Achilles Tendons
@Seth0Neill
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Seth is an Associate Professor at the University of Leicester. PhD on Achilles Tendinopathy (tendon disorders) and still studying/learning.
University of Leicester
Joined May 2012
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Pinned Tweet
How to test calf strength (plantarflexors) and it's relevance to Achilles tendons and sport.
A thread🧵
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A joy to see this published.
#Achilles
#tendinopathy
#Soleus
in runners
Plantarflexor strength and endurance deficits associated with mid-portion Achilles tendinopathy: The role of soleus - ScienceDirect
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Open access publication of our paper on isometrics for Achilles tendinopathy
Acute sensory and motor response to 45-s heavy isometric holds for the plantar flexors in patients with Achilles tendinopathy
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Great new paper on insertional Achilles tendinopathy compression sites
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Our
#tendons2016
poster
Isometric exercises for Achilles tendinopathy- do they affect pain or motor function?
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My Isokinetic football conference slides from todays talk - enjoy
#Soleus
#RTP2016
@footballmed
via
@SlideShare
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One 1hr per day of exercise reduces cancer risk by around 60٪
Daniel Lieberman
#RunningCongress
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If anyone needs any help sleeping have a read of my PhD
#Achilles
#tendinopathy
Might be something about
#soleus
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This paper is accessible without any login for 50 days
#Soleus
#bedtimereading
Plantarflexor strength and endurance deficits associated with mid-portion Achilles tendinopathy: The role of soleus
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Great to see another isometric study being published. Dispelling a few more myths.
Short as good as long duration holds.
@DrDylanM
@DrPeteMalliaras
#tendinopathy
#isometrics
Interesting study investigating matched-work analgesic effect of 💥isometric contractions💥 for Patellar Tendinopathy
24 sets x 10 seconds
6 sets x 40 seconds
#loadit
#TUT
#tendinopathy
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A very big thank you to
@NicolaPhillPT
and
@leehphysio
for
#PhDdefense
today.
Thanks to everyone who has helped over the last few years
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My thoughts after this thread -
New infographic 🔝 ACHILLES AND PATELLAR TENDINOPATHY LOADING PROGRAMMES, FOOD FOR THOUGHTS. Info by
@DrPeteMalliaras
@DrChrisBarton
Beyer R.
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Thank you to those who have contributed over the last 4 years
#nearlythere
#Soleus
#riskfactors
#tendinopathy
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Finished my
@PhysioNetwork
review this morning on PHT paper, don't forget to consider pelvic nerves
Pain Syndromes Secondary to Cluneal Nerve Entrapment | SpringerLink
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Worth a good read - the updated guidelines
Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2018
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Really really happy to have our isometrics paper accepted for
@KSSTA
journal
Thanks to ALL co-authors for their hard work and guidance.
@KThorborg
@TBandholm
@MichaelRathleff
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Interesting new paper from
@ProfJillCook
and
@SIDocking
on "How do tendons adapt? Going beyond tissue responses tounderstand positive adaptation and pathology development:A narrative review"
#tendinopathy
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Having now just read this editorial I want to congratulate you all on a very poignant paper.
@Bill_Vicenzino
@KThorborg
@MichaelRathleff
@kgSilbernagel
👏
Let's not make the same mistake as trans abs and eccentric rehab. Do the science first.
Isometric exercise for acute pain relief: is it relevant in tendinopathy management?
@kgSilbernagel
@Bill_Vicenzino
@MichaelRathleff
@KThorborg
👀👀👇👇
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Paracetamol (aka acetaminophen) appears to negatively influence tendon adaptation 🙇♂️
Influence of acetaminophen and ibuprofen on in vivo patellar tendon adaptations to knee extensor resistance exercise in older adults | Journal of Applied Physiology
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This study shows very clearly why replication studies are critical with science - especially when initial work is small.
#dorobustscience
Is isometric exercise really infallible as an analgesic💊 for patellar tendinopathy? Excited to our randomised crossover trial hot off the press providing insights onto this hot topic in
@_JSAMS
Link:
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We've often heard that people need to be able to complete >30 or >35 heel raises before returning to running.
