Yuku free message boards

• Smalltalk
• Coping
• Norsk forum
• Småprat
• Genealogy
• Open a ticket
• Skins & CSS Help
• The Lobby
• Report Bugs

New Poll

<< Previous Topic Next Topic >>

Author	Comment
Sunshine56	Tendinosis-eccentric exercise		Lead	[-]
Posts: 41873 11/04/07 09:56 Mosken ezOP Board Owner Norway	Tags : eccentric exercise, tendinosis http://www.tendinosis.org/ My son had this diagnoses verfied by ultra sound. Eccentric exercise is all they believe in...which is making him worse.. Tendinosis is an accumulation over time of small-scale injuries that don't heal properly; it is a chronic injury of failed healing. Although you can't see the tendinosis injury on the outside of your body, researchers have seen what the injury looks like on the cellular scale by viewing slides of tendons under the microscope. (The microscopic changes in the tendon are described on the page The Tendinosis Injury, and the difference between tendinosis and tendinitis is described below in the section on terminology.) Tendinosis can occur in many different tendons, with some of the most common areas being the hand, wrist, forearm, elbow, shoulder, knee, and heel. Some studies have shown that eccentric exercise is especially helpful for tendinosis. Eccentric exercise is when a muscle is forced to lengthen while it contracts because it is being used as a brake or to absorb energy while doing "negative work." On the other hand, concentric exercise is when a muscle shortens as it contracts because it is acting as an engine doing "positive work." Your quadriceps muscles perform eccentric exercise when you walk down a hill, ski, or decelerate when landing from a jump. Your quadriceps muscles perform concentric exercise when you ride a bike or swim. Given the same load, eccentric exercise places more stress on the muscles and tendons than concentric exercise. You might ask your physical therapist or sports medicine doctor about trying eccentric exercises as part of your strengthening program. Last Edited By: Sunshine56 02/29/08 22:04. Edited 1 time.
Interact My Recent Posts Message Me Connection Invite Blocking Ignore User's Posts Report Post
jillybromley		#1	[url]	[-]
Posts: 2039 11/04/07 11:19 Jilly in UK	Hello Mosken I'm so sorry that the eccentric exercise is not improving the condition for your son. I don't know if this is quite the same thing, but I have had weak tendons and ligaments since childhood. A kind of genetic weakness in the tendons. They damage very easily and if I over-use them then the pain is severe, and then for a while afterwards the slightest use of that area brings on sharp pain. Worst affected are knees, feet, shoulders, arms, wrists. All I have ever been told, is not to overuse them. So, as a child it meant, not to run, not to play tennis, or do anything that puts excessive strain on them. About 10 years ago an alternative Doctor once suggested I tried a Glucosamine and Chondroitin supplement. He wasn't an expert in the field, but he felt it might do some good and couldn't do any harm to try. I still take the supplement every day, but it's difficult to judge how much it helps, as I am not very mobile anyway. But I think it has helped with the sudden sharp pains I get in the tendons if I try to do something that is too much for them. It is so worrying for you that your son should have developed this at such a young age, and is unable to live a normal active life. I do hope that you are able to find something that will help him.
Interact My Recent Posts Message Me Connection Invite Blocking Ignore User's Posts Report Post
BELL		#2	[url]	[-]
Posts: 1849 11/04/07 12:43 Surrehue Norway	Well, its me and my english again... I have same problem with my hands, arms and wrist, The doctor tells me to keep the wrist still, not to overdo anything. I also got ultrasound (?), for it, and a support (?) to keep the wrist still ... Anyhow, I'm sorry for your son!
Interact My Recent Posts Message Me Connection Invite Blocking Ignore User's Posts Report Post
Francemi1		#3	[url]	[-]
Posts: 793 11/04/07 15:15 Mama Bear Canada	If you were here in Canada, the doctors would probably recommend swimming in heated pool and jaccuzy sessions. Here they believe in thermal therapy and mostly in water.
Interact My Recent Posts Message Me Connection Invite Blocking Ignore User's Posts Report Post
Sunshine56		#4	[url]	[-]
Posts: 41873 11/04/07 20:14 Mosken ezOP Board Owner Norway	http://nccam.nih.gov/research/results/gait/qa.htm That is interesting, Jilly! I looked it up and will suggest that to him. As you know I have a similar problem with my arms, except not the elbow's. So it does worry me. We have decided to get our small hot pool in the basement up and running for him. Maybe he can get it back up before Christmas.
Interact My Recent Posts Message Me Connection Invite Blocking Ignore User's Posts Report Post
