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Dr. E is joined by one of the world's foremost experts in Tendinopathy, Dr. Peter Malliaras from Tendinopathyrehab.com. Peter has been "successfully" using shockwave therapy on a number of tendinopathy conditions for over 10 years. He recently authored a very well done RCT with a convincing placebo version. The results were surprising. What do you think? Would this make you rethink using shockwave therapy for tendinopathy?Untold Physio Stories is sponsored byComprehend PT- Leave Comprehend PT running in the background or record audio when you have time. The AI based SOAP note generator does the rest! No need for accuracy or exact wording! It's a game changer and will give you more time with your patients! Use code MMT50 to save 50% off your first month. Free trial available at sign up!The Eclectic Approach Network - Check out Dr. E's all new private, non tracking and ad free network for rehab pros! It's free to join, has chat, feed, and all the features of other social networks without the creeping tracking.Check out EDGE Mobility System's Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.com
Chapters 00:00 Introduction and Current Work 02:51 Shockwave Therapy: Efficacy and Mechanisms 06:07 Understanding Tendon Pathologies 09:00 Calcification and Adaptation in Tendons 11:55 The Role of Shockwave in Clinical Practice 15:12 Platelet-Rich Plasma (PRP) Insights 18:06 Stem Cells and Tendon Healing 20:57 Adjuncts in Tendon Rehabilitation 23:48 Heel Wedges: Evidence and Application 27:06 Loading Strategies for Tendinopathy 30:04 Compression and Tendon Mechanics 32:56 The Importance of Loading in Rehabilitation 35:51 Tendon Stiffness: Heavy Loads vs. Plyometrics 42:01 Understanding Tendon Loading Mechanisms 45:25 Isometric vs. Eccentric Loading for Tendon Adaptation 48:23 Maximal Eccentrics: Techniques and Applications 51:45 Fluid Movement and Tendon Health 55:35 The Role of Metabolism in Tendon Adaptation 01:01:10 The Complexity of Tendon Pathology 01:06:29 The Dynamics of Fluid Movement in Tendons 01:11:11 Plyometrics vs. Isometrics: Strain and Adaptation 01:14:05 Blood Flow Restriction Training and Tendon Adaptation 01:18:21 Metabolic Factors in Tendon Healing Takeaways Peter Malairis is a full-time professor at Monash University. Recent research shows shockwave therapy is ineffective for tendon pain. Calcification in tendons may be an adaptive response. PRP injections do not outperform placebo treatments. Stem cell therapy lacks sufficient evidence for tendon healing. Adjunct therapies should be accessible, cheap, and safe. Heel wedges have shown significant effects in treating Achilles tendinopathy. Loading strategies must be tailored to individual patient needs. Tendon stiffness is primarily improved through heavy loading. Fluid movement within tendons is essential for adaptation. Loading the tendon heavier leads to better fluid movement. Isometrics are crucial for early rehabilitation stages. Heavy maximal eccentrics are key for long-term adaptation. Fluid movement impacts stress relaxation in tendons. Tendon stiffness increases with appropriate loading. Metabolic health is essential for tendon adaptation. Pathological tendons may require different loading strategies. Fluid movement can help reduce pain and improve function. Plyometrics may not provide sufficient strain for adaptation. Blood flow restriction can be effective for tendon rehabilitation. Notes: https://jackedathlete.com/podcast-131-tendons-with-peter-malliaras/
In this episode we welcome back renowned tendinopathy expert, Professor Peter Malliaras, for a 2025 Tendinopathy Rehabilitation Update. As a leading physiotherapist, researcher, and director at Monash University's Musculoskeletal Research Unit, Peter shares the latest advancements in managing and rehabilitating tendon injuries. Peter continues to provide cutting-edge insights into evidence-based treatments for persistent tendon symptoms. Whether you're an athlete dealing with tendinopathy or a practitioner looking to refine your approach, this episode is packed with valuable takeaways to help you stay at the forefront of tendon rehabilitation. Show Sponsor: POGO Physio Telehealth Consultations believe that everyone deserves access to complete and remarkable physiotherapy services. Our goal is to get you back to your Physical Best. Find out more about Telehealth Consultations and book online. Follow @Brad_Beer Instagram & Twitter The Physical Performance Show: Facebook, Instagram, & Twitter (@tppshow1) Please direct any questions, comments, and feedback to the above social media handles.
