Tendinopathy – Does corticosteroid injection aid or hinder our rehabilitation process?

When physiotherapy treatment for tendinopathy fails, have you ever thought ‘Where did I go wrong?’ Assuming you have applied contemporary evidence informed protocols that incorporate load management and appropriate exercise therapy (e.g. avoiding compressive loading for insertional tendinopathies), there are a number of factors that may influence your success, including patient beliefs and compliance, systemic illness and psychosocial issues. Have you ever considered though that prior medical treatment may have had you fighting an uphill battle from the start?
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Have you asked a patient to recruit their iliocapsularis recently? Ilio…what?

Yes, this is a real muscle and it may have an important function in joint and capsular protection. There is a rapidly growing evidence base for understanding function and dysfunction of the complex layered muscle synergies around the hip. The development of safe fine wire EMG techniques and reliable dynamic ultrasound imaging around the hip has seen an explosion of research into this fascinating area. We have recent information on deep gluteal and external rotator function, and now for the first time we have fine wire information on normal function of iliocapsularis. Early EMG findings for iliacus and iliocapsularis have been released today in our paper in Gait & Posture1. The landscape in this field is undergoing substantial change and is it important that physiotherapy assessment methods and exercise prescription reflect contemporary understanding in this field. Read more

Are you still prescribing ITB stretches and clams for lateral hip pain?

It might be time for a knowledge update!

Painful tendinopathies are one of the most frequent musculoskeletal conditions with which patients present to physiotherapy clinics. Diagnosis can often be challenging, with hip and pelvic tendinopathies often masquerading as lumbar-referred or hip joint pain. A missed diagnosis or incorrect management plan can lead to delayed outcomes for our patients and loss of confidence & patronage for the physiotherapist. Read more