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Could something as simple as a 20-minute bike ride improve the quality of platelet-rich plasma?In this episode of Overtime with The Sports Docs, Drs. Ashley Bassett and Catherine Logan explore an intriguing laboratory study examining whether exercise performed immediately before a PRP blood draw can enhance the cellular composition of platelet-rich plasma.As biologic therapies continue to expand throughout sports medicine, optimizing PRP has become increasingly important. While most discussions focus on centrifuge systems, platelet concentrations, leukocyte content, and injection techniques, this study introduces another potential variable: the patient.The authors found that a brief bout of vigorous exercise significantly increased platelet concentrations and mobilized hematopoietic progenitor cells, raising the possibility that exercise could serve as a simple, low-cost strategy to optimize biologic treatments.In This Episode, We Discuss: The fundamentals of PRP and how it works Why PRP variability remains one of the biggest challenges in interpreting the literature Conditions with the strongest evidence supporting PRP: Knee osteoarthritis Lateral epicondylitis Patellar tendinopathy Plantar fasciitis The concept of exercise-mobilized PRP Differences between plasma-based and buffy coat PRP systems Whether higher platelet concentrations actually translate into improved clinical outcomes How this research may influence real-world PRP protocols Study BreakdownStudy Design: Prospective laboratory studyParticipants: 20 healthy volunteers (ages 21–45 years)Exercise Protocol: 5-minute warm-up 20 minutes of cycling Target heart rate: 70–85% of predicted maximum Blood samples were obtained before and immediately after exercise and processed using two PRP systems:ACP System (plasma-based PRP) Angel System (buffy coat PRP) Key FindingsWhole Blood Changes After Exercise Platelet count increased approximately 22% White blood cell count increased approximately 50%ACP System Platelet concentration increased from approximately: 457,000/µL → 562,000/µLAngel System Platelet concentration increased from approximately: 2.95 million/µL → 3.77 million/µL PRP volume increased Hematopoietic progenitor cell concentrations increased significantly Why This MattersThe study suggests that patient physiology before blood collection may significantly influence the final biologic product.A brief exercise session may: Increase platelet yield Mobilize progenitor cells Potentially enhance biologic activity Provide a low-cost method to optimize PRP preparation For clinicians performing biologic injections, exercise may become another controllable variable alongside: PRP preparation system Centrifuge settings Leukocyte concentration Injection technique Clinical Pearls✔ PRP is not a single product. Composition varies substantially between systems.✔ Patient factors may influence PRP quality just as much as centrifuge settings.✔ Twenty minutes of exercise increased platelet concentrations in both PRP systems.✔ Buffy coat systems demonstrated increased progenitor cell concentrations.✔ The clinical significance of these changes remains unknown.The Big QuestionDoes exercise-enhanced PRP actually improve patient outcomes?This study demonstrates changes in laboratory measurements, but it does not tell us whether patients: Heal faster Experience less pain Return to sport sooner Demonstrate better tendon or cartilage healing Future studies are needed to determine: Optimal exercise type Ideal exercise intensity Timing before blood draw Which conditions benefit most Dr. Logan's Clinical PerspectiveAt the Joint Preservation Center, this study has prompted discussions about incorporating pre-injection exercise into PRP protocols. A simple 20-minute cycling session before blood collection may represent a practical strategy to optimize a patient's own biology before treatment.While additional evidence is needed, this concept aligns with the broader goal of maximizing the effectiveness of biologic therapies through thoughtful patient preparation.Take-Home Points Exercise before PRP collection significantly increases platelet concentrations. Short bouts of exercise may mobilize progenitor cells. Patient physiology may influence PRP composition. Exercise represents a low-cost, non-pharmacologic optimization strategy. More research is needed to determine whether these laboratory changes improve clinical outcomes. Resources Mentioned Episode #161: Platelet concentration and outcomes following PRP for lateral epicondylitis Recent Sports Docs episode with Dr. Arianna Gianakos discussing PRP for plantar fasciitis
Patellar Luxation Reimagined: Shifting the Treatment Paradigm with Dr. David DycusPatellar luxation is one of the most commonly diagnosed orthopedic conditions in dogs—but are we thinking about it all wrong?In this episode of the PetAbility Podcast, we revisit this familiar condition through a very different lens with veterinary orthopedic surgeon David Dycus, DVM, MS, CCRP, DACVS-SA. Rather than focusing on the basics of diagnosis and grading, Dr. Dycus shares emerging insights that challenge conventional thinking about what truly drives patellar instability and dysfunction - and the profound arthritic changes that this alignment mismatch may lead to over time - by treating each case individually.Together, we discuss: What are the limitations of the traditional patellar luxation treatment model Why eliminating grading of patellar luxation offers a broader perspectiveHow alignment of the proximal limb (femur) and distal limb (tibia) affects patellar stability and why 3D imaging via CT scan is key How biomechanics and functional movement are reshaping treatment considerations How surgical decision-making is evolving through a patient-specific approach How the shift toward more non-traditional surgical corrections is resulting in better short-term and long-term prognosis Why collaborative care, rehabilitation & conditioning are more vitally important for best outcomes The future of patellar luxation management in veterinary medicineThis episode is ideal for veterinarians, rehabilitation professionals, veterinary students, breeders, trainers, and dedicated pet owners interested in the future of canine orthopedic care. If you thought patellar luxation was “just a minor knee problem,” this conversation may completely change your perspective.Click for more information about Dr. Dycus and his practice, Fusion Veterinary Orthopedics. Follow Dr. Dycus on Instagram and Facebook.DisclaimerVitalVet.org, a platform for all things related to pet rehab - product information, education, and resources abound! MedcoVet (show sponsor) Luma - advanced red-light therapy therapy that puts healing in the hands of the pet owner in the comfort of home! Use Promo Code PETPOD22 to receive discounts from our affiliates!Jope - science-backed supplements Ruff Ramp - a safe alternative to stairs Optimum Pet Vitality - education/coursework Dr. Buzby's -Toe Grips to prevent slipping, Encore Mobility joint supplement, and Brain Boost cognitive supplement. Using this link donates 20% to PetAbility Calm & Cozy Cat Wrap - a must-have for anybody working with catsHedzUpPets Watercollars – save your dog from drowni...
Listen to Andrew Duckworth, Colin Forde and David Keene discuss the paper 'Supervised versus self-managed rehabilitation for patients with an acute first-time or recurrent patellar dislocation: the Physiotherapy Rehabilitation Post Patellar Dislocation (PRePPeD) external pilot randomized controlled trial and embedded qualitative study' published in the March 2026 issue of The Bone & Joint Journal.Click here to read the paper.If you'd like to get involved with the main trial if it is funded, please contact prepped@ndorms.ox.ac.uk.To find out more about the 2026 Annual Scientific Meeting of ISHA, visit www.ishasoc.net.Find out as soon as the next episode is live by following us on X (Twitter), Instagram, LinkedIn, Tik Tok or Facebook!
We all have our favorite "go-to" exercises for patellar tendinopathy. For years, the single-leg decline squat has been the gold standard, often introduced early in rehabilitation to target the tendon. But what if I told you that this specific exercise actually places more load on the patellar tendon than running or double-leg jumping?A massive new study just analyzed 35 common rehabilitation exercises—from step-ups to plyometrics—and ranked them based on actual biomechanical load. The results turn traditional progression models upside down and might explain why some of your patients flare up during "standard" rehab protocols. In this week's episode, we break down the 3 distinct tiers of tendon loading and give you a data-backed roadmap to build the perfect progression.To see full show notes and more, head to: https://mikereinold.com/ranking-the-top-patellar-tendon-exercises-by-tendon-load/----------Become a Champion Baseball Rehabilitation SpecialistLearn everything you need to become an expert at evaluating and treating baseball injuries in my online course. The program is on sale this week for up to $300 off.Learn more >>> mikereinold.com/baseball----------- Click Here to View My Online CoursesWant to learn more from me? I have a variety of online courses on my website!Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.Support the show_____Want to learn more? Check out my blog, podcasts, and online coursesFollow me: Instagram | Twitter | Facebook | Youtube
In this week's episode, we explore a Research Refresh by Ané Lloyd. This Research Refresh looks at a study on post-operative rehabilitation of the medial patellar ligament. They evaluated the effectiveness of post-operative rehab in small-breed dogs using interferential current therapy, laser, and exercise over a 12-week period. This was a prospective clinical trial. Learn more about The Veterinary Academy of Higher Learning: https://vahl.vet/en/ To learn about Onlinepethealth, watch a free webinar, or join any of our Facebook groups, click here: https://onlinepethealth.com/podcast
The Warriors have had bad luck this season with injuries with Moses Moody's patellar tendon rupture occurring this week. Listen to our podcast as Dr Brian Feeley break down patellar tendon ruptures with some ACL recovery thrown in as well.
