Elbow
(Tennis/Golfers Elbow e.g. Tendinopathies)
Core message: Tendinopathy is a failed healing response, not purely inflammatory; exercise loading is required to induce collagen remodeling and restore tendon capacity.
Key evidence:
Coombes BK et al., BMJ 2010;340:c1198 — Systematic review: exercise and load conditioning central to management; passive treatments less durable.
Stasinopoulos D et al., Br J Sports Med 2005;39(2):94‑98 — Eccentric‑concentric and isometric exercises provide superior outcomes over stretching and modalities.
Heales LJ et al., Clin Rehabil 2016;30(5):461‑470 — Exercise therapy more effective than wait‑and‑see for tennis elbow.
Elbow/Wrist: Epicondylalgia and Tendinopathies
Clinical Layer:
Rehab-driven eccentric and concentric loading restore function; passive modalities offer less durable improvements.
Chronobiological Layer:
Evidence suggests peripheral oscillator disruption (due to light or sleep disturbance) can precede tendon pathology; synchronized loading and recovery cycles maximize resilience.
Why Should I Care?:
Exercise strengthens tendons, but healing depends on your body clock, so both your activity and your daily light routine matter.