As a Sports Therapist it is vital to keep up to date with the latest research and thanks to technology and the development of blogs and webinars it has become a lot easier to find out what is being studied and the results.
One blog I follow is by Dr Peter Malliaras (Tendinopathy Rehabilitation). I was lucky to go on one of his courses a few years ago but even now things are moving on. His latest post was updating his own most popular blog post 9 tendinopathy truths that you MUST know.
In short for those suffering with Tendonipathy, here are the truths
1) Tendinopathy does not improve with rest
2) Tendinopathy is not considered to have a classic inflammatory response, no need for anti-inflammatories.
3) Tendinopathy can be caused by many different risk factors, not just related to activity changes.
4) Exercise is the most evidence based treatment for Tendinopathy.
5) Modifying load is important in settling tendon pain.
6) Pathology on imaging is NOT equal to pain
7) Tendinopathy rarely improves long term with passive treatments such as massage, therapeutic ultrasound, injections, shock wave therapy etc.
8) Exercise needs to be individualised.
9) Tendinopathy responds slowly to exercise. You have to have patience.
There are no short cuts is recovering from Tendinopath, exercises have to be adjusted to pain and function and progressive loading applied to enable restoration. Seeking out a therapist to discuss and talk through your Tendinopathy is recommended. Usually only a few appointments are needed to explain and advance the rehabilitation process with continued minimal contact with the therapist to monitor and discuss progress (mainly via phone, email)
If you are a clinician for more in depth information on Tendinopathy I recommend you check out Tendinopathy Rehabilitation