... Moving onto rehab we are now aware of the importance, especially for tendons, of prescribing a progressive optimal loading programme to enhance healing. Lin et al (2020) 21 demonstrated that the brain plays an important role in the rehab process, with Dubois et al (2020) 20 suggesting to remain realistic but encourage optimism to enhance the chances for optimal recovery. We must also remember that the brain is the central processor influencing all of the interventions we administer. It is often neglected in the rehab process. Treat it like a muscle. It can weaken if not used. On return to sport’s activities the skill tasks will be diminished, and joint and core stability activation will be delayed. Unless addressed these factors will increase the risk of a recurrent injury. Increasing blood flow to an area does expedite the healing process and for me therefore I incorporate ESWT and PBMT into my patient management. Having gradually loaded the soft tissue pain free to encourage healing we must then, using the SAID principle, to get it to adapt to the specific imposed demands that will be placed on it. Cliff Eaton is a licensed MCSP, internationally published author, and the International Clinical Support Specialist at Enovis. He received his MSc degree in Sports Injury Management from The Manchester Metropolitan University in 2005, and he has been a part of the sports medicine staff for multiple professional sports teams, including his tenure as the Medical Manager and Head of Physiotherapy for Northampton Saints RFC.
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