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Lower Limb Tendon Pain – What shouldn’t you be doing?

Posted on 28th November 2018 by

We love a good Infographic here at goPhysio, and recently came across this great one from @YLMSportsScience10 Things NOT To Do If You Have Lower Limb Tendon Pain.

Lower Limb Tendon Pain

Tendon pain in the lower limb, aka tendinopathy, tnodionitis, tendonopathies……like achilles tendinopathy or patella tendinopathy, are one of the most common type of injuries we see at our clinic in Chandlers Ford. It’s a side effect of having a pretty active, local population who regularly take part in exercise to help keep them healthy!

Tendon pain can be pretty frustrating to have. Firstly, because it often affects those that are naturally more active or sporty, so has a huge impact on being able to do what you love to do. And secondly, it can be difficult to know what to do for the best. There’s lot’s of conflicting information out there and can be a bit of trial and error to find the right solution and have a successful recovery.

So, this infographic, which illustrates some great, evidence based principles on managing lower limb tendon issues, offers some extremely useful guidance.

  1. Do not rest completely – we prefer the term ‘relative rest’. So advise that you avoid activities that directly aggravate your pain, but keep going with others or find alternatives. It’s important to carry on ‘loading’ (so getting your tendon to work) to help your recovery.
  2. Do not rely on ‘passive’ treatments – there is overwhelming evidence that passive treatments (so something that’s just done to you, whilst you lay there happily!) alone will not help with tendon problems. They can be useful in relieving your pain in the short term, enabling you to do some more specific exercises though.
  3. Do not have injection therapy – this advice refers to having an injection as the first line of treatment. If you’ve tried a consistent, high quality, exercise based treatment plan and it hasn’t worked, then injection therapy may be indicated or Shockwave Therapy is also a good alternative to consider for certain conditions.
  4. Do not ignore your pain – just like #1, use your pain level as a guide for your activity. Pain in your tendon is your body’s way of telling you it can’t really cope and you need to listen to it!
  5. Do not stretch your tendon – when you place your tendon on stretch, the lengthening action also compresses the tendon and this has been shown to affect recovery. There are alternative exercises to stretching that are significantly more beneficial to you.
  6. Do not massage your tendon – if it’s painful, it’s irritated. Massaging directly on the tendon is likely to cause further irritation and make the pain worse.
  7. Do not be worried about images of your tendon – try not to have a picture in your mind of what your painful tendon might look like on an ultrasound or MRI scan. Visions of or words like ‘degeneration’ or ‘tears’ can make you afraid of using your tendon, when actually, gradually building up what you do and with guided, appropriate rehabilitation is the best way of recovering.
  8. Do not be worried about rupture – reassuringly, most people who rupture their tendon have not had any pain. Because you have pain, you are naturally easing off what you do (if you’re listening to your body and respecting your tendon!), so you really don’t need to worry about the risk of rupturing your tendon.
  9. Don’t take short cuts with rehabilitation – it takes time for an injured tendon to build strength and capacity (ability to cope with the demands you place upon it). There are no quick, easy fixes unfortunately! With the right rehab, outcomes are excellent. That’s exactly why we now have supervised, exercise based rehabilitation at the clinic. So you can work on a customised, specific, evidence based rehabilitation programme that will give you the best outcomes.
  10. Do not have a lack of understanding of what loads are right for your tendon – this is crucial but not an easy concept for non-Therapist to understand fully. Gradually loading your tendon to optimise recovery is fundamental. What you should be doing and when can take careful management. Sometimes the internet or ‘Bob‘ at the Running Club, or @RunningLover on Twitter aren’t fully qualified or experienced enough to help you with this. You need to call in the experts, and that’ where we come in!

What is load?

If you read anything ‘rehab’ based about tendons, you will often hear the term LOAD and may be thinking what exactly does that mean?

Load can be simplified as the demands that you place upon your body. So, if you take your achilles tendon, when you walk you are loading it, running you are loading it even more, jumping loading it even more! If you go on your tip toes, you’ll be loading it; if you’re holding a weight whilst going up and down on your tip toes, you’ll be loading it even more.

So loading can be varied by weight, duration, number of times or how long you do something for, how high impact you are working at……….there’s lot’s or variations.

What next?

If you are suffering with a tendon problem, don’t waste any more time or prolong your frustration. Seek expert advise from us at goPhysio. We are able to offer you a full package of support, with as little or as much ‘hand holding’ as you need. Give us a call on 023 8025 3317 to book your first appointment.


Joint Focus: Wrist and Hand Injuries

Posted on 8th February 2017 by

With 27 bones, 29 joints, 123 ligaments and 34 muscles, our hands are an incredible feat of biological engineering. As physiotherapists, our hands are one of the tools
of our trade. We have been taught how to take care of them and we’d like to teach you!

Hands are one of the most used parts of our body, so is it any wonder they sometimes become injured? Common injuries, including strains and sprains, can affect the joints, ligaments, muscles and tendons.

Common hand & wrist injuries

Injuries we often see at goPhysio in the hand & wrist include:

  • Rehabilitation after fractures
  • DeQuervains tenosynovitis
  • Repetitive strains or ‘Work Related Upper Limb Disorders’
  • Overuse injuries
  • Carpal tunnel syndrome
  • Stress fractures
  • Wrist strains

Such injuries can often be common in musicians, office based workers and those people who play sports such as golf, tennis, badminton or other racquet sports. They are becoming even more commonplace with the evolution of technology and the use of tablets and smartphones.

With an accurate diagnosis, physiotherapy treatment for hand and wrist injuries can be very effective.

If you’re suffering with hand or wrist pain and it’s stopping you doing what you love or being as active as you need to be, our team can help you. We offer a range of services from our clinic in Chandlers Ford, which can help identify & resolve your shoulder or arm problems and also address the prevention of such injuries.

If you want any advice, please do give us a call on 023 8025 3317 or you can book an appointment online.

Be assured that at goPhysio you are in good hands!

 


What’s Physiotherapy got to do with a dripping tap?!

Posted on 2nd June 2016 by

 

Dripping tap and overuse injuriesI recently read a very interesting analogy about physiotherapy for overuse injuries and & a dripping tap! I thought it was an interesting way to look at physio and made real sense.

If you’ve got a dripping tap, you’ve got a couple of options.

Firstly you may put a bucket under the drip to collect the water or you can keep mopping it up. This is a great short term solution. The damage is contained and it doesn’t cost too much. But this isn’t great longer term. You’re just managing the problem without a long term solution. Like an injury, this is treating the symptoms of the problem.

But, as well as mopping up the leak, what you really need to do is find out why the tap is leaking and get it fixed, finding the cause of the problem and tackling it. Without doing this, you’ll be forever ‘mopping up’ and it will get pretty expensive with wasted water bills.

Overuse injuries can be looked at in a similar way. Pain is the dripping tap. You can take painkillers, you can rest – but this isn’t really tackling the problem of why you developed the injury in the first place. If all you’re doing is mopping up, you’re not actually fixing the leak. With overuse injuries, you need someone to look holistically at whats happening, identify the cause and offer solutions to rectify it and stop it happening again.

Overuse injuries occur because you’re doing something regularly and you body can’t cope with it, the demands you’re physically placing on your body are exceeding your body’s threshold to cope. So, if you’re suffering with an ongoing or long term overuse injury – do you want to be forever mopping up or do you want to get to the bottom of it and get it fixed? If you want a solution then give us a call. We get to the root of your problem, help relieve your symptoms but also address what’s really happening.