Welcome to Rory Holliday Physiotherapy August Newsletter!
Here we are again, welcome to the second edition of my NEW monthly newsletter. This month I will be talking about TENDINOPATHY its sysmptoms and how we can rehabilitate this condition. As promised there is also a new "Exercise of the Month", why not give it a go.

 I hope you find the content useful. Please feel free to ask me questions send me feedback on the newsletter or suggest improvements. Don't forget to share it with your friends!

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TENDINOPATHY?

Out with the old and in with the new!
We used to call it tendonitis (itis = inflammation). We’ve known for a while now that there is actually no inflammation in any of these tendon injuries. A better, although less diagnostic name is Tendinopathy (opathy = disease).  Neither of these sound familiar? How about “Tennis Elbow” or “Golfer’s Elbow”? Or a runner with Achilles pain?

Diagnosis!
The ability to differentiate the structures involved in the injury is paramount to being effective in treating it. Physiotherapists are able to test body structures to help identify what is at fault.


Rory Holliday Physiotherapy

Symptoms
Pain can be a slightly misleading factor in tendinopathy. Although this is the main reason people come to see me with tendinopathy, there is no correlation between the severity of pain and the severity of tendon damage (when viewed by ultrasound scan).
 
What causes it?
Primarily it’s the overloading of a tendon. In rarer cases, under-loading and “stress shielding” a tendon can be a cause.

Why?
Biomechanics. There is inevitably a weak area in the body which has caused another area to take more strain and overwork hence causing it injury. Full biomechanical assessment by a physiotherapist can identify these areas.

Stage of Injury / Physiotherapy
Equally important in being effective in treating the problem is identifying the stage of the injury. Following that we can then look at Physiotherapy required.





 
 
 
THINK THIS MIGHT BE YOU?
WANT THE BEST TESTS AND TREATMENT FOR THESE ISSUES?


*****Why not try my “Exercise of the Month”?*****
This month I have a strength exercise for the Achilles. It works by targeting the attaching muscles gastrocnemius and soleus. I use this exercise for those I’ve identified as having either dysrepair or degenerative tendinopathies. This kind of exercise can be tailored to your specific needs by your physio!


CONTACT ME TODAY ON 07854870865 OR AT mail@roryhollidayphysiotherapy.co.uk

 
 
EXERCISE OF THE MONTH! 

Here are a series of exercises, progressing from both feet to one foot to increase load.

- Knee straight bias the gastrocnemius
- Knee bent biases the soleus


Start on both feet
 Trying 3 sets of 15-20 reps of bent knee and the straight knee version
Do 3 times a week

 
As long as this does not aggravate the problem it can be made harder by:

1. Progressing to one foot with half the reps
2. Increasing the number of reps with the same load (body weight)
3. Decreasing reps but increasing load (wear a weighted rucksack for example)




CEASE EXERCISES AND SEEK ADVICE IF THIS SEEMS AGGRAVATING.
This information is not a substitute for professional assessment and exercise prescription. If you decide to progress any exercise, only do so in small increments. 
 

DO YOU KNOW SOMEONE WHO MIGHT BE INTERESTED IN THE NEWSLETTER?

EXCLUSIVE OFFER!

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How to Redeem:
Simply cut out this voucher and take it a long to your first session!

Hurry - first treatment session must be booked to attend before 30th September 2013!

*This OFFER is only for new clients and existing clients with new conditions requiring an assessment


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