Summary In this conversation, Ebonie Rio, a physiotherapist and researcher, discusses the complexities of patellar tendinopathy, including its causes, myths, and effective rehabilitation strategies. She emphasizes the importance of understanding the condition as an overload issue, the need for accurate diagnosis, and the role of strength training in prevention and recovery. Ebonie also highlights the significance of motor control and coordination in managing tendon pain, and the necessity of clear communication among athletes, coaches, and clinicians for optimal outcomes. Check out the Rehabilitendon App: http://rehabilitendon.com.au/ Guest Ebonie Rio is a physiotherapist and researcher from La Trobe University in Australia. She holds a PhD in tendon pain and has a background that includes a Masters in Sports Physiotherapy and two bachelor degrees. Her clinical work spans some of the top performance environments in the world. She has worked with the Australian Institute of Sport, the Australian Ballet Company and Ballet School, pro football with Melbourne Heart, the Victorian Institute of Sport, and several major events including the Commonwealth Games, the Vancouver Winter Olympics, the Singapore Youth Olympics and the London Paralympics. She also spent more than a year on tour with Disneys The Lion King. Ebonie has published widely on tendon pain, motor control, load, and rehab, with a special focus on patellar tendinopathy. Chapters 00:00:00 - Intro: Ebonie Rio (background + welcome) 00:01:02 - Explaining patellar tendinopathy in simple terms (athlete-friendly) 00:02:47 - Biggest myths in patellar tendinopathy (imaging, diagnosis, puberty) 00:04:20 - Why "young jumping men" are most affected (risk factors + load profile) 00:06:06 - Misdiagnosis: patellar tendinopathy vs patellofemoral pain 00:07:15 - What changed most in tendon pain research (and clinical thinking) 00:08:27 - What clinicians still underrate in tendon rehab (getting strong enough) 00:10:16 - Sponsor: PhysioTutors Premium Membership 00:11:12 - Why weakness increases tendon overload (load distribution + performance) 00:12:06 - Where tendon research is heading (better diagnosis + better outcomes) 00:14:01 - Key assessment questions + progressive load testing approach 00:18:43 - Morning stiffness, night pain, and 24-hour response (diagnostic clues) 00:20:09 - Quad tendon vs patellar tendon: does it matter for rehab choices? 00:21:46 - Isometrics debate: what people misunderstand about pain relief 00:26:43 - What is "peritendin" and why it matters (especially in Achilles) 00:28:13 - How to diagnose peritendin vs tendinopathy (progressive load patterns) 00:31:53 - Peritendin treatment options (incl. Hirudoid + Voltaren discussion) 00:34:07 - Sponsor: Writeup (practice management software) 00:35:42 - Tendon rehab plan overview: in-season management vs full rehab 00:40:57 - Rehab strength targets + objective markers (leg press, calf, leg extension) 00:42:33 - Measuring the 24-hour response (decline squat vs hop testing) 00:43:02 - Spanish squat vs wall squat: why Spanish squat wins 00:44:19 - Heavy vs fast loading: why rate of loading matters 00:45:11 - Sponsor: PhysioTutors Courses 00:46:32 - Spring phase progression (energy storage + return-to-sport build-up) 00:50:15 - When is an athlete "cleared" to return to sport? 00:51:16 - Motor control + tendon pain: what changes and why it matters 00:53:47 - Metronome training: how to use it clinically (60 bpm setup) 00:55:17 - Managing flare-ups before major events (short-term strategies) 00:58:16 - Meds and injections: ibuprofen, pain relief, and why caution matters 00:59:30 - Key messages to coaches + athletes (performance mindset + heavy is safe) 01:01:08 - Final takeaways: diagnosis confidence + avoiding imaging traps 01:02:16 - Where to find Ebonie + her rehab app (Rehabilitendin) 01:03:18 - Outro: where to listen, app languages, transcript, and review request Sponsors Thanks to our Sponsor WriteUpp. Get 3 Months free on their cutting-edge clinic management software when you sign-up through https://writeupp.com/physiotutors Bonus Material Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App. Download the Free App now Follow our Podcast on: Spotify | Apple Podcasts
On this episode we were joined by special guest physical therapist Trent Salo! Effect of low‐load blood‐flow restricted training versus heavy slow resistance training in unilateral patellar tendinopathy: a randomized clinical trial Hjortshoej MH, Juneja H, Svensson RB, et al. Scandinavian Med Sci Sports. 2025;35(12):e70186. doi:10.1111/sms.70186 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest VALD MoveHealth - https://movehealth.me/ Learn more about/Buy Erik/Jason/Chris's courses – The Science PT Support us on the Patreons! Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission Other Music by Kevin MacLeod – incompetech.com: MidRoll Promo – Mining by Moonlight Koal Challenge – Sam Roux
Episode 211: In this episode, Andy McDonald is joined by Trent — founder of The Tendon Lab and a specialist in Achilles and Patellar tendon health. Trent brings nearly a decade of professional basketball experience as a physical therapist, strength coach, and former VP of Player Health and Performance into his focused clinical and research practice in Traverse City, Michigan. A former collegiate basketball player turned tendon scientist, his work now centres exclusively on evaluating and enhancing tendon structure and function. Alongside consulting with professional teams on high-performance systems and return-to-play processes, Trent is pursuing his PhD in tendon health under one of the world's leading tendon researchers. His mission is clear: bridge the gap between emerging tendon science and the realities of performance environments. Across the conversation, Trent unpacks what “tendon health” really means beyond pain or imaging alone. He explores how structure, function, and symptoms interact — and why they don't always move in parallel. The discussion dives into the role of UTC imaging, intelligent loading strategies, and how to progress athletes toward high-level stretch–shortening cycle (SSC) demands with clarity and confidence. ㅤ Topics Discussed: • Defining tendon health • The role of UTC imaging in clinical decision-making • Structure vs. function vs. pain • Strategies for progressive tendon loading • Targeting tendon substructure adaptations • End-stage / SSC tendon loading in performance settings Where you can find Trent: LinkedIn Website Instagram - Sponsors VALD Performance, makers of the Nordbord, Forceframe, ForeDecks and HumanTrak. VALD Performance systems are built with the high-performance practitioner in mind, translating traditionally lab-based technologies into engaging, quick, easy-to-use tools for daily testing, monitoring and training Hytro: The world's leading Blood Flow Restriction (BFR) wearable, designed to accelerate recovery and maximise athletic potential using Hytro BFR for Professional Sport. - Where to Find Us Keep up to date with everything that is going on with the podcast by following Inform Performance on: Instagram Twitter Our Website - Our Team Andy McDonald Ben Ashworth Alistair McKenzie Steve Barrett Pete McKnight
Patellar tendonopathy is more than just tight quads! Tune in to hear conversational discussion of what the literature says on this topic, including: possible risk factors for the development of patellar tendonopathy, the consequences of patellar tendonopathy on the motor system, and the effectiveness of intervention techniques on treating patellar tendonopathy. Link to get your BOC Category A CEUs below!Timestamps(2:04) Quick anatomy of the patellar tendon(6:40) Risk factors for patellar tendonopathy(18:31) Patellar tendonopathy evaluation(22:54) Consequences of patellar tendonopathy(26:56) Rehabilitation for patellar tendonopathy(37:23) Effectiveness of patellar tendonopathy--ARTICLE CITATIONS used for this episode: https://atcornerds.wixsite.com/home/blogAT CORNER FACEBOOK GROUP: https://www.facebook.com/groups/atcornerpodcastInstagram, Website, YouTube, and other links: atcornerds.wixsite.com/home/linksEMAIL US: atcornerds@gmail.comSAVE on Medbridge: Use code ATCORNER to get $101 off your subscriptionMusic: Jahzzar (betterwithmusic.com) CC BY-SA—TO GET CATEGORY A CEUs for listening to this episode, enroll in this course: https://clinicallypressed.org/courses-home/Take the quiz and course evaluation and your certificate will be generated for you! We have no financial disclosures or conflict of interests.---Sandy & Randy
Send us a textIn this episode of PT Snacks Podcast, host Kasey dives deep into patellar dislocation and the medial patellofemoral ligament (MPFL). Learn about the anatomy, common causes, and risk factors of patellar dislocations, alongside assessment techniques and treatment options. Whether you're a physical therapist or PT student, this episode offers valuable insights into managing both non-operative and post-operative care for patients. Kasey also discusses patient readiness for returning to sports, highlighting the importance of both physiological and psychological factors. Tune in and expand your knowledge on handling one of the most common knee injuries.00:00 Welcome to PT Snacks Podcast00:14 Introduction to MPFL and Patellar Dislocation01:18 Understanding the Medial Patellofemoral Ligament (MPFL)03:02 Risk Factors for Patellar Dislocation05:37 Assessment of Patellar Dislocation07:31 Treatment Approaches for Patellar Dislocation09:01 Rehabilitation and Return to Sport12:15 Summary and Additional Resources13:12 Closing Remarks and AnnouncementsSupport the showNeed CEUs? Unlock unlimited online courses, live webinars, and certification-prep programs with MedBridge. You'll get: Thousands of accredited, evidence-based courses across multiple specialties (PT, OT, AT, SLP) that count for state-license CEUs. Access anytime, from your office, phone, or home—perfect for busy clinicians. One annual subscription, no per-course fee. Special offers: Use code PTSNACKSPODCAST at checkout and save over $100. Students use code PTSNACKSPODCASTSTUDENT for a discounted annual plan. Studying for the NPTE? Check out PT Final Exam — they've helped thousands of students pass with confidence. Use code PTSnacks at checkout for a discount. Stay Connected! Follow so you never miss an episode. Send your questions via email to ptsnackspodcast@gmail.com Join the email list ...