Can anyone point me to a paper with this quote?
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Is this evidence that the patella tendon may have a compression point (bony cam) against the tibial plateau? Quick glance suggests so (watch side view).
@ProfJillCook
@DrPeteMalliaras
@Bill_Vicenzino
@JarrodAntflick
@fizziowizzio
@pdkirwan
@CPurdam
@philglasgow
@thekneeresource
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Is anyone interested in a
#PhD
into
#achilles
#tendon
#ruptures
#ATR
With myself here at
@uniofleicester
Working with a superb team in
@kgSilbernagel
@Bill_Vicenzino
@TendonGlasgow
and
@rj_devos
And some of our foot and ankle surgeons
#BOFAS
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I'm very sorry to have to CANCEL my course this weekend. 24th Nov.
Yesterday I went into hospital for a cardiac ablation (PAF). Developed cardiac tamponade mid Op. Still on CICU at present.
I will try & re-arrange but just wanted to ensure everyone got the message. Sorry All.
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Wow. A year ago today I had a cardiac tapenade and wasn't very well. All well now after the 4th ablation in April. Thanks to all the well wishes at the time and sorry to not respond. (Was just looking back)
1/2 marathon in 3 weeks time so all good now.
I'm very sorry to have to CANCEL my course this weekend. 24th Nov.
Yesterday I went into hospital for a cardiac ablation (PAF). Developed cardiac tamponade mid Op. Still on CICU at present.
I will try & re-arrange but just wanted to ensure everyone got the message. Sorry All.
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Really interesting looking SR into loading for Achilles tendinopathy
Rate of Improvement of Pain and Function in Mid-Portion Achilles Tendinopathy with Loading Protocols: A Systematic Review and Longitudinal Meta-Analysis | SpringerLink
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If you currently have Achilles tendinopathy and are interested in helping us with some research please see the advert below.
#achilles
#tendinopathy
#runchat
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Here's why we need to test our patients strength
- Plantarflexor force post Achilles tendon rupture
Patient provided with blue theraband (2.5-4kg) exercise in NWB position- They ruptured 5 months ago and have been out of a boot for 6 weeks now and walking!
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There is some absolute gold in this paper please read it
Well done on those who did all the leg 🦵 work 👏
Brilliant to see this published! Great work by
@ajmallows1
@johnvhead
@DrPeteMalliaras
@Seth0Neill
and
@benedsmith
. Glad to be part of it! Visit this link to take advantage of 50 days of free access:
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@Fit_For_Golf
@DrJN_SportsMed
@carlespedret
Yes holes can be "repaired" with rehab and yes it's very clinically relevant
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I'll get my mum on it. However after 19,984 listens shes a bit tired of my voice.
16 listens to go for 20,000. Now that's a crowd! Talking Tendinopathies & Solving the Soleus Conundrum with Seth O’Neil.
@Seth0Neill
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Our set up
@UoLPhysio
for testing plantaflexors strength in the clinic. Uses
@FysioMeterDK
hardware and software. Valid when compared to isokinetic dynamometer.
#achilles
#tendinopathy
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Calf Injuries are a major problem in professional sports.
Come join a multinational collaboration across multiple sporting domains understand this problem better.
See the image and drop us an email (on advert)
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Absolutely delighted to get this published in the
@BJSM_BMJ
We need better and more appropriate
#PROMS
for our
#Achilles
#Tendinopathy
patients especially non sporting
Hopefully this can contribute
@richnorris00
@ProfJillCook
@Jamie_Gaida
et al
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@Seth0Neill
@BarrySigrist
@pdkirwan
@tomgoom
hi seth, could you provide a link for the soleus & acl paper(s)? please and thanks!
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Come join thecalfproject
@outlook
.com
We've just popped the first session on youtube calf Structure and Function- Why they get injured
Calf Injuries are a major problem in professional sports.
Come join a multinational collaboration across multiple sporting domains understand this problem better.
See the image and drop us an email (on advert)
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A little slideshare from a while ago about Soleus injuries - still good stuff now
#Soleus
#SoleusisKing
:-)
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Want to test isometric calf strength? Want to use a VALID and RELIABLE test?
