Tendinitis/Tendinopathy Treatment Protocols

How does eccentric exercise play a role in the treatment of tendinopathy?

Eccentric exercise is a crucial component in the treatment of tendinopathy as it helps to stimulate collagen synthesis, improve tendon structure, and enhance tendon strength. By focusing on the lengthening phase of muscle contractions, eccentric exercises target the tendon specifically, promoting tendon remodeling and reducing pain and stiffness associated with tendinopathy.

How does eccentric exercise play a role in the treatment of tendinopathy?

What is the effectiveness of shockwave therapy in managing tendinitis?

Shockwave therapy has shown promising results in managing tendinitis by promoting tissue regeneration, increasing blood flow, and reducing inflammation. This non-invasive treatment modality delivers acoustic waves to the affected tendon, stimulating the healing process and providing pain relief. While individual responses may vary, shockwave therapy can be an effective option for addressing tendinitis symptoms.

Vestibular Rehabilitation for Balance Disorders

$55M Series A for 3D Printed Ortho Implants

Durham, North Carolina-based restor3d, purchaser last September of Conformis, Inc, has closed a $55 million Series A funding round. The company will use the funding to continue to develop personalized medical solutions. Per the press release, this includes the introduction of “new patient-specific implant systems for total ankle and shoulder replacements.” The post $55M Series A for 3D Printed Ortho Implants first appeared on Orthopedics This Week.

$55M Series A for 3D Printed Ortho Implants

Posted by on 2024-06-21

Ousted Orthofix Execs File Court Challenge

Three former Orthofix executives have filed an application for arbitration with the California Superior Court asking, among other things, to compel Orthofix Medical, Inc. to address their claims surrounding their abrupt dismissal in September 2023. The post Ousted Orthofix Execs File Court Challenge first appeared on Orthopedics This Week.

Ousted Orthofix Execs File Court Challenge

Posted by on 2024-06-13

New Ortho Healthcare Venture Fund

The Orizon Fund has been newly founded by Orizon LLC and the Orthopaedic Research and Education Foundation (OREF). Its focus will go towards solutions created by OREF-funded research. The fund will provide a broad range of financial support to these efforts. The post New Ortho Healthcare Venture Fund first appeared on Orthopedics This Week.

New Ortho Healthcare Venture Fund

Posted by on 2024-06-07

James I. Huddleston, III, M.D. New AAHKS President

“I am excited to say that I have the best job in the world.” — Dr. Huddleston The post James I. Huddleston, III, M.D. New AAHKS President first appeared on Orthopedics This Week.

Posted by on 2024-06-07

Can platelet-rich plasma injections help in the healing of tendon injuries?

Platelet-rich plasma (PRP) injections have been utilized in the healing of tendon injuries due to their potential to accelerate tissue repair and reduce inflammation. By injecting a concentrated form of platelets derived from the patient's blood into the injured tendon, PRP therapy aims to enhance the body's natural healing mechanisms and promote tendon healing. While further research is needed to fully establish its efficacy, PRP injections hold promise in the treatment of tendon injuries.

Orthopedic Physical Therapy Techniques

Can platelet-rich plasma injections help in the healing of tendon injuries?

What role do anti-inflammatory medications play in the management of tendinopathy?

Anti-inflammatory medications play a role in the management of tendinopathy by reducing pain, swelling, and inflammation in the affected tendon. Nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly prescribed to alleviate symptoms and improve function in individuals with tendinopathy. However, it is essential to use these medications judiciously and under medical supervision to avoid potential side effects and ensure optimal outcomes.

Is there a specific protocol for using eccentric loading exercises in Achilles tendinopathy cases?

In Achilles tendinopathy cases, a specific protocol for using eccentric loading exercises has been developed to effectively target the affected tendon. This protocol typically involves performing eccentric heel drops on a slant board or step to eccentrically load the Achilles tendon. By gradually increasing the intensity and volume of these exercises while monitoring symptoms, individuals with Achilles tendinopathy can promote tendon healing and improve function.

Is there a specific protocol for using eccentric loading exercises in Achilles tendinopathy cases?
How does the use of orthotics or shoe inserts impact the treatment of patellar tendinitis?

The use of orthotics or shoe inserts can positively impact the treatment of patellar tendinitis by providing support, cushioning, and alignment to the foot and lower extremities. By reducing excessive stress on the patellar tendon during weight-bearing activities, orthotics can help alleviate pain, improve biomechanics, and enhance overall function. Customized orthotic devices tailored to individual needs can be particularly beneficial in managing patellar tendinitis.

