achilles tendon physiotherapy

Antibiotic Use and Tendon Injury – Is there a link?

The diagnosis and management of tendon injuries have changed over the years.  For example, “tendinitis” isn’t quite as common as what we once thought.  Instead, tendons undergo cellular changes related to tissue degeneration, and inflammation is not a major component of most chronic tendon injuries. Given this, tendinopathy is now the more commonly used term.…

eccentric exercise lowering dumb bell

Should I Stretch or Use Eccentric Strengthening?

When we stretch, we aim to lengthen a muscle.  According to the literature, this result is likely due to an improved tolerance to stretch (a neurological change) as well as a mechanical change in the tissue (the viscoelastic properties of the tissue).  The criticism of stretching has been whether or not these changes persist or…

shockwave therapy machine

Shockwave Therapy at Burlington Sports Therapy – Results of a Systematic Review

Burlington Sports Therapy recently added Shockwave Therapy to our treatment offerings. Although it has been around for about 20 years, it is a relatively newer approach to treating various musculoskeletal injuries. It has primarily shown benefit in the treatment of certain tendon disorders including but not limited to rotator cuff tendinopathy, calcific tendinopathy, elbow tendinopathy…

Should I Use Rest, Ice, Crutches or Heat?

Ice or heat has been a debate in musculoskeletal medicine for a very long time. Traditionally the idea was that you ice an acute injury to reduce swelling and relieve pain. Heat was believed to be more appropriate for chronic injuries, where there was no longer an inflammatory response and the tissue was ‘stiff.’ Over…