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Physio Network
[Expert Physio Q&A] Achilles Tendinopathy with Dr Ebonie Rio
Aug 28, 2024
Dr. Ebonie Rio, a leading expert in tendinopathies with a PhD in tendon pain from La Trobe University, breaks down the complexities of Achilles tendinopathy. She discusses the critical link between nutrition and tendon health, especially the roles of vitamin C and zinc. Assessment techniques like the bent knee calf raise are emphasized to enhance clinical practice. Ebonie also clarifies the nuances of managing Achilles pain, distinguishing between neural irritation and tendon-related issues, and highlights the potential for healing even in degenerative tendinopathy.
13:12
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Quick takeaways
- Palpation is a critical technique in tendon assessments, as the absence of tenderness may effectively rule out tendon involvement.
- Standardized tests for calf strength and endurance are essential in managing Achilles tendinopathy, enabling better differentiation between symptomatic and asymptomatic patients.
Deep dives
Palpation's Role in Tendon Assessment
Palpation is often undervalued in tendon assessments, with many clinicians believing that tenderness indicates a tendon issue. However, the absence of tenderness can effectively rule out tendon involvement. The discussion highlights that palpation can help differentiate tendon pain from other potential causes, emphasizing that if a patient does not experience tenderness, it is unlikely that the tendon is responsible for their symptoms. This insight is crucial for sports physiotherapists, as it allows for more accurate assessments and better-targeted treatment strategies.
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