May 01, 2022 Issue
Kinesiology Taping for Rotator Cuff Disease [Cochrane for Clinicians]

Kinesiology taping for adults with rotator cuff disease has little to no benefit compared with sham taping or conservative (i.e., nonsurgical) therapy.

May 01, 2022 Issue
Tendinopathies of the Foot and Ankle [Article]

Tendinopathies of the foot and ankle, including posterior tibial, peroneal, and tibialis anterior, are commonly overlooked by primary care physicians. The posterior tibial tendon is the main dynamic stabilizing muscle of the medial longitudinal arch. Patients who have posterior tibial tendinopathy p...

Feb 01, 2022 Issue
Topical Nitroglycerin for Lower Extremity Tendinopathy [FPIN's Clinical Inquiries]

In non-insertional Achilles tendinopathy, topical NTG patches are minimally better than placebo at 24 weeks. Topical NTG plus physical therapy is not superior for pain relief or functional improvement compared with placebo patches plus physical therapy. In chronic patellar tendinopathy, NTG patches ...

Dec 01, 2021 Issue
Trigger Finger: Safety and Effectiveness of NSAID vs. Steroid Injection Therapy [Cochrane for Clinicians]

In patients with trigger finger, there is no significant difference in outcomes at 12 to 24 weeks— including resolution of symptoms, recurrence, total active motion, residual pain, patient satisfaction, or adverse events—when comparing treatment with NSAID injections vs. corticosteroid injections.

Aug 1, 2019 Issue
Management of Chronic Tendon Injuries [Article]

Tendons have a complex biology that provides strength, flexibility, and elasticity but also predisposes them to injury. Conservative treatment consists of activity modification, relative rest, pain control, protection, and rehabilitative exercises. Nonsteroidal anti-inflammatory drugs and corticosteroids also have a role despite the lack of histologic evidence of inflammation.

Nov 15, 2018 Issue
Braces and Splints for Common Musculoskeletal Conditions [Article]

Find out how to choose the appropriate brace or splint for your patient’s condition, and to determine the correct size, fit, and duration of use. Selecting an inappropriate brace or splint may lead to delayed healing or further injury.

Jun 15, 2018 Issue
Treatments for de Quervain Tenosynovitis [FPIN's Help Desk Answers]

Corticosteroid injections are no better than thumb spica orthoses for decreasing pain in patients with de Quervain tenosynovitis. When combined with orthoses, corticosteroid injections and acupuncture are equally effective for improving function and decreasing pain.

Jun 1, 2015 Issue
Management of Acute Achilles Tendon Rupture [FPIN's Clinical Inquiries]

There are no clear evidence-based criteria to decide which patients should undergo operative vs. nonoperative management of acute Achilles tendon rupture.

Apr 1, 2013 Issue
Management of Chronic Tendon Injuries [Article]

Chronic tendon injuries present unique management challenges. The assumption that these injuries result from ongoing inflammation has caused physicians to rely on treatments demonstrated to be ineffective in the long term. Nonsteroidal anti-inflammatory drugs should be limited in the treatment of ...

Nov 15, 2009 Issue
Tendinopathies of the Foot and Ankle [Article]

This article provides an overview of the various types of tendinopathies affecting the foot and ankle, and outlines diagnosis and treatment of specific injuries.

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