Tendinopathy - Prevention, Management and Rehabilitation of the Painful Tendon

Event details


London Road Community Hospital, Derby

London Road
United Kingdom

View map

52.9153132, -1.4676352

Event Organiser

NCORE (National Centre of Rehabilitation Education)

01332 254679




Prevention, Management and Rehabilitation of the Painful Tendon

18th June 2021

Venue: London Road Community Hospital, Derby         

Ref. 2914

Trainer: Dr Marie-Elaine Grant

Dip Physio. (NUI) PhD, SMISCP, MCSP.


Course Aims:

  • The aim of this workshop is to address possible key factors relating to the prevention and management of Tendon Pain.
  • All aspects of the principles and techniques incorporated in this workshop will be evidenced based.
  • Highlight the factors which contribute to tendon pain.
  • Develop a clear understanding of Tendon Pathology and how Load effects tendon.
  • Practical Assessment of the painful Tendon and methods of identifying Sage of Tendon Pathology.
  • Criteria to be considered for planning Treatment and Rehabilitation Strategies.
  • Demonstration of practical of treatment and rehabilitation techniques with particular emphasis on the application of effective exercise techniques.
  • Debate evidence based outcomes of conservative and minimally invasive surgical interventions.


Course Outcomes:

  • Workshop participants will learn the necessary criteria to make the best choices in managing and possibly preventing the problem.
  • A clear understanding of the criteria required to plan an effective rehabilitation programme.
  • The ability to assess the painful tendon and degree of pathology including the role of scans, biomechanics, the kinetic chain, special tests, palpation, loading and functional testing.
  • Increase competence in the application of effective tendon treatment and rehabilitation techniques according to evidence based standards of practice.
  • Understand the Do’s and the Don’ts of load management of tendon – (in sick or healthy tendons).
  • Understand why sometimes rehabilitation strategies don’t work and competently consider subsequent treatment options.


CPD Hours of attendance: 7.25 hours


Fee: £160

Limited funded places may be available for AHP’s & nurses working for the NHS within the East Midlands.

01332 254679 | uhdb.ncore@nhs.net | www.ncore.org.uk


Course Programme

Throughout the one day workshop questions and discussion are encouraged, delegates will also have the opportunity to participate in the practical sessions.

  • Review of anatomy, physiology, function and properties of Tendon.
  • Sports related Tendon Pain and Dysfunction - Understanding current research on the Etiology and Pathological Stages and the Tendinopathy Process.   
  • Systemic review of Extrinsic Factors and Physical Characteristics associated with onset of Sports Tendinopathy with particular focus on Tendon Loading.
  • Can Tendon Pain and Dysfunction be prevented?
  • Evidence based practice in the evaluation of the painful tendon, (muscle – tendon, mid tendon and insertion problems), Imaging and the role of the Fat Pad and understanding the knowledge gaps.
  • Practical Clinical evaluation techniques – emphasis on identifying common presentations and response to functional testing 
  • Best Practice for optimal Management and rehabilitation strategies: Evidence based options which underpin optimal outcomes:
    • Decision Making
    • Loading strategies - effects of positive load
    • Manual Techniques with specific reference to the painful tendon – the role of SSTM and fat pad mobilisation techniques.
    • Understanding rehabilitation exercise strategies – Why do they work?
    • Barriers to exercise strategies
    • Clinical reasoning – exercise prescription - eccentric or  eccentric/ concentric or stretching? Which is most effective?
    • Rational for progressing the exercise programme, important criteria to be considered.
    • Useful treatment tools to be considered as adjuncts in the management of the problem.  
    • Advancing Load Management for return to sport - the Do’s and the Don’ts. Practical and Theory
    • Common problems experienced when increasing the load and advancing to return to sport


  • Failed conservative management - evidence based outcomes of conservative and minimally invasive surgical interventions. When should these interventions be considered?
  • Strategies for possible prevention. 
  • Bringing it all together : Case Studies: 

 2 lower limb case studies

 2 upper limb case studies


  • Summary
  • Discussion + Questions