Sunshine56		#5	[url]	[-]
Posts: 41873 11/04/07 20:37 Mosken ezOP Board Owner Norway	Tendinosis is a degenerative condition, rather than an inflammatory one. Some experts believe that NSAIDs may not be helpful for tendon pain caused by degeneration of the tissue and may inhibit healing during the inflammatory stage of an injury. Inflammation is one stage of the body's healing process and, if it is stopped in progress, there may be a delay in healing. 1 I've heard this a lot last months. For what I have understood, this is a new theory. So maybe it wasn't a good idea for me to be on NSAID for 20 years.........
Interact My Recent Posts Message Me Connection Invite Blocking Ignore User's Posts Report Post
ponolops		#6	[url]	[-]
Posts: 1394 11/04/07 21:20 Quasimodo England	Mosken, I'm so sorry to hear about your son. I think we parents can endure almost anything as long as our children are healthy. Do you think this Tendinosis is hereditary? You say you suffer a similar complaint in your arms. I'm sure my spinal complaint is hereditary. I remember seeing my father hanging by his fingers from door frames, trying to straighten out his twisted back. His father suffered also and so does my eldest son, although thankfully, seeing me crocked so often, he has taken great care and done exercises to alleviate it. We are (were) all tall and I assume that is part of the problem. And isn't it infuriating to learn that something we have taken for years (in your case, NSAIDS) may have made things worse? Like me on Codeine for 25 years. No-one told me it was given to people with chronic diarrhoea and that is why I am permanently constipated. Life's a bitch.....! I do so hope your son can find some help. You must be feeling wretched for him. Keep us posted. Penny
Interact My Recent Posts Message Me Connection Invite Blocking Ignore User's Posts Report Post
jillybromley		#7	[url]	[-]
Posts: 2039 11/04/07 22:05 Jilly in UK	Hello Mosken I did a Google search for the sort of treatment that they use in the UK for treatment of tendinoses. I thought I would post the link, as I'm not sure you get to see UK pages when you use Google. You probably get Norweigan and American. We get UK and American. Anyway this link talks of the use of ultrasound for use in degenerative tendinoses. The page is a bit complicated, but I thought there might be something there that might be useful or informative as to types of treatment other than eccentric exercise. Therapeutic ultrasound in soft tissue lesions -- Speed 40 (12 ... ... to degenerative tendinoses in the absence of an overt inflammatory response [34]. ... Ultrasound is commonly used in the treatment of most soft tissue ... rheumatology.oxfordjournals.org/cgi/content/full/40/12/1331 - Also a found a bit about how Glucosamine can sometimes be helpful in tendon healing. I've put a link to the page at the bottom of the article. Subject: Nutrients Involved in Healing and Maintaining Tendons Put very simply, tendons are mostly protein with some "glue" based on carbohydrate structures. An analysis of the tissue shows that the amino acids which are the main building blocks are: hydroxy-Proline glycine ( about 1/3 of the total ) lysine ( which forms cross-linked sites between individual fibers ) Your body will make hydroxy-Proline from L-Proline if it has sufficientvitamin C. The "glue" is based on Glucosamine sulfate. So, when I have tendon problems ( off and on over the years ) I take dairy products ( good source of L-Proline and lysine ) 1 gram of Glycine 1 gram Glucosamine Sulfate 1 gram buffered vitamin C ( calcium ascorbate ) I'll take this at breakfast and bedtime. My personal experience is that the inclusion of the Glycine makes a big difference. All of these are inexpensive except for the Glucosamine. If a bottle of it gives you sticker shock, delete that from the list. The glycine seems to be a key element. If for some reason you avoid dairy products ( yogurt is my favorite ), you can get Proline from Knox Gelatin. The human body will make Glycine from other amino acids, so in theory one would not need a supplement. However, the rate at which it is made may not be fast enough to heal rapidly. A supplement gives the body more to work with. Tendons have a paltry supply of blood, so to carry the nutrients into the tissues, you need to reduce inflammation and increase blood flow. The best way is the old standby - ICE. If you have recurring tendon problems, try to figure out why. If you haven't upped your mileage a lot, maybe it is a mechanical problem that needs addressing. The nutrients will help one heal fast, but they won't remove a root cause ( unless your are severely nutritionally challenged ) so look for the root cause. http://www.ultrunr.com/glcosam.html and then there was this Tendons and ligaments adapt less rapidly than muscle and bone to long-term, repeated stimulation. While both tendons and ligaments are types of connective tissue, their construction differs. Ligaments are composed largely of elastin, a stretchable fibrous protein. Tendons are made of collagen and are essentially inflexible. When pushed beyond their capacity, tendons can develop microtears. These tears heal by the formation of either good-quality new collagen or lesser-quality fibrotic scar tissue. Glucosamine and vitamin C play a role in the formation of new collagen. I was interested to look this up, because I never had before. I hope some of it may be useful for your son. Hugs jilly
