tendinopathy

When your patient with Achilles tendon pain isn’t progressing as well as you hoped, could Plantaris be implicated in their pain? Find out in this latest Physio Edge Track record: Running repairs podcast with Tom Goom, where you’ll discover:

• Plantaris anatomy and relationship to the Achilles tendon.
• Common symptoms when Plantaris is causing Achilles tendon pain.
• How to differentiate Achilles tendinopathy from Plantaris involvement.
• Why patients with Plantaris involvement may not progress with a tendon loading program.
• How to adjust treatment when you suspect Plantaris involvement.
• When Plantaris patients can return to running and hill running.
• Additional medical and surgical management when Plantaris conservative treatment doesn’t resolve symptoms.

Enjoy this new podcast with Tom Goom now to improve your treatment of Achilles tendon pain.

Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs

Your comprehensive guide to ITB assessment & treatment with Tom Goom

If you treat runners, walkers, cyclists or rowers you'll regularly see patients with lateral knee pain from an irritated iliotibial band (ITB).

What causes ITB syndrome? How can you assess, diagnose and successfully treat it?

CLICK HERE to get immediate access to a free three part video series that will help you successfully treat ITB pain, covering:

• Video 1 - Discover what causes ITBS, how to explain it to your patients, and 2 treatments you NEED to avoid.

• Video 2 - How to quickly & accurately assess ITBS, other potential diagnoses, and a common ITB test you can stop doing now.

• Video 3 - How to successfully treat ITBS. You'll explore practical demonstrations of exercises, gait retraining, load management and treatment you can use to get great results with your ITB patients.

CLICK HERE to get immediate access to this free ITB video series with Tom Goom.

Lateral hip pain assessment, diagnosis & treatment video series

To improve your lateral hip pain assessment, diagnosis & treatment skills, CLICK HERE for your access to 3 free videos presented by Tom Goom

Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs

Links associated with this episode:

• Successfully treat ITB pain with this free three part video series with Tom Goom.
• Improve your lateral hip pain assessment, diagnosis & treatment skills with 3 free videos presented by Tom Goom
• Improve your confidence and clinical reasoning with a free trial Clinical Edge membership
• Join Tom live on Facebook & ask your shoulder related questions every Friday
• Download and subscribe to the podcast on iTunes
• Download the podcast now using the best podcast app currently in existence - Overcast
• Listen to the podcast on Spotify
• Tom Goom on Twitter
• Tom Goom’s website
• David Pope - Twitter
• David Pope & why I started Clinical Edge
• Review the podcast on iTunes
• Infographics by Clinical Edge

Notes here: https://jackedathlete.com/podcast-36-dunk-wisdom-with-isaiah-rivera/

Notes here: https://jackedathlete.com/podcast-34-knee-pain-whats-not-working-with-dave-osullivan/

On This episode we talk with Enda Kind, a physiotherapist, S&C specialist, researcher and educator. We get to talk with him about what successful rehabilitation and return to sport/function entails, and how you can work on movement patterns, segmental control within the kinetic chain as well as tips on coaching your patients to optimise outcomes, and how treating just the pathology might be the reason why a patient might not be making the expected improvements - listen in to find out more!

Today on the podcast we're joined by the world renowned Jill Cook - an expert and leader in tendinopathy rehabilitation and research! We cover the basics that you should look out for - what's important in your screening and why exercise prescription is far and away the biggest aspect to successful rehabilitation for your patient - but making sure you're really rehabbing a tendon and not misdiagnosing! Tune in as we take a deep dive into educating your patients and your clinical practise!

Notes here: http://jackedathlete.com/podcast-27-patellar-tendinopathy-with-dr-ebonie-rio/

In this episode I sit down with Dr. Arash Maghsoodi (@arashxrex) of The Prehab Guys (@theprehabguys) to talk about all things tendinopathy. Arash goes into detail about the etiology of tendinopathy, common causes and locations for the pathology, self-managing degenerative tendons, treatment protocols, and the importance of patient education and activity modification.

