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Tendon Pain Physiotherapy and Hand Therapy
What are they and how do they happen?
Tendons can be found whenever muscles are, which is to say that we have tendons all over our body. Our tendons are really strong, rope-like structures that connects muscles to bones - they're really important to help us move, stand, jump etc.
And because tendons are involved in all things movement and resistance, they can be injured by
- direct trauma such as in falls or accidents
- repetitive strain due to daily use or frequent use
In this article, I'm gonna talk about pain and pathology in tendons and how we physiotherapists and hand therapists can help to heal injured tendons.
pain and pathology in tendons
The medical term of pain and pathology in a tendon is called "tendinopathy", and frankly it's a very common (even recurring) injury in both
- sporty / atheletic individuals
- "normal" and sedentary individuals
These tendon pains and injuries can be pretty tough to treat too, because they tend to come back and hang around. Typically, tendons can become tendinopathic when it is overloaded with pressure or weight more than usual or more than it can take.
Over time, if this tendinopathic tendon isn't treated, the tendon starts to change in structure resulting in pain
Tendons don’t like rapid change. A change in loading, whether that be an increase or decrease, may result in tendon pathology.
loads that can cause tendinopathy
- Compressive loads where the tendon is compressed against the bone
- Tensile loads where the tendon is loaded in a lengthened state
- A combination of tensile and compressive loads, for example
stretching where the tendon is both lengthened and compressed against
- Shearing loads, which cause a friction of a tendon within the tendon sheath (this only occurs in certain tendons)
tendon pain and injury treatment
physiotherapy and hand therapy
When there is a tendon injury or pain (tendinopathy), the patient should
be treated with physiotherapy / hand therapy as soon as posisble.
Physiotherapy and hand therapy tendon rehabilitation process / stages:
- Stage 1: Pain relief and reduction by reducing the
adverse loads on a tendon. Stretching should be ceased, as well as any
other aggravating activities causing pain. Isometric (sustained holds)
exercises are commenced to assist in providing pain relief
- Stage 2: Strengthening the tendon/muscle,
while still avoiding adverse loads. Strengthening exercises should be
performed slowly with reasonably heavy loads ie no pain whilst strengthening allowed.
- Stage 3: Exercises for power
development to increase the energy storage capacity of the tendon, i.e.
the ability to absorb load. These are generally higher speed exercises
such as skipping and jumping.
- Stage 4: Sports-specific requirements of the
tendon and the elastic function of the tendon (i.e. the ability to work
in a lengthened position).
There is no quick fix for tendinopathy
One of the failures of a tendon rehabilitation program is skipping stages and not progressing through each of these stages of physiotherapy / hand therapy properly.
If a rehabilitation sage is progressed too early, the process will not
work. Taking painkillers or steroid injections may mask the pain for a while, but it doesn't treat the underlying core problem which is the tendon tendinopathy itself.
That will cause a reinjury and it's back to zero and starting over.
Of course, at the same time, we can't just stay at one stage forever / for extended period of time. It is very important to consult a physio or hand therapist that has
an understanding of
- tendon loading,
- the rehabilitation process and
progressions required to completely recover from a tendinopathy
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Phoenix Rehab Physio Services
Phoenix Rehab Group works with specialist physiotherapists and rehab therapists who are highly trained, qualified, experienced and passionate to provide high level of expert care to our patients.
PHYSIOTHERAPY & PHYSICAL THERAPY
See all the conditions our principal physiotherapists treat.
HAND THERAPY & CUSTOMIZED SPLINTING
Patients who sustained injuries to their elbows, forearms, hands, wrists
(sprains and fractures) and fingers, usually will benefit / require Hand Therapy to
- manage and decrease hand pains
- improve range of motion, strength and dexterity
- increase the function of their hand
following injuries or post-operations
Commonly treated hand pain injuries includes
REFORMER CLINICAL PILATES & WELLNESS PILATES
Clinical Pilates is a form of physical exercise that focuses on posture, core stability, balance, control, strength, flexibility and breathing.
It is a system of safe and effective exercises, which
meet specific individual needs, to treat a wide range of injuries
You may do Pilates as matwork or with the reformer or both, and every session will be customized 100% to your fitness, injury and tolerance.
TRADITIONAL CHINESE MEDICINE (TCM)
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DEEP TISSUE RELEASE & SPORTS MASSAGE THERAPY
Sports and deep tissue release massage helps to increase nutrient-rich blood
flow to tired, tight and tense muscles to accelerate recovery and shorten downtime / recovery period required.
It also prevents
muscles from scar tissue micro-tears (and potential ruptures), and increases muscle
performance. Having regular deep tissue and sports massage will keep your muscles healthy and fit with body/movement-confidence.
Read the benefits of regular deep tissue release therapy here.
All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB).
See our entire team here with introductions and their specializations.
At the first session, our specialist physiotherapists will carry out a thorough
assessment, helping them to select the most appropriate treatment to
help you recover as well as provide treatment in the same session.
Follow up sessions are inline to provide
expert treatment for your pain as well as prescribing specific
exercises to reduce your risk of re-injury and giving you a long term
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book an appointment today
(or check your pains / injuries)
Jun 29, 22 08:32 AM
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