Tendinopathy Risk Factors

• Who gets tendinopathy?

  • Depends on activity but….
  • Young athletes
  • Older athletes
  • more common in Middle aged men
  • Sedentary people
  • Obesity –BMI & metabolic
  • spondyloarthropathies
  • Children get enthesis problems
  • related to growth areas and weak points in the chain.
• Intrinsic risk factors:

  • Age
  • Genetics/family history
  • Hormones eg oestrogen
  • Biomechanics eg ankle DF range
  • Diabetes and adiposity, high BMI, inflammatory conditions
  • Reduced strength of muscle
  • Tendon structure
  • Previous injury
• Extrinsic risk factors:

  • Training errors - overuse
  • Load intensity/frequency
  • Sudden re-load after off-load, eg pre-season
  • Lack of recovery
  • Repetitive movements
  • Medication
  • Corticosteroids
  • Fluoroquinolones, eg …-floxacin, acute, (Achilles)
  • HRT
  • Statins (Achilles), longer term
  • Smoking