Posts Tagged ‘Tendinopathy’
When Tendons Turn to Fat: Lessons in Clinical Uncertainty
Dunning-Kruger effect – I know everything: For years, I explained to my patients the benefit of strengthening exercises in degenerative tendinopathy in a simple way: A tendon contains many fibers. If some are damaged or torn, strengthening may improve the capacity of the remaining healthy muscle-tendon units to compensate. Over time, the damaged fibers may…
Read MoreWhen the “Protective” Position Isn’t Protective: A Counterintuitive Observation in Rotator Cuff Tendinopathy
A single-patient observation suggests that muscle–tendon length may influence shoulder pain more than we assume. A Counterintuitive Patient Response A patient’s answer to a simple question about her shoulder pain stopped me in my tracks. When I asked what eased the pain, she replied: “When I position my arm above my head, it feels…
Read MoreHormone replacement therapy tendon repair post-menopause
The Dunning-Kruger effect is a cognitive bias in which individuals with limited competence in a particular domain overestimate their abilities. It is when we lack competence that we are most likely to be brimming with overconfidence. The following is a description of how it applies to me. I know everything Early in my career as…
Read MorePlantar fasciitis v tendinopathy words matter – stretching exercises are overrated
Why is the plantar region the only region of the body where the terminology of fasciitis is used? Fascial tissue is present throughout the body including the ankle, knee, hip, back, and abdominal regions of the body. Yet, we do not use the term knee fasciitis or back lumbar fasciitis. We know that stretching exercises…
Read MoreButt pain – Isometric Exercises
“Butt Pain.” has different tissue diagnoses. Possible diagnoses are sciatica; piriformis syndrome; gluteal tendinopathy; hamstring tendinopathy; bursitis; hip arthritis; and others. There are many treatments for butt pain. My “go-to” exercise for butt pain is isometric contractions of the gluteal muscles. In my experience rarely is trying to “stretch it out” effective treatment for butt…
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