Our Summary

This research paper discusses how the healing of tendons (the fibrous tissue that connects muscle to bone) after an injury or disease doesn’t necessarily match up with how the tendon looks in medical imaging. Even if a person is feeling better and their tendon is functioning properly, the images might still show abnormalities. This can be true for various tendons, including the patellar (knee), Achilles (heel), and rotator cuff (shoulder). The paper suggests that these image findings aren’t a good predictor for future issues and that acting on them isn’t backed by current research. Also, once the initial image of the tendon has been taken, further imaging isn’t likely to provide new information or change the patient’s outlook. The paper recommends educating patients and closely monitoring their symptoms. However, the paper also cautions that the current evidence comes primarily from lower-quality studies with diverse risk factors and populations, so we must be careful when interpreting these incidental findings, especially in athletes.

FAQs

  1. Does the appearance of a tendon in medical imaging always reflect its healing process?
  2. Is further imaging necessary after the initial image of a healing tendon has been taken?
  3. How reliable is the current evidence about tendon healing and its appearance in medical imaging, especially in athletes?

Doctor’s Tip

One helpful tip a doctor might tell a patient about tendon repair is to focus on their symptoms and functional abilities rather than solely relying on imaging results. It’s important to communicate any changes or concerns with your doctor and to follow their recommendations for rehabilitation and recovery. Remember that healing is a gradual process and it’s important to be patient and consistent with your treatment plan. Additionally, staying active and following a proper exercise regimen can help strengthen the repaired tendon and prevent future injuries.

Suitable For

Patients who are experiencing symptoms related to tendon injuries, such as pain, weakness, limited range of motion, or difficulty performing daily activities, are typically recommended tendon repair. Additionally, patients who have suffered a traumatic injury to a tendon, such as a tear or rupture, may also require surgical repair to restore function and prevent further damage. Patients with chronic conditions such as tendinopathy or tendonitis that do not respond to conservative treatments may also be candidates for tendon repair surgery. Overall, the decision to recommend tendon repair will depend on the individual patient’s symptoms, the severity of the injury, and the potential benefits of surgical intervention.

Timeline

Before tendon repair:

  1. Patient experiences pain, weakness, and limited range of motion in the affected joint.
  2. Patient may seek medical attention and undergo imaging tests such as MRI or ultrasound to diagnose the tendon injury.
  3. Patient consults with a orthopedic surgeon to discuss treatment options, including non-surgical approaches such as physical therapy or surgical tendon repair.

After tendon repair:

  1. Patient undergoes tendon repair surgery to reattach or reinforce the damaged tendon.
  2. Patient undergoes post-operative rehabilitation to regain strength and flexibility in the repaired tendon.
  3. Patient gradually resumes normal activities and sports under the guidance of a physical therapist.
  4. Patient may experience some residual pain or stiffness in the repaired tendon, but over time, these symptoms should improve with proper rehabilitation.
  5. Patient continues to follow up with their orthopedic surgeon for monitoring and evaluation of the repaired tendon.

What to Ask Your Doctor

  1. How long will the recovery process be after tendon repair surgery?
  2. What can I expect in terms of pain and discomfort after the surgery?
  3. Are there any specific rehabilitation exercises or physical therapy I should be doing post-surgery?
  4. What are the potential risks or complications associated with tendon repair surgery?
  5. How likely is it that the tendon will fully heal and regain full function after the surgery?
  6. Will I need any follow-up appointments or additional imaging to monitor the healing process?
  7. Are there any restrictions or limitations on activities I should be aware of during the recovery period?
  8. What can I do to prevent future tendon injuries or issues after the surgery?
  9. Are there any alternative treatment options to tendon repair surgery that I should consider?
  10. Are there any specific lifestyle changes or modifications I should make to support the healing process of the tendon?

Reference

Authors: Maffulli N, Nilsson Helander K, Migliorini F. Journal: Knee Surg Sports Traumatol Arthrosc. 2023 May;31(5):1625-1628. doi: 10.1007/s00167-023-07339-6. Epub 2023 Feb 17. PMID: 36800008