A chronic degenerative condition of a tendon characterized by disorganized collagen fibers, failed healing, and structural breakdown without significant inflammation.
Unlike tendinitis (acute inflammation), tendinosis involves a failed healing response where the tendon's collagen structure breaks down over time. It is often misdiagnosed as tendinitis and treated inappropriately with anti-inflammatories. Effective treatments include eccentric loading exercises, shockwave therapy, and PRP injections that stimulate a new healing cascade.
Patients with chronic tendon pain lasting more than 6 weeks that has not responded to rest, ice, and anti-inflammatory medications.
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