Welcome to Season 2 of the Orthobullets Podcast.In this episode, we review the high-yield topic of TKA Patellar Maltracking from the Recon section.Follow Orthobullets on Social Media:FacebookInstagramTwitterLinkedInYouTube
On this episode we were joined by special guest physical therapist Jason Eure! Maturation of the proximal patellar tendon structure in the adolescent athlete: a longitudinal study Harris M, Rio EK, Docking S, et al. J Sci Med Sport. Published online December 2025:S1440244025005250. doi:10.1016/j.jsams.2025.11.015 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest VALD MoveHealth - https://movehealth.me/ Learn more about/Buy Erik/Jason/Chris's courses – The Science PT Support us on the Patreons! Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission Other Music by Kevin MacLeod – incompetech.com: MidRoll Promo – Mining by Moonlight Koal Challenge – Sam Roux
Connect with Us:If you're an injured runner we can help you get back to running pain-free.Book a free call with us:https://matthewboydphysio.com/booking/Running Fundamentals Course:https://matthewboydphysio.com/running-fundamentals-course/Instagram:https://www.instagram.com/matthewboydphysio/SummaryIn this episode of the Fix My Running podcast, Scott shares his inspiring journey of recovery from a significant running injury. He discusses the challenges he faced with patellar tendonitis, the holistic approach he took to recovery, and the importance of strength training. Scott reflects on his training progress, achievements, and future goals, emphasizing the value of consistency and a comprehensive training plan.TakeawaysScott experienced significant knee pain due to patellar tendonitis.He found a holistic approach to recovery that included strength training.The first noticeable improvement came within 30 days of training.Scott successfully completed a 20-mile mountain race after his recovery.He emphasizes the importance of strength training as he ages.Scott's training included a mix of running and strength exercises.He adapted his training to include more cautious downhill running.Scott's commitment to the training plan was crucial for his recovery.He plans to participate in more mountain runs in the future.Scott values outdoor workouts over traditional gym sessions.
Sometimes Dry Needling is the best and fastest way to get full function back and to relieve pain. On these two college football players the electric stimulation acupuncture was barely touching their pain. Dry Needling give me instant and satisfying results. Don't Forget, I'm running a 20% Discount on all Courses and Bundles of Courses (already discounted at 20%) until the end of the year. Use the Code BLACKFRIDAY20 at checkout (look for the link to enter the code) It's a great chance to get 20% already discounted bundles for huge savings on courses that DO NOT EXPIRE. You keep them as a reference anytime you need them. Videos are indexed for fast reference. All courses can be discounted and you can reuse the code as many times as you want until the end of the year. https://richardhazel.podia.com Correction: I said insipid instead of insidious onset.
Welcome to Season 2 of the Orthobullets Podcast.Today's show is CoinFlips, where expert speakers discuss grey zone decisions in orthopedic surgery. This episode will feature doctors Korsh Jafarnia, David Lintner, Corinne Cloud, & Sachin Allahabadi. They will discuss the case titled "Ipsilateral Patellar Tendon Rupture and Distal Radius Fracture in 33M ."Follow Orthobullets on Social Media:FacebookInstagramTwitterLinkedInYouTube
Chapters 00:00 Introduction to Tendon Research and Personal Insights 02:58 Exploring Tendon Development in Infants 05:42 The Berlin Method: Training Older Adults 09:01 Understanding Muscle Strength and Stability in Older Adults 11:40 Challenges in Calf Muscle Growth 14:31 The Mechanics of Tendon Adaptation 17:21 Cyclical Loading and Its Importance 20:39 Tendon Creep and Muscle Fatigue 23:26 The Role of Resting Length in Tendon Strain 26:02 Investigating Overtraining and Tendon Health 29:12 Conclusion and Future Directions in Tendon Research 43:26 Understanding the Berlin Method Frequency 47:13 Tendon Recovery and Training Volume 49:32 Mechanics of Tendon Strain and Recovery 53:41 Optimal Ranges for Tendon Strain 58:23 Research Insights on Tendon Strain Measurements 01:02:00 Individual Differences in Tendon Training 01:06:26 Training Approaches for Achilles and Calf Strength 01:11:26 Gender Differences in Tendon Training 01:14:46 Mechanotransduction in Developing Tendons 01:18:35 Future Directions in Tendon Research Takeaways Gaspar Epro is a senior lecturer and track and field coach. Tendons adapt to training, but the mechanisms are complex. The Berlin Method emphasizes high loads for tendon adaptation. Muscle strength is important, but technique and application matter more. Calf muscles are notoriously difficult to grow in strength. Tendons require time to recover and adapt to training loads. Creep studies on tendons are often conducted in mechanical settings, not in vivo. Tendon strain measurements can vary significantly based on methodology. Individual differences in tendon response necessitate personalized training. Females may experience different tendon adaptations compared to males. Gaspar on Instagram: https://www.instagram.com/gasparepro/?hl=en Gaspar on Twitter: https://x.com/gasparepro Gaspar's Email: gasparepro@gmail.com Notes: https://jackedathlete.com/podcast-150-tendons-with-gaspar-epro/
Welcome to Season 2 of the Orthobullets Podcast.In this episode, we review the high-yield topic of Lateral Patellar Compression Syndrome from the Knee & Sports section.Follow Orthobullets on Social Media:FacebookInstagramTwitterLinkedInYouTube
Welcome to Season 2 of the Orthobullets Podcast.In this episode, we review the high-yield topic of Lateral Patellar Compression Syndrome from the Knee & Sports section.Follow Orthobullets on Social Media:FacebookInstagramTwitterLinkedInYouTube
Welcome to Season 2 of the Orthobullets Podcast.In this episode, we review the high-yield topic of Patellar Tendinitis from the Knee & Sports section.Follow Orthobullets on Social Media:FacebookInstagramTwitterLinkedInYouTube
Once the most popular graft choice for ACL reconstruction surgery, hamstring autograft has recently fallen out of favor for a variety of concerns including a higher graft rupture rate in younger athletes and concerns over graft diameters that tend to run smaller. However, what does the best level evidence actually say about hamstring autograft's long-term performance versus the current gold-standard, patellar tendon autograft? Dr. Derrick Knapick, MD joins us from Washington University School of Medicine in St. Louis to discuss his study looking at this question.
