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 […]
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 […]
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 […]
Dear all Hope the year has started well Looking forward to our first biomechanics and tendinopathy courses for 2014 – both coming up over the next couple weeks https://complete.clinic/courses/ Some interesting tendon research and debate in the tendinopathy world this month – full details below Best wishes Peter Mishra et al. 2013 published an RCT […]
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 […]
Dear all Here is the latest in clinically relevant tendinopathy research. Some cool stuff, including our study showing eccentrics do not lead to better tendon adaptation than concentric after 12 weeks loading if load intensity is similar Enjoy Peter The first study to suggest that, as in muscle, tendon adaptation may be more load […]
Dear all Here is the new look tendinopathy – links to PDF or abstracts included. Some interesting studies, including some loading studies Enjoy Peter Second clinical study showing lack of benefit from PRP in Achilles Impact of autologous blood injections in treatment of mid-portion Achilles tendinopathy: double blind randomised controlled trial http://www.bmj.com/content/346/bmj.f2310 No […]
Dear all, A solid research month in tendinopathy. The most pleasing thing is there is a lot more research on rehabilitation. Here are some highlights. Rees et al. argue for inflammatory vs degenerative pathoaetiology in tendinopathy. An interesting read highlighting that there are inflammatory cells and biochemicals in tendinopathy and arguing for the use of […]
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 […]
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 […]
Achilles and patellar tendon injury (tendinopathy) is common and difficult to treat. Up to 18% of runners may develop Achilles tendinopathy, i.e. approximately 1 in 5. Elite runners have it much worse, up to 50% may have Achilles tendinopathy. Elite and sub-elite jumpers (volleyball, basketball) also have an alarmingly high prevalence of patellar tendinopathy, about […]