We discuss the latest review PMID: 39704142 with Prof Peter Malliaras✅ Identifying early responders – Can we predict who will benefit?✅ Effect – Does it work?✅ Diminishing returns – When does adding SWT to exercise stop being beneficial?✅ Types of shockwave therapy – Why radial shockwave was chosen in this study✅ Sham treatments – Do they still have a therapeutic effect?✅ Mechanisms of action – Neuromodulation, therapeutic alliance, and tendon adaptation✅ The ‘Big Machine Effect' – Is patient belief in SWT part of its effectiveness?✅ Comparisons to exercise – Would fewer appointments with exercise yield similar outcomes?We also discuss clinical implications—will these findings change how shockwave therapy is used in practice?
We had Dr Peter Malliaris on this week talking tendons. Its great to hear different researcher clinicians provide their different takes on the same topic. Dr Malliaris is a full time professor at Monash University with a keen interest in Tendinopathy. He teaches the popular online course Tendinopathy rehab. We talk about: The role of injections in tendinopathy (hint: not much) The limitations of the literature and research surrounding exercise and tendinopathy The role of load management in tendinopathy and why we don't have a lot of research on it despite it probably being the most important thing we can manage The role of heavy loading, strength changes and tendinopathy recovery Strength testing and tendinopathy rehab
Guest: Dr. Peter Malliaris, a leading expert in tendinopathy research and clinical practice for over 15 years.Here is what we will cover today:Effective Management of Tendinopathy:Exercise and Education:Importance of progressive exercise to build tendon tolerance.Education on managing symptoms and avoiding aggravating activities.Isometrics and Loading:Isometrics were initially thought to reduce pain but recent studies show progressive loading is equally effective.Adjunct Therapies:Shockwave and PRP:Evidence on their effectiveness is mixed; more placebo-controlled studies needed.Scans and Imaging:Not necessary for diagnosis; used if initial treatments fail to identify other possible issues.Pain and Function Management:Mechanisms of Pain:Pain is multifactorial; education should address beliefs and neuromuscular factors.Loading and Tolerance:Gradual increase in load is crucial for rehabilitation.Individualized Education:Tailored education interventions for conditions like rotator cuff pain.Then I answer your Facebook Group QuestionsTo visit Peter's website head to: https://www.tendinopathyrehab.com/For Peter's twitter go to: https://twitter.com/DrPeteMalliarasFor MORE Run Smarter Resources
In Part 1 of a three-part Tendon special series of the Sports Therapy Association Podcast, host Matt Phillips of runchatlive.com speaks with renowned tendon researcher and educator, Professor Peter Malliaras, co-author of over 100 peer review publications and Associate Professor at Monash University Physiotherapy Department in Melbourne, Australia. Professor Malliaras is also creator of the internationally acclaimed 'Mastering Lower Limb Tendinopathy' course' (now in it's 7th edition), available online (16hours CPD) and face-to-face. Episode Timeline: 00:00 The Sports Therapy Association Podcast 00:59 Tendon Treatment, What the Research Says 03:10 Reflections on the Past 08:44 The Beginnings of Tendon Research 18:30 Factors Associated with Patella Tendinopathy 21:48 The Continuum Model and Clinical Practice 24:41 Changes in Nomenclature: Tendinitis vs. Tendinopathy 29:54 Evolution of Imaging in Tendinopathies 33:39 The Power of Imaging in Patient Engagement 35:31 Diagnosing Tendon Problems: What to Look For 39:52 Patient