NEWSLETTER The Newsletter About Your Health And Caring For Your Body
RELIEVE TENDINOPATHY WITH PHYSICAL THERAPY
Relieve Tendinopathy with Physical Therapy : Is pain preventing you from doing the things you love to do? If you’re suffering from loss of range of motion, reduced flexibility and burning pain, you may have tendinopathy. What is Tendinopathy? Tendons connect muscles to bones and are rope-like tissues comprised of parallel fibers of collagen protein. They assist with dissipating forces transmitted through our joints, as well as improving muscle efficiency and power during our daily activities. Tendinopathy occurs when collagen fibers in a tendon become disorganized over time as excessive forces are encountered due to local or regional weakness or mobility issues, i.e. less parallel to each other. While the symptoms of tendinopathy are similar to tendonitis, tendinopathy is often more chronic in nature due to the changing alignment of collagen fibers over time, while tendonitis is a relatively acute inflammation of the tendon. Tendinopathy is typically caused by sudden abnormal stress on a tendon or overuse. An example of this would be increasing training load too rapidly, such as running a 10k after only training for it for a week or two or resuming an activity too aggressively after not performing the activity for several months (i.e. gardening for the first time for 4 hours consecutively after not completing similar movements with your arms at all over the winter season).
Tendinopathy can be caused bymany activities, including gardening, playing tennis, skiing, golf, painting, and more. Common places for tendinopathy are the elbow, hip, knee, shoulder, and Achilles tendon. Typically, there is pain at the site and surrounding areas. Pain may be chronic or sudden. There is also usually a loss of motion in the affected area. The best way to avoid this condition is to go slow with your activity at first, and then build yourself up. In addition, use limited repetitions initially when performing an activity. If you do experience excessive pain, stop the activity and call us at ProMotion Rehab and Sports Medicine to find out how to treat your symptoms effectively. What to expect when treatingTendinopathy with PhysicalTherapy: If you seek care for tendinopathy through physical therapy, your treatment will often include a combination of the following: Manual therapy techniques to stretch and resolve increased muscular and soft tissue tightness, as well as any joint mobility restrictions in the area; stretching of the involved muscle/tendon unit; exercises emphasizing strengthening of the involved muscle group(s) with specific timing to each component of your movements to facilitate remodeling of the tendon and improve force attenuation over time (i.e. eccentric loading); strengthening of muscle groups above or below the area of pain that may be affecting mechanics of the entire movement chain; and some modalities, such as ice, heat, or iontophoresis, where indicated for pain management.
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