Hawkes Physiotherapy Achilles Infographic

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Patella Tendinopathy

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I hear different terminology used all the time, so what is tendinitis, tendinosis or tendinopathy? Tendinopathy: This is a broad term encompassing painful conditions occurring in and around tendons, which includes tendinitis and tendinosis. Tendinitis: This basically means inflammation of a tendon. Tendinosis:  This means degeneration of tendon (Meaning cumulative damage). So what does this mean to me? For a long time tendinitis was the term used and it was considered that injured tendons were simply inflamed. Then the thinking shifted to the thought that there was little or no inflammation present in these conditions (Andres & Murrell 2008). However as is with research, the thinking is changing again: There may be an inflammatory response associated with chronic tendinopathy, even though recent opinions had decided it to be non-inflammatory (Rees 2013). So both types can occur! This is important as the way that you treat each one has to...
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Cubital Tunnel Syndrome

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Heard of Cubital Tunnel Syndrome? Probably not but you may have heard of Carpal Tunnel Syndrome. Well they are similar but Carpal Tunnel Syndrome is in the wrist and hand whereas Cubital Tunnel Syndrome is in the Elbow. What is Cubital Tunnel Syndrome? Basically it is a compression neuropathy, which means that a nerve is "trapped”. The nerve at fault in this case is the ulna nerve and where it gets “trapped” is in the cubital tunnel of the elbow: See the below picture: How common is it? It is the second most common compression neuropathy in the upper limb (Palmer & Hughes 2009). What causes it? A common cause is frequent bending of the elbow or constant repetitive pressure on the elbow itself. This then irritates the nerve and it is irritated too much then it becomes a “neuropathy”. What are the symptoms? The patient will complain of pain and numbness in the ring and little finger and weakness is common. If left untreated then this ...
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Acupuncture for lower back pain

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Lower back pain is a major problem in today’s modern society. For example it is considered that up to 80% of the population will experience a back problem during their working lives and even more challenging, in 80% of back pain it is not possible to identify the exact structure causing the pain! Lower back pain has a cost to the economy too. On average, each person suffering with lower back pain took an estimated 18.7 days off work, which has been shown to cost employers is £315-£335 million! Now we already know that lower back pain needs to be treated with exercise based therapy and the evidence highlights that this is the most effective approach. However we always need a plan B just in case Plan A doesn’t really work or is difficult to achieve for whatever reason. Here is some evidence regarding the benefit of exercise for low back pain: A review of systematic reviews found benefit of specific stabilisation exercise for non specific chronic low back pain...
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