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Chronic tendinopathy is a challenging condition. Recently, there has been considerable interest in using eccentric training to treat these conditions. Unfortunately, the studies examining the effects of eccentric training have been varied in terms of methodology and protocol, making the evidence difficult to interpret. This review critically examines the available research. Unfortunately, there remains a paucity of high‐quality evidence surrounding eccentric training and tendinopathy. The authors are able to make some weak conclusions about the efficacy of eccentric training, but they reasonably conclude that more studies using better randomisation, larger sample sizes and more standardised outcome measures are necessary before stronger conclusions can be made.