ORTHOPEDIC & SPORTS INJURIES
We Treat Muscle, Bone & Joint Pains and Injuries
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Home > Blog > Team > Physio > Conditions We Treat > Tendon Pain Tendinopathy Physiotherapy
Tendinopathy is another name for tendon injuries, and these tendon pains and injuries unfortunately can (and will) develop in any tendons all over the body.
It goes by many, many names:
...but really, they all point to the same thing: tendinopathy.
Basically they are tendon injury pathology, so the medical community decided to refer them as tendinopathies (which makes sense).
Typically, tendon injuries occur in three areas:
Tendons are the tough fibres that connect muscle to bone.
They are tough, tough stuff.
Most tendon injuries occur near joints, such as the
(Typically high use, weight bearing or pivoting joints)
A tendon injury may seem to occur suddenly, but usually, it is
the result of repetitive tendon overloading.
Tendinitis (or tendonitis): This means “inflammation of the tendon”.
Mild inflammation is a normal tendon healing response to exercise or activity loading, but it can become too much, where the rate of injury exceeds your healing capacity.
Tendonitis is the inflammatory phase of tendinopathy.
An example of tendon injury (in this case, achilles tendon) pathology
The inability of your tendon to adapt to the load quickly enough causes the tendon to progress through four (4) phases of tendon injury.
While it is healthy for normal tissue adaptation during phase one, further progression and damage can lead to tendon cell death and subsequent tendon rupture.
1. Reactive Tendinopathy
2. Tendon Dysrepair
3. Degenerative Tendinopathy
4. Tendon Tear or Rupture
It is imperative to have your tendinopathy professionally assessed by Phoenix principal physiotherapists and sports physiotherapists to identify its current injury phase.
The reason why this is important is identifying accurately is more than 50% of the recovery process - it helps to provide the most direct and effective treatment as specific treatment modalities or exercises should only be applied or undertaken in distinct tendon healing phases.
The evidence is growing that it is more than just the tendon and overload that causes tendinopathy.
There are people who are more at risk to developing tendon-related pains, injuries and tendinopathies such as patients who have / are:
You will need to observe your training loads.
Tendinopathy usually causes pain, stiffness, and loss of strength in the affected area.
The symptoms of a tendon injury can be similar or combined with bursitis.
To diagnose a tendon injury, our principal physiotherapists and hand therapists will ask questions about your
We'll do a thorough physical examination to confirm the diagnosis. They will then discuss your condition and devise an individualised treatment plan.
They may refer you for specific diagnostic tests, such as an ultrasound scan or MRI
Tendinopathies can typically rehabilitate injured and painful tendons fairly quickly and effectively.
That being said, there are a percentage of tendinopathies that can take months to treat effectively.
As mentioned earlier in this article, it is essential to know what phase your tendinopathy currently is. Our physiotherapist can assist not only in your diagnosis but also guide your treatment to fast-track your recovery.
Before you seek the advice of our principal physiotherapists or hand therapists, you can start treating an acute tendon injury at home. To achieve the best results, start these steps right away:
Every tendon injury, pain and tendinopathy is different, so please be guided by your physiotherapist assessment.
Be patient, and stick with the treatment exercises and load doses prescribed by your physiotherapist. If you start using the injured tendon too soon, it can lead to more damage and set you back weeks!
It may take weeks or months for some tendon injury to heal and safely cope with a return to sporting load
To minimize re-injuring your tendon, you may require some long-term changes to your exercise activities. Please discuss this with your physiotherapist.
Some factors that could influence your tendinopathy risk include:
While most acute tendinopathies can resolve quickly, persisting tendon injuries may take many months to resolve.
Long-term or repeat
tendinopathies usually have multiple causes and aggravating factors that contribute to the tendon injury and pain.
These definitely definitely will require a thorough assessment and individualised rehabilitation plan.
Researchers have found that tendon injuries respond differently to muscle injuries and can take months to solve or potentially render you vulnerable to tendon ruptures, which can require surgery.
General Information
Specific Tendinopathies Foot & Ankle
Knee
Hip & Groin
Shoulder
Elbow
Wrist & Hand
Acute Injury Signs & Acute Tendon Injury Management.
Here are some warning signs that you have an injury. While some injuries are immediately evident, others can creep up slowly and progressively get worse. If you don't pay attention to both types of injuries, chronic problems can develop.
For detailed information on specific injuries, check out the injury by body part section.
Don't Ignore these Injury Warning Signs
Joint Pain
Joint pain, particularly in the knee, ankle, elbow, and wrist joints, should never be ignored. Because these joints are not covered by muscle, pain here is rarely of muscular origin. Joint pain that lasts more than 48 hours requires a professional diagnosis.
Tenderness
If you can elicit pain at a specific point in a bone, muscle, or joint, you may have a significant injury by pressing your finger into it. If the same spot on the other side of the body does not produce the same pain, you should probably see your health professional.
Swelling
Nearly all sports or musculoskeletal injuries cause swelling. Swelling is usually quite obvious and can be seen, but occasionally you may feel as though something is swollen or "full" even though it looks normal. Swelling usually goes along with pain, redness and heat.
Reduced Range of Motion
If the swelling isn't obvious, you can usually find it by checking for a reduced range of motion in a joint. If there is significant swelling within a joint, you will lose range of motion. Compare one side of the body with the other to identify major differences. If there are any, you probably have an injury that needs attention.
Weakness
Compare sides for weakness by performing the same task. One way to tell is to lift the same weight with the right and left sides and look at the result. Or try to place body weight on one leg and then the other. A difference in your ability to support your weight is another suggestion of an injury that requires attention.
Immediate Injury Treatment: Step-by-Step Guidelines
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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.
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
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 and conditions.
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)
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.
ALTERNATIVE THERAPIES
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 solution.
We appreciate you as our valued clients and want you to know that the # 1 way we grow as a clinic / brand is through word of mouth referrals from valued patients like yourself.
We prefer not to rely on advertising - instead, we prefer and appreciate the goodwill and positive reinforcement from patients. When you have the chance, please tell your family, friends and physicians about the positive results and experience you have had in our physio clinics.
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Jun 29, 22 08:32 AM
Adele is a registered physiotherapist with over 25 years of experience including treating national athletes as well as recreational athletes having worked in Singapore Sports Council and Singapore Spo…
Feb 03, 22 04:05 AM
Achilles tendon pain is very common among recreational and elite sportspeople. But it is also common among sedentary individuals
Feb 03, 22 12:16 AM
Tendonitis, tendinopathy and tendinosis are all tendon injuries and treated by physiotherapists and hand therapists
Jan 11, 22 02:01 AM
Cervical spondylosis is a general term to describe the degenerative condition in the neck which results in pain and other symptoms
Jan 07, 22 12:28 AM
Tendinopathy (tendon injuries) can develop in any tendon of the body and has many names such as tendinitis and it can be treated with good tendon physiotherapy
Dec 15, 21 01:47 AM
Tendon problems are common in runners and can become a persistent issue if not properly treated.
Dec 14, 21 11:23 PM
Pain and pathology in a tendon, known as tendinopathy, is a common injury in athletes that can be difficult to manage. Physio and hand therapy can help healing
Dec 07, 21 01:31 AM
We use the world’s best tendon recovery programs through cutting edge treatment techniques for all tendon injuries (and tendon injuries differ accordingly)
Nov 28, 21 12:08 AM
Phoenix Rehab Physiotherapy and Hand Therapy at Tampines Singapore
Nov 17, 21 12:30 AM
Mallet finger is an injury to the thin tendon that straightens the end joint of a finger or thumb.