Physio Network [GOLDEN OLDIE] Clinical pearls on tendinopathy with Professor Jill Cook
16 snips
Jan 7, 2026 In this engaging discussion, Professor Jill Cook, a leading expert in musculoskeletal health and tendon pathology, shares invaluable insights on tendinopathy. She explores the tendon continuum model and emphasizes the importance of focusing on patient symptoms rather than pathology. Jill highlights the differences between reactive and degenerative tendons, offering practical tips for loading management. She challenges conventional approaches, advocating for real-world understanding of tendon load and emphasizing clinician experience for effective treatment.
AI Snips
Chapters
Transcript
Episode notes
Pathology ≠ Treatment Plan
- The continuum model describes tendon pathology but has limited impact on clinical management.
- Clinicians should prioritise symptoms and dysfunction over exact pathological staging.
Match Management To Presentation
- Distinguish reactive from degenerative presentations by history, age and tendon swelling.
- Unload reactive tendons and progress loading quickly for degenerative or reactive-on-degenerative tendons.
Don't Image Routinely
- Avoid routine imaging for tendinopathy because it rarely changes management.
- Use history and examination to determine overload, goals and treatment direction.