Neurophysiological Mechanisms in Patellar Tendinopathy: Endogenous Pain Facilitation and Spinal Excitability (pubmed.ncbi.nlm.nih.gov)

• Peter Malliaras co-authors study on patellar tendinopathy neurophysiology.
• Link between pain facilitation, spinal excitability, and strength deficits.
• Suggests central mechanisms play a role in tendinopathy pathophysiology.

"A February 2026 study involving Peter Malliaras investigated neurophysiological mechanisms in athletes with patellar tendinopathy. Findings indicate that endogenous pain facilitation and increased spinal excitability are associated with quadriceps strength deficits. The study suggests that central neurophysiological factors may contribute to persistent symptoms and muscle inhibition, highlighting potential targets for treatment beyond peripheral pathology."