Learn what approaches to use when a tendon injury is unresponsive to treatment.

Tendinopathy is a failed healing reaction of tendons with accidental proliferation of tenocytes, intracellular abnormalities in tenocytes, destruction of collagen fibers and a subsequent increase in the non-collagenous matrix. This leads to tendons that are mechanically less stable and more prone to damage. Once the poor healing has taken place, stopping the disease's progression and regaining strength and function of the tendon can be challenging. Fortunately, we have some new courses that will equip you with the knowledge you need to help you overcome these tricky tendinopathies.

This collection of courses was created by Ebonie Rio, a tendon pain expert and researcher at La Trobe University in Australia. All Ebonie courses are aimed at physiotherapists and physiotherapists, students and assistants. Other interested professionals such as sports trainers, occupational therapists, nurses or doctors who are interested in this topic are also invited to participate.

In Season Management of Tendons
The treatment of tendinopathy of the lower extremities requires the replacement of provocative loads with appropriate loads in order to increase tendon capacity without causing symptoms. This can be especially difficult when treating an athlete who is in season as they have to train and compete at a high level. In this course topic, Dr. Ebonie Rio her top tips on how best to deal with an athlete who actively competes while suffering from lower extremity tendinopathy.

Tendons can be tricky

Pink Flags and Tendons
Pink flags are psychosocial predictors of good or positive results. They face the yellow flags, which are psychosocial predictors of bad or negative outcomes. Tendinopathy can be difficult to manage, and it can be important to change a person's beliefs and fears so they can buy into an active management strategy. In this course topic specialist, Ebonie Rio talks about using the pink flag concept to promote self-efficacy in tendinopathy patients.

Keep an eye out for those pink flags

EBP in tendinopathy
In evidence-based practice, the aim is to combine the best evidence research with clinical expertise and patient preference. Applying an evidence-based, practice-based approach to treating tendinopathy is not as straightforward as applying a series of research from a single article in a prescription format to a patient. Each patient presents a unique clinical picture. The therapist managing the patient should use a broad evidence base to clinically justify a comprehensive management plan. It is important that management is not prescription driven but based on the best evidence available at the time, taking into account that evidence based practice is fluid and constantly changing as more evidence is produced.

Review the Latest Evidence

Dealing with Difficult Tendinopathies
Sometimes patients just don't get any better than you would expect. Tendinopathies can be difficult to treat and require a high level of clinical thinking and skill to be treated effectively. In this course, Ebonie Rio walks you through a series of helpful tips to reevaluate a tendinopathy patient to investigate why they are not improving. She walks you through techniques such as differential diagnosis, assessing comorbidities, and carefully analyzing the patient's current management plan to determine why there is a problem and find a way to make progress.

Overcome these stubborn tendons

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