Dear all, Loads of studies and reviews on tendinopathy injections this month – an area full of debate and opinion – here are some highlights and my opinion to add to the pile. Footnote: injection studies far outnumber clinical tendon loading studies – strange when we consider that loading/load management is the primary management for […]
Post-injection tendinopathy rehabilitation
One of the most confusing areas of tendinopathy rehabilitation is what to do post injection and when to do it. There are obviously loads of different injections that are popular in managing tendinopathy patients, including blood injections or PRP, steroid, high volume injections, prolotherapy, sclerosing or polidocinol, etc, etc. Many patients and clinicians have asked […]
Dear all, I hope the year has started well and all the best for the remainder ! A solid edition to start the year – including some interesting and surprising studies. Here are some highlights… Wilson and Stacy have reviewed shockwave therapy in Achilles tendinopathy – there were 6 studies in the review – including […]
Dear all, Welcome to the last edition of the tendinopathy research blog for 2012. It is a brief but interesting one…here is a brief overview: Fong et al. & Dunkerman et al. investigate acetylcholine induced tenocyte proliferation and altered proteoglycan function, respectively – both may have a role in tendon pathology. Couppe et al. suggest […]
Dear all, Please find a link below to the monthly tendinopathy research update. As always I have included all studies with a clinical focus but only laboratory studies with a direct clinical implications. Here are some highlights: Mann et al show that kinematic patterns around the hip and knee during jumping may predispose to […]
Dear all, Please find a list of recent tendinopathy research abstracts organised into categories. As it is the first tendinopathy research update, it is my pick of tendinopathy research over the last few months. Future updates will be shorter and only include NEW research over the last month. Here are some highlights: Bokhari & Murrell […]
Top tips for treating Gluteal Tendinopathy / Trochanteric Bursitis
1) Get the right diagnosis The tendon is often the cause of the pain if it is localised to the lateral hip. The bursa is often secondary but can be involved. The treatment for each is different. Contact us to book an appointment. 2) Aggressively offload from ‘compressive’ positions This includes all positions where the […]
Usain Bolt: Achilles powerhouse or Achilles heel?
With the men’s 100m final only hours away I’ve been thinking again about Usain Bolt’s previous Achilles tendon injury (2010) and the impact it has had on his performance since his world record breaking performance in 2009. Sprinting is a very tendon biased activity because the muscle stretch-shortening cycle is particularly fast, so fast that […]
This was a term that used to confuse me until I saw a few. I have seen only a handful now even though I have seen hundreds of Achilles tendon injuries over the last few years – needless to say they are not very common. So what is it? The term is a bit confusing […]
Length tension relationship and Achilles tendinopathy
The length-tension relationship is an important consideration in Achilles tendinopathy rehabilitation. The Achilles rehab programs is different to the patellar tendon in that people tend to exercise into end of range, unless they have insertional pain and in that case only to neutral or 90 degrees foot to leg position Given it does go into […]
Chronic pain is a huge issue affecting 1 in 5 Australian’s. It is defined as pain persisting for more than 3-6 months and it is different to acute pain in several ways, most importantly, the source of the pain is usually not the tissue where you feel pain, but may actually be sensitisation in the […]
Tendon injuries affect many people and include tennis elbow, plantar fascitis, Achilles, patellar, tibialis posterior, as well as rotator cuff injury. Recent studies by our research group have shown that there are different phases of tendon injury on ultrasound imaging. Less severe pathology involves diffuse tendon (middle image) thickening, compared to the parallel and fibrillar appearance […]
