Tendinopathy

Question 1

What is tendinopathy?

Answer 1

An imbalance in the wear and repair process leading to a loss of tendon homeostasis. Clinical presentation of pain.

Question 2

How does tendinopathy occur?

Answer 2

WEAR:
Training load
Previous muscle injury
Muscle weakness
LL biomechanics

REPAIR:
Tendon structure
Increased BMI
Age/Gender
Meds
Genetic predisposition

Question 3

Structural change with tendinopathy

Answer 3

1. Alterations to tendon cell population (overload detected by cells)
2. Disorganisation of collagen (cells activate)
3. Ground substance changes (matrix loses structure)
4. Neovascularisation (new blood vessels and nerves enter area causing pain)

Question 4

How to Rx tendinopathy

Answer 4

• Reduce external loading - progressive loading is the key to recovery!
• DTFM
• SSTM?
• Lifestyle changes
• Increase muscle strength