Tendinopathy, also called tendinosis, refers to the breakdown of collagen in a tendon. This causes burning pain in addition to reduced flexibility and range of motion
While tendinopathy can affect any tendon, it’s more common in the:
Here are some gem points about tendinopathy by Dr. Peter Malliaras ( tendinopathy specialist physiotherapist)
1)NO IMPROVEMENT IN TENDINOPATHY WITH REST
Rest may temporarily alleviate your pain but does nothing to improve the load tolerance of the tendon.
2)NOT CONSIDERED A CLASSIC INFLAMMATORY RESPONSE
Anti-inflammatory medicines may help with high pain levels but actual cells/ pathology is unclear.
3)MOI: SUDDEN LOAD CHANGE, FAULTY BIOMECHANICS OR SYSTEMIC FACTORS
Means poor muscle flexibility/ endurance/ strength, new training programs, menopause, elevated cholesterol
4) MOVEMENT IS MEDICINE- PERIOD
gradual progressive load over tendon is a must.
5) LOAD MODIFICATION TO ALLEVIATE TENDON PAIN
temporarily reducing tendon load ( adverse) that involves energy storage & compression.
6) PATHOLOGY ON IMAGING DOESN'T EQUAL TO PAIN
having a pathology or tear DOES NOT mean you won't get better.
7) PASSIVE TREATMENT STRATEGIES: RARELY IMPROVES THE CONDITION
Multiple injections, in particular, should be avoided. Poorer outcome.
8) INDIVIDUALIZED REHAB
Every person and his/ her symptoms should be considered individually. NO COOKIE CUTTER APPROACH
9) PATIENCE IS THE KEY: HEALS SLOWLY & GRADUALLY
rehab may need to be done over several monthseccentric ex, in particular, can leave the Patient sore, so rest days are imperative.