Presentation: Tendon vs. Muscular vs. Bone Issues 46:32 Moving Away from Treatment Protocols: Focus on Principles 48:21 Diverse Presentations and Varied Recovery Timelines 52:00 Gradual Loading Approaches for Individualized Rehab 54:47 Understanding Tendon Response to Loading: Not Black and White 55:58 Online Education: Tendinopathy Rehab Course Details 57:40 Importance of Applying Principles in Tendinopathy Management Other episodes in this Tendon series: Ep.199 - “Understanding Tendinopathies of The Hip And Pelvis” with special guest Dr Alison Grimaldi Ep200 - “Managing Tendon Pain” with special guest Dr Ebonie Rio Links • Peter Malliaras Website: https://www.tendinopathyrehab.site/ • Peter Malliaras Instagram:@tendinopathyrehab • Peter Malliaras Facebook:@tendinopathyrehab • Peter Malliaras Twitter: @DrPeteMalliaras Want to join the live recordings? Episodes of the Sports Therapy Association podcast are recorded live every TUESDAY at 8pm on the Sports Therapy Association YOUTUBE CHANNEL and FACEBOOK page. Everyone is welcome - you do not have to be an STA member! If you cannot join us live, be sure to subscribe to the 'Sports Therapy Association Podcast' on all popular podcast apps to be notified when new episodes are available. Please Support Our Podcast! If you appreciate what we do, please take a couple of minutes to leave us a rating & review on Apple Podcasts. It really does make all the difference in helping us reach out to a larger audience. iPhone users you can do this from your phone, Android users you will need to do it from iTunes. Questions? Email: matt@thesta.co.uk
In this episode, Dr Peter Malliaras shares with us the latest thinking on tendinopathy, and in particular how no specific modality wins out for pain when treating tendons. We delve deeper into biomechanics and exercise selection and zoom in on how to treat patients with proximal hamstring tendinopathy.Dr Peter Malliaras is a physiotherapist and researcher from Melbourne, Australia specialising in tendinopathy. In 2006 he completed his PhD in tendinopathy identifying novel risk factors, and since has undertaken post doctoral research in the UK and Australia, and has co-authored over 60 peer review publications. If you like the podcast, it would mean the world if you're happy to leave us a rating or a review. It really helps!Our host is Michael Rizk from Physio Network and iMoveU
Skip 30 minutes in to get straight to Dr Mallirias.Find out everything about corses and Dr Peter Malliaras https://www.tendinopathyrehab.comDr. Mallirias has been an active researcher in the field of tendinopathy for the past 15 years and obtained his PhD in this area in 2006. His extensive experience and knowledge make him a valuable guest, and we are grateful to have him on our show. Welcome, Dr. Mallirias, and thank you for joining us!Join us for part 2 talking everything Tendinopathy and if you like the content, leave us a 5 star review!Upgrade your clinical skills and become a patreon:https://patreon.com/SportsMedicineProject?utm_medium=clipboard_copy&utm_source=copyLink&utm_campaign=creatorshare_creator&utm_content=join_linkSign up for a free weekly Research review about topics related to Sports Medicine straight to your email: https://gmail.us14.list-manage.com/subscribe?u=c3dca95db0740390c605a128e&id=b41f1293caRead through our already written blogs:https://achievepodiatry.com.au
