Hey Everyone! So I was taking a continuing education course about treatment of endurance athletes recently, and I had a thought about what to blog about this month. Some people when they come into PT will present with pain, for example in their shoulder and tell me they have Rotator Cuff Tendonitis.
What is the difference between Tendonitis and Tendinosis?
But upon speaking to them further it will become that their symptoms have been lasting for months to even years!
In this case, what we are actually looking at is tendinopathy which causes changes of the collagen fibers within the tissue, versus a tendonitis, which is inflammation occurring at the site prior to issue change.
So, how do we treat this? We would want to allow a short period of rest and then focus on improving strength to reorganize the tissue that has changed.
Progression of training and load on the tissue needs to happen at a steady rate so that symptoms do not return due to overload of the tissues.
What we have to provide to tissue is progressive load along the line of tensile force to allow for improved organization of collagen fibers starting with a lower load, then working up through higher loads and speeds to increase activation of different muscle fibers.
Does this pain sound familiar? Speak with a Physical Therapist here at Center for Spine Care and Mobility today so we can develop a plan of care to get you going again!
