Clinical recommendation Evidence rating Comments
Corticosteroid injections near areas of tendinopathy are helpful for short-term but not long-term treatment. However, they have a small risk of tendon rupture.13,2527,29,31,49,61 A Based on clinical review articles and systematic reviews of randomized controlled trials
With consistent use, topical nitroglycerin can reduce tendon pain associated with activity.25,42 A Based on a systematic review and meta-analysis
Extracorporeal shock wave therapy may be beneficial for plantar fasciitis, greater trochanteric pain syndrome, and calcific rotator cuff tendinopathy that are resistant to initial treatment.It has no clear benefit for noncalcific rotator cuff tendinopathy or lateral epicondylitis.25,32,50,51 B Based on clinical review articles and systematic reviews of lower-quality studies
Eccentric exercises are effective for treating rotator cuff tendinopathy, lateral epicondylitis, patellar tendinopathy, and midsubstance Achilles tendinopathy.1315,25,31,55,64,67,68,73,79 B Based on clinical review articles, systematic reviews of lower-quality studies, and lower-quality randomized controlled trials