Case studies and articles
The Sound Experience team publish regular educational case studies, research digests and opinions.
Corticosteroid injections in tendinopathy: why we will continue to follow guidelines.
From time to time we have a request for an injection into a tendon. With a clear rationale and usually a documented history of reasonable rehabilitation failing we may make an exception.
This post summarises a recently published article, incorporating a brief quality appraisal of recent evidence, and presents a coherent opinion reinforcing why we will continue to recommend against most tendon steroid injections.
A painful Achilles tendon; first impressions and an ultrasound examination. Do the findings impact the rehabilitation?
After slipping down a hill, a 61-year-old man presented with a painful Achilles region. First impressions show a tendon most closely fitting with Cook and colleagues’ definition of degenerative tendinopathy, but why then the pain?
Shoulder pain 3: remember the exceptions
In the previous two posts, we introduced a case of shoulder pain in a competitive swimmer, and discussed ideas regarding what might cause the teres minor atrophy seen in the report findings. The second question, “does teres minor atrophy matter?” turns out to be much harder to answer.
Shoulder pain 2: remember the exceptions
In the last post we introduced a case of shoulder pain in a competitive swimmer. In this post, learn what causes isolated teres minor atrophy?
Shoulder pain 1: remember the exceptions
Which findings explain the symptoms? The case of teres minor. A 21-year-old woman presented with ongoing shoulder pain. She was a high-level competitive swimmer, and found her pain increased during sets, or was a constant, low-level ache.
Tendon injury and the continuum. What hurts, and why?
Multiple findings within the same tendon for a 62-year-old badminton player presenting with Achilles injury.
How to tendinopathy 3: using the ultrasound report
In the final post of this three part series, view a basic guide to how we report tendon injury within the continuum model. You’ll see example text from our reports, how this text aligns with the ultrasound images, and a broad indication of where patient management might be focussed.
How to tendinopathy: 2
In the previous post of this three part series, we left you with the idea that ultrasound imaging can visualise the stages of the tendon continuum and that management of tendon injury across the continuum may be directed by this imaging carefully considered within the specific presentation of each patient.
How to tendinopathy: 1
Tendinosis is tendinitis that can’t be proven to be associated with inflammation, but tendinitis is. Or maybe tendinosis might be failed repair of a previously inflamed tendon, so might be tendinitis then not tendinitis. Keen to know more?
The ankle 2: medial and lateral pain
A woman presented to clinic after hurting her ankle while running. It was tender on the medial and lateral sides, and she described the pain as being “deep inside”. Her x-ray was clear, though she was wearing a moonboot. What do you think her diagnosis was?
Posterior tibial tendon insertion pain -15 yo male
A 15-year-old male suffered left ankle eversion injury while playing soccer and has had poor subsequent response to physiotherapy.