Interact My Recent Posts Message Me Connection Invite Blocking Ignore User's Posts Report Post
Sunshine56		#8	[url]	[-]
Posts: 41873 11/04/07 22:15 Mosken ezOP Board Owner Norway	http://www.wellnessletter.com/html/ds/dsAlphaLipoicAcid.php Jilly, I just remembered I had this in my cup board! It may be something similar to what you mentioned. It was kit who recommended this long time ago. I am going to take it myself for a while. My nurse student didn't want to take anything he had not read about. LOL I understand the point is to get the collagen to grow/heal faster. Thanks for the link! Here they only use ultrasound for diagnostic tool.
Interact My Recent Posts Message Me Connection Invite Blocking Ignore User's Posts Report Post
Sunshine56		#9	[url]	[-]
Posts: 41873 11/04/07 22:18 Mosken ezOP Board Owner Norway	ponolops wrote: Mosken, I'm so sorry to hear about your son. I think we parents can endure almost anything as long as our children are healthy. Do you think this Tendinosis is hereditary? You say you suffer a similar complaint in your arms. I'm sure my spinal complaint is hereditary. I remember seeing my father hanging by his fingers from door frames, trying to straighten out his twisted back. His father suffered also and so does my eldest son, although thankfully, seeing me crocked so often, he has taken great care and done exercises to alleviate it. We are (were) all tall and I assume that is part of the problem. And isn't it infuriating to learn that something we have taken for years (in your case, NSAIDS) may have made things worse? Like me on Codeine for 25 years. No-one told me it was given to people with chronic diarrhoea and that is why I am permanently constipated. Life's a bitch.....! I do so hope your son can find some help. You must be feeling wretched for him. Keep us posted. Penny I am worried about it........but when I was his age, I healed faster than I do now anyaway. I read somewhere it could take a year.
Interact My Recent Posts Message Me Connection Invite Blocking Ignore User's Posts Report Post
Sunshine56		#10	[url]	[-]
Posts: 41873 11/04/07 22:23 Mosken ezOP Board Owner Norway	http://www.klokeavskade.no/upload/Publication/Hoksrud_2006_AJSM_Ultrasound-Guided%20Sclerosis%20of%20Neovessels%20in%20Painful%20Chronic%20Patellar_prepub.pdf In a study on midportion Achilles tendinosis, the researchers used color Doppler ultrasound to examine the tendon. This examination revealed neovascularization in the painful area with structural changes in all tendinosis tendons but not in pain-free normal tendons.30 They later suggested that the good results achieved with the eccentric calf muscle training program could possibly be explained by direct mechanical effects on the area with vasculoneural ingrowth.27 This hypothesis led to a pilot study of a new treatment method sclerosing the area with neovessels using polidocanol, 28,29 and the results showed that the tendon pain was significantly reduced in the majority of the patients after 2 to 4 ultrasound-guided injections. In a subsequent study, immunohistochemical analyses of tendon biopsies showed that there were nerves in close relation to the vessels, and that small amounts of local anesthesia in the area with neovessels temporarily cured the tendon pain.4 Taken together, these findings led to the hypothesis that the vessels, and most likely nerves accompanying the vessels, were involved in the pain mechanism in chronic painful Achilles tendinosis.4 In a recent pilot study on 15 patients with patellar tendinosis, treatment with sclerosing injections showed promising clinical results in this as well.2 Based on these results, we wanted to investigate this novel treatment approach. Similar to what has been seen in chronic painful Achilles tendinopathy, neovascularization is present in 60% to 80% of patients with chronic painful patellar tendinopathy.16,21,35,37 Our hypothesis was that sclerosing the area with neovessels would decrease the level of patellar tendon pain during tendon-loading activity in a of elite athletes with chronic painful patellar tendinopathy. METHODS
Interact My Recent Posts Message Me Connection Invite Blocking Ignore User's Posts Report Post
