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See, that’s what the app is perfect for.

Sounds perfect Wahhhh, I don’t wanna
jonathanclarkphysiotherapy
Does Tendinitis Exist?
Problems with tendons develop in response to overuse or overloading. Historically, the term Tendinitis has been used to describe inflammation of the tendons in response to this overload. This results in redness, swelling and...

Does Tendinitis Exist?

Problems with tendons develop in response to overuse or overloading. Historically, the term Tendinitis has been used to describe inflammation of the tendons in response to this overload. This results in redness, swelling and heat as the body’s inflammatory process kicks in! It can affect multiple sites across the body, the most common being shoulders, elbows, knees and heels.

However, more recent evidence suggests that there is in fact little or no inflammation found in painful tendons. The condition has therefore been given a new name. It is now called a Tendinopathy, or Tendinosis.

Tendinosis is a degenerative injury which does not create an inflammatory response in the tendon. Tendinosis is caused by the destruction of collagen fibres and the thickening of the tendon. This worsens with repeated overuse Tendinosis can be broken down into 3 main stages:

1. Reactive Tendinopathy - commonly seen in acutely overloaded tendons or caused by direct trauma e.g. often seen in runners who have rapidly increased their distance or training type and reduced their number of rest days, this may affect the Achilles tendon.

2. Tendon Disrepair - a worsening pathology, fewer collagen fibres and evident thickening of the tendon e.g. continued overuse and overloading of Long head of Biceps, without necessary rest and reduced load, often seen in painters.

3. Degenerative Tendinopathy - chronic tendon pain with significant vascular changes and increased tendon size, this often requires surgery e.g. overload of tendon for prolonged period of time, often months or years, this can affect the Patella tendon.

If you are experiencing a tendon pathology, we can help! At Jonathan Clark Physiotherapy, we offer a wide range of treatments that can affectively treat tendinopathies and prevent future recurrence. Our support can enable you to return to the activities you love.

physio physiotherapy tendonitis tendinosis Tendinopathy rehabilitation treatment jonathanclark fitness health getbacktosport
neurosaurus

I had my first physio appointment after being diagnosed with JHS today, and I kind of want to describe it while it’s still fresh.

So, I go in and sit down, the physio brings up the letter from the rheumatoloigst (which I have read, which clearly states my symptoms, medical history, and diagnoses me with joint hypermobility syndrome), and he explains that the news is “pretty good”: there’s no “disease process”, I have “no danger of injury”, and I just have “a bit of joint hypermobility”.

We have a little (fairly polite) back and forth, where I explain that, no, joint hypermobility SYNDROME is not the same as just joint hypermobility (though that is one of the diagnostic criteria), that it’s a chronic genetic condition, and that injury is absolutely a worry (and that I injure myself frequently and it sucks).

I explain that it’s basically the same condition/same diagnostic criteria as the hypermobility type of Ehlers Danlos Syndrome (because maybe he’s heard of that and we can get past the “you’re just a bit more bendy than average it’s totally fine” chat and get to the “how do we manage this chronic pain and build strength to keep you as injury free and as able to function as possible” chat). He looks at me reaaaally sceptically and starts explaining that EDS is “severe” and not the same as being a bit flexible and so I probably don’t have EDS. We’ve not discussed my symptoms at all yet, he hasn’t examined me, and he obviously hasn’t read my notes properly, so I can only assume that his decision that I’m not really “severe” is based entirely on the fact that I walked into the room without a mobility aid and I’m not currently openly weeping in agony.

Anyway, we were obviously talking past each other and I was getting pretty upset (it’s never nice when a medical professional decides you have no idea about your own condition). Luckily, I had brought some of the leaflets the @hmsacharity​ sent me when I joined. I had felt a bit silly packing them for physio, but they turned the entire appointment around. It turns out having some glossy pieces of paper say what I was saying was a lot more convincing. JHS is a thing, it’s not the same as just being flexible, here are the symptoms, etc, etc.

After that, we had a genuinely productive appointment!

He was really conscientious, thoughtful, and actually listened to (and seemed to believe!) my descriptions of pain and I think we actually might be able to work together quite well to manage this thing. He even recommended I look into becoming an “expert patient” (which was sweet, though I’m not an expert, just someone who has done some basic research on what I have and who is reasonably assertive).

I left feeling genuinely hopefully and mostly happy with the whole experience. And glad that the student physio who had been sitting in might know more about JHS now. But also pretty pissed that I am apparently less believable than a glossy leaflet.

Anyway, moral of the story is: 1: don’t assume the person you’re talking to has read/understood your notes, 2: even an official diagnosis doesn’t guarantee medical professionals will believe there’s anything wrong with you, 3: be assertive, and 4: bring literature to your appointments. It can help.

jhs eds physiotherapy spoonie bendy
mybusimess

Well done!

I’m gonna give myself a gold star everytime I do my physiotherapy because Supernanny Jo Frost uses this technique to train children to behave and in regards to doing PT I’m an unveildly child.

So:
10.12.2015, 5:09 AM (my sleeping schedule is fucked to high heavens & beyond) I have earned myself a gold star. Well done, M. Feel proud.

image

Pain during: moderate
Pain after: Ugh
Numbness during: moderate to high
Numbness after: Ugh

spoonies eds hms physiotherapy pt pathetic but this makes me feel more accomplished