Tendinopathy and osteoarthritis: a chance to kill two birds with one stone

Vos, Robert‐Jan de; Osch, Gerjo J. V. M. van; Bierma-Zeinstra, Sita M A; Verhaar, Jan A N

doi:10.1136/bjsports-2015-094909

Cited by 6 publications

(5 citation statements)

References 8 publications

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“…osteoarthritis) and tendinopathy have multiple similarities: the main feature in both pathologies is extracellular matrix degeneration, they both respond well to mechanotherapy and they have similar risk factors. 23 Osteoarthritis and tendinopathy are both associated with a chronic pain component. 23 In osteoarthritis, a higher level of passive coping leads to more chronic pain.…”

Section: Discussionmentioning

confidence: 99%

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Are pain coping strategies and neuropathic pain associated with a worse outcome after conservative treatment for Achilles tendinopathy? A prospective cohort study

Lagas

Vlist

Oosterom

et al. 2021

Journal of Science and Medicine in Sport

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Objectives: To analyse whether (1) passive or active pain coping strategies and (2) presence of neuropathic pain component influences the change of Achilles tendinopathy (AT) symptoms over a course of 24 weeks in conservatively-treated patients. Design: Prospective cohort study. Methods: Patients with clinically-diagnosed chronic midportion AT were conservatively treated. At baseline, the Pain Coping Inventory (PCI) was used to determine scores of coping, which consisted of two domains, active and passive (score ranging from 0 to 1; the higher, the more active or passive). Presence of neuropathic pain (PainDETECT questionnaire, −1 to 38 points) was categorized as (a) unlikely (≤12 points), (b) unclear (13-18 points) and (c) likely (≥19 points). The symptom severity was determined with the validated Victorian Institute of Sports Assessment-Achilles (VISA-A) questionnaire (0-100) at baseline, 6, 12 and 24 weeks. We analysed the correlation between (1) PCI and (2) PainDETECT baseline scores with change in VISA-A score using an adjusted Generalized Estimating Equations model. Results: Of 80 included patients, 76 (95%) completed the 24-weeks follow-up. The mean VISA-A score (standard deviation) increased from 43 (16) points at baseline to 63 (23) points at 24 weeks. Patients had a mean (standard deviation) active coping score of 0.53 (0.13) and a passive score of 0.43 (0.10). Twelve patients (15%) had a likely neuropathic pain component. Active and passive coping mechanisms and presence of neuropathic pain did not influence the change in AT symptoms (p = 0.459, p = 0.478 and p = 0.420, respectively). Conclusions: Contrary to widespread belief, coping strategy and presence of neuropathic pain are not associated with a worse clinical outcome in this homogeneous group of patients with clinically diagnosed AT.

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Section: Discussionmentioning

confidence: 99%

“…23 Osteoarthritis and tendinopathy are both associated with a chronic pain component. 23 In osteoarthritis, a higher level of passive coping leads to more chronic pain. 7,8,24 Due to the similarities between osteoarthritis and tendinopathy, we wondered if passive coping is also associated with more severe symptoms in AT.…”

Section: Discussionmentioning

confidence: 99%

Are pain coping strategies and neuropathic pain associated with a worse outcome after conservative treatment for Achilles tendinopathy? A prospective cohort study

Lagas

Vlist

Oosterom

et al. 2021

Journal of Science and Medicine in Sport

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“…The causes of pain in both OA [89][90][91][92][93] and tendinopathy [94][95][96][97] are yet not completely understood. Moreover, the degeneration of the ECM is a common histopathological feature 98 . Due to these similarities and the paucity of high-quality studies addressing the potential role of changes in periarticular tendons in association with OA, there is an unmet need to obtain a deeper understanding of this pathological condition.…”

Section: Discussionmentioning

confidence: 99%

Despite increased physical activity levels, bone mineral density decreases after total hip arthroplasty

Ibrahim

Sernert²,

Kartus

et al. 2018

Transl Sports Med

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“…5 A similar problem is present in other musculoskeletal disorders, such as osteoarthritis. 6 How do expert chefs feel about imaging? The majority (74%) of the ICON participants felt that imaging was not an essential ingredient for diagnosing Achilles tendinopathy.…”

Section: Should Imaging Be Part Of the Recipe?mentioning

confidence: 99%

Diagnosing Achilles tendinopathy is like delicious spaghetti carbonara: it is all about key ingredients, but not all chefs use the same recipe

Vos¹,

Vlist

Winters

et al. 2020

Br J Sports Med

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Tendinopathy and osteoarthritis: a chance to kill two birds with one stone

Cited by 6 publications

References 8 publications

Are pain coping strategies and neuropathic pain associated with a worse outcome after conservative treatment for Achilles tendinopathy? A prospective cohort study

Are pain coping strategies and neuropathic pain associated with a worse outcome after conservative treatment for Achilles tendinopathy? A prospective cohort study

Despite increased physical activity levels, bone mineral density decreases after total hip arthroplasty

Diagnosing Achilles tendinopathy is like delicious spaghetti carbonara: it is all about key ingredients, but not all chefs use the same recipe

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