Sports Medicine enthusiasts, brace yourselves for an exciting episode! Our guest today is none other than the renowned tendon expert, Dr. Peter Mallirias. With over 120 publications to his name, Dr. Mallirias is someone we have been eagerly following and learning from for a while.As a student, I remember reading his review "Achilles and Patellar Tendinopathy Loading Programs" in the Sports Medicine Journal, and now I have the opportunity to have a conversation with him about everything tendon related. It brings back memories of my belief that tendons needed to be stretched because they were tight and that was the cause of the pain. But hopefully, today we'll shed some light on this topic.Dr. Mallirias has been an active researcher in the field of tendinopathy for the past 15 years and obtained his PhD in this area in 2006. His extensive experience and knowledge make him a valuable guest, and we are grateful to have him on our show. Welcome, Dr. Mallirias, and thank you for joining us!We also discuss a range of topics related to tendons including the current understanding of load-dependent tendinopathies, efficiency in clinical life, return to racing post MTSS, running injuries, and the translation of research to clinical practice. We'll also be exploring important questions such as rehab fatigue and when it's appropriate to take a break from rehabilitation. Don't miss this exciting discussion!Upgrade your clinical skills and become a patreon:https://patreon.com/SportsMedicineProject?utm_medium=clipboard_copy&utm_source=copyLink&utm_campaign=creatorshare_creator&utm_content=join_linkSign up for a free weekly Research review about topics related to Sports Medicine straight to your email: https://gmail.us14.list-manage.com/subscribe?u=c3dca95db0740390c605a128e&id=b41f1293caRead through our already written blogs:https://achievepodiatry.com.au
We're giving you 20% discount off our annual membership over on DGR Interactive.Just use the code dgrpodcast at the checkout. ---------------------Dr. Peter Malliaras is a physiotherapist and researcher from Melbourne, Australia specializing in tendinopathy.He completed his PhD in tendinopathy in 2007 and since has undertaken post doctoral research in the UK and Australia, and has co-authored over 130 peer review publications.Currently, he is an Associate Professor at Monash University Physiotherapy Department and involved in multiple funded tendinopathy research projects in Australia and internationally. His research focuses on understanding pain and neuromuscular impairments, and clinical trials testing the efficacy of exercise and other interventions in tendinopathy. Peter maintains a strong clinical focus, specializing in difficult tendinopathy cases and regularly consults to elite athletes.Connect with Peter MalliarasVisit his blogFind him on TwitterConnect with David Grey Rehab:Visit our websiteFollow David Grey Rehab on InstagramListen to more podcast episodesSubscribe to our YouTube channelVisit the DGR INTERACTIVE platform!Check out our programshttps://www.youtube.com/watch?v=1kSt5aneN-E
We had the pleasure of talking to Peter during the 2022 Fagkongres held by Danske Fysioterapeuter in Odense. Peter held 2 lectures during the congress, and we are very grateful that he took the time to sit down with us. Read more about Peter: Peter on TwitterPeter on InstagramPeter's website
In this episode, we sat down with Dr. Peter Malliaras to discuss Achilles Tendinopathy. Topics included: - Evaluation Priorities - Role of Exercise - Optimal Exercise Prescription - Monitoring Pain - Role of Injectables (PRP, corticosteroids, etc.) - Role of Adjunct Treatments (shockwave, orthoses, etc.) - Myths & Misconceptions - And much more! --- More about Dr. Peter Malliaras: Twitter: https://twitter.com/DrPeteMalliaras Website: https://www.tendinopathyrehab.com/ --- More about us: YouTube: https://www.youtube.com/c/E3Rehab Website: https://e3rehab.com/ Instagram: https://www.instagram.com/e3rehab/ --- This episode was produced by Matt Hunter.
