-names\">Lisa<\/span> <span class=\"nlm-surname\">Williams<\/span><\/span>, <span class=\"highwire-citation-author\" data-delta=\"3\"><span class=\"nlm-given-names\">Owen<\/span> <span class=\"nlm-surname\">Pearce<\/span><\/span>, <span class=\"highwire-citation-author\" data-delta=\"4\"><span class=\"nlm-given-names\">Keith<\/span> <span class=\"nlm-surname\">Morris. <\/span><\/span><\/span><a class=\"highwire-cite-linked-title\" style=\"font-size: 1rem\" href=\"https:\/\/bmjopensem.bmj.com\/content\/4\/1\/e000446\" data-icon-position=\"\" data-hide-link-title=\"0\"><span class=\"highwire-cite-title\">Objective assessment of stiffness in Achilles tendinopathy: a novel approach using the MyotonPRO<\/span><\/a><\/div>\n<\/div>\n<\/div>\n<\/li>\n<li class=\"even search-result result-jcode-bmjosem search-result-highwire-citation\">\n<div id=\"bmjosem41e000477atom\" class=\"highwire-article-citation highwire-citation-type-highwire-article\" data-pisa=\"bmjosem;4\/1\/e000477\" data-pisa-master=\"bmjosem;4\/1\/e000477\" data-seqnum=\"3\" data-apath=\"\/bmjosem\/4\/1\/e000477.atom\">\n<div class=\"highwire-cite highwire-cite-highwire-article highwire-citation-bmjj-standard clearfix\">\n<div class=\"highwire-cite-authors\"><span class=\"highwire-citation-authors\"><span class=\"highwire-citation-author first\" data-delta=\"0\"><span class=\"nlm-given-names\">Fr\u00e9d\u00e9rique<\/span> <span class=\"nlm-surname\">Dupuis<\/span><\/span>, <span class=\"highwire-citation-author\" data-delta=\"1\"><span class=\"nlm-given-names\">Eva<\/span> <span class=\"nlm-surname\">Barrett<\/span><\/span>, <span class=\"highwire-citation-author\" data-delta=\"2\"><span class=\"nlm-given-names\">Marc-Olivier<\/span> <span class=\"nlm-surname\">Dub\u00e9<\/span><\/span>, <span class=\"highwire-citation-author\" data-delta=\"3\"><span class=\"nlm-given-names\">Karen M<\/span> <span class=\"nlm-surname\">McCreesh<\/span><\/span>, <span class=\"highwire-citation-author\" data-delta=\"4\"><span class=\"nlm-given-names\">Jeremy S<\/span> <span class=\"nlm-surname\">Lewis<\/span><\/span>, <span class=\"highwire-citation-author\" data-delta=\"5\"><span class=\"nlm-given-names\">Jean-S\u00e9bastien<\/span> <span class=\"nlm-surname\">Roy.\u00a0<\/span><\/span><\/span><a class=\"highwire-cite-linked-title\" style=\"font-size: 1rem\" href=\"https:\/\/bmjopensem.bmj.com\/content\/4\/1\/e000477\" data-icon-position=\"\" data-hide-link-title=\"0\"><span class=\"highwire-cite-title\">Cryotherapy or gradual reloading exercises in acute presentations of rotator cuff tendinopathy: a randomised controlled trial<\/span><\/a><\/div>\n<\/div>\n<\/div>\n<\/li>\n<li class=\"odd search-result result-jcode-bmjosem search-result-highwire-citation\">\n<div id=\"bmjosem31e000237atom\" class=\"highwire-article-citation highwire-citation-type-highwire-article\" data-pisa=\"bmjosem;3\/1\/e000237\" data-pisa-master=\"bmjosem;3\/1\/e000237\" data-seqnum=\"4\" data-apath=\"\/bmjosem\/3\/1\/e000237.atom\">\n<div class=\"highwire-cite highwire-cite-highwire-article highwire-citation-bmjj-standard clearfix\">\n<div class=\"highwire-cite-authors\"><span class=\"highwire-citation-authors\"><span class=\"highwire-citation-author first\" data-delta=\"0\"><span class=\"nlm-given-names\">Larry E<\/span> <span class=\"nlm-surname\">Miller<\/span><\/span>, <span