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