Please subscribe to the podcast and leave a review. Follow PRST content on:
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Support this podcast: https://www.patreon.com/prst_pt.

If you want to learn more about Arash and The Prehab Guys, you can find their content at the following outlets:

Website: https://theprehabguys.com
Instagram: @theprehabguys
Twitter: @ThePrehabGuys
Podcast: The [P]rehab Audio Experience

All listeners will receive a 30 day free access code to The Prehab Guys Exercise Library by using the following code: RehabilitationandStrength30

Notes here: http://jackedathlete.com/podcast-25-tendon-qa-with-dr-jason-eure/

Phen HM, Manz WJ, Mignemi D, Greenshields JT, Bariteau JT. Outcomes of Operative Management of Insertional Achilles Tendinopathy in the Young vs Elderly. Foot Ankle Ortho. 2020;5(3):1-7. https://doi.org/10.1177/2473011420926101

Notes here: http://jackedathlete.com/podcast-24-healing-tendons-with-keith-baar/

Notes here: http://jackedathlete.com/podcast-22-tendons-with-dr-peter-malliaras/

Note here: http://jackedathlete.com/podcast-18-david-grey/

In this episode of the Princeton Spine & Joint Center Podcast, Dr. Marco Funiciello, Co-Director of the Interventional Spine Program spoke with Dr. Freddie Song, an orthopaedic surgeon specializing in knee and shoulder injuries and surgery.

This podcast is about the topic of rotator cuff, rotator cuff tears, rotator cuff tendinopathy, and dives into the intricacies of surgical evaluation and surgical approach.

Frederick S. Song, M.D.

Dr. Song graduated cum laude from Colgate University with honors in Molecular Biology. During his undergraduate career, he was a four year starter on the varsity soccer team. As a senior, he served as team captain and was the Patriot League Player of the Year. After graduating from Colgate, he received his Doctorate of Medicine from Jefferson Medical College, where he was elected to the Alpha Omega Alpha Honor Medical Society during his fourth year. Dr. Song completed his surgical internship and orthopaedic residency at Albert Einstein Medical Center in Philadelphia, Pennsylvania. As a resident, he served as an assistant team physician for the LaSalle University basketball and football teams.

Following residency, Dr. Song completed a sports medicine fellowship at the Steadman Hawkins Clinic of the Carolinas in Greenville, South Carolina. Under the guidance of Dr. Richard Hawkins, he received specialized training in knee and shoulder arthroscopy, as well as complex knee and shoulder reconstruction. During his fellowship, Dr. Song served as an assistant team physician for the Colorado Rockies Major League Baseball team and the Boston Red Sox affiliate Greenville Drive baseball team. He is currently the team orthopaedic surgeon for the Peddie School and Ewing High School and serves as a consultant for numerous other high schools and colleges in the area.

Dr. Song has authored several peer review journal articles and text book chapters on a variety of orthopaedic topics. He recently completed a chapter on massive rotator cuff repairs published in the Instructional Course Lecture series by the American Academy of Orthopaedic Surgeons. Other recent publications include a chapter on subscapularis repairs in DeLee and Drez’s Orthopaedic Sports Medicine and a chapter covering shoulder replacement surgery in the textbook, Orthopaedic Care of the Mature Athlete.

Dr. Song currently serves as an associate instructor for the Arthoscopy Association of North America, instructing other surgeons on techniques in shoulder arthroscopy.

His orthopaedic interests include arthroscopic surgery of the shoulder and knee, as well as knee and shoulder reconstruction.