Chapters 00:00 The Journey of a Dunker: Early Years and Injuries 03:02 Understanding Knee Pain: Causes and Solutions 06:09 Training Techniques: Isometrics and Warm-ups 09:00 Diet and Its Impact on Performance 12:00 Adapting to Age: Training Adjustments Over Time 15:05 The Mechanics of Jumping: Techniques and Styles 17:58 Warm-up and Cool-down: Importance in Training 20:52 Managing Volume and Intensity in Training 24:10 The Role of Recovery: Isometrics and Pain Management 26:51 Final Thoughts: The Future of Dunking and Training 33:07 Exploring Conservative Management Techniques 36:09 Plyometrics: Finding the Balance 39:30 Lifting Strategies for Injury Management 42:01 Understanding Muscle Imbalances 43:48 The Impact of Footwear on Knee Health 45:36 Managing Pain During Training 48:20 Common Tendon Issues in Dunkers 51:16 The Role of Weight Training in Dunking 53:12 Dealing with Tendon Blow-Ups 54:52 Preventing Tendon Injuries in Dunking 01:06:39 Final Advice for Dunkers with Knee Pain Takeaways Jordan Kilganon shares his journey as a professional dunker. Knee pain can be managed with proper training and techniques. Isometric exercises play a crucial role in injury prevention. Diet can significantly impact tendon health and performance. As athletes age, training methods must adapt to prevent injuries. Different jumping techniques can affect knee stress differently. Warm-ups are essential to prevent injuries, especially as one ages. Cool-downs can aid recovery and reduce next-day soreness. Managing jump volume and intensity is key to longevity in the sport. Listening to one's body is crucial for effective training. Jordan has never used injections or stem cells for recovery. He emphasizes conservative management and load management for knee issues. Plyometrics should be approached with caution, focusing on depth jumps and seated jumps. Single effort jumps are preferred over multi-effort jumps to avoid knee strain. Lifting techniques should be adjusted based on individual comfort and pain levels. Muscle imbalances should be addressed by strengthening weaker muscles rather than focusing solely on balance. Footwear can significantly impact knee health; personal preference varies. Pain management during training can involve isometric exercises and adjustments in technique. Common tendon issues arise from excessive jumping without proper recovery and management. Weight training is essential for dunkers to prevent injuries and improve performance. Jordan on Instagram: https://www.instagram.com/jordankilganon/?hl=en Jump Master: https://my.playbookapp.io/jordan-kilganon Jump Master X: https://www.jumpmasterx.com/home-copy Jordan on YouTube: https://www.youtube.com/@killerjunior23 Notes: https://jackedathlete.com/podcast-149-patellar-tendons-with-jordan-kilganon/
Chapters 00:00 Introduction to Tendons and Personal Background 03:01 Understanding ACL Injuries and Rehabilitation 05:56 Graft Types: Autograft vs Allograft 08:56 Early Rehabilitation Strategies for ACL Surgery 11:53 Managing Swelling and Pain Post-Surgery 14:58 Progressing Rehabilitation: From Extension to Strength 17:59 Considerations for Graft Selection 21:01 Challenges with Quad Tendon Grafts 23:52 Hamstring and Patellar Grafts: Pros and Cons 32:06 Understanding Anterior Knee Pain and Rehabilitation 34:40 Strength Training in ACL Recovery 37:49 Introducing Plyometrics in Rehabilitation 39:28 Progressing Plyometrics and Deceleration Training 44:06 The Role of Physical Therapists in ACL Rehab 47:30 Knee Strategy vs. Hip Strategy in Rehabilitation 52:07 Re-injury Rates and Return to Sport Statistics 53:40 Education Gaps in Physical Therapy Schools 57:43 Improving ACL Rehabilitation Practices 01:01:17 Collaboration Between Therapists and Strength Coaches Takeaways Derek Garza is a licensed physical therapist with a background in athletics. He emphasizes the importance of education in ACL rehabilitation. The type of graft used in ACL surgery significantly affects recovery. Early intervention in rehabilitation can lead to better outcomes. Managing swelling is crucial for effective recovery post-surgery. Different graft types have unique healing timelines and considerations. Patient education is key to understanding the rehabilitation process. The strength of the graft can vary significantly based on the type used. Rehabilitation strategies should be tailored to the individual athlete. Understanding the risks and timelines of recovery can help prevent re-injury. The quality of physical therapy coaching is crucial for recovery. Limb symmetry index should be at least 90% for strength. Plyometrics should be introduced gradually in rehabilitation. Deceleration training is essential for athletes returning to sport. Many physical therapists lack knowledge in plyometric training. Re-injury rates for ACL injuries are alarmingly high. Education on plyometrics is lacking in physical therapy schools. Collaboration between therapists and strength coaches is vital. Athletes often shy away from loading their knees post-injury. Understanding knee and hip strategies can improve rehabilitation outcomes. Derek on Instagram: https://www.instagram.com/dr.derekpt/ Derek's Linktree: https://linktr.ee/drderekgarza?fbclid=PAZXh0bgNhZW0CMTEAAafGwPFbijuM4jTC0YjCcgMH2cY3-masDnDR00SYM7QCAyHfVaMUxWiB4ij1GQ_aem_Yj9twOyX7Rp7Un4fBhKFGg Notes: https://jackedathlete.com/podcast-148-acls-and-quad-patellar-hamstring-tendon-grafts-with-derek-garza/
Chapters 00:00 Introduction to Zach Jungels and His Journey 03:06 The Patellar Tendon Injury Experience 06:09 Rehabilitation Challenges and Discoveries 08:56 The Search for Effective Treatment 11:50 Implementing the Jumper's Knee Protocol 15:10 Sharing Knowledge and Helping Others 18:00 Understanding Pain and Recovery 21:12 The Role of Communication with Coaches 23:47 Critique of Traditional Physical Therapy 27:02 Navigating the Rehab Process 29:50 Conclusion and Future Aspirations 37:04 Understanding Knee Pain: Partial Tears vs. Tendinopathy 40:00 The Role of Isometrics in Pain Management 46:04 Navigating Athletic Rehabilitation: Challenges and Solutions 48:02 Recent Knee Injury: Insights and Recovery 52:06 Effective Rehabilitation Strategies for Knee Injuries 01:00:58 Finding the Highest Possible Entry Point in Rehab 01:08:02 Exploring the Science of Tendon Health 01:09:03 Understanding Tendon Structure and Aging 01:12:25 Pathology and Tendon Health 01:14:32 Environmental Factors in Tendon Health 01:17:10 The Impact of Weight Gain on Tendon Health 01:21:45 Dietary Influences on Tendon Pathology 01:26:50 Collagen Supplementation and Tendon Health Takeaways Zach Jungels experienced severe patellar tendon issues during his football career. His internship at the University of Minnesota was a transformative experience. He faced multiple injuries that complicated his recovery process. Zach developed a personalized jumper's knee protocol based on research and self-education. Communication with coaches was crucial for managing his injury and training. He critiqued traditional physical therapy methods for being too standardized and ineffective. Zach found success in using specific exercises that targeted his knee pain. He emphasized the psychological impact of dealing with chronic pain and injury. Zach's experience led him to help others with similar injuries through education and support. He believes in the importance of critical thinking in rehabilitation and recovery. Zach had to gauge his pain threshold during activities. Initial sharp pain in the knee indicated a possible partial tear. Tendinopathy symptoms developed over time with different sensations. Isometrics provided pain relief for Zach for several months. Athletes often face resistance from trainers when seeking alternative rehab methods. Zach's recent knee injury was a result of heavy eccentric loading. Effective rehab requires finding the highest possible entry point. Rehabilitation should focus on loading the muscle, not just the joint. Zach's approach includes using RPR and square one techniques. Rehab is about applying proven methods to individual cases. Ground substance in tendons consists of proteoglycans and water. Aging leads to a loss of spring-like properties in tendons. Pathology in tendons can develop long before pain is felt. General health significantly impacts tendon health. Weight gain adds extra load on tendons, increasing injury risk. High blood sugar can stiffen tendons due to sugar cross-links. Dietary choices can influence tendon health and recovery. Collagen supplementation may benefit tendon health, especially if deficient in nutrients. Environmental factors like circadian rhythms can affect tendon recovery. A holistic approach is essential for optimal tendon health. Zach on Instagram: https://www.instagram.com/jungels_sp/ Zach's Linktree: https://linktr.ee/jungels_sp?fbclid=PAZXh0bgNhZW0CMTEAAacaGkjqM3BtO2cpjzsTeWTR24xN3RkpRLYohZUrVD4rFi8g4IY_rdU4khXRvA_aem_sF_ViokbqzsuGox7wTep8w Notes: https://jackedathlete.com/podcast-147-patellar-tendons-with-zach-jungels/
