Does an MRI confuse Tendinopathy treatments? | Prolotherapy.org

There are many articles in the medical literature questioning the value of an MRI in treating joint. New research now questions its use for tendon issues.

Does an MRI confuse Tendinopathy treatments?

Writing in the Journal of orthopaedic and sports physical therapy, doctors say imaging studies for tendon issues may be confusing the diagnosis and treatment.

Tendinopathy is frequently associated with structural disorganization within the tendon. As such, the clinical use of ultrasound and magnetic resonance imaging for tendinopathy has been the focus of numerous academic studies and clinical discussions.

However, similar to other musculoskeletal conditions (osteoarthritis and intervertebral disc degeneration) there is no direct link between structural disorganization and clinical symptoms, with findings on imaging potentially creating a confusing clinical picture.

While imaging shows the presence and extent of structural changes within the tendon, the clinical interpretation of the images requires context in regards to the features of pain and the aggravating loads.1

Prolotherapy doctors have written many articles questioning the value of an MRI is treating joint pain. Ross Hauser MD has written a definitive article on the subject entitled Is My MRI Accurate?

1.Docking SI, Ooi CC, Connell D. Tendinopathy: Is Imaging Telling Us the Entire Story?
J Orthop Sports Phys Ther. 2015 Sep 21:1-27.

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