Dr. Marco Funiciello, DO, is a board certified physician specializing in the non-operative care of spine, joint, muscle and nerve pain. Dr. Funiciello is the Co-Director of the Interventional Spine Program at Princeton Spine and Joint Center. https://princetonsjc.com/ After graduating from the University of Scranton, Dr. Funiciello received his medical degree from UMDNJ-School of Osteopathic Medicine. Dr. Funiciello then received his specialty training in Physical Medicine and Rehabilitation from Saint Vincent’s Hospital in Manhattan where he was honored to serve as Chief Resident. Dr. Funiciello has extensive additional training in Osteopathic Manual Medicine and often utilizes this skill set to complement his conservative and holistic approach to his patients. Dr. Funiciello has authored numerous chapters and papers and lectures widely. He is consistently rated as one of the best doctors in the country by his peers and by his patients.

Sinew training. What the heck is that?

Chances are you've never heard of "sinew training"...or even thought about it. After all, genetics and "luck" dictate the properties of our tendons and ligaments, right?

WRONG!

A growing body of recent research has shown that athletes can play an active role in developing stronger, higher performing tendons and ligaments by way of specific training and nutritional interventions. If you engage in hard finger training, frequently push your physical limits, and/or occasionally experience tendon or joint pain, then this podcast will be game-changer for you!

This podcast is the third in a series on sinew training. You will learn about the structure of connective tissues, and how you can intervene in your connective tissue health and function...and elevate your power and power-endurance in the process. It's exciting stuff!

Be sure to revisit the first two podcasts in this series episode #33 and episode #34, and don't miss the conclusion of this series in episode #37 coming in early July!

RUNDOWN

0:15 – Introduction to these ground-breaking podcasts on how you can play an active role in developing stronger, more robust and higher-performance tendons, ligament pulleys (A2 and such).

Be sure to listen to the first two podcasts in this series:

• Episode #33: Sinew Training #1 - Intro to Training for Stronger Tendons and Ligaments
• Episode #34: Sinew Training #2 - A Revolution in Finger Training for Climbers

2:35 – Eric explains why connective tissue injuries are so common among climbers...

4:00 - Quick review of the new research on muscle and tendon adaptations....which dispell many of the old myths about tendons and ligaments.

9:00 - Eric outlines the 5 parts of this podcast...

12:30 - Part 1: Foundational information about the tendon, ligament, and muscle extracellular matrix (ECM) structure. It's all about proper collagen alignment, supporting net gains in collagen synthesis via adequate rest, and proper hydration. Factoid: gram for gram, collagen is stronger than steel!

26:00 - Part 2: Eric details the subtle, yet vitally important adaptations to training in tendon, ligament, and ECM. Learn the importance of--and differences--between strengthening and stiffening connective tissues. This is hugely important information for fine tuning your tendons for health and periods of performance climbing (or competition).

31:00 - Adaptation #1: Collagen synthesis. Important detail on collagen synthesis following training/climbing. Given adequete rest, a net gain in collagen molecules can result in a very gradual tendon hypertrophy. Factiod: The tendons of veteran climbers may be as much as 50% thicker than lesser experienced climbers.

36:00 - Adaptation #2: Enzymatic crosslinking...a more quick-developing adaptation that can increase connective tissue stiffness and performance. Although certain exercises protocols will actually reduce crosslinking and stiffness--some important distinctions here!

42:48 - Part 3: Learn about 6 confounding factors in collagen synthesis, crosslinking, and connective tissue health. You MUST know this information...and think critically about what factors may make you at greater risk for connective tissue injury...or slow recovery from training/climbing.

50:35 - Part 4: Training interventions for developing stronger, thicker tendons and annular (finger) tendon pulleys, stiffer more robust connective tissues, and how you can reduce stiffness and increase tendon health in the case of tendinopathy or other soft tissue injury. Get ready for a massive download of important information on specific training interventions and protocols for improve tendon/ligament strength....and increasing (or decreasing) connective tissue stiffness. Engaging in a highly personalized program is key!

