Knee and thigh overuse tendinopathy

Abstract

As the participation in athletic activities increases around the world, so does the frequency of tendinopathies. • The etiology of most tendon injuries is related to repetitive mechanical overload with the development of degenerative intratendinous lesions. • Nonoperative management consisting of activity restriction, nonsteroidal anti-inflammatory medications, correction of external factors such as overtraining, and physical therapy is successful in the majority of acute tendinosis injuries. • Surgery is necessary for most complete tendon ruptures, and may be considered for partial ruptures and in chronic tendinopathy patients who fail a 3 to 6 month course of non-operative management.