Tendonopathy

Question 1

Define Tendonopathy

Answer 1

Pain or dysfunction of tendons

Question 2

Risk factors of tendonopathy

Answer 2

Overload / under-load
Changes in load
Increased BMI

Question 3

4 stages of tendonopathy

Answer 3

1. Changes in tendon cell production
2. Disorganisation of collagen
3. Ground substance change
4. Neuro vascularisation

Question 4

Lower limb tendonopathy

Answer 4

Glutes
Patella
Achilles
Planter facia

Question 5

Upper limb tendonopathy

Answer 5

Rotator cuff related pain
Lateral epicondylalgia
Medial epicondylalgia
De Quirvins

Question 6

Gluteal tendonopathy facts

Answer 6

• most prevalent LL
• more common in females (‘Q’ angle)
• glute medius + minimus
• due to compression or overload

Question 7

Glute tendinopathy signs and symptoms

Answer 7

• Lateral hip pain

- tenderness around GT

Question 8

Glute tendonopathy management

Answer 8

Education - load management

Question 9

Patella tendonopathy facts

Answer 9

• high in jumping sports

- due to chronic overload

Question 10

Patella tendonopathy risk factors

Answer 10

Weight - BMI

Question 11

Patella tendonopathy sighns and symptoms

Answer 11

• Anterior knee pain

- decreased function on stairs

Question 12

Patella tendonopathy management

Answer 12

Education
Load management
Eccentric loading exercise

Question 13

Achilles tendonopathy facts

Answer 13

• common in runners
• 1/3 min athletes
• can be mid or insertional
• due to overload/underload/ overpronation

Question 14

Achilles tendonopathy signs and symptoms

Answer 14

• Pain and swelling around tendon
• Pain at start and end of training
• swelling

Question 15

Achilles tendonopathy management

Answer 15

Education
Load management
Exercise

Question 16

Plantar faciopathy facts

Answer 16

• 1/10 get it
• 90% resolve in 12 months
• due to overpronated foot or extreme Hallux Valgus
• thickening and degenerative changes

Question 17

Plantar faciopathy signs and symptoms

Answer 17

• pain at proximal insertion

- painful in morning and end of the day

Question 18

Plantar fasciopathy management

Answer 18

Education
Load management
Orthotics

Question 19

Rotator cuff related pain is an umbrella term for what 3 pathologies ???

Answer 19

• sub acrimony pain syndrome
• Rotator cuff tear
• rotator cuff tendonopathy

Question 20

Rotator cuff related pain signs and symptoms

Answer 20

• Pain of shoulder
• dysfunction of movement
• painful to lay on

Question 21

Rotator cuff related pain Management

Answer 21

Education
Exercise
Symptom modification

Question 22

Lateral epicondylalgia facts

Answer 22

• wrist extensors overuse
• lateral epicondyle
• ECRB is most commonly effected
• SUP , ECRL , ED , EDM ,ECU

Question 23

Lateral epicodyalgia signs and symptoms

Answer 23

• pain on lateral epicondyle

- typically aggravated by resistance

Question 24

Lateral epicondylagia management

Answer 24

Education
Load management
Exercise
Tape

Question 25

Medial epicondyalgia facts

Answer 25

- due to overuse - flexor tendons - more females after giving birth - FCR + pronator teres

Question 26

Medial elicondyalgia signs and symptoms

Answer 26

- pain in medial epicondyle - aggravated by resistance - reduced grip strength

Question 27

Medial epicondylagia management

Answer 27

Education Load management Exercise

Question 28

De Quirvins facts

Answer 28

- more women - new mothers - thumb movement -EPB + APL

Question 29

De Qirvins signs and symptoms

Answer 29

- Pain on radial side of of wrist | - aggravated by resist and to thumb extension and abduction

Question 30

De Quirvins management

Answer 30

Education Load management Exercise

Question 31

Strains / tears involve

Answer 31

- muscle or tendons lengthened to tear collagen

Question 32

Name the grades of a strain

Answer 32

1- not torn but overstretched 2- small tear 3- full tear