Check out our article and test protocol below
@FysioMeterDK
Validity and intrarater reliability of a novel device for assessing Plantar flexor strength | PLOS ONE
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Thank you for all the well wishes. It was very kind.
Back home and doing super well. Off work but managing to finalise my
@OfficialNIHR
application for a fellowship application.
I'm very sorry to have to CANCEL my course this weekend. 24th Nov.
Yesterday I went into hospital for a cardiac ablation (PAF). Developed cardiac tamponade mid Op. Still on CICU at present.
I will try & re-arrange but just wanted to ensure everyone got the message. Sorry All.
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Changes in Achilles' tendon mechanical properties following eccentric heel drop are specific to free tendon
http://t.co/vE0PlsLLVw
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My most controversial running view is the couch25k (couch to 5k programme) is too fast for proper novice runners (especially if no regular exercise)
You are better off building your mileage by slower continuous running and gradually adding miles than by doing 10 and 1s (I’m talking about starting a running program, not returning to running following injury)
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Factors related to intra-tendinous morphology of Achilles tendon in runners
Oh structure and symptoms appear related - 🤐
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I've decided to sort out the website with some of our work and remembered I've never shared these papers. Opinion pieces written for
@PhysioFirstC
journal "in Touch"
-Achilles tendinopathy risk factors
-Lower Limb Tendinopathies
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Really interesting paper on Achilles rotation and impact on tendon strain -
More rotation impacts tendon strain
Frontiers | 3D Models Reveal the Influence of Achilles Subtendon Twist on Strain and Energy Storage
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Interested in
#Achilles
#Tendinopathy
? You simply must complete a deep dive on this paper and the lovely super interesting data.
The Influence of Rehabilitation Exercises and the Twisted Structure on Achilles Tendon Strains
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Dear Clinicians If you treat people with
#tendinopathy
please consider completing & sharing as widely as possible this short survey (10mins max).Investigating which
#Psychological
&
#social
factors you see/feel are important in management
@LauraEnglish159
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Same message as
@DrPeteMalliaras
here which is good to see
PROGRESSIVE LOADING IMPORTANT - PRINCIPLES not recipes
@ProfJillCook
#BarcaMedicine
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Also for the same PHT paper consider Adductor Magnus pathologies in Diff Diagnosis.
@PhysioNetwork
The adductor magnus “mini-hamstring”: MRI appearance and potential pitfalls | SpringerLink
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The most frequent blog post I point
#tendinopathy
patients towards
Understand load : by
@TimGabbett
via
@AdamMeakins
👏
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If you are interested in injury prevention metrics - and you should be- have a read of this.
@EamonnDelahunt
#IOCprev2021
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That's not what this study showed. They showed 30km running led to that -that's huge stress.
Fibroblast derived cells (tenocytes) become active for 5hrs after loading then go back to sleep therefore consider activating regularly x3 per day if small
#BarcaMedicine
Tendons have a stress-load recovery time of 48-72 hours. For tendinopathy cases, let the collagen rebuild: load every 2-3 days. Stop prescribing daily rehab exercise- it doesn't make any sense in terms of how our body adapts and it's also not ideal for compliance. Be realistic.
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Oh dear ! Well I did the session but sounds like some technical issues for attendees !
Obviously I managed to crash the system 😉😉😝🤪
If there's a chance I can redo for folk I would be willing.
@JackAChew
@TPMPodcast
@Seth0Neill
@BBCBreaking
I think your popularity, and of course the popularity of lower limbs, crashed the system this morning
@Seth0Neill
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The soleus muscle is a tricky beast with large anatomical variation.
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I'm getting some hysterical WhatsApp messages from friends. Please keep them coming. Here's our Friday night drink. 😁😂🥂🍻
#staysafe
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For those of you interested in endurance capacity of thr plantarflexors and a wonderful tool for testing check out
@KimHebertLosier
s great calf raise app
So excited to announce that my Calf Raise app can now be downloaded for FREE! Privilege to work with
@cbalsalobre
(such a legend) on this tool that provides objective measures of Calf Raise performance, including height, power, and work! Test it out now
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Can I ask anyone who's attempted a systematic review what you wish you knew at the start?
