Tendinopathies are perhaps the leading cause of sportsrelated overuse injuries necessitating visit to an expert. Increased general public participation in sports and growing intensity of elite level sport had further warranted more attention and research into pathophysiology and management of tendeno pathies. As a result, its management has seen enormous changes in the last few decades. The newer research methodologies applied to diagnostic and therapeutic aspects have generated a plethora of literature, which has helped sports medicine experts. However, these newer modalities have also added to the confusion among many. This review aims to present current understanding of pathophysiology of tendinopathies and evidence of success or failure of several modalities in current use.