Dr Hamish Osborne. Sport & Exercise Medicine Physician Dunedin
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1 Dr Hamish Osborne Sport & Exercise Medicine Physician Dunedin
2 New Approaches to Handling Tendinopathies By Hamish Osborne
3 Definition Tendinopathy Absence of tightly packed collagen bundles Large amount mucoid ground substance Clefts in collagen suggesting microtearing Neovascularisation Histopathology is tendinosis
4 1882 Lancet; Morris H. The rider s sprain. 120(3074)
5 1976 Am J Sports Med; Puddu G, Ippolito E, Postacchini F. A classification of achilles tendon disease.
6 1986 Clin. Orthop. Relat. Res Stanish WD, Rubinovich RM, Curwin S. Eccentric exercises for chronic tendinitis. First to hypothesise down better than up
7 1998 Am J Sports Med. Alfredson H, Pietila T, Jonsson P, Lorentzon R. Heavy-load eccentric calf muscle training for the treatment of chronic Achilles tendinosis.
8 1998 Journal of Science and Medicine in Sport. Visentini PJ, Khan KM, Cook JL, Kiss ZS, Harcourt PR, Wark JD. The VISA score: An index of severity of symptoms in patients with jumper's knee (patellar tendinosis).
9 2000 J Ultrasound Med. Cook JL, Khan KM, Kiss ZS, Purdam CR, Griffiths L. Prospective imaging study of asymptomatic patellar tendinopathy in elite junior basketball players. J Ultrasound Med.
10 2001 Br J Sports Med Cook JL, Khan KM, Kiss ZS, Purdam CR, Griffiths L. Reproducibility and clinical utility of tendon palpation to detect patellar tendinopathy in young basketball players. Victorian Institute of Sport tendon study group.
11 2001 Br J Sports Med. Robinson JM, Cook JL, Purdam C, Visentini PJ, Ross J, Maffulli N, et al. The VISA-A questionnaire: a valid and reliable index of the clinical severity of Achilles tendinopathy.
12 2002 Cochrane Database Syst Rev. Brosseau L, Casimiro L, Milne S, Robinson V, Shea B, Tugwell P, et al. Deep transverse friction massage for treating tendinitis.
13 2003 J Hand Surg (Am) Edwards SG, Calandruccio JH. Autologous blood injections for refractory lateral epicondylitis.
14 2005 Br J Sports Med Young MA, Cook JL, Purdam CR, Kiss ZS, Alfredson H. Eccentric decline squat protocol offers superior results at 12 months compared with traditional eccentric protocol for patellar tendinopathy in volleyball players.
15 2006 Br J Sports Med Manias P, Stasinopoulos D. A controlled clinical pilot trial to study the effectiveness of ice as a supplement to the exercise programme for the management of lateral elbow tendinopathy.
16 2007 Am J Sports Med. Silbernagel KG, Thomee R, Eriksson BI, Karlsson J. Continued sports activity, using a painmonitoring model, during rehabilitation in patients with Achilles tendinopathy: a randomized controlled study.
17 2008 J Sci Med Sport Fallon, K., et al., A "polypill" for acute tendon pain in athletes with tendinopathy?
18 2008 Br J Sports Med Jonsson P, Alfredson et al. New regimen for eccentric calf-muscle training in patients with chronic insertional Achilles tendinopathy.
19 2009 Medicine & Science in Sports & Exercise. Gaida JE, Alfredson L, et al. Dyslipidemia in Achilles Tendinopathy Is Characteristic of Insulin Resistance.
20 2010 Journal of Science and Medicine in Sport. Osborne H. Stop injecting corticosteroid into patients with tennis elbow, they are much more likely to get better by themselves! If a new anti-cancer drug were to show early (6 weeks) benefits with remission rates of 78% for the drug compared with 29% for placebo, there would be great excitement. If follow up data showed remission rates at 1 year of 87% in the placebo group compared with 69% in the new drug group with significant statistical and clinical significance the new drug would never make it to market.
21 2010 J Shoulder Elbow Surgery Tyler TF, Thomas GC, Nicholas SJ, McHugh MP. Addition of isolated wrist extensor eccentric exercise to standard treatment for chronic lateral epicondylosis: a prospective randomized trial.
