Physiotherapy Blog. Sharing knowledge & Encouraging growth.
Let's continue to learn about the management of tendinopathy and this week look at the 4-stage management plan for patella tendinopathy presented by Malliaras, Cook, Purdam & Rio (2015). I've learnt so much about isometric exercises, isotonic loading, energy storage and release and return to sport from these amazing authors.
Read MoreEccentric muscle strengthening has become the primary conservative management approach for Achilles tendinopathy and popularized by the Alfredson program, however up to 45% of patients do not respond to this approach. Other loading programs such as Silbernagel-combined loading program incorporates eccentric-concentric, eccentric and then faster loading. The purpose of this blog is to review this combined loading program in the treatment of Achilles Tendinopathy.
Read MoreThe aim of this blog is to explore one landmark article in particular published in 2009 titled "Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy". Cook proposes that from the new research on tendon pathology there are three main phases of the process; reactive tendinopathy, tendon dysrepair, and degenerative tendinopathy.
Read MoreRecently I published a blog about current approaches to treating chronic pain and in that blog I discussed the Explain Pain approach to managing pain and used my personal story of chronic hip pain as an example. This blog is a follow up post to outline what current rehab I am completing for my hip. It is not a program for acute hip pain but an outline of long-term rehab goals. It is a fusion of Pilates, Yoga, Functional strengthening and more physio-centric exercises. We all know the initial exercises for restoring function at a joint in the acute phase of injury, however when thinking about managing the regions above and below that joint, I would encourage you to use exercises that link these regions rather than addressing them in isolation. Everything is connected to everything.
Read MoreI'm so excited to share with you something I've recently come to learn about - the Imprecision Hypothesis in Chronic pain. A paper published in 2015 by Moseley & Vlaeyen explores associative learning and imprecise encoding of danger messages and provides insight into how these changes contribute to the development of chronic pain. It offers a different yet complementing hypothesis to that of central sensitisation in pain.
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