Common symptoms of tendinopathy include pain, tenderness, and swelling in the affected area. Individuals may also experience stiffness and a reduced range of motion. The pain may worsen with activity and improve with rest. In some cases, there may be a noticeable lump or thickening of the tendon. These symptoms can significantly impact daily activities and quality of life.
There are different types of tendinopathy, depending on the specific tendon affected. Some common types include Achilles tendinopathy, rotator cuff tendinopathy, and tennis elbow (lateral epicondylitis). Each type of tendinopathy has its own set of symptoms and treatment approaches. It is important to accurately diagnose the specific type of tendinopathy to provide appropriate treatment.
Andrew finds out the hard way what the term Functional Overlay means in regard to a slow or non responding patient. Have you ever heard of this term or has anything similar ever happened to you? Comment on our socials or on the podcast on Spotify! Untold Physio Stories is sponsored byHelix Pain Creams - I use Helix Creams in my practice and patients love them! Perfect in combination with joint mobs, IASTM and soft tissue work. Get your sample and start an additional revenue stream for your practice. Click here to get started. https://modmt.com/helixCheck out EDGE Mobility System's Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.comCurv Health - Start your own Virtual Clinic Side Hustle for FREE! Create your profile in 3 minutes, set your rates, and Curv will handle the rest! From scheduling to payments, messaging, charting, and a full exercise library that allow for patient/clinician tracking, it's never been easier! Click to join Dr. E's new Virtual Clinic Collective to help promote best online practices. Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog
Posted by on 2023-06-16
In a recent article in The Lancet Rheumatology, researchers show how lower back pain is a rapidly escalating global issue, affecting an estimated 619 million people in 2020 – nearly 10% of the world’s population. Experts predict that this number will reach 843 million by 2050.Compounding problems in the lower back epidemicAsia and Africa are expected to experience the most significant rise in lower back pain cases. These regions often already face challenges due to limited and overburdened social support systems and healthcare resources.The COVID-19 pandemic has further exacerbated the problem. Increased inactivity due to lockdowns and poor ergonomics from remote work setups have contributed to the intensity and prevalence of lower back pain. Additionally, limited access to healthcare services during the pandemic has added to the suffering of individuals already affected by this condition.It’s important to consider that the provided figures may underestimate the true burden, as they do not fully account for the impact of the pandemic.The Societal Burden of Lower Back PainLower back pain imposes a substantial burden on society and the economy. In the United Kingdom, the National Health Service spends nearly £5 billion annually on general practitioner appointments alone for this condition.Similarly, the cost of lower back and neck pain in the United States reached a staggering $134 billion in 2016. Of course, the consequences extend beyond the financial costs.Lower back pain leads to increased absenteeism, reduced productivity, and early retirement, particularly among the working-age population. There is also a strong association between lower back pain and higher rates of depression, leading to prolonged disability and hindering recovery.The researchers warn it is crucial to address the societal impact of lower back pain and develop comprehensive strategies to mitigate its effects.Addressing the Issue of Back Pain GloballyAddressing the global issue of lower back pain will require immediate attention and collaborative efforts. Solutions should prioritize strategies aimed at alleviating lower back pain in the workplace, where many people spend a significant part of their time.Implementing ergonomic practices and promoting physical activity can help prevent and reduce the problem of lower back pain. Moreover, improving access to rehabilitation services is essential for effective management and recovery.Specialized training for healthcare practitioners in the treatment of lower back pain can lead to better outcomes and patient care. Additionally, reducing reliance on ineffective and potentially harmful treatments, such as opioids, is crucial.Finally, the researchers stress that governments, healthcare systems, and policymakers must work together to prioritize lower back pain and allocate resources effectively. By taking proactive measures, we can alleviate the burden of lower back pain and improve the quality of life for millions of individuals worldwide.Are you a professional helping in the fight against lower back pain? Take your practice to the next level with our lumbar area anatomy models.Via Dr. Jerome Fryer - Dynamic Disc DesignsCheck out our EXCLUSIVE Anti-Nocebo BLUE Nucleus Disc Model! This article was originally posted on Modern Manual Therapy Blog