22 2012 Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology. Osborne H, Quinlan J, Allison G. Hip abduction weakness in elite junior footballers is common but easy to correct quickly: a prospective sports team cohort based study.
23 Lateral Epicondylosis History Exam Investigations
24 Treatment Broom
25 Medical Epicondylosis History Examination Investigation Treatment
26 Biceps Insertion Tendinopathy History Examination Investigation Treatment
27 Gluteus Medius Tendinopathy
28 Gluteus Medius Tendinopathy
29 Greater Trochanteric Bursitis
30 Greater Trochanteric Bursitis
31 Greater Trochanteric Pain Syndrome History Examination Investigation Treatment
32 Hamstring Origin Tendinopathy History Examination Investigation Treatment
33 Patella Tendinopathy History Examination
34 Investigations
35
36
37
38 Osgood Schlatters Hangover effect
39 Treatment Treat the knee PFJ Decline Squats Leg Extension Leg Press Treat the whole person
40 Quads Tendinopathy History Examination Investigation Treatment
41 Achilles Tendinopathy History Examination
42 Treatment - ecap
43 Achilles Enthesopathy History Examination
44 Investigations
45 Investigations
46 Treatment
47 Tibialis Posterior Tendinopathy History Examination Investigation Treatment
48 Peroneal Tendinopathy History Examinatino Investigation Treatment
49 FHL Tendinopathy History Examination Investigation Treatment
50 Problems with conservative management
51 Match your expectations - Cross training - Starts immediately - Expectations of the patient and the practitioner
52 Questions? THANK YOU
It is time to abandon the myth that eccentric
VOLUME 12.1, 2016 D.O.I: http: doi.org/10.4127/jbe.2016.0097 Stasinopoulos Dimitrios (PhD) 1, Peter Malliaras 2 It is time to abandon the myth that eccentric training is best practice. 1 Vice-Chairperson
Musculoskeletal health is a necessary component of overall
ORIGINAL ARTICLE No Effect of Eccentric Training on Jumper s Knee in Volleyball Players During the Competitive Season A Randomized Clinical Trial Håvard Visnes, Stud Med, PT,* Aasne Hoksrud, Stud Med,*
UEL. Sport Rehabilitation: Injury to Optimal Performance PTM 0114
UEL Sport Rehabilitation: Injury to Optimal Performance PTM 0114 The role of eccentric training in the management of Achilles Tendinopathy Analysing and discussing Herrington L. and McCulloch R. (2007)
L J Cannell, J E Taunton, D B Clement, C Smith, K M Khan
60 The Allan McGavin Sports Medicine Centre and School of Human Kinetics, University of British Columbia, Vancouver, Canada L J Cannell J E Taunton D B Clement C Smith K M Khan Correspondence to: Dr Khan
C hronic tendinopathies are common in both recreational
217 REVIEW The evolution of eccentric training as treatment for patellar tendinopathy (jumper s knee): a critical review of exercise programmes Håvard Visnes, Roald Bahr... Br J Sports Med 2007;41:217
J umper s knee (chronic patellar tendinosis) is a troublesome
423 ORIGINAL ARTICLE and pain in jumper s knee: a prospective clinical and sonographic study in elite junior volleyball players K Gisslén, H Alfredson... See end of article for authors affiliations...
Citation for published version (APA): Zwerver, J. (2010). Patellar tendinopathy: Prevalence, ESWT treatment and evaluation. Groningen: s.n.
University of Groningen Patellar tendinopathy Zwerver, Johannes IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document
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Topical glyceryl trinitrate treatment of chronic patellar tendinopathy: a randomised, double-blind, placebo-controlled clinical trial
1 Department of Steunebrink Sportsmedicine, Eelde, The Netherlands 2 Department of Sportsmedicine, University Medical Center Groningen, Groningen, The Netherlands 3 Department of Sportsmedicine, Medical
programme in the treatment of rotator cuff tendinopathy A pilot trial to study the effectiveness of an exercise Abstract
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Citation for published version (APA): Zwerver, J. (2010). Patellar tendinopathy: Prevalence, ESWT treatment and evaluation Groningen: s.n.
University of Groningen Patellar tendinopathy Zwerver, Johannes IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document
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Reproducibility and clinical utility of tendon palpation to detect patellar tendinopathy in young basketball players
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