Chapters 00:00 Introduction to Gibson Butler and His Journey 02:53 The Onset of Knee Pain and Its Impact 06:05 The Role of Hunting and Physical Activity 08:58 Exploring Treatment Options and Their Efficacy 11:46 The 10x Procedure and Its Aftermath 15:00 Discovering Effective Rehabilitation Strategies 17:54 The Importance of Isometric Exercises 21:05 Reflections on the Healing Journey 24:28 Isometric Exercises and Pain Management 30:10 Rehabilitation Journey and Athletic Goals 35:55 Hunting and Knee Pain Experiences 41:52 Advice for Managing Tendon Pain Takeaways Gibson Butler's knee pain began in adolescence during sports activities. Hunting in steep terrains exacerbated his patellar tendon issues. Sitting for long hours at work contributed to his knee pain. He explored various treatments including PRP and stem cell injections. The 10x procedure was recommended to address scar tissue in his tendon. Physical therapy played a crucial role in his recovery process. Isometric exercises helped him engage his quad muscle effectively. Gibson found that consistent loading improved his knee condition. He realized the importance of proper diagnosis and treatment for tendinopathy. Gibson's journey highlights the need for tailored rehabilitation strategies. Isometric exercises can provide immediate pain relief. Leg extensions have been particularly effective for Gibson. Rehabilitation is a gradual process that requires patience. Setting athletic goals can motivate recovery efforts. Flare-ups are a normal part of the healing journey. Strength training plays a crucial role in recovery. Listening to your body is essential during rehabilitation. Avoid falling for quick-fix solutions for tendon pain. Maintaining a healthy diet can support recovery. Engaging in activities you love, like hunting, can be challenging but rewarding. Gibson in Instagram: https://www.instagram.com/gibsonbutler.596/ Notes: https://jackedathlete.com/podcast-145-overcoming-patellar-tendinopathy-with-gibson-butler/
Welcome to Season 2 of the Orthobullets Podcast.Today's show is Foundations, where we review foundational knowledge for frontline MSK providers such as junior orthopaedic residents, ER physicians, and primary care providers.This episode will cover the topic of Patellar Instability, from our Knee & Sports section at Orthobullets.com.Follow Orthobullets on Social Media:FacebookInstagram TwitterLinkedInYouTube
Chapters 00:00 Introduction to Performance Coaching and Jumper's Knee 02:59 Understanding Jumper's Knee: Personal Experiences and Misconceptions 05:53 The Evolution of Training Approaches for Jumper's Knee 08:52 The Importance of Quad Strength in Recovery 11:50 Deceleration and Its Impact on Jumper's Knee 15:10 Plyometric Progressions and Their Role in Recovery 17:57 Exploring Exercise Techniques: What Works and What Doesn't 21:02 The Role of Eccentric Loading in Tendon Health 24:09 Debunking Myths: The Truth About Leg Extensions 27:13 Conclusion: Key Takeaways and Future Directions 38:30 Exploring Effective Leg Exercises 41:34 Understanding Knee Pain and Rehabilitation 46:25 The Role of Isometrics in Knee Recovery 51:30 Addressing Patellar Tendon Issues 54:20 Navigating Athletic Pain and Recovery 01:06:30 Injury Management: Achilles and Rotator Cuff 01:14:23 Conclusion and Future Directions Takeaways Tim Riley is a performance coach working with various athletes. Jumper's knee is often misunderstood and mismanaged. Rest and ice were traditionally recommended for jumper's knee, but this approach is outdated. Quad strength is crucial for recovery from jumper's knee. Deceleration is a significant factor in developing jumper's knee. Plyometric progressions must be approached carefully to avoid aggravating knee pain. Not all exercises are effective for everyone; individual responses vary. Eccentric loading is essential for tendon health and recovery. Leg extensions can be beneficial but may not work for everyone. There is no magical exercise for knee pain; a comprehensive approach is necessary. Sissy squats can be more effective than leg extensions. Eccentric loading is crucial for knee rehabilitation. Isometric exercises can help with jumper's knee recovery. Athletes often need to reduce sport-specific activities to heal. Pain management requires honest conversations with athletes. Frequency of training can impact recovery from knee injuries. Achilles injuries require careful management and progression. Partial tears in tendons can be challenging to rehabilitate. Cultural attitudes towards pain vary among athletes. Consistency in rehabilitation exercises leads to better outcomes. Tim's Website: https://www.timrileytraining.com Tim's Instagram: https://www.instagram.com/timrileytraining/?hl=en Coach Em Up Instagram: https://www.instagram.com/coachemuppodcast/?hl=en Notes: https://jackedathlete.com/podcast-144-patellar-tendons-with-tim-riley/
Chapters 00:00 Introduction to Tommy Heights and His Journey 03:05 The Rise and Fall: From Vertical Jump Success to Injury 05:55 Navigating Recovery: The Role of Physical Therapy and Self-Discovery 08:53 The Turning Point: Lifestyle Changes and Their Impact 12:04 Rebuilding Strength: The Importance of Proper Loading and Management 14:47 Lessons Learned: Patience and the Journey to Recovery 17:46 The Importance of Warm-Up and Mindset in Training 21:03 Self-Experimentation: Finding What Works for You 25:52 Exploring Split Squats and Isometrics 28:04 Weight Loss Journey and Nutrition Insights 30:10 The Mental Challenge of Jumping 32:09 Understanding Jump Technique and Pain 34:01 Future Concerns and Mental Barriers 36:12 Jumping Mechanics and Personal Style 39:06 Dietary Choices and Recovery 40:48 Advice for Recovery and Commitment Takeaways Tommy Heights is a presentation designer and basketball enthusiast. He experienced a significant increase in vertical jump but faced knee pain due to overtraining. Tommy's injury was a result of accumulated fatigue and lack of load management. He sought various treatments, including physical therapy and online programs, to address his knee pain. Lifestyle changes, such as stopping drinking, had a positive impact on his recovery. Proper loading and management are crucial for injury recovery and performance. Patience is essential in the recovery process; rushing can lead to setbacks. Warming up is vital to prevent injuries and improve performance. Self-experimentation is key to finding effective exercises for individual needs. Tommy's journey highlights the importance of understanding one's body and training smart. Split squats and isometrics can provide an analgesic effect. Weight loss can be influenced by nutrition and lifestyle choices. Eating more can be beneficial for tendon health. Monitoring glucose levels may be important for tendon recovery. Mental barriers can affect performance in jumping. Jumping technique can vary significantly between individuals. Dietary choices, like being vegan, can impact recovery. Collagen supplementation may aid in tendon health. Progressive loading is essential for recovery. Commitment to recovery requires lifestyle changes. Instagram: https://www.instagram.com/tommy__heights/ TikTok: https://www.tiktok.com/@tommy_heights Notes: https://jackedathlete.com/podcast-143-patellar-tendon-case-study-with-tommy-heights/
Fran Smith, DVM PhD DACT joins us from Purina to explain how a dog's anatomy can cause patellar luxation, or a “slipped stifle.” Learn about the prevalence of this painful genetic condition and how it is diagnosed and treated.Watch the video version of this presentation here.
