One space remaining!

There is one space now available and then a waiting list will be introduced - please email us to register for this list. Seth will also be presenting this course as part of our 2018 education day on Friday 27 April. Click here for more information


Prices start from £135 for members

Prices start from £165 for non-members

Book online to receive your £10 discount or call 01604 684968 but please note that standard rates would apply

Contact Information
  • Name: Education Department
  • Tel: 01604 684968
  • Fax: 01604 589238
  • Email us

Physio First: Central Course:

Wednesday 27 September, by Seth O'Neill

BHI Parkside, 27 Stourbridge Road, Bromsgrove, B61 0AE


Managing Lower Limb Tendinopathies in Private Practice

In the general population lower limb tendinopathy will affect up 12% of population at any one time with up to 60% of more active/athletic populations. Many of these patients fail to seek or get appropriate treatment. Unfortunately many of these individuals suffer from their problem for many years. These disorders can often be chronic and debilitating, preventing individuals from participating in physical activity leading to long term health consequences.

Currently there is a mismatch between the evidence base for tendinopathy management and common clinical management, this course will bridge that gap and improve clinical competence of the therapists participating. This will directly and most importantly improve patient outcomes.

The course will also highlight mechanisms to improve patient referrals.

The course uses the current and emerging evidence base to inform the practical management of patients with lower limb tendinopathy.

The course tutor is a current Physio First member and works privately 3 days per week, this allows him to understand the pressures on managing private patients whether self-paying or through various intermediaries.

Course aims and learning putcomes

Summary of content

  • Aetiology of tendinopathy
  • Pain in tendinopathy
  • Risk factors for tendinopathy
  • Loading - what is it and is it useful?
  • Measuring impact - proving effectiveness and gaining patients in private practice.
  • Managing the person not the disease - what do we need to change?


Course Aims / Learning Outcomes:

The training session will utilise a mix of teaching styles – problem based learning, lectures, seminars, brain storming, practical workshops and background reading.


This course aims to bring the science and art of managing people with tendinopathy together and will lead to greater:

  • Understanding of the aetiology of tendinopathy - tensile and compressive loads
  • Awareness of Pain and tendinopathy - considering the evidence and the patient
  • Awareness of risk factors for tendinopathy and how to target these.
  • Understanding of treatment options - particularly loading and load management
  • Clinical skills necessary for successful tendinopathy treatment - managing the person not the disease
  • Understanding of why can management fail and how to prevent this?


Enhance and improve clinical management of Lower limb tendinopathies which will improve the patient experience and outcome.

The knowledge gained from this course will improve the clinical outcomes achievable with patients suffering lower limb tendinopathy. This will allow practitioners to broaden their network of referrers to sports clubs, athletic groups, and general practice patients.

Recommended reading


Tendinopathy—Update on Pathophysiology

Authors: Alex Scott, Ludvig Backman, Cathy Speed

J Orthop Sports Phys Ther:1-39. Epub 21 Sep 2015. doi:10.2519/jospt.2015.5884

Posted online on 21 Sep 2015.

AbstractPDF (575 KB)PDF Plus (490 KB) 

+ show abstract



Tendinopathy: Is Imaging Telling Us the Entire Story?

Authors: Sean I. Docking, Chin C. Ooi, David Connell

J Orthop Sports Phys Ther:1-27. Epub 21 Sep 2015. doi:10.2519/jospt.2015.5880

Posted online on 21 Sep 2015.

AbstractPDF (1365 KB)PDF Plus (1366 KB)


A Proposed Return to Sport Program for Patients With Midportion Achilles Tendinopathy: Rationale and Implementation

Authors: Karin Grävare Silbernagel, Kay M. Crossley

J Orthop Sports Phys Ther:1-42. Epub 21 Sep 2015. doi:10.2519/jospt.2015.5885

Posted online on 21 Sep 2015.

AbstractPDF (673 KB)PDF Plus (689 KB)


Evidence of Nervous System Sensitization in Commonly Presenting and Persistent Painful Tendinopathies: A Systematic Review

Authors: Melanie L. Plinsinga, Michel S. Brink, Bill Vicenzino, Paul van Wilgen

J Orthop Sports Phys Ther:1-34. Epub 21 Sep 2015. doi:10.2519/jospt.2015.5895

Posted online on 21 Sep 2015.

AbstractPDF (630 KB)PDF Plus (640 KB)


Patellar Tendinopathy: Clinical Diagnosis, Load Management, and Advice for Challenging Case Presentations

Authors: Peter Malliaras, Jill Cook, Craig Purdam, Ebonie Rio

J Orthop Sports Phys Ther:1-33. Epub 21 Sep 2015. doi:10.2519/jospt.2015.5987

Posted online on 21 Sep 2015.

AbstractPDF (1014 KB)PDF Plus (1017 KB)


Gluteal Tendinopathy: Pathomechanics and Implications for Assessment and Management

Authors: Alison Grimaldi, Angela Fearon

J Orthop Sports Phys Ther:1-41. Epub 17 Sep 2015. doi:10.2519/jospt.2015.5829

Posted online on 17 Sep 2015.

AbstractPDF (1278 KB)PDF Plus (1351 KB) 

Practical element

Delegates are required to bring shorts and trainers

Tutor biography

Physiotherapy Lecturer

Seth O'Neill

Seth has studied his PhD at the University of Leicester which is entitled ‘a Biomechanical Approach to Achilles Tendinopathy Management’.

Within this Seth has identified prevalence rates of tendinopathy in UK runners and developed a greater understanding of risk factors surrounding Achilles tendinopathy. His later work has completed a more in-depth analysis of how tendinopathy affects the Plantarflexors. This has focussed on how the strength and endurance is affected and which of the Plantarflexors is most involved. This work has highlighted the involvement of the Soleus. His current work is attempting to understand how important this may be in the development and treatment of tendinopathy.  His long term aim is the development of a more optimal rehabilitation strategy for tendinopathy.  


Event Timetable

Time Topic
08:45 - 09:15 Arrival & Registration
09:15 - 11:00 Aetiology of tendinopathy – the clinical relevance
10:30 - 12:00 Clinical diagnosis
11:00 - 11:15 Coffee and questions
12:00 - 12:45 Lunch Break
12:45 - 14:10 Practical management (measuring and monitoring care)
14:10 - 14:30 Break
14:30 - 16:00 Adjuncts – imaging, taping, ECSWT, orthotics and injections
16:30 - 16:31 Course Close

Venue Information

B H I Parkside, Bromsgrove

BROMSGROVE, Stourbridge Road, Bromsgrove, Worcestershire, B61 0AZ

The success of the Physio First Education Programme relies on minimum delegate numbers. If the minimum requirement is not achieved it is likely the course will be cancelled. So if you see a course you like, please book it straight away!