165 Lilly Rd NE, Suite B, Olympia • 360.455-8014

kneecap

Tendon Rehabilitation…What is the latest research?

Tendon strains are very common.

Torn achilles

Torn achilles

They occur frequently throughout the body, and limit your ability to do what you want. Achilles tendonitis and patellar tendonitis injuries cause pain with walking, running and being on your feet. Biceps tendonitis causes pain with sleeping, reaching and lifting overhead as does rotator cuff tendonitis.

Recent research on tendon injuries has shed new light on what the best exercises are, and in what order they should be given to the patient. why-and-how-exercise-is-the-best-treatment-for-tendinopathy

In the past, and currently, the exercise protocol for tendon repair has been eccentric exercises (slowly lengthening exercises). Here is an example:

New research is coming to light that shows that isometric exercise is the best way to rehabilitate a strained tendon, especially in the first stages of tendon repair. Here is an example:

Come to Comstock Physical Therapy to receive the latest in treatment options! (Backed by evidence, of course!)

Why are some people knocked knee-ed on one side?

Here is an interesting case of a patient who injured her right knee with a cartilage tear about 15 months ago.

Her hip responded to the right knee injury by twisting in at the thigh and out at the shin.  The angle between the upper leg and lower leg is about 25 degrees, and on the left, her normal leg is about 10 degrees.  

After one treatment, and some home exercises her knee looked like this:

If you are interested in knee rehabilitation, here is a link

http://www.patellofemoral.org/pfoe/PDFs/Case_study_Mascal_Landers_Powers.pdf

Also a link to last week's blog post:

Surprising exercise for kneecap pain: hip rotation!

Weak Hips Cause Knee Pain

It is an odd thing, and it doesn't really make sense, but it's true that weak hips can cause knee pain.  "How is that?"  you may wonder. 

Look at this video taken about a week ago.  This patient had a a new hip put in, so she is weak on her right (left side of the video).  Watch her step down, and you will see her right hip shifts to the outside, and her right thigh and knee roll in.  Because her right thigh rolls in her kneecap is tugged to the outside of its normal groove causing knee pain. 

 

Check back tomorrow to see if her hip gets stronger and her knee pain goes away!