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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Hip Injuries and Labral tears. Achilles tendinopathy Performance Sports Therapy. 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.

Niek Vink Manager of the Dutch National centre twndinopathy musculoskeletal ultrasound. Be worried about the images of your tendon The pictures of your tendon with ultrasound and MRI can frighten you, and the words used by doctors such as degeneration and tears can make you wonder if your tendon should be loaded. Like us in Facebook! Treatments like electrotherapy and ice will only temporarily ameliorate pain only for it to return when the tendon is loaded.

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

Home about podcast clinical edge resources. What are the stages of tendinopathy, and how do they effect your treatment? By Professor Jill Cook.

Do not have injection in a tendon unless the tendon has not responded to a good exercise based program. Subscribe to the podcast in iTunes.

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. 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.


Make sure you see a qualified health professional with expertise in this area to guide your rehabilitation.

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. The old adage of use it or lose it applies to tendons, resting just decreases the ability of the tendon to take load. My Achilles Tedinopathy therapy has been going nowhere after 9 months.

An interview with Nichole Hamilton. 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.

Stretching while you are standing can be especially provocative to your tendon. We also chatted about some other aspects of tendinopathy, including Factors that contribute to tendinopathy beyond 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 Trndinopathy achilles tendinopathy Rehab for nill tendinopathy plus we related all of these to clinical scenarios.

Is treatment just about eccentric training? If your muscles are tight use massage to loosen them.

PE #005: Tendons and tendinopathy with Jill Cook

Have passive treatments Treatments that do not 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. Skip to content Tendinopathy tendinopzthy January 6, What causes tendon breakdown? Although this can teendinopathy a substantial period up to 3 months or occasionally even morethe long term outcomes are good if you do the correct rehabilitation.


As mentioned in point 5, massage of the attached muscle can be helpful.

Become a Clinical Edge member. The take home message is that exercise-based rehabilitation is the best treatment for tendon pain. 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.

An interview with Nichole Hamilton Next post: Things that are promised as cures see point 3 often give short term improvement but the pain recurs when the loads are resumed on the tendon. There is good evidence that the pathological tendon can tolerate loads, especially when you gradually increase the loads on them. Post navigation Next Post. Summary The take home message is that exercise-based rehabilitation is the best treatment for tendon pain.

This is part of the great discussion I had with Jill Cook about tendons and tendinopathy. Thanks for the feedback Alex, glad you enjoyed it and found it useful.

PE # Tendons and tendinopathy with Jill Cook – physioedge

Have injection therapies Injections of substances into a tendon have not been shown to be effective in good clinical trials. In fact many of them are based on the false premise that tendons heal like other tissues and that there is a capacity to return a pathological tendon to normal.

Sometimes tendons will feel better immediately after a massage but can then be worse when you load them. Give the Physio Edge podcast a review in iTunes. I’ll now try both eccentric AND strengthening twndinopathy well.