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Tendinopathy Treatment Timeline | RunningPhysio

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Last week I made a quick video highlighting the anticipated timeline of therapy in tendinopathy and the place we’d think about different choices. A number of days later it’s had over 30,000 views!

I needed to share it right here too to make it simply accessible as many individuals asked the place they might entry it for sufferers. It’s a silent video designed so you’ll be able to learn it because it progresses. It mentions latest analysis papers – Challoumas et al. (2018), Challoumas et al. (2019) and Korakakis et al. (2018).

For extra on tendon ache see our free achilles tendinopathy video series.

The key factors from the timeline are;

  • Appropriate investigations by imaging, blood assessments and so on must be thought-about on the start of the therapy course of as a part of confirming the analysis. Where imaging and so on has not been utilised at this stage it must be reconsidered if signs usually are not altering after 6 to 12 weeks of applicable therapy.
  • Intrinsic components must be thought-about in administration resembling age, hormonal change and previous medical historical past in addition to systemic causes on tendon ache resembling spondyloarthropathy. For extra on this see our article – Tendinopathy, screening and action points with TendonQ
  • Allow at the very least 3 months with affected person training, load administration and progressive rehab
  • Consider various conservative choices if unsuccessful on this time interval
  • Complete at the very least a yr of therapy together with constant, progressive rehab previous to contemplating surgical procedure
  • At present corticosteroid and PRP injections have been omitted from the timeline because of blended leads to the literature and the discovering, in some research (e.g. Bisset et al. 2006), that steroid injections could delay therapeutic and be related to excessive recurrence charges and poorer long run outcomes.



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