1:07:08 - Part 5: The revolutionary research-derived nutritional intervention shown to increase collagen synthesis after targeted exercise. IMO, this is truly revolutionary information for power-endurance athletes such as rock climbers. The key is to consume vitamin C-enriched high-quality hydrolyzed collagen 30 to 60 minute BEFORE you engage in targeted exercise--only this way will the glycine and proline in the blood stream reach the synovial fluid and get drawn into the tendons and ligaments support up to a doubling of collage synthesis.

1:14:10 - How to spike glycine, proline, and vitamin C as you train your fingers? Consume Supercharged Collagen and follow the research-based training protocol and you may be able to double collagen synthesis after climbing-specific exercise. Available only from PhysiVāntage!

1:18:20 - Guidelines for proper Supercharged Collagen use and optimal benefit...and how to use it to support recovery from training and/or rehab of a connective tissue injury.

1:22:50 - Podcast wrap-up--PLEASE write and review and SHARE with your partners and friends.

IMPORTANT NOTES:

• I formed PhysiVantage to make research-based supplements that will benefit passionate climbers who place great demands on their bodies! Visit PhysiVantage.com and save 15% off non-sale items with the code “podcast15” at checkout.
• Info on three great events I’ll be appearing at this summer. Then 26th annual International Climbers Festival in Lander, WY (July 10 – 14, 2019). The Canada Strong Climbing coaches conference (August 6 – 9, 2019). Climbing Medicine Canada (August 12 – 14, 2019) in Squamish, BC.

Get 15% off at PhysiVantage.com with the discount code PODCAST15 at checkout.

Instagram - @PhysiVantage

Facebook - @PhysiVantage

For a comprehensive study of Training for Climbing, check out the 3rd edition of Hörst's best-selling book!

Follow Eric on Twitter @Train4Climbing

Check out Eric’s TRAINING FOR CLIMBING YouTube channel.

Follow Eric on Facebook!

Music by: Misty Murphy

• Subscribe on iTunes (or other podcast player) to "Eric Hörst's Training For Climbing" podcast. You can also listen to the T4C podcast on Stitcher and  Spotify! Please write a review on iTunes!

Topics:

achilles tendon, achilles tendinopathy, rehab achilles, bursae, marathons, vapourfly, shoes, shoe fit, gait, gait problems, gait correction, gait retraining, running, foot strike, heel strike, midfoot strike, rearfoot strike, heel strike, loading responses, gait rehab, muscle strength, isotonics

Links to find the podcast:

Look for us on iTunes, Google Play, Podbean, PlayerFM and more.

Just Google "the gait guys podcast".

Our Websites:
www.thegaitguys.com

doctorallen.co

summitchiroandrehab.com

shawnallen.net

Our website is all you need to remember. Everything you want, need and wish for is right there on the site.
Interested in our stuff ? Want to buy some of our lectures or our National Shoe Fit program? Click here (thegaitguys.com or thegaitguys.tumblr.com) and you will come to our websites. In the tabs, you will find tabs for STORE, SEMINARS, BOOK etc. We also lecture every 3rd Wednesday of the month on onlineCE.com. We have an extensive catalogued library of our courses there, you can take them any time for a nominal fee (~$20).

Our podcast is on iTunes and just about every other podcast harbor site, just google "the gait guys podcast", you will find us.

Topics and links:

The tendinopathic Achilles tendon does not remain iso-volumetric upon repeated loading: insights from 3D ultrasound. Nuri L, et al. J Exp Biol. 2017.
https://www.ncbi.nlm.nih.gov/m/pubmed/28620014/

Good tip to decrease loading and help decrease injury risk in runners: See study by Chan et al.:
http://journals.sagepub.com/doi/abs/10.1177/0363546517736277?url_ver=Z39.88-2003𝔯_id=ori%3Arid%3Acrossref.org𝔯_dat=cr_pub%3Dpubmed&

Vapourfly shoe
https://www.nytimes.com/interactive/2018/07/18/upshot/nike-vaporfly-shoe-strava.html

