What are the nerve related changes in tendinopathies and their implications for the cause and/or treatment of pain?
2007 (English)Conference paper (Refereed)
Three theoretical models for possible nerve-related changes that occur in tendinopathies, either as cause or effects of the condition, are suggested: 1) changes in innervation patterns, 2) changes in nerve signaling/responsiveness, and 3) changes in production of (non-neuronal) signal substances. The scientific literature on the subject is reviewed, and studies in support of all three theories are presented. The conclusions are as follows: Changes in innervation patterns in tendinopathies are not fully verified, and not sufficient to explain the pain that occurs in tendinopathy. Changes in nerve sensitization/responsiveness cannot be ruled out, since there is a clear morphological basis in the form of several types of receptors demonstrated on nerves in tendons. Finally, there is novel evidence in favor of a biochemical explanation model, including a local, non-neuronal, production of signal substances, and also findings of receptors for these substances on nerves (and tenocytes). In summary, many possible sites for intervention in treatment of tendinopathy are suggested.
Place, publisher, year, edition, pages
IdentifiersURN: urn:nbn:se:umu:diva-20611OAI: oai:DiVA.org:umu-20611DiVA: diva2:209161
Tendinopathy Workshop 2007: Biochemical Mechanisms in Tendinopathy, Vancouver, Canada