Shockwave Therapy is a pressure disturbance that moves through a medium. The medium in this case being the tendon. When the wave enters the tissue it will be reflected and refracted around that area. There is clear evidence of an increase in blood flow with Shockwave Therapy, even in tissues with little blood which occurs in chronic tendon injuries. The shockwaves also create an inflammatory response. When a tendon is in a chronic stage of injury the shockwave will create an environment where the tendon can be at an acute stage. This acute stage will then set the tendon up for self-repair, leading to decreases in pain and increases in function.
As part of my assessment and treatment of clients here at MyPhysio, I use a concept called DNS. This concept has been developed by Researchers and Practionner’s in the Czech Republic. The basic premise focusses in on babies posture and how they learn to move, how they can keep segments of their body in the appropriate place to allow optimal function. DNS calls this ‘Joint Centration’. Continue reading “What is Dynamic Neuromuscular Stabilization (DNS)?”
In 2013 the most respected Sports Physicians and other Healthcare Professions such as Physiotherapists, were given a questionnaire on muscle injuries and how to classify such injuries.
Why is this even important?
Firstly, if all Healthcare professionals can have the same criteria for diagnosing injuries then this makes it a lot easier when deciding on treatment and prognosis. For example, if a footballer has a Grade I injury to the Hamstring, then you can predict with some accuracy that they will be out of action for about 7-10 days. But what if after an MRI and Physical Examination, another Physiotherapist or Doctor decides that in their opinion it’s a Grade II injury? Since their criteria is different to diagnose the injury, the incorrect time frame for a return to play or treatment may be given. The only person who loses out is the injured person in question.
The old 10% rule doesn’t hold up any more, unfortunately, if you are looking to increase your Weekly Mileage and aim for longer running races then don’t leave it to chance and continue reading.
In every Physiotherapy Clinic in the world, the injured runner presents with an increase in something…intensity, other types of exercise or mileage. It is so common for even the experienced runner to fall foul of increasing weekly mileage incorrectly.
The term tendinitis is not used so much now as tendon pain has moved away from an inflammatory model where large amounts of inflammatory chemicals are present. The current thinking is that the tendon is in a state of degeneration.
What is a Tendinopathy?
Put simply, it is an Injury to the tendon. If the tendon is overloaded and continues to be overloaded it will not have the appropriate rest period to heal. This can lead to Tendinopathy. There are changes within the structure of the tendon and these can often be irreversible. Tendinopathies can occur where the tendon has become overloaded or in fact unloaded (stress-shielded) and where a direct blow is involved.
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