What is the primary characteristic of tendinopathy?

The primary characteristic of tendinopathy is degenerative changes in the absence of inflammation. This condition often arises from repetitive stress or overuse, leading to micro-tears and changes in the structure of the tendon rather than an acute inflammatory response. While inflammation can be present in the early stages of tendon injuries, tendinopathy is typically identified by the chronic degenerative process that affects tendon composition, including the extracellular matrix and collagen fibers.

The focus on degenerative changes reflects the pathway through which tendinopathy develops, often resulting in pain and functional impairment. This understanding is crucial for effective management and rehabilitation strategies, which may emphasize tendon loading and strength training rather than solely addressing inflammation.

Recognizing that tendinopathy is not limited to athletes highlights its wider relevance, as it can affect anyone involved in repetitive activities, and it can arise in various regions of the body, not just the upper body. This makes it essential for exercise physiologists to be aware of its characteristics, implications, and treatment options.