Today in clinic I treated two clients. The first once was a face to face gym appointment with a client displaying a reactive Achilles tendinopathy. Prior to going into the gym, I performed an objective assessment. Upon completing the objective assessment my clinical impression remained the same, so I followed through with the planned gym session. The Session involved a lots of isometric calf work with the aim to put load through the tendon without much concentric movement which will mean the muscle will not be repeatedly put on and off stretch. (Mantovani, L., Maestroni, L., Bettariga, F., Gobbo, M., Lopomo, N. F., & McLean, S. (2020). Does isometric exercise improve leg stiffness and hop pain in subjects with Achilles tendinopathy? A feasibility study. Physical Therapy in Sport, 46, 234-242.). For the hour between my two clients I wrote up my notes from my first client and ensured that my plan for my 11oclock client. For my final client I was again in the gym. The client is recovering from a facet joint dysfunction so for the session I used RPE in a gym session to see if a heavier load affected the onset of pain. The session did not cause an onset of pain which is really good, especially considering the movements involved such as stiff legged deadlift. Going forward with this client I will be giving him a gym plan for when gyms reopen after lockdown for him to stick to and follow which should be loaded appropriately while working within RPE that will give him the best progress.
20-11-2020 (3.5 hours)
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