Overcoming Tendonitis: A Systematic Approach to the Evidence-Based Treatment of Tendinopathy

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Tendonitis is one of the most misdiagnosed and poorly understood injuries that athletes and workers may encounter in their lifetime. Even the word "tendonitis" itself is a misnomer because from the research we understand that tendinopathy is primarily a non-inflammatory proliferation disorder with minimal to no inflammation. It seems everyone has an opinion on what to do about tendinopathy from rest to ice to old wives tales to get this pesky injury to go away. This book seeks to change that by taking an in-depth look at one of the most commonly diagnosed orthopaedic conditions and provides a systematic approach to its resolution. Overcoming Tendonitis is a multi-faceted book that covers all topics related to tendinopathy from understanding the best available scientific research to relating the highly trained clinical rehabilitation experience its authors. It delves into the physiological understanding and process of tendinopathy to explain why the function and signs and symptoms of the tendon may differ between stages. It takes a look at the myths surrounding tendinopathy and the pain neuroscience education that can often make the rehabilitation process more complicated. It also gives guidance to patients and medical practitioners to comprehend an overview of the most scientifically accurate recommendations for treatment application. This book is a must-have manual for clinicians who are interested in comparing the efficacy of the multitude of interventions available in today's rehabilitation landscape. It is a useful tool for patients who are experiencing tendon issues and are in need of direction for their rehabilitation in conjunction with their physical therapist. If you or someone you know are one of the millions of individuals who has dealt with the confusing, frustrating, and painful diagnosis of "tendonitis," this book is for you.

Author(s): Steven Low; Frank Skretch
Publisher: Battle Ground Creative
Year: 2020

Language: English
Pages: 152
Tags: Evidence-Based Treatment of Tendinopathy, Overcoming Tendonitis

Introduction

Chapter 1: UNDERSTANDING THE LEVELS AND

CLASSIFICATION OF EVIDENCE IN STUDIES

Overview of Levels and Classification of Evidence

Overview of the Decision-making Process

Chapter 2: UNDERSTANDING THE TENDINOPATHY PROCESS

A Brief History of Tendinopathy

Tendinopathy Models

Tendinopathy Staging

Intrinsic and Extrinsic Risk Factors

Tendinopathy, Rehabilitation, and Outcomes

Chapter 3: COMMON MYTHS OF TENDINOPATHY

Rest

Ice

Analgesics

Pain

Blood Flow

Chapter 4: TENDINOPATHY AND GENERAL REHABILITATION

KNOWLEDGE

Collagen Synthesis and Tendon Loading Frequency, Intensity, and Volume

Eccentrics vs. Concentric-Eccentric Training

Programming, Modifications to Activity, and Analysis of Current Research

Chapter 5: PAIN AND TENDINOPATHY

Pain Science

Pain Education

Tendinopathy Pain

Managing Tendinopathy Pain with Isometrics

Chapter 6: TENDINOPATHY PROGRAMMING, PROGRESSION,

AND REHABILITATION

Ordering of Rehabilitation and Prehabilitation

Sample Rehabilitation Session

Programming and Progression

Alternative Protocols

Rehabilitation Stages

Continuing Your Sport During Rehabilitation

Preventing Injury and Reinjury

Chapter 7: TENDINOPATHY EXERCISES

Rotator Cuff

Golfer’s Elbow (Medial Epicondyle) and Anterior Wrist

Tennis Elbow (Lateral Epicondyle) and Posterior Wrist

Triceps

Biceps

Achilles

Posterior Tibialis

Patellar

Hamstrings

Chapter 8: OUTCOME MEASURES AND INTERVENTION CHARTS

Tendinopathy Intervention Charts, Blurbs, Abbreviations, and Explanations

Grade of Evidence

MAJOR INTERVENTIONS

Eccentric Loading and Exercise Therapy

Corticosteroid Injections (CST)

Extracorporeal Shockwave Therapy (ECST or ESWT)

Low-Level Laser Therapy (LLLT)

Platelet-rich Plasma (PRP), Autologous blood injection (ABI), and Prolotherapy

Therapeutic Ultrasound

Surgery

MINOR INTERVENTIONS

Botulinum Toxin (Botox)

Ergonomics

Iontophoresis

Manual Therapy / Massage

Needling Techniques (Acupuncture, dry needling, etc.)

Nitroglycerine/Nitric Oxide/Glyceryl Trinitrate (GTN)

Pain Medication

Stretching Exercises

Supplements

Transcutaneous Electrical Nerve Stimulation (TENS)

Wait and See (AKA Watchful Waiting)

Calcific Tendinopathy

Bracing

Pain Neuroscience Education Talking Points

Intervention Flowchart

Appendix: SUMMARY OF TENDINOPATHY REHABILITATION

RECOMMENDATIONS

Notes

Chapter 8 Bibliography