Are there any specific recommendations for modifying activity levels in individuals with rotator cuff tendinopathy?

Specific recommendations for modifying activity levels in individuals with rotator cuff tendinopathy include avoiding repetitive overhead movements, heavy lifting, and activities that exacerbate shoulder pain. Gradual progression of shoulder exercises focusing on strengthening the rotator cuff muscles and improving shoulder stability is essential. Additionally, incorporating proper warm-up and cool-down routines, maintaining good posture, and seeking guidance from a healthcare professional can help individuals with rotator cuff tendinopathy manage their condition effectively and prevent further injury.

Are there any specific recommendations for modifying activity levels in individuals with rotator cuff tendinopathy?

Neuromuscular electrical stimulation (NMES) works by delivering electrical impulses to the motor nerves through electrodes placed on the skin, causing muscle contractions. This process activates the neuromuscular system, leading to improved muscle strength, endurance, and coordination. NMES can help with muscle re-education, rehabilitation, and pain management by targeting specific muscle groups and promoting muscle recruitment. The electrical stimulation mimics the natural signals from the central nervous system, facilitating muscle activation and enhancing overall muscle function.

Pelvic girdle pain during pregnancy is managed through a combination of physical therapy, exercises, pelvic support belts, heat or cold therapy, massage, acupuncture, chiropractic care, and pain medication under the guidance of a healthcare provider. It is important to maintain proper posture, avoid activities that exacerbate the pain, and use pillows for support while sleeping. Additionally, staying active with low-impact exercises such as swimming or prenatal yoga can help strengthen the muscles supporting the pelvis and alleviate discomfort. In severe cases, a healthcare provider may recommend a referral to a specialist for further evaluation and treatment options.

Proprioceptive neuromuscular facilitation (PNF) benefits patients by improving flexibility, strength, coordination, and range of motion through the use of patterns, resistance, and stretching techniques. This method enhances neuromuscular control, muscle activation, and motor learning, leading to increased functional abilities and performance in various activities. PNF also aids in rehabilitation, injury prevention, and overall physical conditioning by targeting specific muscle groups and promoting proper movement patterns. Additionally, PNF helps in enhancing proprioception, balance, and postural stability, making it a valuable tool in the treatment and management of musculoskeletal conditions and neurological disorders.

Stretching routines for plantar fasciitis typically involve exercises that target the calf muscles, Achilles tendon, and plantar fascia. These may include calf stretches, toe stretches, heel cord stretches, and plantar fascia stretches. It is important to perform these stretches regularly and gently to help improve flexibility and reduce tension in the affected areas. Additionally, incorporating exercises to strengthen the muscles of the foot and ankle can also be beneficial in managing plantar fasciitis. It is recommended to consult with a healthcare professional or physical therapist to develop a personalized stretching routine that suits individual needs and limitations.

Joint protection techniques recommended for rheumatoid arthritis include using assistive devices such as splints, braces, and ergonomic tools, practicing proper body mechanics, maintaining a healthy weight, engaging in regular physical activity, applying heat or cold therapy, pacing activities to avoid overexertion, incorporating joint-friendly exercises like swimming or yoga, and seeking occupational therapy for tailored strategies to protect and support joints. It is also advised to avoid repetitive movements, minimize stress on the joints, and ensure proper ergonomics in daily tasks to reduce strain and preserve joint function.

Compression therapy, elevation, cold therapy, NSAIDs, rest, lymphatic drainage, physical therapy, anti-inflammatory medications, cryotherapy, RICE protocol, vasoconstriction, edema reduction, swelling management, tissue healing, pain relief, inflammation control, swelling reduction, injury recovery, acute inflammation, soft tissue injuries, musculoskeletal trauma.

Functional capacity evaluations are typically conducted by trained professionals in a controlled setting, such as a clinic or rehabilitation center. These evaluations involve a series of standardized tests and assessments that measure an individual's physical abilities, including strength, flexibility, endurance, and coordination. The evaluator may use various tools and equipment to assess different functional tasks, such as lifting, carrying, pushing, pulling, and gripping. The evaluation process may also include a review of the individual's medical history, work demands, and any relevant documentation. The results of the evaluation are used to determine the individual's functional limitations, work restrictions, and overall ability to perform specific job tasks.