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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There is good evidence that the pathological tendon can tolerate loads, especially when you gradually increase the loads on them.

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Thanks for the feedback Alex, glad you enjoyed it and found it useful. My Achilles Tendonosis therapy has been going nowhere after 9 months. Take short cuts with rehabilitation Taking short cuts with rehabilitation do not work, you need to take the time that the tendon needs to build its strength and capacity. Hip Injuries and Labral tears. Home about podcast clinical edge resources. By Professor Jill Cook. Sometimes tendons will feel better immediately after a massage but can then be worse when you load them.

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An Interview With Professor Jill Cook on Tendinopathy

Ignore your pain Manage the load on your tendon, pain is a way of telling you that the load is too much. As mentioned in point 5, massage of the attached muscle can be helpful. Play in new window Download. Achilles tendinopathy Performance Sports Therapy.

PE # Tendons and tendinopathy with Jill Cook – physioedge

Treatments like electrotherapy and ice will only temporarily ameliorate pain only for it to return when the tendon is loaded. Have injection therapies Injections of substances into a tendon have not been shown to be effective in good clinical trials. We also chatted about some other aspects of tendinopathy, including. In fact many of them are based on the false premise that tendons heal like other tissues and that there is a tendinopthy to return a pathological tendon to normal.


If your muscles tfndinopathy tight use massage to loosen them. Tendinopathy — the importance of staging and role of compression RunningPhysio. 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.

Conversely you cannot ignore the tendinolathy 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. Skip to content Tendinopathy – January 6, The old adage of use it or lose it applies to tendons, resting just decreases the ability of the tendon to take load.

Reduce the aspects of training that are overloading your tendon point clok Post navigation Next Post. What are tendiopathy stages of tendinopathy, and how do they effect your treatment?

The take home message is that exercise-based rehabilitation is the best treatment for tendon pain. 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 Rehabing achilles tendinopathy Rehab for hamstring tendinopathy plus we related all of these to clinical scenarios.

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. Is treatment just about eccentric training? Niek Vink Manager of the Dutch National centre of musculoskeletal ultrasound. 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.


What causes tendon breakdown? Give the Physio Edge podcast a review in iTunes. Become a Clinical Edge member.

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

Tendons and tendinopathy with Jill Cook by David Pope. This is part of the great discussion I had with Jill Cook about tendons and tendinopathy. An interview with Nichole Hamilton. 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.

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. An interview with Nichole Hamilton Next post: Like us in Facebook!

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.

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.