class=\"highwire-citation-author\" data-delta=\"1\"><span class=\"nlm-given-names\">William R<\/span> <span class=\"nlm-surname\">Parrish<\/span><\/span>, <span class=\"highwire-citation-author\" data-delta=\"2\"><span class=\"nlm-given-names\">Breana<\/span> <span class=\"nlm-surname\">Roides<\/span><\/span>, <span class=\"highwire-citation-author\" data-delta=\"3\"><span class=\"nlm-given-names\">Samir<\/span> <span class=\"nlm-surname\">Bhattacharyya. <\/span><\/span><\/span><a class=\"highwire-cite-linked-title\" style=\"font-size: 1rem\" href=\"https:\/\/bmjopensem.bmj.com\/content\/3\/1\/e000237\" data-icon-position=\"\" data-hide-link-title=\"0\"><span class=\"highwire-cite-title\">Efficacy of platelet-rich plasma injections for symptomatic tendinopathy: systematic review and meta-analysis of randomised injection-controlled trials<\/span><\/a><\/div>\n<\/div>\n<\/div>\n<\/li>\n<li class=\"even search-result result-jcode-bmjosem search-result-highwire-citation\">\n<div id=\"bmjosem51e000528atom\" class=\"highwire-article-citation highwire-citation-type-highwire-article\" data-pisa=\"bmjosem;5\/1\/e000528\" data-pisa-master=\"bmjosem;5\/1\/e000528\" data-seqnum=\"5\" data-apath=\"\/bmjosem\/5\/1\/e000528.atom\">\n<div class=\"highwire-cite highwire-cite-highwire-article highwire-citation-bmjj-standard clearfix\">\n<div class=\"highwire-cite-authors\"><span class=\"highwire-citation-authors\"><span class=\"highwire-citation-author first\" data-delta=\"0\"><span class=\"nlm-given-names\">Dimitrios<\/span> <span class=\"nlm-surname\">Challoumas<\/span><\/span>, <span class=\"highwire-citation-author\" data-delta=\"1\"><span class=\"nlm-given-names\">Christopher<\/span> <span class=\"nlm-surname\">Clifford<\/span><\/span>, <span class=\"highwire-citation-author\" data-delta=\"2\"><span class=\"nlm-given-names\">Paul<\/span> <span class=\"nlm-surname\">Kirwan<\/span><\/span>, <span class=\"highwire-citation-author\" data-delta=\"3\"><span class=\"nlm-given-names\">Neal L<\/span> <span class=\"nlm-surname\">Millar. <\/span><\/span><\/span><a class=\"highwire-cite-linked-title\" style=\"font-size: 1rem\" href=\"https:\/\/bmjopensem.bmj.com\/content\/5\/1\/e000528\" data-icon-position=\"\" data-hide-link-title=\"0\"><span class=\"highwire-cite-title\">How does surgery compare to sham surgery or physiotherapy as a treatment for tendinopathy? A systematic review of randomised trials<\/span><\/a><\/div>\n<\/div>\n<\/div>\n<\/li>\n<li class=\"odd search-result result-jcode-bmjosem search-result-highwire-citation\">\n<div id=\"bmjosem61e000760atom\" class=\"highwire-article-citation highwire-citation-type-highwire-article\" data-pisa=\"bmjosem;6\/1\/e000760\" data-pisa-master=\"bmjosem;6\/1\/e000760\" data-seqnum=\"6\" data-apath=\"\/bmjosem\/6\/1\/e000760.atom\">\n<div class=\"highwire-cite highwire-cite-highwire-article highwire-citation-bmjj-standard clearfix\">\n<div class=\"highwire-cite-authors\"><span class=\"highwire-citation-authors\"><span class=\"highwire-citation-author first\" data-delta=\"0\"><span class=\"nlm-given-names\">Christopher<\/span> <span class=\"nlm-surname\">Clifford<\/span><\/span>, <span class=\"highwire-citation-author\" data-delta=\"1\"><span class=\"nlm-given-names\">Dimitris<\/span> <span class=\"nlm-surname\">Challoumas<\/span><\/span>, <span