Our March focus on up & coming CPD opportunities (Continuing Professional Development) happening in the UK this March and April continues, with the aim of introducing approaches, ideas and techniques that could potentially help you, the soft tissue therapist, manage your learning and growth. In this episode, we are honoured to be joined by special guest Dr Peter Malliaras, who is bringing his internationally acclaimed 'Mastering Lower Limb Tendinopathy' course' (5th edition) to the UK this March: Newport March 20th Epsom March 25th (sold out) London March 26th Surrey March 27th When it comes to the subject of tendinopathy, Dr Peter Malliaras is one of the most highly respected researchers and educators out there. Completing his PhD in tendinopathy in 2006, he has co-authored over 100 peer review publications and is currently Associate Professor at Monash University Physiotherapy Department in Melbourne, Australia. His 'Mastering Lower Limb Tendinopathy' course provides an up-to-date research & clinical perspective and a complete walkthrough assessment, kinetic chain and biomechanics considerations and rehabilitation of common lower limb tendinopathies. In this episode, topics discussed include: The difference between tendonitis, tendinosis and tendinopathy and why understanding the difference can affect rehabilitation Loading for Tendinopathy - concentric, eccentric or isometric? The importance within rehabilitation of 'empowering patients' Use of the Biopsychosocial Model within tendinopathy rehabilitation The role of Patient-Centred Care and Evidence-Based Practice in establishing a Working Alliance The importance of being knowledgeable about the benefits & harms of treatment within and outside of one's scope of practice How to avoid being wedded to one treatment approach What to do with patients who can't or don't want to exercise The role of adjuncts like Shockwave therapy How effective is Deep Friction / Cross Friction Massage? What type of professional is the 'Mastering Lower Limb Tendinopathy' course for? Useful Links: Full Course Details Course Tickets Twitter: @drpetemalliaras Facebook: @tendinopathyrehab A huge thanks to Dr Peter Malliaras for giving up his time to join us! NEXT WEEK! On March 15th our focus CPD continues with special guest Greg Lehman who is bringing his highly recommended two day Reconciling Biomechanics With Pain Science workshop to Cork, Ireland on Saturday & Sunday April 2 Make sure you subscribe to the Sports Therapy Association on YouTube and hit that bell icon to receive notifications! Please Support Our Podcast! If you appreciate what we do, please take a couple of minutes to leave us a rating & review on Apple Podcasts. It really does make all the difference in helping us reach out to a larger audience. iPhone users you can do this from your phone, Android users you will need to do it from iTunes. Questions? Email: matt@thesta.co.uk
Welcome to another episode of Physio Foundations, a podcast about the knowledge and skills that provide the foundation of expert physiotherapy or clinical practice. This week's episode is part 2 of my discussion with physiotherapist, tendon expert and researcher Associate Professor Peter Malliaras from Monash University. In part 2 of our discussion Peter builds on the foundations we laid in part 1. We talk about how you can be critical of your own practice and still maintain your confidence. We then talk about applying tendinopathy research and key resources in tendinopathy for you to know about. In this episode: 0:00 The worst thing you can do is to be too confident 3:45 Exercise is not a panacea for tendinopathy, it doesn't work for everyone 5:00 Trying using the words 'may', 'can I suggest' and 'let's see' 5:15 Be careful criticising other clinicians. You weren't there! 6:55 As an expert, what do you do differently as a clinician? 7:55 Once you have been critical of your practice, you can commit and be confident 10:00 What's new in tendinopathy research? 12:10 Bring energy into your practice 13:35 Key resources in tendinopathy to know about 15:35 Summary and what's next View Peter's research profile here Peter's tendinopathy website Connect with Peter on Twitter @drpetemalliaras Email Peter: peter.malliaras@monash.edu Peter's tendinopathy rehab course for clinicians: tendinopathyrehab.com Please like, share and subscribe! You can find a video version of this podcast on the Perraton Physio YouTube channel Find the follow or subscribe button on your podcast app. Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In. Share this episode and tag me in @lukeperraton For a list of episodes, transcripts and associated blogs, visit our website: perraton.physio/physiofoundations Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.
Welcome to the second episode of Physio Foundations, a podcast about the knowledge and skills that provide the foundation of expert physiotherapy or clinical practice. In this episode I talk to tendon expert and researcher Associate Professor Peter Malliaras from Monash University about how he built his foundations in physiotherapy practice and research and the most important things to consider for people with tendinopathy. In this episode: 0:00 Introducing Peter Malliaras 2:05 Find your passion 2:44 Work with people you admire and want to work with 3:30 What are the fundamentals of tendinopathy? 4:50 Old ways of treating tendinopathy, oh my... 5:30 Be critical of your practice 6:30 Goals of management of tendinopathy 8:30 Why do people get tendinopathy? 11:10 Look broadly at the problem and the person 11:55 Foundations of physical examination 14:10 Avoid confirmation bias 16:05 People who measure and people who don't measure 18:30 Not everyone with tendinopathy will be weak 20:12 Prognosis. Who goes well, who takes longer? Psychosocial factors 23:20 Look how far we have come View Peter's research profile here Peter's tendinopathy website Connect with Peter on Twitter @drpetemalliaras Please like, share and subscribe! You can find a video version of this podcast on the Perraton Physio YouTube channel Find the follow or subscribe button on your podcast app. Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In. Share this episode and tag me in @lukeperraton For a list of episodes, transcripts and associated blogs, visit our website: perraton.physio/physiofoundations Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.