Posted by on 2023-06-12
Andrew Rothschild is back with an interesting case of severe pain and hyperalgesia around the scapula area in a CrossFit Athlete. This is the second time in 1 year after good resolution the year prior. Both times there was no clear cut mechanism of injury. Then randomly on social media, Andrew saw two posts regarding a differential diagnosis of severe pain in this area in overhead athletes. Treatment ended up being the same, but it makes for interesting discussion on how and why these things may happen. Ever seen a case of nerve entrapment like this? Untold Physio Stories is sponsored byHelix Pain Creams - I use Helix Creams in my practice and patients love them! Perfect in combination with joint mobs, IASTM and soft tissue work. Get your sample and start an additional revenue stream for your practice. Click here to get started. https://modmt.com/helixCheck out EDGE Mobility System's Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.comCurv Health - Start your own Virtual Clinic Side Hustle for FREE! Create your profile in 3 minutes, set your rates, and Curv will handle the rest! From scheduling to payments, messaging, charting, and a full exercise library that allow for patient/clinician tracking, it's never been easier! Click to join Dr. E's new Virtual Clinic Collective to help promote best online practices. Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog
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Posted by on 2023-06-08
For this episode, Erson talks about a recent case of marathon runner diagnosed with a grade 1 hamstring strain. It was an insidious onset after wearing orthotics for forefoot overpronation. Ever see anything similar in your practice? Do you screen the spine on every extremity patient? Untold Physio Stories is sponsored byHelix Pain Creams - I use Helix Creams in my practice and patients love them! Perfect in combination with joint mobs, IASTM and soft tissue work. Get your sample and start an additional revenue stream for your practice. Click here to get started. https://modmt.com/helixCheck out EDGE Mobility System's Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.comCurv Health - Start your own Virtual Clinic Side Hustle for FREE! Create your profile in 3 minutes, set your rates, and Curv will handle the rest! From scheduling to payments, messaging, charting, and a full exercise library that allow for patient/clinician tracking, it's never been easier! Click to join Dr. E's new Virtual Clinic Collective to help promote best online practices. Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog
Posted by on 2023-05-30
Several risk factors can increase the likelihood of developing tendinopathy. These include repetitive or excessive use of the affected tendon, such as in sports or certain occupations. Poor biomechanics, such as improper technique or alignment during physical activities, can also contribute to the development of tendinopathy. Other risk factors include age, as tendons become less flexible and more prone to injury with age, and certain medical conditions, such as diabetes or rheumatoid arthritis.
The recommended treatment options for tendinopathy depend on the severity and specific type of the condition. Initially, conservative measures are typically recommended, such as rest, ice, compression, and elevation (RICE). Physical therapy exercises and stretches can help improve strength and flexibility in the affected tendon. Nonsteroidal anti-inflammatory drugs (NSAIDs) may be used to manage pain and reduce inflammation. In more severe cases, corticosteroid injections or surgery may be considered.
The recovery time for tendinopathy can vary depending on several factors, including the severity of the condition, the individual's overall health, and the effectiveness of the chosen treatment approach. In general, it can take several weeks to months for symptoms to improve and for the tendon to fully heal. It is important to follow the recommended treatment plan and to gradually return to activities to prevent re-injury.
There are specific exercises and stretches that can help manage tendinopathy. These exercises typically focus on strengthening the affected tendon and surrounding muscles, improving flexibility, and correcting any biomechanical issues. Examples of exercises that may be recommended include eccentric exercises, which involve lengthening the tendon under controlled resistance, and isometric exercises, which involve contracting the muscle without changing its length. It is important to consult with a healthcare professional or physical therapist to determine the most appropriate exercises for an individual's specific condition.
