Our Summary

This research paper largely focuses on the biology of tendons, which includes understanding the characteristics and functions of the cells that make up tendons. However, it’s still unclear how these cells work together to maintain healthy tendons. The researchers suggest the idea of a “tendon unit” - a functional unit that can change and adapt in response to different external factors like physical force, hormones, or diseases. This unit can heal itself by creating more collagen, a protein found in our bodies that helps give structure to our skin, bones, and tendons, when faced with different physical forces. The researchers believe that helping to restore balance to this tendon unit could be a potential treatment target.

FAQs

  1. What is the main focus of the research paper on tendon repair?
  2. What is the concept of a “tendon unit” as suggested by the researchers?
  3. How could restoring balance to the tendon unit potentially aid in tendon treatment and repair?

Doctor’s Tip

One helpful tip a doctor might tell a patient about tendon repair is to follow a proper rehabilitation program after surgery or injury. This program typically includes a combination of physical therapy exercises, stretching, and strengthening exercises to help improve flexibility and strength in the affected tendon. It’s important to follow this program diligently and not rush the healing process, as pushing too hard too soon can lead to re-injury. Additionally, maintaining a healthy diet and staying hydrated can also help support the healing process of tendons.

Suitable For

Patients who may be recommended tendon repair include those who have suffered a tendon injury or rupture, such as athletes, individuals with repetitive strain injuries, or those with conditions like tendonitis or tendinosis. Tendon repair may also be recommended for patients with chronic conditions that affect the tendons, such as rheumatoid arthritis or diabetes, or for those who have undergone previous unsuccessful treatments for tendon injuries. Additionally, tendon repair may be recommended for patients with severe pain, limited mobility, or loss of function due to a tendon injury.

Timeline

Before tendon repair:

  1. Injury: The patient experiences trauma or overuse that leads to a tendon injury, such as a tear or rupture.
  2. Pain and swelling: The patient may experience pain, swelling, and limited range of motion in the affected area.
  3. Diagnosis: The patient seeks medical attention and undergoes diagnostic tests, such as imaging studies, to determine the extent of the tendon injury.
  4. Treatment: The patient may initially undergo conservative treatments, such as rest, physical therapy, and medication, to manage symptoms and promote healing.

After tendon repair:

  1. Surgery: The patient undergoes tendon repair surgery to reattach or reconstruct the torn or ruptured tendon.
  2. Rehabilitation: The patient undergoes a structured rehabilitation program to restore strength, flexibility, and function to the repaired tendon.
  3. Healing: The repaired tendon gradually heals and strengthens over time, with the patient gradually returning to normal activities.
  4. Follow-up: The patient continues to follow up with their healthcare provider to monitor progress, address any complications, and adjust the rehabilitation program as needed.
  5. Return to activity: The patient eventually returns to their normal activities, taking care to gradually increase intensity and avoid re-injury.

What to Ask Your Doctor

  1. What type of tendon repair procedure do you recommend for my specific injury?

  2. What are the potential risks and complications associated with tendon repair surgery?

  3. How long is the recovery process after tendon repair surgery?

  4. What type of physical therapy or rehabilitation program will I need to follow after surgery?

  5. How soon can I expect to return to normal activities and sports after tendon repair surgery?

  6. What are the success rates of tendon repair surgery for patients with similar injuries?

  7. Are there any alternative treatments or therapies that I should consider before opting for surgery?

  8. How will you monitor my progress and ensure that the tendon is healing properly after surgery?

  9. What lifestyle changes or modifications should I make to prevent future tendon injuries?

  10. Are there any specific exercises or stretches that can help strengthen the tendon and prevent re-injury in the future?

Reference

Authors: Maffulli N, Cuozzo F, Migliorini F, Oliva F. Journal: J Orthop Surg Res. 2023 Apr 21;18(1):311. doi: 10.1186/s13018-023-03796-4. PMID: 37085854