In this episode of the Complete Physio podcast, Dr. John Houghton joins us to discuss recurring tendon issues affecting areas like the Achilles, elbow, and glutes. We explore why some patients experience repeated tendon pain, potential underlying autoimmune or inflammatory conditions, and the influence of factors such as genetics, age, cholesterol, and diabetes. Get practical advice on recognising signs of tendon problems that could indicate a systemic issue, and learn about treatment options ranging from physiotherapy to advanced therapies for managing long-term tendon health. Watch now to understand how tendon issues might signal deeper health conditions and when to seek specialist care.

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The video compares Arthrosamid® with traditional intra-articular treatments such as corticosteroids and hyaluronic acid, highlighting its non-biodegradable hydrogel structure, synovial coating properties, and its role in reducing inflammatory flare-ups associated with osteoarthritis. We also discuss patient selection, expected duration of effect (2–3 years), cost considerations, and where Arthrosamid® may sit within the conservative-to-surgical treatment pathway for knee OA.

This discussion looks at hamstring injuries, especially proximal tendon avulsions, and when surgical input is needed. We also cover how decisions differ between younger and older patients for meniscal tears, ACL reconstruction, and joint replacement. The conversation moves through real-world examples of injury patterns, rehabilitation, and how timing affects outcomes. You’ll also hear insights on patient-specific knee replacements, robotic and computer-assisted techniques, and the anterior approach to hip replacement, a method that helps reduce muscle damage and improve recovery. We talk about realistic recovery times, common risks such as sciatic nerve irritation and dislocation, and how surgeons decide when the “window of opportunity” for surgery is right.