Not all tendons and tendon pain should be treated the same. For example, we tend to consider Achilles tendon pain as wither insertional or mid-substance. When it is insertional we need to consider compression of the tendon against bone that occurs for example when you go into a lunge or the heel drops off the step. Other examples of compressive tendinopathy are the proximal hamstring compressing against the sit bone (ischium), or the gluteal tendons compressing against the outside of the hip bone (greater trochanter). In the case of compressive tendinopathy, we might want to avoid stretching to reduce compression for a period. This may be purposeful stretching like people are often (and maybe not helpfully) advised with tendon pain, or it may be more functional occurring with a habitual task (for example, sitting, hanging on the hip when talking to someone, or stair climbing). I am not saying that we need to place major limitations on every compressive tendinopathy, but we may need to limit for a period before reintroducing compression. Check out the video below as I discuss it more! If you want more info on the general topic of tendinopathy, click here.

 

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Andrew is an extremely valuable asset to our community thanks to his passion for not only his patients, but for staying on top of current research and techniques. I have seen him numerous times and the care I have received is second to none. Andrew is also actively involved in our local athletic community offering injury prevention advice and training tips, and you can often see him volunteering his time at athletic events. Highly recommend.

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2/05/2018

Andrew is by far the most effective Physical Therapist specializing in helping in athletes increase performance, endurance, and techniques to reduce injury. The sessions he offers are tailored to the athlete and utilize scientifically based research. I appreciate all he has done to provide me guidance and direction in addressing several recurring issues!

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5/15/2019

I came to Andrew with a hamstring tear that had sidelined me from running and in pain before a planned business trip to India. Andrew was able to target in on the causes and provide me with some great tips on how to decrease my chances of injury while running. His advice about how much I can be working out while recovering was key to my improving so quickly. I definitely recommend him to any athlete!

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