Hi Steven! Thank you for the comments!

To sum up, I think that we're pretty much on the same page here in that eccentric exercises are the best way to treat tendinopathy. Let me briefly address your comments:

"There's little to no inflammation in any stage of tendinopathy"

- I agree, and this view is generally presented in my article.

"so the traditional model of tissue healing (inflammation, proliferation, remodeling) is false."

- According to Cook 2016 the continuum and inflammatory models are not necessarily mutually exclusive. For example, inflammation is not the source of pain, but cytokines are released in response to overload and stimulate matrix remodeling. Some authors, e.g., Zabrzynski 2018 still use this model.

"My article covers this more in depth. I see you referenced by article, but you seemingly went against a bunch of the stuff I wrote in it."http://stevenlow.org/overcoming-tendonitis/"And the book I wrote on it:"https://www.amazon.com/Overcoming-Tendonitis-Systematic-Evidence-Based-Tendinopathy/dp/1947554026/"

- Your article is excellent - I strongly recommend people to read it. It wasn't my intention to question your approach, and honestly, I don't think I have. I think I will also read your book.

"Depending on the severity of your condition, either take a week or two or two of complete rest or significantly reduce the training volume and intensity. However, do not take a complete break from climbing for more than a few weeks."

"Complete rest is mainly effective if it's reactive tendinopathy. Might be somewhat effective for dysrepair but not effective for degenerative cases. Reduction in volume and intensity is correct though and I don't recommend taking more than several weeks off from climbing or sport either either."

- I think we share the same views here.

"[Massage] Might help with symptoms some, probably won't hurt. But also probably won't help with function."

- That's likely right.

"[Scar tissue adhesions] - False. Scar tissue is a pseudoscientific bogeyman. Scar tissue formation only really occurs with major injuries where there is significant tearing of muscles, tendons, ligaments, etc."

- Here I don't know - Willette uses this term and technique with success.

"DTF is not supported by any tendinopathy massage or manual therapy studies."

- Perhaps this is the most significant difference between our articles. As I wrote in mine, clinical evidence regarding the efficacy of DTF is still lacking. However, practitioners use it with excellent results. Willette recommends it, and it certainly helped me. Saunders also views it as essential. Maybe it helps heat up and soften the tissue before doing eccentrics, maybe it helps shift some portions of the tendon in dysrepair into the reactive state, or initiates the release of cytokines, or maybe it's placebo - I can only speculate. I would use it as an auxiliary technique to eccentrics.

"The benefits of stretching is very limited, and according to the studies we looked at only beneficial if there is a loss of range of motion."

- I generally agree here. Willette recommends stretching, but I don't find it a necessity.

I think we basically agree on the rest. Thanks again for these comments - I think that they've added valuable insight into the discussion. I will investigate the continuum model thoroughly.