Platelet Rich Plasma continues to gain in popularity for the treatment of a variety of musculoskeletal conditions. Currently, the clinical application of PRP significantly outpaces the amount of research backing its’ utilization in patients. Explaining in part why this treatment is often not covered by insurance companies for the treatment of these conditions. Patients in...
In our Lafayette Physical Therapy and Boulder Physical Therapy clinics we often have my patients ask whether a steroid injection is appropriate for managing their symptoms of tendon pain. This question does not have a simple answer. While corticosteroids can be effective for pain relief and inflammation control there are underlying physiological changes that happen...
Tendon injuries are one of the most common sports injuries seen in our Lafayette and Boulder Physical Therapy clinics. Most often overuse in nature, tendon injuries can significantly limit an individual’s ability to perform their daily and recreational activities. Tendinopathy, formerly known as tendinitis, describes the chronic cellular chemical and structural changes that occur...
Lateral elbow pain, previously known as tennis elbow, is the most common reason for elbow pain and 2nd most common overuse injury in the arm after the shoulder. Lateral elbow pain was previously described as an inflammatory condition involving the wrist and finger extensor muscles insertion into the elbow. We now know this condition affects...
Our understanding of tendon pain and injuries has changed significantly over the last two decades and has driven changes in Physical Therapy treatment selection. As a profession we have moved away from a rest and immobilization approach and replaced it with an active approach designed to first strengthen the tendon’s muscle and secondly heal or...
Tendinopathies, the artist formally known as tendinitis, are common orthopedic and sports medicine conditions affecting both athletes and the general population. Repetitive overload (overuse) of these structures creates a reactive followed by degenerative process in the affected tendon. These injured tissues have not been shown to have significant numbers of inflammatory cells but rather show...
Patellar tendinopathy is one of the more common sports medicine conditions seen in our Boulder Physical Therapy clinic. This condition causes increased pain along the front of the knee just beneath the knee cap and leads to pain with jumping, running, and squatting activities. Current medical evidence has described an absence of inflammatory cells and...
Overuse tendon injuries can present as an acute inflammatory response (Tendinitis) or a chronic degeneration condition (tendinopathy). These injuries result when an individual’s volume of activity (type, duration, frequency, and intensity) exceeds the strength and integrity of the tendon. At MEND, we commonly see these injuries in the tendons of the rotator cuff, knee, ankle...
Platelet Rich Plasma (PRP) is becoming a popular treatment for muscle strains, arthritis/cartilage injuries, and tendinopathies, but the evidence behind its’ use is limited. Specifically there is a lack of large human trials with randomization to both placebo injections and alternative treatments. Consistent with alternative treatments PRP’s clinical utilization is outpacing the evidence leaving many...
In the achilles tendinopathy (artist formally known as tendonitis) research two main themes have emerged. First, there is little to no evidence to support the use of injections of any kind into an injured tendon. Authors have advocated against steroid injections due to the risk of tendon rupture outweighing any potential benefits. Studies have also...