We cover key mechanisms, including sudden changes in tissue loading, deconditioning, and age-related tendon and joint vulnerability (Achilles tendinopathy, rotator cuff tendinopathy/tears, and osteoarthritis flare). We also outline practical clinical red flags and decision points for when patients should seek professional assessment: persistent or escalating pain, night pain, latent symptom patterns after activity, swelling, and—critically—sudden pain with loss of function suggesting possible tendon injury.

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.

Men often experience urinary incontinence after prostate surgery due to muscle loss around the bladder and urethra. This video explains how physiotherapy and pelvic floor training can support recovery before and after surgery. Our specialist physiotherapist, Jack from Complete Physio in Central London, demonstrates how targeted muscle activation and ultrasound assessment help rebuild strength and improve bladder control. Learn how correct pelvic floor exercises can aid recovery, restore function, and support long-term wellbeing. At Complete Physio, our clinics across Central London provide expert care in post-operative rehab, tendon and muscle injuries, lower back conditions, diagnostic ultrasound, and ultrasound-guided injections.

Foot and ankle problems are common among runners and active individuals. In this discussion, the Complete Physio team share practical ways to reduce pain and prevent injury through structured physiotherapy. David Gruhl explains how calf raises, intrinsic foot strengthening, and soft-tissue massage can improve performance and resilience. The video also covers footwear recommendations, orthotic use, plantar fasciitis management, Morton's neuroma, and arthritis care.

ACL reconstruction has come a long way over the past two decades, and this discussion explores how surgical techniques, graft materials, and rehabilitation methods have evolved. Our expert physiotherapists and orthopaedic specialists explain the options between hamstring, patella tendon, and allograft reconstructions, and how factors like age, joint stability, and tissue quality guide treatment choices. Learn about the latest approaches to graft alignment, fixation methods, and post-operative physiotherapy that help patients regain confidence and knee function. At Complete Physio, our clinics across Central London provide expert care in post-operative rehab, tendon and muscle injuries, lower back conditions, diagnostic ultrasound, and ultrasound-guided injections.

Strength training often gets pushed aside by runners, but it can make a real difference to both performance and injury risk. In this video, Complete Physio physiotherapists explain how to fit strength work into a running schedule, even during marathon training. We cover which exercises have the greatest impact, how often to train, and practical ways to balance recovery with heavy mileage. At Complete Physio, our clinics across Central London provide expert care in post-operative rehab, tendon and muscle injuries, lower back conditions, diagnostic ultrasound, and ultrasound-guided injections.