TENDINOPATHIES HIGH YIELD Flashcards
what is the acute stage of tendonitis?
inflammatory cells
hypervascularity
what is the chronic stage of tendonitis?
collagen disorganization
fibroblast proliferation
edema
fat accumulation
this is also known as tenosynovitis?
paratenonitis
tendonitis, tendinosis, paratenonitis equals?
specific pathological conditions
what is tendonopathy?
generic descriptor of clinical conditions in and around tendons
name this condition?
histologically
inflammatory cells in the paratenon/peritendinous areolar tissue
clinical exam
warm, edema present, point tender, paratenon thickened and adhered to normal tissues
paratenonitis
name this condition?
histologically
same as paratenonitis BUT with decreased tendon collagen, fiber disorientation, scattered vascular ingrowth
clinical exam
same as paratenonitis BUT with nodule formation
paratenonitis with tendonosis
name this condition?
histologically
non inflammatory collagen degeneration, fiber disorientation, hypocellularity, possible necrosis and calcifications
clinical exam
nodular appearance, little if any edema
tendinosis
reactive tendinopathyt can lead to this type of tendinopathy when the load is excessive?
degenerative tendinopathy leading to a rupture
strains are what type of overload and base?
acute overload
intensity based
tendonopathy are what type of overload and base?
chronic overload
volume based
tendon injuries account for what percent of all sports related pathology?
50%
what are the tendon responses to loading types, 2 types?
cyclical
mechanical
how does mechanical loading and collagen synthesis work?
intern signaled when under strain
release of collagen mRNA and TGF-8-1 and types I/III new collagen synthesized
exercise concepts to consider when treating tendonopathies?
tendons do not like compression
high response to mechanical loading
increased stiffness after resistance
chronic habitual loading needed
an effective training program with high loads
what are the 3 theories applying science to tendon injuries?
collagen disruption model
inflammatory model
tendon cell response model
how are tendon injuries classified?
reactive
tendon disrepair
degenerative
reactive on
degenerative
what are the two clinically relevant stages?
which ones are reversible/nonreversible
reactive/early disrepair
-reversible
late disrepair/degenerative
-nonreversible
what are the treatment strategies utilizing load principles and the continuum?
isometrics
eccentrics-GOLD STD Alfredson Protocal
HSR-Heavy Slow Resistance
Beyer Protocal
Eccentrics is what protocol?
alfredson protocal
HSR is what protocol?
Beyer protocal
where do palliative treatments come into play?
laser
massage
IASTM
dry needling
what is important for endurance athletes?
strengthening
this type of tendon does not like compression
stretch-shortening acommodates for this until tendon is no longer reactive
reactive tendons
injured are a quick fix, T/F?
F
how long should you be exposed to fluoroquinolone?
6 months
what type of treatment modality is preferable in non-athletes?
for the reactive stage/in-season?
eccentrics
isometrics