class=\"highwire-citation-author\" data-delta=\"2\"><span class=\"nlm-given-names\">Lorna<\/span> <span class=\"nlm-surname\">Paul<\/span><\/span>, <span class=\"highwire-citation-author\" data-delta=\"3\"><span class=\"nlm-given-names\">Grant<\/span> <span class=\"nlm-surname\">Syme<\/span><\/span>, <span class=\"highwire-citation-author\" data-delta=\"4\"><span class=\"nlm-given-names\">Neal L<\/span> <span class=\"nlm-surname\">Millar. <\/span><\/span><\/span><a class=\"highwire-cite-linked-title\" style=\"font-size: 1rem\" href=\"https:\/\/bmjopensem.bmj.com\/content\/6\/1\/e000760\" data-icon-position=\"\" data-hide-link-title=\"0\"><span class=\"highwire-cite-title\">Effectiveness of isometric exercise in the management of tendinopathy: a systematic review and meta-analysis of randomised trials<\/span><\/a><\/div>\n<\/div>\n<\/div>\n<\/li>\n<li class=\"even search-result result-jcode-bmjosem search-result-highwire-citation\">\n<div id=\"bmjosem61e000769atom\" class=\"highwire-article-citation highwire-citation-type-highwire-article\" data-pisa=\"bmjosem;6\/1\/e000769\" data-pisa-master=\"bmjosem;6\/1\/e000769\" data-seqnum=\"7\" data-apath=\"\/bmjosem\/6\/1\/e000769.atom\">\n<div class=\"highwire-cite highwire-cite-highwire-article highwire-citation-bmjj-standard clearfix\">\n<div class=\"highwire-cite-authors\"><span class=\"highwire-citation-authors\"><span class=\"highwire-citation-author first\" data-delta=\"0\"><span class=\"nlm-given-names\">H\u00e5kan<\/span> <span class=\"nlm-surname\">Alfredson<\/span><\/span>, <span class=\"highwire-citation-author\" data-delta=\"1\"><span class=\"nlm-given-names\">Christoph<\/span> <span class=\"nlm-surname\">Spang. <\/span><\/span><\/span><a class=\"highwire-cite-linked-title\" style=\"font-size: 1rem\" href=\"https:\/\/bmjopensem.bmj.com\/content\/6\/1\/e000769\" data-icon-position=\"\" data-hide-link-title=\"0\"><span class=\"highwire-cite-title\">Surgical treatment of insertional Achilles tendinopathy: results after removal of the subcutaneous bursa alone\u2014a case series<\/span><\/a><\/div>\n<\/div>\n<\/div>\n<\/li>\n<li class=\"odd search-result result-jcode-bmjosem search-result-highwire-citation\">\n<div id=\"bmjosem71e000979atom\" class=\"highwire-article-citation highwire-citation-type-highwire-article\" data-pisa=\"bmjosem;7\/1\/e000979\" data-pisa-master=\"bmjosem;7\/1\/e000979\" data-seqnum=\"8\" data-apath=\"\/bmjosem\/7\/1\/e000979.atom\">\n<div class=\"highwire-cite highwire-cite-highwire-article highwire-citation-bmjj-standard clearfix\">\n<div class=\"highwire-cite-authors\"><span class=\"highwire-citation-authors\"><span class=\"highwire-citation-author first\" data-delta=\"0\"><span class=\"nlm-given-names\">H\u00e5kan<\/span> <span class=\"nlm-surname\">Alfredson<\/span><\/span>, <span class=\"highwire-citation-author\" data-delta=\"1\"><span class=\"nlm-given-names\">Lorenzo<\/span> <span class=\"nlm-surname\">Masci<\/span><\/span>, <span class=\"highwire-citation-author\" data-delta=\"2\"><span class=\"nlm-given-names\">Christoph<\/span> <span class=\"nlm-surname\">Spang. <\/span><\/span><\/span><a class=\"highwire-cite-linked-title\" style=\"font-size: 1rem\" href=\"https:\/\/bmjopensem.bmj.com\/content\/7\/1\/e000979\" data-icon-position=\"\" data-hide-link-title=\"0\"><span