Men’s marathon:
https://twitter.com/chrisbramah/status/1019481750039343104/photo/1

fun facts:
Foot strike patterns of the World Championships Marathon:
Women’s race:
73% rearfoot, 24% midfoot, 3% forefoot
Men’s race:
67% rearfoot, 30% midfoot, 3% forefoot
pic.twitter.com/iWRzjImQBZ
https://www.iaaf.org/about-iaaf/documents/research#biomechanical-research-projects

Foot structure and stiffness is critical
https://www.nature.com/articles/srep29870

Tendons can change
Progressive calf strength training led to increased achilles stiffness @ 4 weeks & increased tendon cross sectional area @ 8 weeks
https://link.springer.com/article/10.1007/s00421-018-3904-1

Bursae can thicken painlessly as a normal adaption to activity... just like skin calluses!
https://www.ncbi.nlm.nih.gov/pubmed/24907190

Between 63-72% of participants were wearing incorrectly sized footwear. review of the literature here from @LTPodiatry team:
https://jfootankleres.biomedcentral.com/articles/10.1186/s13047-018-0284-z

How Neuroscientists Explain the Mind-Clearing Magic of Running -- from the Science of Us
https://www.huffingtonpost.com/science-of-us/how-neuroscientists-expla_b_9787466.html

How can you manage lower limb tendinopathy in your patients that like to run? Can runners with medial tibial stress syndrome (MTSS) continue to run? Can patients with high BMI or following total hip replacement run?

Physiotherapists Tom Goom and David Pope answer your questions on how to assess and treat patients with running-related injuries in this Q&A conducted live, including:

• How can you manage post-run morning stiffness?
• What are the important aspects when managing load?
• How can you treat Achilles tendinopathy patients with decreasing tolerance to running and walking, and increasing pain?
• Differential diagnosis for Achilles pain
• Proximal hamstring tendinopathy
  • What exercises can be used?
  • Is a feeling of tightness normal, and how can this be addressed?
  • Are stretches helpful?
  • When can deadlifts and Romanian deadlifts (RDL's) be used?
• Patellar tendinopathy - how can you manage a runner that is not willing to decrease running volume even temporarily?
• Peroneal tendinopathy
• Running vs rest in female distance runners with chronic hamstring origin injuries
• Patellar tendinopathy
• Medial tibial stress syndrome (MTSS)/Shin splints treatment
• Working at marathons or running events - How can you help your runners with ITBS or PFP finish a race?
• Can runners return to running following total hip replacement?
• Is running harmful for patients with high body mass index (BMI) when they want to reduce weight?

To improve your skills and results with low back pain patients, CLICK HERE for your free access to 3 videos with Tom Goom on "How to assess low back pain in runners and athletes"

Links associated with this episode:

• Submit questions for the Physio Edge podcast
• Download and subscribe to the podcast on iTunes
• Twitter - @tomgoom
• Let David Pope know what you liked about this podcast on Twitter
• Review the podcast on iTunes
• Like the podcast on Facebook
• Infographics by Clinical Edge

Other episodes of interest:

• Physio Edge 083 Running gait retraining, strengthening, glutes & ITB syndrome. Q&A with Tom Goom
• Physio Edge 082 Achilles tendinopathy treatment - the latest research with Dr Seth O'Neill
• Physio Edge 076 Footwear advice for running injuries with Tom Goom
• Physio Edge 075 Tendinopathy, imaging and diagnosis with Dr Sean Docking
• Physio Edge 068 Lower limb tendinopathy loading, running and rehab with Dr Peter Malliaras
• Physio Edge 042 Treatment of Plantaris & Achilles Tendinopathy with Dr Seth O'Neill
• Physio Edge 041 Plantaris Involvement In Achilles Tendinopathy With Dr Christoph Spang

Achilles tendinopathy treatment - what is the latest research, and how can it help your treatment? What is the best way to treat Achilles tendinopathy (AT)?