On the debut episode of the AMSSM Sports Medicine Primer Series (X: @TheAMSSM), host Dr. Stephen Luebbert, MD, MS, is joined by Dr. Jacqueline Brady, MD, to discuss how to manage a case of patellar dislocation in a basketball player. The goal of this new series is to be an audible study aid for anyone pursuing a career as a sports medicine physician and to prepare them for a sports medicine fellowship. Dr. Brady is an orthopedic sports medicine surgeon at Oregon Health & Science University in Portland, OR, where he is also the Associate Residency Program Director and Director of Orthopedic Simulation. Dr. Brady serves as Head Team Physician for Portland State University and performs research in the field of patellofemoral instability, multi-ligamentous knee injuries and arthroscopic skill-building in learners. Resources: Best Practices in Sports Medicine: AMSSM and AOASM Case Studies (2nd Edition): https://amssmstore.com/best-practices-in-sports-medicine-amssm-and-aoasm-case-studies-second-edition
Chapters 00:00 Introduction to Chris Johnson and Tendon Rehabilitation 03:08 Understanding Exercise Monotherapy in Tendon Rehab 05:48 The Importance of Loading in Tendon Recovery 08:56 Chris's Journey and Mentorship in Physical Therapy 12:11 Rehabilitation Insights from ACL Injuries 14:56 Exploring Patellar Tendinopathy and Its Variants 17:55 Differentiating Tendon Pain in Athletes 20:59 Pain Management and Acceptable Levels in Rehab 23:47 The Role of Isometrics in Tendon Rehabilitation 26:58 The Debate on Pain Levels in Tendon Rehab 30:03 Conclusions and Future Directions in Tendon Rehab 36:09 Navigating Knee Rehabilitation Strategies 39:58 Exploring Neuromuscular Electrical Stimulation (NMES) in Rehab 46:41 Balancing Activity and Rehabilitation in Athletes 51:07 The Importance of Warm-Up and Cool Down 55:41 Understanding Tendon Stiffness and Rehabilitation Methods 01:00:17 Psychosocial Factors in Tendinopathy Rehabilitation 01:03:41 Compression and Loading in Tendon Health 01:06:34 The Role of Mechanical Transduction in Tendon Adaptation Takeaways Exercise monotherapy simplifies tendon rehab by focusing on key loading strategies. Loading the tissue is crucial for effective tendon rehabilitation. Education and communication are vital in managing patient expectations and outcomes. Isometrics can be beneficial but may not work for everyone. Pain management in rehab is nuanced and should be individualized. Understanding the athlete's background helps tailor rehab strategies. Patellar tendinopathy presents differently in various athletes and requires specific approaches. The importance of restoring quad function in knee injuries cannot be overstated. Reactive tendinopathy cases can often resolve quickly with proper management. The debate on acceptable pain levels in rehab continues, emphasizing the need for individualized approaches. Consider alternative exercises like reverse Nordic for knee rehab. Gradually increase load and time to fatigue the quads. Warm-up routines can significantly impact tendon health. Compression forces are unavoidable in running; manage them wisely. Psychosocial factors play a crucial role in tendinopathy recovery. NMES can be a last resort for irritable tendons. Maintaining activity is essential for athletes during rehab. Walking warm-ups can enhance performance and recovery. Tendon stiffness is critical for injury prevention. Understanding mechanical transduction is vital for effective rehab. Website: https://chrisjohnsonpt.com Instagram: https://www.instagram.com/chrisjohnsonthept/?hl=en Notes: https://jackedathlete.com/podcast-139-tendons-with-chris-johnson/
Chapters 00:00 Introduction and Setting the Scene 00:54 Steven's Journey into Strength and Conditioning 01:59 The Achilles Rupture Experience 11:57 Rehabilitation Insights and Lessons Learned 19:59 Exploring Patellar Tendon Issues 28:01 Understanding Elbow Tendon Pain 34:24 Managing Injury and Recovery Strategies 36:07 The Journey of Overcoming Adductor Injuries 48:06 Rehabilitation Techniques for Achilles Tendon Injuries 57:23 Understanding Elbow Tendinopathy and Rehabilitation Takeaways Steven's passion for coaching was ignited by his own injury. The Achilles rupture experience was a turning point in Steven's career. Rehabilitation requires a systematic approach to be effective. Understanding body mechanics is crucial for injury prevention. Patellar tendonitis can stem from poor movement patterns. Elbow pain in grappling often results from increased training loads. Isometrics play a vital role in rehabilitation. Pain management is essential for quality of life during recovery. Training through discomfort can lead to better outcomes. Learning from personal experiences enhances coaching effectiveness. Fast jerk movements can aggravate injuries. Training grip and wrist work can provide relief. Rehabilitation requires understanding individual body mechanics. Pushing through discomfort can lead to injuries. Isometric exercises can aid in recovery. Listening to your body is crucial during rehab. Tendons need load to heal effectively. Rehab should consider the entire kinetic chain. Elbow pain can be linked to shoulder and neck issues. A comprehensive approach is essential for effective recovery. Steven's Instagram: https://www.instagram.com/coach_steven_sahyoun/ Steven's YouTube: https://www.youtube.com/@coachstevensahyoun Steven's Podcast: https://open.spotify.com/show/1cQwoKXtHgfK8rXOg7205A?si=7e0d59abee61426d Steven's Linktree: https://linktr.ee/Psccoaching?fbclid=PAZXh0bgNhZW0CMTEAAaazihc-tjME4aZcBa1_GVatrfxX0D37NK9DsdrRGYOhZ57PRW6y_Zba5Jw_aem_UlXctGsQgFvIqICadC8RYg Notes: https://jackedathlete.com/podcast-135-tendons-with-steven-sahyoun/
In this episode, we dive into the treatment and rehabilitation of patellar tendinopathy, specifically patellar tendinosis. This condition is notoriously difficult to treat, often requiring six months to a year for full recovery, but with the right approach, athletes and active individuals can return to full function.Using a structured, stage-based progression, we discuss how to:Implement isometric exercises to manage pain and begin strengtheningProgress to isotonic loading to rebuild muscle strengthIntroduce energy storage and plyometric training to restore full functionPrevent recurrence by optimizing load management and recovery strategiesThis episode is based on the research by van Ark et al. (2018):"Patellar Tendinopathy: Clinical Diagnosis, Load Management, and Advice for Challenging Case Presentations" in JOSPT (Journal of Orthopaedic & Sports Physical Therapy).Support the showWhy PT Snacks Podcast?This podcast is your go-to for bite-sized, practical info designed for busy, overwhelmed Physical Therapists and students who want to build confidence in their foundational knowledge without sacrificing life's other priorities. Stay Connected! Never miss an episode—hit follow now! Got questions? Email me at ptsnackspodcast@gmail.com or leave feedback HERE. Join the email list HERE On Instagram? Find unique content at @dr.kasey.hankins! Need CEUs Fast?Time and resources short? Medbridge has you covered: Get over $100 off a subscription with code PTSNACKSPODCAST: Medbridge Students: Save $75 off a student subscription with code PTSNACKSPODCASTSTUDENT—a full year of unlimited access for less!(These are affiliate links, but I only recommend Medbridge because it's genuinely valuable.) Optimize Your Patient Care with Tindeq Looking for a reliable dynamometer to enhance your clinical measurements? Tindeq ...
