W1 MSK Flashcards
Increased number of what cells can trigger tendinopathy?
Tenocytes
Tenocte metabolism
Immature tenocytes (don’t produce collagen)
Rate of apoptosis
Immunoreactive cells
Signs and symptoms of tendonopathy
Pain
Weakness
Decreased sensation
Swelling
Physio management/treatment
Education
Exercise
Load modification
Stretches
Shockwave
Manual therapy
Common areas affected in Lower limb
Glute
Patella
Achilles
Tib post
Hamstrings
Peroneals
Common areas affected in upper limb
Rotator cuff
Long head of biceps
Lateral+ Medial epicondylalgia (elbow)
De Quervain (wrist to base of thumb)
What is the most prevalent lower limb tendinopathy?
Gluteal tendinopathy (GTPS)
Clinical signs n symptoms of GTPS
Lateral hip pain/ tenderness
Pain walking, standing on affected leg, side lying.
Patella tendinopathy clinical signs n symptoms
Anterior knee pain
Decreased function- kneeling, downhill
Achilles tendinopathy clinical signs n symptoms
Pain+Swelling
Tender nodular swelling usually present in chronic cases
Plantar fasciopathy clinical signs n symptoms
Pain at the proximal insertion of the plantar fascia, particularly with big toe extension and ankle dorsiflexion
Often painful first thing in the morning and after activities/ at the end of the day
Rotator cuff clinical signs n symptoms
Pain and impairment of shoulder movement and function usually during shoulder elevation and lateral rotation
Painful to lie on affected side
Lateral epicondylalgia
Pain located around the lateral epicondyle of the elbow, usually radiating with the extensor
Variable pain reported- intermittent/continuous, varying in severity
Aggravated by resisted wrist/ finger extension, forearm supination
Stretching the tendon can also reproduce symptoms as can gripping