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APRIL 2017 10 Facts About IN LINE PHYSIO & ALLIED HEALTH Tendons are found all over the 6. Tendons can tear however; body and while you may know a more often they are injured through little about them, you might be overuse. Healing of tendons can surprised to learn a few of these be quite slow as they have less facts. blood supply than other tissues of the body, such as muscles. 1. Tendons can be found at the Brain Teasers ends of muscles. Tendons are 7. Tendons are mostly made of 1. The letters in the sentence simply connective tissues that organized collagen fibres. Areas of below can be used to spell attach muscles to bone and help degeneration have been three different animals. You them move our joints when they shown to have collagen fibres that must use all the letters and contract. are disorganised, with this area each letter can only be used having less strength and elasticity. once. 2. Tendons come in many shapes and sizes. While the most 8.The Achilles tendon is the ‘TALL ELEPHANT OR recognizable shape is the long strongest tendon in the body. This APEMAN’ thin kind (such as the Achilles connects the large muscles to tendon), they can also be flat and the back of the to point the 2. One of the statements below thin or very thick, depending on away from the body. Most is true. Which is it? the shape of the muscle and tendons are simply named for the attachment of the bone. A thin flat muscle they attach to, however the 1. Only once of these tendon is also known by the name Achilles has it’s own name, named statements is false. aponeurosis. for the mythical Greek character 2. Exactly two of the statements who’s heel was his only point of are false. 3. Tendons are able to act like weakness. 3. Only three of the statements elastic bands, they can stretch are false and bounce back into shape. Like 9. The smallest tendon is located in 4. Exactly four of the elastic bands, if too much force is the inner ear, attaching to the statements are false. applied they can stretch or tear. smallest muscle in the body. 5. All five of these statements are false. 4. Unlike elastic bands, tendons 10. Tendons and muscles work are living tissue and their together to move your joints and properties are affected by many are called a contractile unit. different factors. Seemingly unrelated things such as hormonal changes, autoimmune disorders and nutrition can all affect a tendon’s ability to withstand load.

5. Tendons don’t only attach muscles to bone, they can attach to other structures as well such as the eyeball.

Focus On… What causes tendons to develop How can physiotherapy help? ? Gluteal A thorough assessment is required Tendinopathy Tendons, like muscles, skin and for an accurate diagnosis and once bones are living tissues and their gluteal tendinopathy is confirmed, What is Gluteal Tendinopathy? strength and elasticity is influenced your physiotherapist will be able to by a variety of factors, including identify which factors have When tendons are repeatedly placed hormones, age, how often and how contributed to your condition and under more tension than they can much they are used. Rapid changes help to address these. It has been deal with, they can have a failed in activity levels or simply performing shown that specific loading exercises healing response. This can cause the same tasks too often can place a and muscular retraining can stimulate changes to the structure of the tendon under more stress than it can the tendon to heal and remodel the tendon and is known as a tolerate and it begins to break town. collagen fibres into a more organized tendinopathy. When this occurs in pattern again. Your physiotherapist Recently it has been shown that the tendons of the it can investigate any postural habits or tendon health is also negatively is referred to as gluteal tendinopathy. activities are contributing and affected by compressive forces, address these as required. The gluteal muscles are three large which can occur from blunt trauma or muscles located at the back of the even habits such as crossing the None of the information in this pelvis that provide most of the , or sleeping on your side on a newsletter is a replacement for muscle bulk of buttock region. These hard mattress. muscles work together to keep your proper medical advice. Always see pelvis level when standing and are What are the symptoms of Gluteal a medical professional for advice responsible for many movements of Tendinopathy? on your individual injury. the hip. They play an important role in standing, walking and . When gluteal tendons are affected by tendinopathy, a typical pattern of The two deepest gluteal muscles, sharp pain at the outside of the hip and , with specific movements is present. attach from the center of the pelvis The pain is usually worse with (the sacrum) and insert into the bony walking, going up and down stairs outer region of the upper , called and running. The pain can become the greater trochanter via the gluteal quite severe, and eventually can tendons. impact day-to-day activities.

Answers: 1. Panther, Elephant, Llama 2. The only true statement can be 4. The others are false. Lizzy’s Prawn Laksa Laksa Paste: 1 Onion (diced) 1 Red Chilli (diced) In Line 1 Inch Fresh Ginger (sliced) 1 Inch Tumeric Physio & Allied 1 Tbsp Fresh Lemongrass 1 Tbsp Fish Sauce Health 1 tsp Shrimp Paste 1 Tbsp Brown Sugar 1. Preheat oven to 180 degrees Celsius, 1 Tbsp Coriander 3 Tbsp Oil roast pumpkin pieces for 20 minutes or Salt/Pepper to taste until cooked through, and set aside to 6 Main St cool. Prepare vermicelli noodles according Serve with: to packet instructions, drain and set aside. Samford, QLD 1 tin Coconut Cream 2 cups Vegetable Stock 2. Place all ingredients of laksa paste into a 200g Vermicelli Rice Noodles blender and blend until smooth. 1 cup Pumpkin (diced) 6 Fresh Prawns 3. Sauté paste mix in a pan on high heat and For appointments call slowly add coconut cream and vegetable (07) 32896122 Serves 4 stock. Continue to heat for five minutes.

4. Pan sear prawns on high heat in a separate pan with a small amount of olive oil. Add noodles to soup mix. 5. Divide soup mix into two bowls and place www.inlinephysio.com.au roasted pumpkin and cooked prawns on top. Garnish with coriander. Recipe by Lizzy Carson from Vknow Winebar and Restaurant Fernhill, Queenstown, NZ.