Over the years our treatment of tendinopathy has evolved significantly. You may remember rubbing tendons with ultrasound or our thumbs in years gone past, and stretching the painful area or muscle-tendon complex. If you did, you may also remember the number of people that didn't really improve or develop the load tolerance to return to activity with this approach, supported by research demonstrating the lack of effectiveness of this approach.

We progressed to the golden era of loading, initially using eccentric training. Additional research emerged on the benefits of heavy slow resistance in tendinopathy treatment, closely followed by the importance of load management demonstrated in research on soft tissue injuries. In 2015 and 2016 Rio et al. released promising preliminary research utilising isometric holds in patellar tendinopathy patients, and we have extrapolated and used isometric holds with many different types of tendinopathy.

In Physio Edge podcast episode 82 with Dr Seth O'Neill, you will discover:

• Are isometric holds effective with Achilles tendinopathy patients?
• What is the most effective treatment for AT?
• What does the latest research on the treatment of AT reveal?
• Is relief of pain with isometric holds necessary to make a diagnosis of tendinopathy?
• What assessment tests can you perform to diagnose AT?
• How can you assess patient calf strength?
• How can you differentially diagnose other conditions including Plantaris involvement, insertional AT, talocrural impingement or neural irritation?
• How can you explain AT to your patients?
• What exercises can you include in your treatment?
• Exercise progressions you can use
• When are eccentrics a useful addition to a treatment program?
• When can patients start, continue or progress a walking or running program?
• How can you incorporate the biopsychosocial model into your treatment?
• Is dorsiflexion range of movement important?
• Is stretching an effective treatment for tendinopathy?
• Are ice, massage or ESWT useful?
• When is imaging useful?
• How can you treat insertional Achilles tendinopathy?

Download this podcast now to improve your results with Achilles tendinopathy

Dr Seth O'Neill completed a MSc in Musculoskeletal Physiotherapy, followed by a PhD focused on Achilles tendon disorders. Seth is a lecturer in Physiotherapy at the Universities of Leicester and Coventry, and has a Physio private practice in Nottingham, UK.

Click here to download your FREE podcast handout

Click here to register for this FREE webinar "Anterior knee pain and the impact of load" with Lee Herrington

Click here to register for this FREE webinar "Accelerated conservative management of medial knee injuries" with Chris Morgan

Links associated with this episode:

• Download and subscribe to the podcast on iTunes
• Twitter - @Seth0Neill
• Let David Pope know what you liked about this podcast on Twitter
• Review the podcast on iTunes
• Like the podcast on Facebook
• Infographics by Clinical Edge

Articles associated with this episode:

• Beyer R, Kongsgaard M, Hougs Kjær B, Øhlenschlæger T, Kjær M, Magnusson SP. Heavy slow resistance versus eccentric training as treatment for Achilles tendinopathy: a randomized controlled trial. The American journal of sports medicine. 2015 Jul;43(7):1704-11.

• O’Neill S, Radia J, Bird K, Rathleff MS, Bandholm T, Jorgensen M, Thorborg K. Acute sensory and motor response to 45-s heavy isometric holds for the plantar flexors in patients with Achilles tendinopathy. Knee Surgery, Sports Traumatology, Arthroscopy. 2018:1-9.

• Rio E, Kidgell D, Purdam C, Gaida J, Moseley GL, Pearce AJ, Cook J. Isometric exercise induces analgesia and reduces inhibition in patellar tendinopathy. Br J Sports Med. 2015 May 15:bjsports-2014.

