Aug 13, 2014
Treating and managing ‘tendon’ problems one of the most frustrating group of injuries I encounter, mainly because their recovery often has no time frame, it’s never linear, instead they tend to be a 2 steps forward one step back kind of problem. If it’s frustrating for me, I can only imagine how my patients must feel.
The answer isn’t black & white (it never is in medicine). There are however a few anatomical and physiological factors that can help explain why tendon problems can be stubborn as all hell.
I’ll quickly given you a little anatomical insight as to what a tendon actually is, and no a tendon is not a ligament (I do kind of understand why people get this concept confused). Tendons are thin fibrous bands which connect a muscle to a bone. Their function is to transmit forces, essentially providing stability with no real ‘active’ work. Not all tendons function the same. Some are positional purely assisting with controlling the position of the joint (fingers) while some can actually store energy & work as springs to assist with basic movements of the body such as walking.
Tendon dysfunction is usually a result of overuse due to repetitive stress being placed through one particular area of the body. Common sites include the Achilles, the patella tendon, the rotator cuff, tennis elbow & the hamstring tendon.
Jun 3, 2014
It’s got many names…. rotator cuff tendinitis, swimmers shoulder, throwers shoulder, subacromial impingement or subacromial bursitis. These are all smart, intelligent sounding names for pain that occurs deep in the anterolateral shoulder (anterior meaning front & lateral meaning side… so to the front and side)
Lets do a little anatomy recap: The shoulder is a ball and socket joint; likened to a golf ball on a golf tee. The humerus or upper arm bone sits against a small socket called the glenoid. It’s an inherently unstable joint which is why we are able to perform all the weird & wacky movements with our arms.
The rotator cuff are a group of 4 muscles: supraspinatus, infraspinatus, subscapularis and teres minor. Their role? to depress the head of the humerus essentially assisting the joint capsule and shoulder ligaments to hold it snug in its socket.
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Apr 7, 2013
Is chronic tendonitis plaguing you? Pain stopping you from exercising or playing sport?
Have you tried EVERYTHING possible?
What about Extra Corporeal Shock Wave Therapy?
EastSports Physiotherapy are now using Shock Wave Therapy to treat a range of chronic tendinopathies such as Achillies tendonitis, tennis elbow, plantar fasciitis and patella tendonitis.
Tendonitis is a notoriously difficult problem to treat, with some cases taking 6-9 months or longer to resolve. This is because in such cases we are not dealing with pure inflammation but rather the tendon has undergone degenerative changes resulting in cell damage and small microtears within the tendon.
We understand this can be a hugely frustrating process for our patients who just want to be pain free and able to get back to their exercise routine. Shock Wave Therapy is a treatment method that is growing in popularity and research is showing it can assist with speeding up the recovery process from these ever stubborn conditions!