Replying to @DrPaulMason @alison_sense
Be great id Alison did not hmmm all the time, very distracting…
Replying to @IWillLearnHowTo @ScottEpsley
Isometrics for muscle strength without movement
Replying to @IWillLearnHowTo @ScottEpsley
Likely peritendon, avoid through range movement
Replying to @ScottEpsley
Classic push off in full dorsiflexion……
Replying to @IWillLearnHowTo
No
More likely to be a peritendon issue which is treated differently
Replying to @JosephDeGeorge1
Have messaged someone who will get in contact
Replying to @ryleyphysiothe1 @hjluks
You cannot predict rupture, and if they are asymptomatic they will not be seeking management.
Rupture is much more likely to happen in daily life when weight-bearing than during exercise
Replying to @ryleyphysiothe1 @hjluks
These tendons are profoundly degenerative because of load accumulation through life
Jozsa and Kannus 91 reported 66% of these tendons are asymptomatic before rupture
The literature is really mixed and confusing, there are a lot of treatments that have little evidence
Have a look at Jason Rogers work
Agree and the load is variable through range and often not sufficient. Load can vary day to day depending on band placement, tendons like consistent load
Groin pain is very complex and requires differential diagnosis and management of all contributing structures
Simple single tendon issues are not common
This more about compression between the restraining connective tissue and the tendon
Primary response is in the connective tissue, tendon affected secondarily
Reduce this load
Replying to @poyzalenko @hjluks
Many of the groin rehab exercises are sufficient load
Replying to @brian__healy @hjluks
Energy storage and release is the highest tendon load, this is during weight-bearing athletic activity eg jumping, agility.
Loads during isometrics will not be nearly as high
Interesting thread
Every tendon is different in each person
Subtleties in load prescription is the key skill of the clinician
Jill Cook retweeted
Latest from myself & @ProfJillCook in @SportsMedicineJ where we discuss sex differences in patella & achilles tendons & what it may, or may not, mean for tendon health. #tendon #mechanicalproperties #morphology #injury
@UlsterSchSport
link.springer.com/article/10…
Replying to @IWillLearnHowTo @gregthephysio
Amongst others signs, yes

