Clinical recommendationEvidence ratingReferences
Nonsteroidal anti-inflammatory drugs and acetaminophen provide short-term pain relief for patients with tendinopathy but do not affect long-term outcomes.B8, 12
Protection, relative rest, ice, compression, elevation, medications, and rehabilitative exercise modalities to promote healing and pain relief should be recommended for tendinopathy. There are no clear recommendations for the duration of relative rest.C1, 9, 13
Eccentric strength training is an effective therapy for Achilles tendinosis and may reverse degenerative changes.B8, 1416
Treatment of posterior tibial tendinopathy should be based on the severity of dysfunction; improper therapy can lead to a painful flat-footed deformity.B33, 3638