Condition TENDONS Definition / Description

Populations / Risk Factors

Symptoms - (Distribution, description, daily pattern, etc)
Pain – worse with activity (inflammatory or degenerative) Swelling – morning after Stiffness/weakness Mechanism of injury may be indicative

Clinical Signs - (Reliable measures)
Tender on palpation Decreased range of movement – active/passive Muscle weakness Swelling and thickening? Positive special tests

Mechanism of injury Degeneration

Investigations - (Radiology, haematoloty etc)
X ray/MRI to rule out fracture

Rest . endurance and proprioception. continue until pain and swelling are negligible on weight bearing Ice – Apply for 20 mins initially 3-4 times 2-3 days.3 sets of 10 rep each Other exercises to increase proprioception and balance. Phase 2 – Restoration of range of movement Begin gentle joint movement.Atypical Presentations Management Options and Levels of Evidence Based on grade of injury Phase 1 – Initial objective is to minimize swelling and inflammation.Avoid activities that cause sharp pain. targeting specific muscles preventing reoccurrence – 3 sets of 10 rep each. . Weight bearing should be encouraged as soon as soon as it is tolerated. Concentric and eccentric with elastic bands . RICE (is used for acute injuries. Progress by adding reistance using elastic bands Hydrotherapy can be used Begin joint stretches Phase 3 – Strength. Isometric strengthening of muscles around joint. use crutches if cannot walk. Compression – Various compressive dressings combined with ice decrease swelling Elevation – Positioning the limb in elevated position helps with lymphatic drainage. use active ROM with no resistance at the patients own pace. Progress to functional execises .

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