In this episode, we dive into patellar tendinopathy—how to recognize it, differentiate it from other knee conditions, and key clinical findings to look for. Using a realistic patient case, we go step by step through subjective history, clinical testing, and differential diagnosis to improve your assessment skills.What You'll Learn:How to identify patellar tendinopathy based on patient historyKey risk factors and common populations affectedThe difference between tendinitis and tendinosisHow to rule in and rule out conditions like PFPS, Hoffa's fat pad irritation, and quadriceps tendinopathyThe hallmark signs that should immediately put patellar tendinopathy on your radarNext week, we will cover the latest evidence on treatment and management strategies.Support the showWhy PT Snacks Podcast?This podcast is your go-to for bite-sized, practical info designed for busy, overwhelmed Physical Therapists and students who want to build confidence in their foundational knowledge without sacrificing life's other priorities. Stay Connected! Never miss an episode—hit follow now! Got questions? Email me at ptsnackspodcast@gmail.com or leave feedback HERE. Join the email list HERE On Instagram? Find unique content at @dr.kasey.hankins! Need CEUs Fast?Time and resources short? MedBridge has you covered: Get over $100 off a subscription with code PTSNACKSPODCAST: MedBridge Students: Save 75% with code PTSNACKSPODCASTSTUDENT—a full year of unlimited access for less!(These are affiliate links, but I only recommend MedBridge because it's genuinely valuable.) Optimize Your Patient Care with Tindeq Looking for a reliable dynamometer to enhance your clinical measurements? Tindeq helps you track and measure...
Chapters 00:00 Introduction to Tendon Research 02:59 The Evolution of Tendon Rehabilitation 06:07 Understanding Tendon Mechanics and Training Approaches 09:00 The Role of Load in Tendon Health 12:03 Aging and Tendon Structure 14:51 The Impact of Immobility on Tendon Health 18:09 Stages of Tendon Development 21:08 Tendon Ruptures and Age Factors 24:00 The Science of Tendon Stiffness 26:46 Cellular Dynamics in Tendon Health 32:26 Understanding Tendon Responses: Achilles vs. Patellar 36:11 The Role of Cross-Links in Tendon Stiffness 40:59 Exercise and Its Impact on Tendon Health 42:25 Dietary Influences on Tendon Integrity 44:17 Metabolic Syndrome and Tendon Health 46:38 Accumulation of Advanced Glycation End Products 49:31 Tendon Size and Vascularization in Tendinopathy 54:51 Inflammation in Tendon Pain: A Complex Relationship 01:00:07 Circadian Rhythms and Tendon Health 01:03:27 Future Research Directions in Tendon Studies Takeaways Christian Coupe is a physical therapist and researcher. He has worked extensively with elite athletes, particularly in racket sports. Tendon issues like jumpers knee and Achilles tendinopathy are common in athletes. Eccentric training was a breakthrough in tendon rehabilitation. Heavy slow resistance training may be more effective than eccentric training. Tendons require regular loading to maintain health and prevent degradation. Aging begins around the age of 17, affecting tendon structure and function. Immobility can lead to rapid deterioration of tendon health. Tendon stiffness is crucial for performance and injury prevention. There is potential for improving tendon health even in older individuals. The Achilles tendon may require different loading than the patellar tendon. Cross-links in tendons can affect stiffness and brittleness. Exercise is crucial for maintaining tendon health and properties. Dietary choices can influence tendon integrity and health. Metabolic syndrome is linked to tendon issues and injuries. Advanced glycation end products accumulate in low turnover tissues like tendons. Tendon size can increase due to vascularization in tendinopathy. Inflammation may be present in early stages of tendon pain. Circadian rhythms could play a role in tendon recovery processes. Future research should focus on the metabolic aspects of tendon health. Christian's research (Researchgate): https://www.researchgate.net/profile/Christian-Couppe Christian's profile: https://researchprofiles.ku.dk/en/persons/christian-couppé Christian on Twitter: https://x.com/ccouppe
After our longest hiatus, we were return to talk about a potentially career altering injury to one the best line backers, the rest of the country doesn't know about, a patellar tendon tear for Nakobe Dean, linebacker for the Philadelphia Eagles. Additionally, we cover multiple playoff significant injuries, going into the weekend!
Welcome to Season 2 of the Orthobullets Podcast. Today's show is Core, where we review Core Knowledge for Orthopaedic Surgeons. This episode will cover the topic of Patellar Instability, from our Knee & Sports section at Orthobullets.com. Follow Orthobullets on Social Media: Facebook Instagram Twitter LinkedIn YouTube
Treg and Vicky continue the common running injury series today discussing patellar tendinopathy and ITB pain in runners.
Morning Footy: A daily soccer podcast from CBS Sports Golazo Network
The Morning Footy crew react to the news that Barcelona goalkeeper Marc-André ter Stegen has suffered a torn patellar tendon. With Barca off to a dream start, undefeated in domestic league play, how devastating is this injury? The club will now turn to backup goalkeeper Inaki Pena. Morning Footy is available for free on the Audacy app as well as Apple Podcasts, Spotify and wherever else you listen to podcasts. Follow the Morning Footy podcast on Twitter: @CBSSportsGolazo, @susannahcollins, @nicocantor1, @NotAlexis, @CharlieDavies9 For more soccer coverage from CBS Sports, visit https://www.cbssports.com/soccer/ To hear more from the CBS Sports Podcast Network, visit https://www.cbssports.com/podcasts/ Watch UEFA Champions League, UEFA Europa League, UEFA Europa Conference League, Serie A, Coppa Italia, EFL, NWSL, Scottish Premiership, Argentine Primera División by subscribing Paramount Plus: https://www.paramountplus.com/home/ To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices
How the patella moves when the quadriceps contract has a strong influence on knee efficiency, knee pain and general wear and tear. In our fourth knee episode, we focus on patellar tracking or how the kneecap glides through the patellar groove. Learn how to strengthen, release and balance the myofascia around the knee to optimize function and decrease knee pain.Moving Conversation Socials Email: movingconvos@gmail.comIG: @movingconvosFB: Moving ConversationsBrianIG: @fit4lifedcFB: https://www.facebook.com/brianrichey/ NoraIG: nora.s.john.7FB: https://www.facebook.com/nora.s.john.7
After three years, caller Mark's step son needs ACL surgery again Doc investigates.
