Patellar tendinopathy is characterised by localised anterior pain and is related to an increase load on the knee extensor muscles. Achilles tendinopathy is a common overuse injury caused by repetitive energy storage and release with excessive compression.
Treatment should be individualised to each patient and their activities. It is important as a clinician to understand the pathology and the evidence-based practice for rehabilitating a person with tendon pain. The course will provide you with an overview of the pathology and different therapeutic approaches and different clinical presentations of patellar versus Achilles tendinopathy. The medical and physiotherapy management of these conditions will be discussed.
This e-Learning course summarises the tendinopathy continuum and articulates the authors' clinical reasoning and hands-on experience managing Achilles tendinopathy. We outline graded loading concepts while emphasising that relying on recipes is likely to fail. We also provide a perspective on the role of central pain processing and peripheral input from nociceptive fibres in the context of tendinopathy.
Rehabilitation should be tailored to address identified impairments (muscle bulk asymmetries, kinetic chain dysfunction, tolerance of energy storage and release in the Achilles tendon), and progressively work toward movements and activities relevant for the individual's sport or daily activities.