What are you top 3 hints/tips
(I have 7 students on a research placement with me doing some reviews who could benefit- share your wisdom)
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Some good news - at 14.15 today we are hoping to redo my earlier talk for
#TherapyLive
within the lower limb themes break
@TPMPodcast
@JackAChew
Talking all things aetiology, risk factors and what this means for management.
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Thanks to all our friends and family who helped make my 7yr old daughters birthday special today despite social Distancing.
They either came to sing happy birthday from the edge of the drive or skyped/FT to do the same
#respect
#SocialDistance
#COVID
ー19
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I'd like to share some of our 3rd year dissertation projects. Massively impacted by
#Covid
but still some great outputs and super novel studies.
Follow the thread below
@UoLPhysio
@uniofleicester
Congrats on your last day - not how we wanted to do it but hey
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Fantastically happy to receive this confirmation today from the
@IOCprevConf
Hopefully this goes to prove that undergrad courses (students) can produce meaningful impactful research!
Well done to our
@UoLPhysio
ex students.
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An interesting paper from a great group on steriod injections for achilles tendinopathy withput any complications.
Challenges our biases 👏
@MichaelRathleff
Et al
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Fantastic infographic of
@pdkirwan
work by
@thekneeresource
I think that
@BJSM_BMJ
should run this.......
We turned
@pdkirwan
SCREEND’EM mnemonic into an infographic. Amazing clinical tool to help identify spondyloarthropathy in patients with tendinopathy.
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Now work from
@kgSilbernagel
tendon group by Andy Smith
Pain and structure correspond (let's change the narrative in the tendon world)
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What do we do when the NHS national advice for
#tendinopathy
is
- Painkillers
- Rest
- Avoid repetitive action
????????????????????????????????????????????????
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Is this why altered dorsiflexion is associated with Achilles tendinopathy
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I used to inject everything (tendons) with CSI -now nothing
CSI is like a B52 bomber
@lorenzo_masci
you want a sniper
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Similar to tendon.......
Bones adapt to load like other tissues. Bone loading can be done via mucle (RT) or ground reaction forces. Load magnitude and rate important. In resistance training use higher loads (over 80% of 1 rep max) and fast concentric phase to target bone strength
#sportskongres
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People often say structure does not matter when it comes to symptoms in tendinopathy - however this study suggests otherwise !
We perhaps need to think harder
@patcorrigan3
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I never realised where my PhD research might lead. Looking forward to tomorrow.
#Bar
çaSportsTech
@FCBarcelona
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Maybe why deep squat type exercise associated with patellar tendinopathy ?
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Better image
Some more lovely images of tendinopathy being explained. (students find some brill images!)
Spectrum of Tendon Pathologies: Triggers, Trails and End-State
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Got to say I love the title.
Introducing
@Seth0Neill
renowned tendon researcher & educator at
@UoLPhysio
. His Physio Matters Podcasts still remain some of the most popular in the show’s history, making him the perfect person to deliver
#TheBigRs
‘Tensions in Tendinopathy’ session!
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Happy2 share our new paper A DELPHI STUDY OF RISK FACTORS FOR ACHILLES TENDINOPATHY-OPINIONS OF WORLD TENDON EXPERTS
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Cortisone injections had short term relief but worsened long term. HSR very good
#tendons2016
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Huge congrats to
@ChrisNewtonPT
and this
#Stellar
team. Important work
Cognitive Functional Therapy compared with usual physiotherapy care in people with persistent low back pain: A mixed methods feasibility randomised controlled trial in the NHS
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If you want to quantify plantarflexor strength (and other tests) have a look at the
@FysioMeterDK
Valid and reliable
P.s. I don't have shares.
#Bar
çaSportsTech
#BarcaMedicine
@BarcaInnoHub
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Supraspinatus does NOT initiate abduction
All the cuff and Deltoid and upward scapular rotators all fire at the same time
#WCPT2015
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Inflammation is a component of tendinopathy. It is not acute inflammation rather macrophage cell activity
#tendons2016
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Really really good paper
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Why do men have more achilles tendinopathy and women more gluteal tendinopathy?
Any ideas?
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