Tendinopathy A few points about Tendinopathy for you: • patients / clients will have less positive treatment responses as they age • Tendinopathy often shows more vascularity / capillary blood supply to the area, which isn’t necessarily good. A whole range of sympathetic nerves to the area controls the blood supply. This blood supply is opportunistic as the collagen breaks down. Vascularity is irreversible. • Degenerative Tendinopathy is also irreversable and often pain free. • Gluteus Medius will refer down the leg due to bursal involvement in the hip joint. • Dry Needling into an area of tendinopathy will set a client back at least 6 weeks, will increase pain and limit mobility. • There is always a pre-existing problem with a tendon that ruptures. I accidentally stumbled across sports training 10 years ago whilst working for the Ambulance Service. I’ve been head trainer at the Harcourt football netball club for some time now and for the last couple of years with White Hills CricketClub in Bendigo. As a trainer, I’ve been a member of Sports Medicine Australia for 10 years, so couldn’t resist attending their 50th Birthday Conference in Phuket in October! My 1st lecture I attended, “Tendinitis to Tendinopathy” was by Craig Purdham, a highly decorated physiotherapist, lecturer and who is the head of physical therapies at the Australian Institute of Sport in Canberra. Briefly, from Wikipedia: Tendinopathy refers to a disease of a tendon, more specifically it can refer to: Tendinitis - Tendon injuries that involve larger-scale acute injuries accompanied by inflammation. Tendinosis - Chronic tendon injury at a cellular level. Tendinopathy can be caused by poor bio mechanics, injuries and overuse. Among many different theories for treatment, Wikipedia, suggests ultrasound therapy. The physiotherapists in the lecture are opposed to ultrasound therapy, as there is no evidence that it actually works! • A client will generally point with one finger to the pain spot, this is very evident with tendinopathy. Often they will use a full flat hand if muscular. • People with Tendon pain are highly acidic. • Pain (in general) causes an increase in a persons age by 10-20 years, at a cellular level. • Isometric exercises reduce tendinopathy pain, however, it will increase pain in clients with Fibromyalgia. • Aging is a factor shown to affect tendons as they’re less able to adapt to load. • Tendons do not adapt quickly to load, they need to build slowly to functional demands. They do not tolerate change in load, so too much or not enough load are both detrimental. • Once tendons are damaged, they remain vulnerable to re-injury. • For menopausal aged women, oestrogen loss will create more imflammation in the body, therefore more resulting in more negative tendinopathy changes. • Tendinopathy increases as the BMI increases. Also in clients with high cholesterol, diabetes or pre diabetes. • Pre diabetes is very damaging to the tendons. • Pre Diabetes clients are 10X more likely to have tendinopathy changes of the wrist and hands. • Strength must be developed to rehabilitate tendinopathy. Samantha Hamilton, Secretary Article Excerpt taken from Bowen Association Newsletter December 2013
Posted on: Mon, 02 Dec 2013 04:55:14 +0000
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