This week's evidence reinforces a decisive shift in tendinopathy management from passive modalities to individualized load-based rehabilitation. Multiple expert sources—including Drs. Jill Cook, Alison Grimaldi, Peter Malliaras, and Jo Gibson—converge on the tendon continuum model and progressive loading as the cornerstone of care, while debunking traditional myths around corticosteroid injections, ITB stretching, and the 'impingement' label. A high-impact systematic review by Malliaras et al. (S109) found shockwave therapy provides no clinically meaningful benefit over sham for Achilles tendinopathy, effectively ruling it out as a routine intervention. Concurrently, the development of TENDINS-P (S111), a new patient-reported outcome measure for patellar tendinopathy with strong content validity, promises to standardize assessment. In sarcopenia screening, SARC-CalF outperformed SARC-F in rheumatoid arthritis patients (S91), offering a more accurate tool for early muscle-strengthening interventions.

Critical updates to the tendon continuum model itself (S59, S69) now recognize hybrid presentations like 'reactive-on-degenerative' and call for integrating pain, function, and structure into treatment decisions. Malliaras proposed a novel three-level tendon loading framework (S45) that moves beyond simple isometric-to-isotonic progressions to include plyometric and sport-specific demands. Grimaldi's masterclass (S115) continues to refute passive treatments for gluteal tendinopathy, advocating for compression-avoiding isometrics and progressive strengthening. On the shoulder front, Jo Gibson's symptom modification approach (S90) and the evidence that exercise equals surgery for RCRSP (S105) further cement conservative, patient-centered care. Notably, a systematic review (S57) highlights a persistent evidence-practice gap in musculoskeletal physiotherapy, underscoring the need for better implementation strategies. Finally, simple strength tests like grip strength and chair-stand were shown to predict long-term disease risk (S113), reinforcing the value of strength assessment beyond rehabilitation.