Entesopathy
2020


Overloading
Acute stage- rest, orthesis
                       local and systemic NSAID
                       local   corticosteroids
Chronic stage-  treatment of oedema and inflammation
                            physical therapy
                            soft tissue techniques
                            joint mobilisation
                            electrotherapy- DD, TENS, laser…

Chronic stage of overloading
Muscle relaxation
To correct muscle contractions in neutral joint alignment
PIR, antigravity  relaxation, Vojta ´s method locomotion
Closed kinetic chain exercise
Ultrasound  and combined electrotherapy
To improve poor posture
To stop pathological movement stereotypes
Spinal mobilisation
Muscle activation
Lumbopelvic stabilisation- to get correct pattern
To modify pathological movement  pattern
Training in neutral joint position

Chronic stage
Releas local spasms-  trigger points
-deep muscle massage, PIR
-    ultrasound, shock  wave therapy, contrast baths
Excentric exercise
To affect surrounding muscles (  e.g. elbow- scapular muscles)
Ergonomics to be modified
To modify training methods
To strengthen the muscles
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