Hi all,

At university we have been learning that tendinopathy treatment should be based around off loading the tendon (strenghtening weak synergists, correcting posture etc) and increasing the load capacity of the tendon through eccentric strenghtening.

We learnt that tendionopathy is degeneration within the tendon and that this degeneration results in increased vascularisation and consequently nerve supply to the tendon.

However we were taught that using ice was irrelevant as the tendinopathy itself is not an inflammatory condition. But wouldn't using ice decrease the blood flow and possibly decrease the amount of nerve endings in the tendon. This could decrease the pain?

Do you guys use ice as a means of decreasing pain in patients with tendinopathys? Is the ice used jsut after activity when there may be associated inflammation or throughout the whole day?

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