“ There is little evidence that active ultrasound is more effective than placebo treatment for treating patients with pain or a range of musculoskeletal injuries, or for promoting soft tissue healing.”
The problem with tendinopathy/tendinitis is that to improve it really needs loading through the tendon.
You want it in a way that doesn’t irritate it much. Osteopaths aren’t often that great at guiding patients through this sort of work. Some are and I know a few who are but I know a lot more that are really quite poor.
If it is medial it could be Pes Anserinus she is talking about? That is the joined tendons of semitendinosus (a hamstring muscle) gracilis and sartorius. It can be prone to bursitis, which can be diagnosed as tendinitis. Tendinopathy can be part of it and it is difficult to differentiate.
For the achilles I would aim to put more load than you could put through with a seated calf raise.
I know a good osteopath in Notts who has worked with quite a few top level sports people and Championship footy team. I can ask to see if there are more in the area if you want.
I have known people (patients) get good results from ultrasound despite what studies say. The reality is that people’s symptoms improve regardless of the research says.
There is an amazing amount of quackery in elite sport. I remember Tiger Woods causing outrage in the physio/physical therapy world when saying that his sacrum had popped out and the physio put it back in. Obviously nonsense. All sorts of things that have little scientific backing are often seen, was it Phelps with the cupping marks?
But as I keep saying what helps with people’s symptoms and what makes any difference physiologically are often world’s apart. Pain and actual tissue damage (or tissue change in healing) often don’t go together.
Phelps still does cupping long after retirement. See his pictures on IG with the marks.
I’m a cynical fuck. As I said above about acupuncture. I thought it was junk. I had a spasm in my lower back, could hardly walk. GP gave me valium for the pain and to relax the muscle. Then I had a session on acupuncture and the next day I was cured. No pain. I don’t the mechanism but it worked.