Another example may include an individual who has just started at an exercise class at the gym, whether this is zumba fitness or circuit training which involves a lot of jumping movements. After a few sessions they may notice a pain over the front of their knee. This will be through excessive loading of the patella tendon with jumping and repetitive high load forces being applied through the knee, often referred to as patellar tendonopathy or ‘jumpers knee’.
How will the pain present itself?
Tendon injuries present relatively consistently between different patients. This includes pain some time after the exercise, more commonly the morning after. The individual may find the area is pain free when resting but then becomes painful during activity. During an activity the patient may find they can ‘run through’ the pain, with the pain disappearing after warming up, and returning during the cool down period.
How can physiotherapy help tendonopathy?
As mentioned above, at Total Physiotherapy we see a large number of patients who suffer from tendon related injuries and we have a very high success rate with treating and curing these injuries. Treatment for tendonopathy is a very hot topic and there are a number of different treatment options that have proven to be beneficial in experimental research. At Total Physiotherapy we use evidence based research to ensure that we provide the most up to date and effective treatment options when treating tendonopathy.
Firstly the physiotherapist will complete a thorough assessment in order to determine where the problem lies and why the injury is occurring. It may be due to muscle weakness, muscle imbalance, poor biomechanics, or simple due to overuse. In most cases it is a combination of all the above. It will then be the physiotherapist’s decision to how they will treat the injury, depending on the stage of the tendon injury. Most commonly soft tissue massage will be used initially however as mentioned before this will depend on the stage of the process.
The patient will then be shown specific exercises to improve their biomechanics and strengthen muscles to prevent muscle imbalances and overuse of certain tendons. Further treatment methods such as Acupuncture, Joint Mobilisation, Stretching, Trigger Points and Taping may be used.
The use of orthotics may also be used in order to correct a patient’s biomechanics and prevent over pronation and excessive stress put through the Achilles tendon and preventing plantarfasciitis (damage to the plantarfascia on the sole of the foot).
If you would like to discuss your problem before booking an appointment please give our physiotherapy team a call, we will do our best to help