Reframing Inflammation in the Tendon Repair Process

by Brian T. Gearity, PhD, ATC, CSCS,*D, FNSCA and Gabrielle Smith, MA
NSCA Coach November 2015
Vol 2, Issue 4

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Contrary to popular belief, inflammation is the first stage in tissue repair, and it should be viewed and treated as such. This article will explain the physiological process of tendon tissue repair and compare the effects of various responses to tendonitis.

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This article originally appeared in NSCA Coach, a quarterly publication for NSCA Members that provides valuable takeaways for every level of strength and conditioning coach. You can find scientifically based articles specific to a wide variety of your athletes’ needs with Nutrition, Programming, and Youth columns. Read more articles from NSCA Coach Â»

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References 

1. Bleakley, C, McDonough, S, and MacAuley, D. The use of ice in the treatment of acute soft-tissue injury: A systematic review of randomized controlled trials. American Journal of Sports Medicine 32(1): 251-261, 2004.
2. Gross, MT. Chronic tendinitis: Pathomechanics of injury, factors affecting the healing response, and treatment. Journal of Orthopaedic Sports Physical Therapy 16(6): 248-261, 1992.
3. James, R, Kesturu, G, Balian, G, and Chhabra, AB. Tendon: Biology, biomechanics, repair, growth factors, and evolving treatment options. Journal of Hand Surgery 33(A): 102-112, 2008.
4. Marieb, EN, and Hoehn, K. Human Anatomy and Physiology (10th ed.). New York, NY: Pearson Education, Inc.; 2016.
5. Nordqvist, C. What is inflammation? What causes inflammation? 2015. Retrieved March 18, 2015 from http://www.medicalnewstoday.com/articles/248423.php.
6. Ogbru, O. Nonsteroidal Anti-Inflammatory Drugs (NSAIDs). Medicine Net. 2015. Retrieved April 18, 2015 from http://www.medicinenet.com/nonsteroidal_antiinflammatory_drugs/article.htm.
7. Ong, CKS, Lirk, P, Tan, CH, and Seymour, RA. An evidence-based update on nonsteroidal anti-inflammatory drugs. Journal of Clinical Medicine Research 5(1): 19-34, 2007.
8. Sharma, P, and Maffulli, N. Tendon injury and tendinopathy: Healing and repair. Journal of Bone and Joint Surgery American 87(1): 187-202, 2005.
9. Takagi, R, Fujita, N, Arakawa, T, Kawada, S, Ishii, N, and Miki, A. Influence of icing on muscle regeneration after crush injury to skeletal muscles in rats. Journal of Applied Physiology 110(2): 382-388, 2011.
10. Wilson, JJ, and Best, TM. Common overuse tendon problems: A review and recommendations for treatment. American Family Physician 72(5): 811-818, 2005.

About the author

Gabrielle Smith, CPSS, CSCS

University of Kentucky

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About the author

Brian T. Gearity, PhD, MBA, ATC, CSCS, RSCC*D, FNSCA

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Brian Gearity is Director and Professor of the Master of Arts inSport Coaching Program and the Graduate Certificate in Strengthand Conditioning and Fi ...

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