Other episodes of interest:

• Physio Edge 068 Lower limb tendinopathy loading, running and rehab with Dr Peter Malliaras
• Physio Edge 075 Tendinopathy, imaging and diagnosis with Dr Sean Docking
• Physio Edge 042 Treatment of Plantaris & Achilles Tendinopathy with Dr Seth O'Neill
• Physio Edge 041 Plantaris Involvement In Achilles Tendinopathy With Dr Christoph Spang

On this episode of the Healthy Wealthy and Smart Podcast, Tom Goom joins me to discuss a gluteal tendinopathy case study. Tom has gained the nickname ‘Running Physio’ after years of combining his passion for physio and love for running together to specialise in management of running injury. He’s written widely on the topic with over 200 evidence-based articles for his own site, running-physio.com as well as contributing to the BJSM Blog, Runner’s World and the Telegraph. In 2016 he published a masterclass on proximal hamstring tendinopathy in the Journal of Orthopaedic and Sports Physical Therapy. He presents his Running Repairs Course in the UK, internationally and online, covering a range of topics from training load management to bone stress injuries, strength and conditioning and more.

In this episode, we discuss:

-Crafting the subjective portion of your evaluation

-Objective measures at the impairment, activity and participation levels

-Multimodal treatment approaches to manage gluteal tendinopathy

-Intrinsic factors that affect tendon health

-And so much more!

Identifying what running really means to your patient will help guide your goals for therapy as Tom stresses, “I want to know about the impact the injury is having on them.”

Modifying activity levels is an important aspect for your exercise prescription and you have to convey to your patients that, “It’s this kind of balancing act of risk versus reward.”

It is important for clinicians to avoid iatrogenic language in their patient education and only, “Highlight the good things.“

Establish at the onset to, “Expect flair ups.” as managing patient expectations during their rehabilitation is key to long term success.

Treating gluteal tendinopathy is both challenging and rewarding and Tom believes, “There’s an art to it as well as a science.”

For more information on Tom:

Tom is a physiotherapist with over 10 years of experience and a very keen runner! He graduated with a BSc (Hons) degree in 2002 and since then has worked in clinics in the UK and overseas. His career started in Winchester where he worked in the NHS and developed a specific interest in lower limb rehab and joined the physio team at a semi-professional football club. Following the Tsunami in 2004 Tom travelled to Sri Lanka and did voluntary physiotherapy work in a hospital, teaching local staff, treating patients and fundraising for new equipment. Tom returned to the UK in 2006 and started working in Brighton as a senior physiotherapist. His interest in rehab continued to grow and he ran lower limb and spinal rehab groups as well a chronic pain programme.

Tom started RunningPhysio in March 2012 to help those training for marathons that spring, since then it’s developed into a resource used by runners all over the world. Tom has written for Running Fitness, Men’s Running UK, and the British Journal of Sports Medicine blog. His work has featured on Kinetic Revolution, Bartold Biomechanics and a host of online sports sites.

 A few words from Tom…

I’m learning about running all the time, one thing I’ve found is that there are a lot of opinions out there! No 2 people will give you the same advice and I respect that. My plan with this site is to share my view on injury prevention and management when running. I welcome different views and ideas so please feel free to comment. I don’t claim to have all the answers but I hope people will find this site helpful. I’ve got a few miles under my belt and a few good PB’s – 39:30 for 10km and a 1:28 half marathon. In April 2013 I did my first marathon and loved it! I finished in 3:12:28 – full story here.

I work at The Physio Rooms clinic in Brighton. For more information or to arrange an appointment see our Clinic Page.

If you have any questions feel free to leave a comment or chat to me on Twitter via @tomgoom. Please note that due to very high numbers of comments and questions we aren’t able to reply to everyone

Resources discussed on this show:

Running Physio Website

Running Physio Twitter

Running Physio Facebook

Tendon Health Questionnaire

Pain Catastrophizing Scale

Hudl Technique

Plinsinga et al 2018: Psychological factors not strength deficits are associated with severity of gluteal tendinopathy: A cross‐sectional study

Ganderton et al 2018: Gluteal Loading Versus Sham Exercises to Improve Pain and Dysfunction in Postmenopausal Women with Greater Trochanteric Pain Syndrome: A Randomized Controlled Trial.

