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By Professor Jill Cook. Rest completely The old adage of use it or lose it applies to tendons, Tendinopathy – January 6, The latest Tweets from Jill Cook (@ProfJillCook). Physiotherapist, tendon Managing patient with intractable CEO tendinopathy (bilat.) key first step (with. What causes tendon breakdown? What are the stages of tendinopathy, and how do they effect your treatment? Is treatment just about eccentric training?.

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Be worried about rupture Pain is protective of your tendon, it makes you unload it, in fact most people who rupture a tendon have never had pain before, despite the tendon having substantial pathology in it see point 7. In fact many of them are based on temdinopathy false premise that tendons heal like other tissues and that there is a capacity to return a pathological tendon to normal.

Thanks for the feedback Alex, glad you enjoyed it and found it useful. We also chatted about some other aspects of tendinopathy, including Factors that contribute to tendinopathy cokk biomechanics Eccentrics — what is the future of training to rebuild tendons Return to sport or running after tendinopathy Avoiding tendinopathy Treatment at each stage of tendinopathy Rehabing achilles tendinopathy Rehab for hamstring tendinopathy plus we related all of these to clinical scenarios.

This is part of the great discussion I had with Jill Cook about tendons and tendinopathy. Have injection therapies Injections of substances into a tendon have not been shown to be effective in good clinical trials. Summary The take home message is that exercise-based rehabilitation is the best treatment for tendon pain.

Massage your tendon A tendon that is painful is one that is telling you that it is overloaded and irritated, therefore adding further insult by massaging it can actually increase your pain. Give the Physio Edge podcast a review in iTunes. Become a Clinical Edge member. A progressive program that starts with a strength program and then progresses through to more spring like exercises and including endurance aspects will give the right loads on the tendon and the best long term results.

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It also affects the muscle attached to the tendon and the rest of the leg, leaving the person with less ability to load the tendon. I’ll tendniopathy try both eccentric AND strengthening as well. Take short cuts with rehabilitation Taking short cuts with rehabilitation do not work, you need to take the time that the tendon needs to build its strength and capacity.

Have passive treatments Treatments that do tendknopathy address the need to increase the ability of the tendon to take load are not usually helpful in the long term, although they might give short term pain relief. Achilles tendinopathy Performance Sports Therapy. What causes tendon breakdown? Although this can be a substantial period up to 3 months or occasionally even morethe long term outcomes are good if you do the correct rehabilitation.

Niek Vink Manager of the Dutch National centre of musculoskeletal ultrasound. My Achilles Tendonosis therapy has been going nowhere after 9 months.

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Not have an understanding of what loads are high for your tendon The highest load on your tendon is when you use it like a spring, tenndinopathy as jumping, changing direction and sprinting.

Any loads that do not use these movements are low load for a tendon, so exercise using weights and exercise that is slow will not place a high load on the tendon, although they can certainly have a beneficial effect on the muscles. Subscribe to the podcast in iTunes. Sometimes tendons will feel better immediately after a massage but can then be worse when you load them. Reduce the aspects of training that are overloading your tendon point Home about podcast clinical edge resources.

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Like us in Facebook! Rest completely The old adage of use it or lose it applies tendinopwthy tendons, resting just decreases the ability of the tendon to take load.

An interview with Nichole Hamilton. The old adage of use it or lose it applies to tendons, resting just decreases the ability of the tendon to take load. An interview with Nichole Hamilton Next post: Tendons and tendinopathy with Jill Cook by David Pope. Tendjnopathy your muscles are tight use massage to loosen them.

PE # Tendons and tendinopathy with Jill Cook – physioedge

Conversely you cannot ignore the pain point 4you have to reduce loads to the level that the tendon can tolerate and then slowly increase the tolerance of the tendon to load.

Treatments like electrotherapy and ice will only temporarily ameliorate pain only for it to return when the tendon is loaded.

As mentioned in point 5, massage of the attached muscle can be helpful. Is treatment just about eccentric training? Stretching while you are standing can be especially provocative to your tendon. Tendinopathy — the importance of staging and role of compression RunningPhysio.

The take home message is that exercise-based rehabilitation is the best treatment for tendon pain.