Dr. Lindsey Hughey // #TechniqueThursday // www.ptonice.com In today's episode of the PT on ICE Daily Show, Extremity Management division leader Lindsey Hughey explains the rationale behind myofascial decompression or "cupping" for patellar tendinopathy and provides a technique demonstration. Take a listen to the podcast episode or check out the full show notes on our blog at www.ptonice.com/blog. Check out our entire list of continuing education courses for physical therapy including our physical therapy certifications by checking out our website. Don't forget about all of our FREE eBooks, prebuilt workshops, free CEUs, and other physical therapy continuing education on our Resources tab. EPISODE TRANSCRIPTION LINDSEY HUGHEYPT on ICE Daily Show, waiting for YouTube and Instagram to catch up. So we are live on both. How's it going? I am joining you again this week on the PT on ICE Daily Show. Welcome. I'm Dr. Lindsey Hughey. I currently serve as one of the division leads at extremity management. And today I want to share with you a myofascial decompression technique for patellar tendinopathy. So today is either Technique Tuesday or Leadership Thursday. So we're bringing Technique Thursday to you all live. My model today is Daniel, my son. So what I want to unpack is a little bit about how do we know someone has patellar tendinopathy and who this might be appropriate for. with patellar tendinopathy, show you the technique, literally just demo it for you live, what you do, and then we'll chat also like how do you know the treatment worked. So we'll talk a little bit about our test retest options for patellar tendinopathy. And then we'll call it a morning technique Thursday, not Tuesday. Great to be with you all again. So first things first, someone with patellar tendinopathy is going to complain of a recent spike in load. Usually it's energy storage and release activities like jumping, sprinting. The other complaint, vice versa, they might have is that a dramatic de-load where they haven't, maybe it's their off season and then they stopped loading completely. this might flare up that patellar tendon. They will complain of pain with energy storage movements, and they'll specifically complain of pain right at the patellar tendon, where that inferior border of the patella sits to the tibial tubercle. When you palpate that as the clinician, that will be tender to palpation. Often when they extend their knees, so you're doing manual muscle testing of quadriceps, that will also cause their symptoms to blip. Having them do a one-legged squat on a slant board is another load test that will often bring on symptoms. The person with moderate to high irritability, patellar tendinopathy, often has coinciding hypertonicity throughout their quadriceps. So when you palpate, it's not just that patellar tendon that is bothering them. Like their quad also is kind of guarded around that knee joint. So myofascial decompression can be a great adjunct to treatment. If you've heard any podcasts that I've done on tendinopathy, you know, that load is our love language, or if you've been at our course, you know that. So ultimately, the teller tendinopathy is going to be healed by high tensile loading that involves loading the local tendon, the local muscle, quadriceps, the chain, and then off eventually gets into energy surge and release. So know this treatment technique that I'm about to show you is just an adjunct to care that creates a modulating window of opportunity to load that person better. So consider it's moderate to high irritability human. And so that's someone that like not just is their activity or sport starting to get interrupted. It's usually our basketball or volleyball players, but also like daily life is starting to get aggravated. They're not sleeping as well. Their performance has dropped. These folks need that treatment that kind of takes that edge off. So without further ado, you kind of understand who the person with teller tendinopathy is, who would be good to execute this treatment on. I want to show it to you. So I'm going to kind of move the camera around just a tiny bit. so that you can really see the quadriceps. So we're going to do one of two things. We'll make sure we've exposed the area. I want to not only get myofascial decompression to the quadriceps and hit each part, but I also want to decompress that patella and the patellar tendon. So to first decompress the patellar tendon and the patella, I'm going to use a silicone cup. So these silicone cups are awesome. The way we'll apply these is we're going to create negative pressure. So you really want to squish this in and then apply firm pressure down with your body, being mindful that this could be an irritating area. The way I would explain it to the patient is we're using this cup to just kind of offload that bone, that patella, and then offload the patellar tendon a bit. So I'm going to create that negative suction and compression. If you have very hairy patients, you're going to want to put some lubricant like a Biotone around that. Just a little bit will go a long way, but again, more hair endowed folks might need a little bit more. So we're going to go here. I'm going to create that negative pressure, I'm going to press down, and then if I've done a good job creating that suction, there'll actually be a little dip or dimple in the silicone cup. The cups I'm using today are from Chris DiPrato and his team. They are amazing cup therapy if you follow them on social media. I love their products. This comes in their kit, this silicone cup, and then their curved cups. These are actually their newest ones are what I'm going to use to hit the vastus lateralis, to hit vastus medialis, and then I really want to get after rectus femoris. I want to make sure I hit all three parts. You can't really get that intermedius without a needle. So we're going to hit those main more superficial areas. So we're going to hit that vastus lateralis first. And then I'm going to place that curved cup and then create suction with our gun. And there's various guns. This is a manual pump that you can use. There's ones with gauges and then electronic gauges. We want about 300 to 600 millimeters of mercury if you do have that pressure gauge that actually gives you a reading. So we'll hit vastus lateralis in two different spots. So one here and then one a little higher. I'll step away so you can see. Then we're going to want to go vastus medialis. So now I'm just on that inner part of the quadriceps. And then we want to hit that rectus femoris and I can hit here and then I can even do one more a little bit higher. I want to show you just there's, these are the newest curve cups. These are awesome as well. So I wanted to show you that. We'll go a little higher and we're really trying to hit that muscle belly here, not tendon. So then this is attached to patient. And I'm not just going to leave him sit here. So I promised him I wouldn't actually make him move. So I'm just going to talk through this. But I'd actually have him do some knee extension with those on. So mod to hired ability, we want to create an analgesic response. So we'll have them do some isometrics, shooting for that 45 second hold, trying to do five reps. So we'd start with just probably doing like a quad set where he'd like push his knee down and then maybe lift a little bit or combine it with a straight leg raise. That would be like level one. As soon as we can get him up and weight-bearing, I want to do like a wall sit or a Spanish squat with these on. So he's in this decompressed, he, they, she, whoever your patient is, decompressed state, and they're still loading. So it's not a static laying there thing or treatment. So once cups are applied, right, I do some kind of active treatment. I've named a few. Lowest level would be that knee extension with a lift and or just doing a nice quad set, then getting to a wall sit or a Spanish squat in a reduced range. We usually start about 60 degrees. And then we take the cups off, right? Reassess the soft tissue. Daniel's probably like, please take these cups off, mom. What we'll do is reassess the soft tissue, but not just the soft tissue. I want to see, is there less hypertonicity? I want to see, is the tendon, after I've palpated it, become a little less tender to palpation? In addition, I want to probably test a load test, like that slant board, if we had just tested that. And you may even see a change in motor response. So if you took your dynamometer, took a quadriceps reading, and then also got an NPRS, did this treatment, Then retested using your dynamometer, you often will see not only a change in pain, but you can even see motor uptick. So an increase in that strength measurement just because pain has now dampened. So this treatment doesn't take a long time, but can be super effective for our patients with that mod to high irritability where life is starting to get interrupted by their patellar pain. SUMMARY Thank you for joining me this morning to learn one of my favorite techniques that I'll use for my folks with patellar tendinopathy. I hope you all have beautiful clinical Thursdays, whatever you do in the clinic, and will consider using this with your patient. If you want to learn more about research concerning patellar tendinopathy and how to load your folks well, join us on a weekend soon in extremity management. So we will be in not only North Dakota, but also in South Carolina, August 24th, 25th. So you have two opportunities coming up, and that'll be our last opportunity of the summer. So really jump in if you haven't yet. And if you want to learn a little bit about some myofascial decompression techniques, our colleague Chris DiPrato, we're a big fan of his courses. We also integrate that in our courses as well. So thanks again for joining me. Cheers. Happy Thursday, everyone. OUTRO Hey, thanks for tuning in to the PT on Ice daily show. If you enjoyed this content, head on over to iTunes and leave us a review, and be sure to check us out on Facebook and Instagram at the Institute of Clinical Excellence. If you're interested in getting plugged into more ice content on a weekly basis while earning CEUs from home, check out our virtual ice online mentorship program at ptonice.com. While you're there, sign up for our Hump Day Hustling newsletter for a free email every Wednesday morning with our top five research articles and social media posts that we think are worth reading. Head over to ptonice.com and scroll to the bottom of the page to sign up.
Chris Hughen sat down with Jake Tuura to discuss all things tendons. We dive into the management strategies, and misconceptions of, acute and persistent achilles and patellar tendinopathies. More about Jake: Jake's Instagram Jake's Twitter Jake's Website Jacked Athlete Podcast --- Follow Us: YouTube: https://www.youtube.com/e3rehab Instagram: https://www.instagram.com/e3rehab/ Twitter: https://twitter.com/E3Rehab --- Rehab & Performance Programs: https://store.e3rehab.com/ Newsletter: https://e3rehab.ck.page/19eae53ac1 Coaching & Consultations: https://e3rehab.com/coaching/ Articles: https://e3rehab.com/articles/ Apparel: https://store.e3rehab.com/collections/frontpage --- Podcast Sponsors: Vivo Barefoot: Get 15% off all shoes! - https://www.vivobarefoot.com/e3rehab CSMi: https://humacnorm.com/e3rehab --- @dr.surdykapt @tony.comella @dr.nicolept @chrishughen @nateh_24 --- This episode was produced by Matt Hunter
Stefan's Instagram: https://www.instagram.com/dr.stefanvaldes/?hl=en Movement Lab Training: https://www.movementlabtraining.com Notes: https://jackedathlete.com/podcast-117-patellar-achilles-tendon-rehab-with-stefan-valdes/
-We mentioned it on the show yesterday that the Timberwolves swept the Suns to move on to the Western Conference semifinals-What we didn't mention is the fact that head coach Chris Finch was collided with late in the game and tore his patellar tendon in doing so…the cost of a team usually in the cellar to succeed, apparently!Show sponsored by MIDWEST BANKAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
In this episode, we review the high-yield topic of Patellar Instability from the Knee & Sports section. Follow Orthobullets on Social Media: Facebook Instagram Twitter LinkedIn YouTube --- Send in a voice message: https://podcasters.spotify.com/pod/show/orthobullets/message
In this episode, we review the high-yield topic of TKA Patellar Prosthesis Loosening from the Recon section. Follow Orthobullets on Social Media: Facebook Instagram Twitter LinkedIn YouTube --- Send in a voice message: https://podcasters.spotify.com/pod/show/orthobullets/message
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