Physioblog by Andreas Bjerregaard

Physiotherapist, IOC Diploma In Sports Physical Therapy, Certified Mulligan Practitioner, FIFA 11+ instructor and much more.

Blog

The ink behind the writing

Skærmbillede 2014-07-17 kl. 22.02.03This blog was created with the aim to write about my experiences in the field of physiotherapy and sports medicine.

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Faglig Fredagsbar – okklusion til rehabilitering og træning – billeder

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The running man – you peak when you’re 27 year.
Video analyse from ACL injuries.

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Varme forårs hilsner

Andreas

Skærmbillede 2013-05-20 kl. 18.03.18

Skærmbillede 2016-03-02 kl. 20.52.54

REACTIVE TENDINOPATHY

The elite athlete described above is likely to have “reactive tendinopathy”. This term refers to an acute overload of the tendon causing thickening and pain in the tendon. It is more common in the young athlete and is produced through increases in training load or commencement in training if previously sedentary. Imaging studies at this time show mild fusiform swelling. The proposed treatment is a period of relative rest and analgesia.

DYSREPAIR TENDON

This involves a worsening of the tendon pathology with breakdown of the tendon matrix. The symptoms are likely to have been present for longer. It may be possible to see some hypoechoic areas or neovascularity within the tendon on ultrasound.

DEGENERATION TENDINOPATHY

This stage generally occurs after the symptoms have been present for a prolonged period. It is more common in older athletes, like the recreational athlete described above. Tendon changes, including neovascularity and hypoechoic regions, are common during this stage. These patients are likely best treated with aggressive eccentric strengthening.

 

SUGGESTED READING

Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy.Cook J and Purdam C

British Journal of Sports Medicine 2009; 43; 409-416

 

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