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Course Description

This course provides clinicians with an update on models of tendinopathy with special attention to differentiating between primary versus secondary tendinopathies and the features of acute versus chronic tendinopathies. Four common tendinopathies are then thoroughly discussed, each with its own monograph: Achilles, patellar, gluteal, and lateral elbow tendinopathy. Each monograph provides in-depth knowledge of general and tendon-specific principles of evaluation and management techniques/strategies. Through these monographs, the reader will appreciate that loading exercises, while important, are only one aspect of the successful management of individuals with tendinopathy. Finally, each monograph ends with 3 or 4 case scenarios selected to demonstrate the variety in presentation and management of this potentially complex and clinically challenging condition. Monographs are supplemented by extensive figures related to the educational and exercise components of the rehabilitation process.

Course Overview

Course Format: Online with an option to purchase the print version

Contact Hours: 25 contact hours

State Approval: AOPT courses are accepted in all states plus the District of Columbia, as allowed by the type of course requirements in state regulations. A small number of states require APTA to seek pre-approval of courses. The approval codes for these states can be found here. Always check with your State Licensing Board to confirm contact hours offered.

Course Objectives

1. Understand typical biomechanical principles associated with normal tendon function and implications for dysfunction.
2. Understand the pathophysiological factors underpinning the development of tendinopathy in general, with special attention to Achilles, patellar, gluteal, and lateral elbow tendinopathy.
3. Explain the range of prognoses for common tendinopathies and clinical features that may influence outcomes.
4. Implement an evidence-based approach to select tests and measures and examination techniques to inform differential diagnosis of tendinopathies in general, with special attention to Achilles, patellar, gluteal, and lateral elbow tendinopathy.
5. Demonstrate an understanding of the evidence for various types of exercise treatments for patients with Achilles, patellar, gluteal, and lateral elbow tendinopathy.
6. Devise and implement evidence-based exercise progressions based on objective findings and scientific evidence for patients with Achilles, patellar, gluteal, and lateral elbow tendinopathy.
7. Develop an individualized, comprehensive, rehabilitative plan of care for Achilles, patellar, gluteal, and lateral elbow tendinopathy based on objective findings, symptom irritability, and activity considerations.

Topics and Authors

• Basic Science and Pathophysiology of Tendons
  Alex Scott, PhD; Jonathan Rees, MSc, MRCP (UK), FFSEM (UK)
• Lateral Elbow Tendinopathy
  Leanne Bisset, PT, PhD, MPhty; Brooke Coombes, PT, PhD, MPhty
• Patellar Tendinopathy
  Andrew Sprague, PT, PhD, DPT; Terrence McHugh, PT, DPT, SCS, ATC; Rick Joreitz, PT, DPT, SCS, ATC
• Achilles Tendinopathy
  Karin Gravare Silbernagel, PT, PhD, ATC; Jennifer Zellers, PT, DPT, PhD
• Gluteal Tendinopathy
  Alison Grimaldi, PhD, MPhty (Sports), BPhty

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