class=\"highwire-cite-title\">Ultrasound and surgical inspection of plantaris tendon involvement in chronic painful insertional Achilles tendinopathy: a case series<\/span><\/a><\/div>\n<\/div>\n<\/div>\n<\/li>\n<li class=\"last even search-result result-jcode-bmjosem search-result-highwire-citation\">\n<div id=\"bmjosem11e000005atom\" class=\"highwire-article-citation highwire-citation-type-highwire-article\" data-pisa=\"bmjosem;1\/1\/e000005\" data-pisa-master=\"bmjosem;1\/1\/e000005\" data-seqnum=\"9\" data-apath=\"\/bmjosem\/1\/1\/e000005.atom\">\n<div class=\"highwire-cite highwire-cite-highwire-article highwire-citation-bmjj-standard clearfix\">\n<div class=\"highwire-cite-authors\"><span class=\"highwire-citation-authors\"><span class=\"highwire-citation-author first\" data-delta=\"0\"><span class=\"nlm-given-names\">Lorenzo<\/span> <span class=\"nlm-surname\">Masci<\/span><\/span>, <span class=\"highwire-citation-author\" data-delta=\"1\"><span class=\"nlm-given-names\">Christoph<\/span> <span class=\"nlm-surname\">Spang<\/span><\/span>, <span class=\"highwire-citation-author\" data-delta=\"2\"><span class=\"nlm-given-names\">Hans T M<\/span> <span class=\"nlm-surname\">van Schie<\/span><\/span>, <span class=\"highwire-citation-author\" data-delta=\"3\"><span class=\"nlm-given-names\">H\u00e5kan<\/span> <span class=\"nlm-surname\">Alfredson. <\/span><\/span><\/span><a class=\"highwire-cite-linked-title\" style=\"font-size: 1rem\" href=\"https:\/\/bmjopensem.bmj.com\/content\/1\/1\/e000005\" data-icon-position=\"\" data-hide-link-title=\"0\"><span class=\"highwire-cite-title\">Achilles tendinopathy\u2014do plantaris tendon removal and Achilles tendon scraping improve tendon structure? A prospective study using ultrasound tissue characterisation<\/span><\/a><\/div>\n<\/div>\n<\/div>\n<\/li>\n<\/ul>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>In &#8220;past, present, future&#8221;, we ask clinical or academic experts to reflect on selected Sports &amp; Exercise Medicine topics. Today Jill Cook on Tendinopathy.\u00a0 [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmjopensem\/2021\/05\/18\/jillcook\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":455,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[27,26],"class_list":["post-37","post","type-post","status-publish","format-standard","hentry","category-past-present-future","tag-tendinopathy","tag-tendons"],"_links":{"self":[{"href":"https:\/\/blogs.bmj.com\/bmjopensem\/wp-json\/wp\/v2\/posts\/37","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.bmj.com\/bmjopensem\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.bmj.com\/bmjopensem\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmjopensem\/wp-json\/wp\/v2\/users\/455"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmjopensem\/wp-json\/wp\/v2\/comments?post=37"}],"version-history":[{"count":0,"href":"https:\/\/blogs.bmj.com\/bmjopensem\/wp-json\/wp\/v2\/posts\/37\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.bmj.com\/bmjopensem\/wp-json\/wp\/v2\/media?parent=37"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmjopensem\/wp-json\/wp\/v2\/categories?post=37"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmjopensem\/wp-json\/wp\/v2\/tags?post=37"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}