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Does your individual Achilles tendon structure influence Achilles tendon load?

The 3D geometry of the Achilles tendon is complex (essentially made up of tendons from the three calf muscles that are twisted together) and influences the strain that occurs in different components of the tendon. This is enabled by sliding that occurs between these subtendons. They can act independently to some extent. This team aimed to develop a mathematical model to test whether the geometry of the Achilles and different rehab exercises influence Achilles strain.

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Exercise dose: Is it important for tendinopathy rehabilitation?

Exercise dose: Is it important for tendinopathy rehabilitation?

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Monitoring Physical Activity Using Wearable Technology in People With Achilles Tendinopathy Undergoing Physiotherapy Treatment: A Feasibility Prospective Cohort Study

Monitoring Physical Activity Using Wearable Technology in People With Achilles Tendinopathy Undergoing Physiotherapy Treatment: A Feasibility Prospective Cohort Study

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Adherence to exercise in musculoskeletal trials: current problems and how we can improve.

Exercise is a recommended treatment for many pain and musculoskeletal conditions, including tendinopathy. It is really clear in other areas such as exercise for general health (e.g., heart health) that the more exercise you do, the better. Things don’t really work in this linear way for pain. Pain is complex. Maybe doing more exercise will make our pain and musculoskeletal patients stronger and more functional, but why should it improve their pain?

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Tendinopathy Updates (FREE)30th of January 2022

Empowering patients and delivering impartial tendinopathy care

Top tips for empowering patients and delivering impartial care

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Tendinopathy Updates (FREE)9th of November 2017

Tendinopathy pain

Pain education in tendinopathy is tricky, in our clinic we use a simple 6 page education document.

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Tendinopathy Updates (FREE)11th of October 2017

Evidence based medicine: is it working in tendinopathy?

An example of evidence based medicine and how we should reserve excitement in science before we have multiple studies and sufficient evidence.

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That elusive biological magic bullet for tendinopathy

I have wanted to write this blog for a while, mainly for the benefit of patients wondering about these treatments.

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Are my weak gluteals causing my Achilles pain?

Many patients are told they have weak and poor gluteals that are causing everything. Their Achilles pain, their back pain, and perhaps thereby gluteal weaknessis the cause of their general dissatisfaction with life!

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Neuromechanical deficits 1-2 years after Achilles tendon repair

Interesting study to review this week from Oda et al. Co-authors include Paavo Komi and Masaki Ishikawa who have done lots of work on stretch shorten cycle.

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How to allay the fear of rupture among patients with Achilles pain

How often does a patient with Achilles tendon pain either ask or have concern about rupturing their tendon?

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Can ultrasound imaging predict Achilles and patellar tendon pain?

This week’s blog focuses on an exceptional systematic review from a progressive group in Ireland. They tackle the simple question of whether imaging pathology predicts the future onset of tendon pain.


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