It’s a real pain in the bum! (AKA hamstring origin tendinopathy)

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 localized to the sitting bone (see figure below) Pain that […]

Groin pain – can bone be the source of pain?

Adductor related Groin Pain As we discussed previously, adductor related groin pain is a common presentation in athletes who participate in sports that involve agility running and kicking. Depending on the chronicity of the presentation, changes to the bony structures around the pelvis may indicate more severe pathology and a prolonged period of rehabilitation. These […]

Tendinopathy diagnosis top tips

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 […]

Tendinopathy Case Study – Unresponsive quads tendinopathy

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 […]

Patellar Tendinopathy NOT related to impact loading

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 […]

Tendinopathy Blog December 2013

Dear all What a great year it has been, some excellent tendinopathy research. Thanks to all the blog readers and subscribers and I wish you all the best for 2014 Some interesting studies to sink your skeptical and analytical minds into this month. Enjoy Best wishes Peter   Fessel et al. 2013 – Collagen fibrils […]

Tendinopathy Blog November 2013

Dear all Have just enjoyed 4 excellent days at the Sports Med New Zealand conference – thanks for the great hospitality and view from my hotel room Key message from my lecture to delegates was – we need to rethink our focus on tendon ‘healing’   – there is no imaging evidence it happens after […]

Accessory soleus masquerading as Achilles tendinopathy

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 […]