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Sports and Injury Prevention
Common Overuse Tendon Problems: A Review and Recommendations for Treatment (Am Fam Physician 2005) "Tendon injury may be secondary to acute trauma (e.g., rupture, laceration) or repetitive loading (e.g., overuse injury). The latter is the focus of this article and is the most common type of tendon problem seen by family physicians. Overuse injuries, including tendinopathies, account for nearly 7 percent of all injury-related physician office visits in the United States. ń Most patients with overuse tendinopathies (about 80 percent) fully recover within three to six months, and outpatient treatment should consist of relative rest of the affected area, icing, and eccentric strengthening exercises. Although topical and systemic nonsteroidal anti-inflammatory drugs are effective for acute pain relief, these cannot be recommended in favor of other analgesics. Injected corticosteroids also can relieve pain, but these drugs should be used with caution. Ultrasonography, shock wave therapy, orthotics, massage, and technique modification are treatment options, but few data exist to support their use at this time. Surgery is an effective treatment that should be reserved for patients who have failed conservative therapy."
Can Adoption of Regular Exercise Later in Life Prevent Metabolic Risk for Cardiovascular Disease? (Diabetes Care 2005) "OBJECTIVE„To determine the impact of chronic exercise training initiated later in life upon development of metabolic markers of cardiovascular disease risk. CONCLUSIONS„Higher fitness achieved over 10 years of regular exercise training in older adults was associated with reduced development of metabolic risk factors for cardiovascular disease, fewer exercise-induced cardiac abnormalities, and reduced comorbidity."