skogar		#11	[url]	[-]
Posts: 1 12/20/07 00:32	Eccentric exercises can worsen pain and lead to a relapse if not done with the right protocol. If, however, they are done with the right protocol, these exercises may be the only thing that can help someone with patellar tendinosis. The following website describes one patient's protocol. Over two years he experimented through trial-and-error three different programs of eccentric exercise. The first two times led to relapses and worsened pain. He was determined to find a solution. The third protocol he used was the one that led to reduced pain without any relapses. The secret is says is to build up very slowly over many months. He describes his technique in several articles at the following website: http://eccentric-exercises.blogspot.com
Interact My Recent Posts Message Me Connection Invite Blocking Ignore User's Posts Report Post
Sunshine56		#12	[url]	[-]
Posts: 41873 12/20/07 11:26 Mosken ezOP Board Owner Norway	Hello and welcome to the board,Skogar! This is so interesting. Thank you so much for giving me the link and the information. I just printed some of it out for my son. His problem is, in his elbows, arms and shoulders. Do you have any tendinosis yourself? I hope the guy doesn't mind me quoting something from his website: The Secret to the Eccentric Exercise Protocol After reading medical journal articles on the use of eccentric exercise to treat patellar tendinopathy, I set out on my own to do the exercises. Unfortunately, it took me 1-2 years of trial-and-error experimenting to figure out a proper protocol. While eccentric exercises helped to significantly reduce my knee pain, my early trials led to relapses and increased pain. In retrospect, I figured out what I was doing wrong. I had added too much weight to the backpack too quickly. I found that for the exercises to be successful, weights need to be added SLOWLY over MONTHS. Furthermore, for the 1-2 months, I didn't use any weights at all. Then I started with 1/2 pound weight in the backpack. After 4 days, I added another 1/2 pound, and so on. The reason to wait four days is to see if there is increased daily pain. It sometimes takes several days for increased activity to manifest itself in pain. You don't want pain to increase over those four days. After 4 days, and assuming my pain did not increase, I would add another 1/2 pound weight. If my pain ever increased, I'd take off a day or more from the eccentric exercises. So, the secret I discovered is to add weights S-L-O-W-L-Y over time. Some of the research I read suggested patients add weights until they got to 20 pounds or so in the backpack. Assuming one adds 1/2 pound every 4 days, and assuming one takes a rest day after every 8 days of the exercise, one will be adding 1 pound every 9 days. So, to get to 20 pounds will require 9 x 20 = 180 days, or 6 months. This doesn't include a period of 1-2 months with no weights. A number of the research studies in medical journals used a 12-week program. This make work for some people, but there may be others where a much longer time is needed. I believe I am one of those people, for example. Eccentric exercise requires many months of dedication. But, I found that it is well worth it after several years of pain.
Interact My Recent Posts Message Me Connection Invite Blocking Ignore User's Posts Report Post
Sunshine56		#13	[url]	[-]
Posts: 41873 12/20/07 11:32 Mosken ezOP Board Owner Norway	Although the exact way in which eccentric exercise improves tendinitis is not known, researchers have discovered that muscle elasticity is a key feature of eccentric muscle contraction, and that eccentric exercise increases muscle elasticity. The leading hypothesis is that muscle tissues that have been made elastic by eccentric exercise effectively distribute and absorb forces that would otherwise lead to fraying of the tendon, formation of disorganized scar tissue, and tennis elbow pain. At Physical Therapy of Los Gatos, treatment for tennis elbow begins with a thorough evaluation of the problem and a discussion of the patient's rehabilitation goals. Movements associated with the activities that cause tennis elbow pain must be identified and analyzed. If the patient began having tennis elbow pain after playing tennis on rainy days, perhaps he or she needs only a short course of treatment and to stop hitting wet, heavy tennis balls. In other cases, we may find that improper use or involvement of the neck, shoulder, or wrist during sports or other activities has caused excessive loading of the elbow. In these cases, therapy includes instruction and retraining to balance the physical forces required for the chosen activity correctly. http://www.ptoflosgatos.com/2005/11/tennis_elbow_bu.html
Interact My Recent Posts Message Me Connection Invite Blocking Ignore User's Posts Report Post

