Tendinopathy is common and affects many sites around the body, including the Achilles, outside of elbow (tennis elbow) and outside of hip (gluteal) tendons. People with these painful conditions often have difficulty with functions such as raising their arm, walking, running and going up and down stairs. The only treatment that is supported by strong […]
Injections are often offered in the management of tendinopathy when things are not going so well. The pain may simply not be settling, things may be dragging on, and exercise and other treatments just not hitting the mark. Unfortunately, patients do get to these cross roads and it can be frustrating. Some have a […]
Hamstring Origin Tendinopathy Hamstring origin tendon pain can be debilitating and is common among runners and even walkers. This short blog post will cover how to identify it and what the key steps to managing it are. How do I know I have it? Pain localised to the sitting bone (see figure below) Pain that […]
There are multiple potential causes of tendinopathy, so as you can guess, there are also multiple potential treatments. The most evidence-based treatment is progressive loading. There may be many reasons for this. Load may increase the ability or tolerance of the tendon by having an effect on pain mechanisms, tendon tissue function or neuromuscular function. […]
There is a lot we do not know about tendinopathy, but there are some inalienable truths that you should know as a clinician and patient. (the references below provide proof). 1) Tendinopathy does not improve with rest The pain may settle but returning to activity is often painful again because rest does nothing to increase the […]
In this blog I will outline the diagnostic process for tendinopathy. For detailed info and specifics on diagnosis for each lower limb tendon and lots of clinical assessment and management info check out upcoming courses in Melbourne, Sydney, Brisbane and the UK. One of the issues with tendinopathy is that there is limited evidence and […]
Dear all Has been a while since the last installment and there have been lots of enthusiastic researchers publishing their excellent work – here is some. More to follow in a ‘Christmas Special’, back end of December, as there are lots of other great studies over the last 3 months I would like to include. […]
Dear all Here is a brief case presentation of an interesting patient I saw in clinic recently. Some good clinical messages for clinical reasoning non-responsive tendinopathy patients. If you are interested in more detailed clinical reasoning, assessment and management of tendinopathy patients please check out upcoming courses in Melbourne, Albury and Sydney. I hope you enjoy […]
Was an action packed and interesting 2 days in Oxford at the 3rd International Scientific Tendinopathy Symposium 2014. As one of my students commented, ‘this must be like Mecca for the tendophiles’. It is indeed very indulgent to talk tendons uninterrupted The conference was divided into a basic science day and clinical translation day. I […]
Dear all Here is the latest tendinopathy research over the last 2 months, with clinically applicable studies highlighted. I am enroute to the 3rd Tendinopathy conference in Oxford (5,6 Sept) and will blog some highlights after the conference. It is surprising to me that studies continue to use the Alfredson Achilles eccentric protocol as gold […]
Inferior pole patellar tendinopathy is almost unheard of in people who are not performing near maximal impact loading. In contrast, you do see quads tendon and distal patellar tendon issues related to compression in people that are no impact loading (e.g. sudden and unaccustomed prolonged kneeling as in DIY activity leading to a compressive quads […]
Dear all, Some interesting reviews and research this month. Will separate blog from now into clinical studies (i.e. treatments and risk factors) and other interesting stuff. Hope you enjoy All the best Peter Studies to apply to your practice Mani-Babu et al. have performed an excellent systematic review of the effectiveness of shockwave therapy […]