While it may not be possible to completely prevent tendinopathy, there are steps that can be taken to reduce the risk. It is important to gradually increase the intensity and duration of physical activities to allow the tendons to adapt and strengthen. Using proper technique and equipment during sports or physical activities can also help prevent injury. Adequate rest and recovery time between activities is crucial to allow the tendons to heal and avoid overuse. Maintaining overall good health, including a balanced diet and regular exercise, can also contribute to tendon health and reduce the risk of tendinopathy.
Hydrotherapy, also known as aquatic therapy, has been shown to be an effective treatment option for improving range of motion in patients with frozen shoulder. This therapeutic approach involves performing exercises and movements in a pool or other water-based environment. The buoyancy of the water reduces the effects of gravity on the body, allowing for easier movement and decreased stress on the joints. Additionally, the warmth of the water can help to relax muscles and increase blood flow, promoting healing and reducing pain. Hydrotherapy exercises for frozen shoulder often focus on gentle stretching and strengthening of the affected shoulder joint, targeting specific muscles and tendons involved in shoulder movement. By incorporating hydrotherapy into a comprehensive treatment plan, patients with frozen shoulder can experience improved range of motion, decreased pain, and enhanced overall function.
Vibration therapy has been studied extensively for its effects on bone density in postmenopausal women. Numerous research studies have shown that this therapy can have a positive impact on bone health in this population. The vibrations generated by the therapy stimulate the bone cells, leading to increased bone formation and decreased bone resorption. This results in improved bone mineral density and reduced risk of osteoporosis-related fractures. Additionally, vibration therapy has been found to enhance muscle strength and balance, which are important factors in maintaining bone health. Overall, the use of vibration therapy in postmenopausal women has shown promising results in improving bone density and reducing the risk of osteoporosis.
The Alexander Technique has a profound impact on vocal production and performance in singers. By focusing on body alignment, breath control, and tension release, the technique helps singers achieve optimal vocal function and efficiency. Through the use of specific exercises and hands-on guidance, the Alexander Technique teaches singers to align their body in a way that allows for unrestricted airflow and optimal vocal resonance. This leads to improved vocal projection, clarity, and range. Additionally, the technique helps singers release unnecessary tension in the body, particularly in the neck, jaw, and throat, which can inhibit vocal production. By promoting a relaxed and balanced state, the Alexander Technique enables singers to access their full vocal potential and expressiveness, enhancing their overall performance on stage.
Breathing exercises play a crucial role in pulmonary rehabilitation for patients with chronic obstructive pulmonary disease (COPD). These exercises aim to improve lung function, increase respiratory muscle strength, and enhance overall breathing efficiency. By engaging in specific breathing techniques such as diaphragmatic breathing, pursed-lip breathing, and controlled breathing, patients with COPD can optimize their oxygen intake, reduce breathlessness, and enhance their ability to perform daily activities. Additionally, breathing exercises can help patients manage anxiety and stress associated with their condition, improve their quality of life, and reduce the frequency and severity of exacerbations. Overall, incorporating breathing exercises into pulmonary rehabilitation programs for COPD patients is essential for enhancing respiratory function and promoting better overall well-being.
Transcutaneous electrical nerve stimulation (TENS) is a non-invasive technique that has been used to modulate pain perception in individuals with fibromyalgia. TENS works by delivering low-frequency electrical currents through electrodes placed on the skin, which stimulates the sensory nerves and activates the body's natural pain control mechanisms. This stimulation leads to the release of endogenous opioids, such as enkephalins and endorphins, which act as natural painkillers. Additionally, TENS may also activate the descending pain inhibitory pathways, which involve the release of neurotransmitters like serotonin and norepinephrine. These neurotransmitters help to dampen the transmission of pain signals in the central nervous system, thereby reducing pain perception in individuals with fibromyalgia. Overall, TENS provides a multi-modal approach to pain management in fibromyalgia by targeting both the peripheral and central mechanisms involved in pain perception.