New ideas about chronic tendinosis and the use of strain-gauges inside the shoulder

Excerpt

Alfredson and his group in Umeå, Sweden present further evidence that the incapacitating pain in athletes with chronic tendinosis is due to ingrowth of fine vessels and nerves into the tendon tissue. They have already shown this in the Achilles tendon. They now show the same phenomenon in the patellar tendon. It seems as if chronic patellar tendinosis also responds to their Colour-Doppler-aided sclerosing of these fine vessels and nerves like in that of the Achilles tendon. Therefore, it seems reasonable that chronic tendinosis in other tendons might be due to the same cause. What about the supraspinatus tendon? What about tennis elbow? From articles in Swedish daily news papers, it seems as if the Alfredson group has found the same pathology in horses with chronic tendinosis and have successfully treated them with sclerosing. Actually, they have recently submitted a scientific study on that study to our journal. It seems to me that the Umeå researchers are changing our attitude towards chronic tendinosis. However, an old arthroscopist has a question to them: could one not divide these vessels and nerves endoscopically? …