I have one question for you: What is your perspective on the importance of central pain mechanisms (e.g. sensitisation) in tendinopathy? Perhaps it's more relevant in the upper limb... What do you "see" in your practice?
Great question Andre. Its important but it doesn't change management. All persistent pain conditions have some sort of central pain mechanisms. It was a bit blown out of proportion 10 years ago during the Chronic Pain/Explain Pain days, with a whole bunch of neuroscience interventions, as we didn't have the exercise answers back then. Now we know much more and incorporate sensitisation as a consideration during tendon loading (for example, allowing for up to 3/10 pain during, after, and 24hrs later following exercises). It's like asking: is breathing important in the consideration of tendinopathy management - yep.... keep breathing. Yep, keep listening to tissue sensitivity.
Hi Nick,
Thank's for another useful post.
I have one question for you: What is your perspective on the importance of central pain mechanisms (e.g. sensitisation) in tendinopathy? Perhaps it's more relevant in the upper limb... What do you "see" in your practice?
Cheers!
Great question Andre. Its important but it doesn't change management. All persistent pain conditions have some sort of central pain mechanisms. It was a bit blown out of proportion 10 years ago during the Chronic Pain/Explain Pain days, with a whole bunch of neuroscience interventions, as we didn't have the exercise answers back then. Now we know much more and incorporate sensitisation as a consideration during tendon loading (for example, allowing for up to 3/10 pain during, after, and 24hrs later following exercises). It's like asking: is breathing important in the consideration of tendinopathy management - yep.... keep breathing. Yep, keep listening to tissue sensitivity.