{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T03:00:29Z","timestamp":1791255629419,"version":"4.1.0"},"reference-count":61,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,9,26]],"date-time":"2020-09-26T00:00:00Z","timestamp":1601078400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Musculoskeletal Care"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Most knowledge regarding conservative management for lower limb tendinopathy (LLT) is for persistent symptoms, with less known about conservative management of acute LLT. Sub\u2010optimal management of acute LLT is detrimental in many regards, not least the likely conversion to persistent symptoms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To synthesise existing literature on conservative management of acute LLTs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Systematic review of relevant literature (PROSPERO [ID: CRD42018117882]).<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A search was made of multiple databases (MEDLINE, CINAHL and EMBASE) using relevant search terms. Titles, abstracts and then full texts were filtered to find articles that met the strict inclusion\/exclusion criteria. Searching, data extraction and quality assessment, using the Grading of Recommendations Assessment, Development and Evaluation, were done independently by two authors. To understand how the interventions impacted the duration of reported symptoms, results were split into three time points: short\u2010term (&lt;4 weeks), medium\u2010term (4\u201312 weeks) and long\u2010term (&gt;12 weeks).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirteen studies (<jats:italic>n<\/jats:italic> = 534) met the criteria for inclusion. There was very low level of certainty for the effectiveness of interventions at short\u2010term, medium\u2010term and long\u2010term follow ups. However, there were large effects seen across a number of different treatments on pain intensity and disability in LLTs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This review demonstrates that limited evidence currently exists to guide the management of acute LLT, and the quality of the existing evidence is collectively low. These findings inform the discussion of different treatment options with patients in a shared decision\u2010making process to empower and enable the patient.<\/jats:p><\/jats:sec>","DOI":"10.1002\/msc.1506","type":"journal-article","created":{"date-parts":[[2020,9,26]],"date-time":"2020-09-26T10:11:03Z","timestamp":1601115063000},"page":"110-126","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Conservative management of acute lower limb tendinopathies: A systematic review"],"prefix":"10.1002","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9454-3759","authenticated-orcid":false,"given":"Kieran","family":"Mitham","sequence":"first","affiliation":[{"name":"Circle Integrated Care  Bedford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrian","family":"Mallows","sequence":"additional","affiliation":[{"name":"School of Sport, Rehabilitation &amp; Exercise Sciences University of Essex  Colchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Debenham","sequence":"additional","affiliation":[{"name":"School of Physiotherapy University of Notre Dame Australia  Fremantle Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gayathri","family":"Seneviratne","sequence":"additional","affiliation":[{"name":"Circle Integrated Care  Bedford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Malliaras","sequence":"additional","affiliation":[{"name":"Physiotherapy Department School of Primary and Allied Health Care Monash University  Clayton Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,9,26]]},"reference":[{"issue":"16","key":"e_1_2_8_1_2_1","article-title":"Incidence and prevalence of lower extremity tendinopathy in a Dutch general practice population: a cross sectional study","volume":"17","author":"Albers I.","year":"2016","journal-title":"BMC Musculoskeletal Disorders"},{"key":"e_1_2_8_1_3_1","doi-asserted-by":"publisher","DOI":"10.3138\/physio.60.2.180"},{"key":"e_1_2_8_1_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.math.2008.09.001"},{"key":"e_1_2_8_1_5_1","first-page":"1","article-title":"Acute management of soft tissue injuries","author":"Bleakley C.","year":"2010","journal-title":"Physios in Sport (ASPSM)"},{"key":"e_1_2_8_1_6_1","article-title":"Beliefs about the body and pain: The critical role in musculoskeletal pain management","author":"Caneiro J. 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