Managing Tendon Pain Programme

Online Course: Managing Tendon Pain Programme

A series of short courses on managing tendon pain

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Presented by:

Ebonie Rio

Ebonie is a tendon pain expert and researcher at La Trobe University in Australia.

8-9 hours
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Introduction

Tendinopathy is a common condition that we see regularly in the clinic.  There is much research available on this topic and new knowledge emerging all the time.  This programme of short courses from tendon pain specialist Ebonie Rio takes a specific look at clinical reasoning, tendon plasticity, assessment and rehabilitation.

Aims

This programme of courses aims to help you, from diagnosis to discharge, to manage individuals that present with tendon pain.

Outline

This programme consists of four separate online courses and an assignment:

  1. Clinical Reasoning in Tendons
  2. Tendon Plasticity
  3. Tendon Assessment
  4. Tendon Rehabilitation
  5. Final Assignment

Target audience

This course is aimed at Physiotherapy and Physical Therapy clinicians, students and assistants. Other interested professionals such as athletic trainers, occupational therapists, nurses or medical doctors interested in this subject are also invited to participate.

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Programme courses

This programme involves the following 4 courses:

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Clinical Reasoning in Tendons

Making the correct diagnosis when tendons are involved is essential to correctly managing the condition. It is useful when clinically reasoning to understand the load and capacity dynamics of tendons. There are tensile, compressive and shearing loads that contribute to tendon pathology and, depending on the capacity of the tendon, these can cause different pathology within the tendons and surrounding structures. There are also key clinical signs and symptoms that can help you accurately diagnose tendinopathy. This course will cover the different types of load that can contribute to tendon pathology and give you some insights into how to clinically reason between various tendon pathologies.
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Tendon Plasticity

Tendons have an amazing ability to adapt to external load. These changes occur on a structural level within the tendon and can result in an increase in anteroposterior diameter. In tendinopathy, it appears that there are also unique changes in excitatory and inhibitory stimuli from the brain to the muscles. In this course, Ebonie Rio will help you understand why the thickening of tendons is actually a good thing. She will also explain the related changes that can occur in the brain and the effect this has on motor control.
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Tendinopathy Assessment

A thorough assessment is essential in the management of tendinopathy. In the assessment you will not only confirm the diagnosis of tendinopathy and exclude other differential diagnoses, but also determine any contributing and risk factors. The correct diagnosis is important because this will guide the best management approach, which is quite different in tendinopathy compared to other conditions. In this course Ebonie Rio reviews the assessment of lower limb tendinopathy. She explains some key questions to ask in the patient interview, gives insight into clinical reasoning around different diagnoses and provides ideas on how to perform a physical examination.
0.9 points
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Tendinopathy Rehabilitation

Lower limb tendinopathy can be very difficult to treat with multiple management strategies and theories suggested. At present, the strongest evidence supports the use of exercise as a management strategy, with tendon loading the only intervention that can change the strength and mechanical properties of a tendon. A 4-stage exercise based tendon rehabilitation programme has been proposed as an effective progressive loading intervention to manage tendinopathy. This programme also incorporates motor control retraining with tendon neuroplastic training. In this course, clinical specialist, Ebonie Rio discusses the fundamentals of rehabilitation and the 4 stage process of tendinopathy rehabilitation. She also briefly discusses the related management of sports players in-season and how to manage their expectations.
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