Prevention, Management and Rehabilitation of the Painful Tendon
18th June 2021
Venue: London Road Community Hospital, Derby
Trainer: Dr Marie-Elaine Grant
Dip Physio. (NUI) PhD, SMISCP, MCSP.
- 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.
- 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
Limited funded places may be available for AHP’s & nurses working for the NHS within the East Midlands.
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
- Discussion + Questions