Tendinopathy
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