Mellor et al 2018: Education plus exercise versus corticosteroid injection use versus a wait and see approach on global outcome and pain from gluteal tendinopathy: prospective, single blinded, randomised clinical trial

Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram and facebook to stay updated on all of the latest! Show your support for the show by leaving a rating and review on iTunes!

Have a great week and stay Healthy Wealthy and Smart!

Xo Karen

Tendinopathy patients may present for treatment with an ultrasound or MRI report in hand, unsure how you can help them, or how they can possibly recover when they have so much tendon pathology. To add insult to injury, they may even have a partial tendon tear on their imaging report thrown into the mix. How do imaging results impact your treatment and your patient's recovery? Are the imaging findings relevant to their pain?

In this Physio Edge podcast with Dr Sean Docking (Physiotherapist, PhD), you will explore what information imaging actually provides in your tendinopathy patients, how to explain imaging to your patients, and whether partial tendon tears identified on imaging will effect your treatment. You will also discover:

• Who develops tendon pathology
• If patients have tendon pathology on imaging, is this responsible for their symptoms, or will it cause future tendon pain
• Asymptomatic tendon pathology in sports people
• How tendon pathology can actually be linked to better performance
• Can we prevent tendon pathology
• The advantages and disadvantages of different imaging types, including
• MRI
• Ultrasound
• Ultrasound tissue characterisation (UTC)
• Why a thickened tendon may actually be helpful in recovery
• How can we actually diagnose tendinopathy
• When is imaging useful
• Differential diagnosis of Achilles pain, including
  • Achilles tendinopathy
  • Paratenonitis
  • Plantaris associated tendinopathy
• Partial tendon tears, the accuracy of identification, and how they impact your treatment

Sports injuries virtual conference

As mentioned in this episode Sean presented at the 2017 Sports Injuries virtual conference. His main conference presentation on tendinopathy and imaging discusses:

• The research around the use for imaging
• A framework for when and when not to use imaging
• How to explain imaging findings to patients

You can get immediate access to his presentation, and presentations from 13 of the leaders in sports injuries by CLICKING HERE

Download this podcast and subscribe on iTunes

Links associated with this episode:

• Get your free access to Sports Injuries presentations with Dr Ebonie Rio, Jack Hickey, Dr Adam Weir, Dr Michael Rathleff, Jo Gibson and Prof Bill Vicenzino
• Enrol on the 2017 Sports Injuries virtual conference
• Twitter - @SIDocking
• Sean Docking - La Trobe University website
• Sean Docking - Research gate
• David Pope on Twitter
• Clinical Edge on Facebook
• Have a free trial Clinical Edge membership

Articles associated with this episode:

Alfredson. 2011. Midportion achilles tendinosis and the plantaris tendon

Brown et al. 2011. The COL5A1 gene, ultra-marathon running performance and range of motion

Docking et al. 2016. Pathological tendons maintain sufficient aligned fibrillar structure on ultrasound tissue characterization (UTC).

Docking et al. 2015. Tendinopathy: Is imaging telling us the entire story?

Lieberthal et al. 2014. Asymptomatic achilles tendinopathy in male distance runners

McAuliffe et al. 2016. Can ultrasound imaging predict the development of Achilles and patellar tendinopathy? A systematic review and meta-analysis

Simpson et al. 2016. At What Age Do Children and Adolescents Develop Lower Limb Tendon Pathology or Tendinopathy? A Systematic Review and Meta-analysis

Other episodes of interest:

PE 068 - Lower limb tendinopathy loading, running and rehab with Dr Pete Malliaris

PE 042 - Treatment of Plantaris and achilles tedninopathy with Seth O’Neil

PE041 - Plantaris involvement in achilles tendinopathy with Dr Christoph Spang

More on asymmetries from a neurologic perspective, The neurophysiologic process that actually occurs during an injury. Plus, Should you change your clients running form? It is a big debate, and we think many of the experts are mistaken on their points of view.