This article is an overview of a review by Malliaras et al. (1) looking at Achilles and patellar tendinopathy rehabilitation. There has been much research into the pathophysiology of tendinopathy and management of the condition has changed distinctly in the last 10 years. However, therapists are still using these old protocols (observed as little as 4 weeks ago) despite an incredible 45% of patients not responding significantly to eccentric exercise programmes. This article succinctly outlines the latest evidence base and rehab protocols and includes a video, animation and a continuing education multiple choice quiz.
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Paula Clayton MSc, FA Dip, Mast STT has been working as a senior performance therapist for the English Institute of Sport and British Athletics since 2003. She has travelled extensively to Olympic Games (including 2012), Commonwealth Games, World and European Championships with GB track and field as part of the medical team during this time. Prior to 2003 Paula worked in Premiership and Championship football for 4 years.
Paula has taught on two sports therapy degree programmes, written a number of articles and has an MSc in Sports Injury. Paula also delivers soft tissue master-classes to senior physiotherapists and soft tissue therapists within premiership and championship football clubs, NGB’s and to soft tissue therapists nationally and internationally through her company STT4Performance. Paula also runs a very successful sports injury clinic - private practice (established in 1994) in Shropshire with her husband Rick.
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