<< Previous Topic Next Topic >>

Forum Jump

• Introduction
• Smalltalk
• Coping and Health Problems
• Information Links-Fibromyalgia, Chronic Fatigue Syndrome, chronic pain-back pain
• Young Adults and teens with FMS-CFS, Fibromyalgia, Chronic Fatigue Syndrome, chronic pain, Mono EBV virus!
• Forum for Kroniske Smerter
• Småprat
• Informasjon om kronisk smerte, ryggsmerter,Fibromyalgi,bekkenløsning og borrellia
• Arkiv - ikke helserelatert
• Slektsforskning - Genealogy Forum
• Photography - Graphics - Computer talk
• Announcements and Friend's rules
• Fibromyalgia Syndrome Pain Research Information
• American Social Security Disability SSDI
• Archive for Graphics/PC Tutorials
• Archive

Bookmarks

• del.icio.us
• Digg it
• Facebook
• Blogger
• Yahoo MyWeb
• Email

DISCLAIMER: The materials and information on this server are intended to provide general information for you. That includes any information posted by our medical consultant. At no time should information on this board be used to diagnose medical conditions, taken as specific medical advice nor do our medical consultant endorse specific products, treatments or services mentioned within. Please consult your physician on specific medical questions. Do not use the information given on these pages as a substitute for a physician consultation or as a substitute for consulting an attorney or a lawyer. All information on this server is provided without warranty of any kind. Further, we do not warrant, guarantee, or make any representations regarding the use, or the results in terms of correctness, accuracy, reliability, currentness, or otherwise. The owner of this website, it's medical consultant, administrator, moderators or attorney shall not be held liable for any damages incurred as a result of statements made from within this website.

This is a non profit self help and discussion group. The owner of the board, the administrators or moderators take no responsibility for any user breaking the Yuku terms of userconduct. This is including, but not limited to, email or otherwise transmit any Content that (1) is unlawful, threatening, abusive, tortious, defamatory, obscene, libelous, or invasive of another's privacy, (2) consists of instructional information on illegal activities, including, but not limited to, hacking, cracking, and phreaking; (3) violates or infringes in any way upon the proprietary rights of others, including, without limitation, copyrighted software, music, photographs, text, videos or artwork.

This board is not a forum for announcing or discussing suicides. Any kind of suicide threat posted at our board will be removed. This is a volunteer support group only. We are not responsible for any suicide threats or interventions of any kind.

©Copyright 2007: The owner of the board has the copyright to all graphics material on the board, unless the graphics has been posted/created by another person or something else have been said. It is not allowed to copy any graphic material posted on the board. Remote linking to any graphic material on the board is not allowed either.

Chronic pain, Fibromyalgia, Chronic Fatigue Syndrome, CFS, ME, backproblems, support groups, kroniske smerter, Fibro, Fibromyalgi, ryggsmerter, ryggproblemer, kronisk utmattelses- syndrom.