Tendon Healing: Best Physio Tips for Recovery
Article by Zoe Russell
Tendon Healing: A Physiotherapist’s Guide to Recovery
Experiencing a tendon injury can significantly impact your life, leading to pain and limiting your ability to perform daily activities. The journey to recovery can be complex, but understanding the process of tendon healing and how physiotherapy can aid in this process is crucial.
Do Tendons Ever Fully Heal?
Physiotherapists often face the question, “Do tendons ever fully heal?” In essence, a healed tendon allows you to engage in your desired activities without experiencing pain. However, tendinopathy, characterized by tendon pain and dysfunction, does not always align with imaging findings. This discrepancy highlights the importance of a clinical assessment by your physiotherapist, focusing on your symptoms and their response to specific activities, rather than solely relying on imaging results.
The Age Factor and Tendon Structure
As we age, the collagen in our tendons undergoes changes, akin to facial wrinkles, often without our awareness. It’s not until we subject our tendons to certain loads that pain emerges, signaling these underlying changes. Therefore, imaging that reveals alterations in tendon structure does not directly correlate with damage or healing; rather, it’s your symptoms and how they respond to activity that guide the healing process.
The Role of Imaging
While imaging techniques like X-rays, ultrasound, or MRI are part of managing tendon injuries, their primary role is to rule out conditions requiring further medical intervention. They help distinguish between tendon pain and more severe issues like tendon ruptures.
Therapeutic Loading for Healing
Healing a tendon involves therapeutic loading, a strategy where your physiotherapist assesses your tendon’s condition to determine suitable activities. The goal is to gradually increase the load on the tendon in a way that aligns with your recovery goals, a method best described as “treating the doughnut, not the hole.” This approach focuses on enhancing the capacity of the healthy parts of the tendon, enabling you to return to the activities you enjoy.
Full Tendon Tears: What to Do?
The management of a full tendon tear depends on factors such as your age, activity level, and the tear’s nature. Young, active individuals with sudden shoulder tendon tears might need to consult an orthopaedic specialist. However, for older individuals without a specific injury event, the focus may be on using the remaining healthy tendons to maintain shoulder function without surgery.
What to Do?
If you’re uncertain about how to manage your tendon pain, the first step is to consult a physiotherapist. They can provide a tailored assessment and recovery plan based on the latest research and best practices in tendinopathy treatment.
Conclusion
Understanding the complex nature of tendon injuries and the recovery process is essential. With the right guidance and therapeutic approach, it’s possible to overcome tendon pain and regain your ability to perform daily activities without discomfort.
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