All patients who visited the outpatient department and who matched the criteria and were willing to participate in the study were included. The treatment with a combination of GTN patches and eccentric training was disseminated as a potentially successful treatment for tendinopathies.The study protocol was approved by the Medical Ethical Committee (number 2008 008243 20) at Zuidwest Holland and at the University Medical Center Groningen. The diagnosis was based on clinical findings by an experienced sports physician: all patients had a painful tendon related to activity and/or thickened tendon on palpation.
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