As the festive season kicks in, no doubt most of us will end up eating and drinking a bit more than usual....
There are many terms to describe various injuries to tendons which can be confusing to understand.
In simplified terms:
Tendinopathy refers to an overuse injury of a tendon.
Tendinosis refers to a non-inflammatory degeneration of a tendon, this term is often used instead of tendinopathy to mean more of less the same thing, especially during the later stages.
Tendonitis refers to inflammation of a tendon, this may occur in the early stages of a tendinopathy.
Tendon partial and complete rupture refers to tears in the tendon, these are more likely to occur in a tendon in which tendinopathy or tendinosis has occurred, but not always.
Let’s focus on tendinopathies as this is what we see most often in the clinic.
What are the Intervertebral Discs in the Spine?
They are fibrocartilaginous cushions between each vertebral body and play a major role in shock absorption and mobility of the spine. They are composed of the annulus fibrosus (outer layer) and nucleus pulposus (inner layer). They are a common cause of low back pain.
How are they injured?
Excessive twisting of the lower back and forward bending can cause a ‘torsional’ stress on the disc, resulting in a tear in the annulus fibrosus. A tear will stimulate an inflammatory response and can predispose to an outward bulge of the the inner nucleus pulposus.
Compression injuries result from excessive weight bearing forces and may be initiated by fractures of the vertebrae. This can lead to degradation of the nucleus and increase load on the annulus fibrosus, which produces pain.
What does a disc injury feel like?
- Acute sudden onset of pain
- Can be triggered by a relatively minor movement e.g. bending over
- Pain may be central, on one side or across the lower back
- Pain radiate to buttocks as a ‘deep seated ache’, hamstrings, or lower leg
- May get sharp pains down the leg indicative of nerve root irritation
- Often aggravated by bending forwards and may be eased by leaning backwards
What is Osteoarthritis?...
According to Brock Bastian, psychologist and author of the other side of happiness, endless happiness is actually quite a banal and horrible idea. He argues we need painful, negative experiences to be able to fully understand and appreciate what happiness really is. We need to accept these negatives rather than try to medicate or eradicate them all....
Since completing my Stott Pilates training back in May, I have been comparing notes with other instructors, reading journal articles & blogs and listening to podcasts by expert instructors to help me develop and refine my teaching skills.
As a Chartered Physiotherapist I have been very lucky in that I’ve had the opportunity to teach here at MMCP since completing my training, which allowed me to really get stuck in straight away. Here at the clinic we teach a slightly modified form of Pilates which is more tailored to specific needs of our clients, many of whom are using our PhysioPilates method to help them manage and prevent aches and pains.
You were up to feed the baby and then could not get back to sleep as a troubling thought came to mind which you could not shake. One thought lead to another and before long your mind is racing, an hour later and you are still wide awake! The alarm goes off, you’re not sure if it’s waking you up of if you were ever really asleep....