ReviewSports medicine (Auckland, N.Z.)2014
The pain of tendinopathy: physiological or pathophysiological?
Review in Sports medicine (Auckland, N.Z.), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05390359 (Characterization of the Effects on Bioimpedance and the Sensorimotor System After the Application of Percutaneous Electrolysis Protocols on the Patellar Tendon.), which is not on this map. Cited by 93 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Characterization of the Effects on Bioimpedance and the Sensorimotor System After the Application of Percutaneous Electrolysis Protocols on the Patellar Tendon.
Who cites it
93 citing papers in PubMed, 5 syntheses or guidelines pooled it, 277 citations in OpenAlex.
- Effects of sensorimotor training on functional and pain outcomes in achilles tendinopathy: a systematic review.Frontiers in sports and active living · 2024Pooled it
- Evaluating lower limb tendinopathy with Victorian Institute of Sport Assessment (VISA) questionnaires: a systematic review shows very-low-quality evidence for their content and structural validity-part I.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Pooled it
- Rate of Improvement of Pain and Function in Mid-Portion Achilles Tendinopathy with Loading Protocols: A Systematic Review and Longitudinal Meta-Analysis.Sports medicine (Auckland, N.Z.) · 2018Pooled it
- The effect of female sex hormone supplementation on tendon in pre and postmenopausal women: A systematic review.Journal of musculoskeletal & neuronal interactions · 2016Pooled it
- The sympathetic nervous system and tendinopathy: a systematic review.Sports medicine (Auckland, N.Z.) · 2015Pooled it
- Multimodal Active Physiotherapy Versus Multimodal Passive Physiotherapy for Chronic Nonspecific Neck Pain: A Randomized Controlled Trial on Dual Outcomes of Physical and Mental Health.Pain research & management · 2025Trial
- Comparison of local massage, steroid injection, and extracorporeal shock wave therapy efficacy in the treatment of lateral epicondylitis.Joint diseases and related surgery · 2024Trial
- Effectiveness of ultrasound guided dry needling in management of jumper's knee: a randomized controlled trial.Scientific reports · 2023Trial
- Isometric exercises do not provide immediate pain relief in Achilles tendinopathy: A quasi-randomized clinical trial.Scandinavian journal of medicine & science in sports · 2020Trial
- Does moxonidine reduce Achilles tendon or musculoskeletal pain in women with polycystic ovarian syndrome? A secondary analysis of a randomised controlled trial.BMC endocrine disorders · 2020Trial
- Trial
- Photobiomodulation and eccentric exercise for Achilles tendinopathy: a randomized controlled trial.Lasers in medical science · 2016Trial
- Management of Musculoskeletal Injuries with an Inflammatory Damage-Associated Molecular Pattern (DAMP) Etiology.Pain and therapy · 2026Review
- Both Radiofrequency Microtenotomy and Physical Therapy Provide Significant Improvements in Patients With Chronic Midportion Achilles Tendinopathy at a Minimum 5-Year Follow-Up.Arthroscopy, sports medicine, and rehabilitation · 2026Article
- A biomimetic hybrid membrane vesicle nanoplatform attenuates tendinopathy through neuroinflammation modulation and tendon regeneration.Cell reports. Medicine · 2026Article
- Article
- Percutaneous Electrolysis for Patellar Tendinopathy: A Systematic Review and Meta-Analysis.Life (Basel, Switzerland) · 2026Article
- Pathological Mechanisms of Tendinopathy Pain: From Mechanical Overload to Neuroimmune-Vascular Crosstalk.Pain research & management · 2026Review
- Mechanisms of Mucoid Degeneration in the Cruciate Ligament: Role of Denatured Aggrecan Accumulation and Tissue Dysfunction.Orthopedic research and reviews · 2026Review
- Calcific Patellar Tendinopathy. A Case Report Integrating Diagnostic Ultrasound Throughout a Multi-Modal Treatment Approach.International journal of sports physical therapy · 2026Article
33 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Tendon pain remains an enigma. Many clinical features are consistent with tissue disruption-the pain is localised, persistent and specifically associated with tendon loading, whereas others are not-investigations do not always match symptoms and painless tendons can be catastrophically degenerated. As such, the question 'what causes a tendon to be painful?' remains unanswered. Without a proper understanding of the mechanism behind tendon pain, it is no surprise that treatments are often ineffective. Tendon pain certainly serves to protect the area-this is a defining characteristic of pain-and there is often a plausible nociceptive contributor. However, the problem of tendon pain is that the relation between pain and evidence of tissue disruption is variable. The investigation into mechanisms for tendon pain should extend beyond local tissue changes and include peripheral and central mechanisms of nociception modulation. This review integrates recent discoveries in diverse fields such as histology, physiology and neuroscience with clinical insight to present a current state of the art in tendon pain. New hypotheses for this condition are proposed, which focus on the potential role of tenocytes, mechanosensitive and chemosensitive receptors, the role of ion channels in nociception and pain and central mechanisms associated with load and threat monitoring.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.