JOSPT Insights Ep 167: Getting your tendinopathy diagnosis and treatment right, with Dr Robert-Jan de Vos
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Feb 19, 2024 Dr. Robert-Jan de Vos discusses Achilles tendinopathy diagnosis, tendon anatomy, patient communication, and management. Resources include load importance, clinical diagnosis tools, pain monitoring model, resistance training dosing, and treatment options. Podcast covers interdisciplinary collaboration, diagnostic challenges, differential diagnosis, exercise therapy, and personalized treatment strategies.
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Diagnostic Criteria for Achilles Tendinopathy
- Clinicians should look for pain on palpation, localized swelling, and activity-related pain to diagnose Achilles tendinopathy.
- These criteria are frequently used in randomized controlled trials.
Differential Diagnosis for Achilles Tendinopathy
- Differentiate between insertional and mid-portion Achilles tendinopathy for proper diagnosis and treatment.
- Consider ruling out other conditions like Haglund's deformity, retrocalcaneal bursitis, enthesitis, acute rupture, and posterior ankle impingement.
Patient Education for Achilles Tendinopathy
- Educate patients on their condition, pain science, prognosis, and load management.
- Explain the condition using a biomedical approach, discuss psychological factors, and manage expectations regarding recovery time.