The 3D geometry of the Achilles tendon is complex (essentially made up of tendons from the three calf muscles that are twisted together) and influences the strain that occurs in different components of the tendon. This is enabled by sliding that occurs between these subtendons. They can act independently to some extent. This team aimed to develop a mathematical model to test whether the geometry of the Achilles and different rehab exercises influence Achilles strain.
Exercise dose: Is it important for tendinopathy rehabilitation?
Monitoring Physical Activity Using Wearable Technology in People With Achilles Tendinopathy Undergoing Physiotherapy Treatment: A Feasibility Prospective Cohort Study
Exercise is a recommended treatment for many pain and musculoskeletal conditions, including tendinopathy. It is really clear in other areas such as exercise for general health (e.g., heart health) that the more exercise you do, the better. Things don’t really work in this linear way for pain. Pain is complex. Maybe doing more exercise will make our pain and musculoskeletal patients stronger and more functional, but why should it improve their pain?
Top tips for empowering patients and delivering impartial care
Pain education in tendinopathy is tricky, in our clinic we use a simple 6 page education document.
An example of evidence based medicine and how we should reserve excitement in science before we have multiple studies and sufficient evidence.
I have wanted to write this blog for a while, mainly for the benefit of patients wondering about these treatments.
Many patients are told they have weak and poor gluteals that are causing everything. Their Achilles pain, their back pain, and perhaps thereby gluteal weaknessis the cause of their general dissatisfaction with life!
Interesting study to review this week from Oda et al. Co-authors include Paavo Komi and Masaki Ishikawa who have done lots of work on stretch shorten cycle.
How often does a patient with Achilles tendon pain either ask or have concern about rupturing their tendon?
This week’s blog focuses on an exceptional systematic review from a progressive group in Ireland. They tackle the simple question of whether imaging pathology predicts the future onset of tendon pain.
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Clinical gems and awesome management models. Your patients will love you for it!
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