5. Main functions
• Joint movement
• Primary movers
• Joint stabilisation
• Platform on which the primary movers can work
• Energy absorption, storage & release
• Long, lower limb tendons
• Part of propulsion mechanics
18. How long does it take?
•At least 12 weeks (c.f stress fracture)
•Are you doing them?! (taking their drugs)
•Are you doing them in a graded, increased way?
21. Options?
• Oral/Topical Analgesia?
• Safe to tendons
• Side-effects?
• Steroid Injections?
• Analgesics
• Weaken tendon collagen
• Autologous Blood/Platelet Rich Plasma?
• Safe to tendons
• What are they adding?
• Shockwave Therapy
• Analgesic
• Safe to tendons in skilled hands
22. Talk take home
1. Tendinopathy cause
Functional Overload
2. Core principles of evidence based treatment
Restore capacity through supporting function and strengthening
muscle
3. Place of adjunct treatment
Shockwave Therapy represents the best evidenced and safest
approach – but only if appropriate rehab is failing