Today I welcome Dr. Peter Malliaras who is a Physiotherapist and researcher specialising in tendinopathy. We discuss what a tendinopathy is, how to manage a tendinopathy, whether you should perform plyos for a lower limb tendinopathy, whether PRP is an effective treatment for tendinopathy and much more.
Brandon chats with Jason Eure (Physical Therapist in Fairfax, VA) about an overview of tendinopathy including types of tendinopathy, risk factors for development, best treatment options, exercising with tendinopathy, and much more. Journal of Orthopedic and Sports Physical Therapy Patient Perspectives Plantar Fasciitis Information Page Heel Pain Information Page Handouts on Tendinopathy Achilles Tendinopathy Biceps Tendinopathy DeQuervain's Tendinopathy Golfer's Elbow Tendinopathy Peroneal Tendinopathy Plantar Fasciitis Rotator Cuff Tendinopathy Tennis Elbow Informational Tendinopathy Video The Tendinopathy Blog by Peter Malliaras For questions and feedback regarding this episode/request a topic please email us at brandonpoen@gmail.com InMotion Physical Therapy Company Website InMotion East End Facebook Page InMotion Facebook Page Clinic Information East End Clinic Address: 5711 S Laburnum Ave, Richmond, VA 23231 Phone: (804) 447-5355 West End Clinic Address: 3001 Hungary Spring Rd Suite d, Richmond, VA 23228 Phone: (804) 756-8490
Today Brodie reads through a 2016 paper published by Tom Goom, Peter Malliaras, Michael Reiman & Craig Purdam. The paper title is: Proximal Hamstring Tendinopathy: Clinical Aspects of Assessment and Management. Brodie discusses the assessment and diagnostic process with PHT and then dives into load management and the 4 stages of PHT rehab. Here is a link to the paper Click here to learn more about the PHT video course & to receive your 50% discount If you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online Or book a free 20-min physio chat here
This episode covers Brodie's conversation with Dr. Peter Malliaras who is a physiotherapist & associate professor specialising in tendinopathy. Peter dives into the research behind tendinopathy pathology and management, including strength rehabilitation, PRP and shockwave. We also discuss the use of scans when suffering from proximal hamstring tendinopathy and when scans are indicated. One of the major take-aways Brodie shares is that strengthening choices should depend on current pain & functions levels and not based on duration of pathology. Click here to learn more about the PHT video course & to receive your 50% discount If you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online Or book a free 20-min physio chat here
In this episode we were joined by Dr Peter Malliaras, Associate Professor at Monash University and world renowned expert in tendinopathy who gave us his insight into what they key risk factors are for developing a tendon problem, clinical symptoms that help diagnose a tendinopathy, what we should be calling them (even though inflammation is still probably a part of the picture), and what good and bad management might look like.
Notes here: http://jackedathlete.com/podcast-22-tendons-with-dr-peter-malliaras/
Brandon chats with Jason Eure (Physical Therapist in Fairfax, VA) about an overview of tendinopathy including types of tendinopathy, risk factors for development, best treatment options, exercising with tendinopathy, and much more. Journal of Orthopedic and Sports Physical Therapy Patient Perspectives Plantar Fasciitis Information Page Heel Pain Information Page Handouts on Tendinopathy Achilles Tendinopathy Biceps Tendinopathy DeQuervain's Tendinopathy Golfer's Elbow Tendinopathy Peroneal Tendinopathy Plantar Fasciitis Rotator Cuff Tendinopathy Tennis Elbow Informational Tendinopathy Video The Tendinopathy Blog by Peter Malliaras Podcast Information Facebook Page: https://www.facebook.com/feelbettermovebetterlivebetter/ Website for Podcast: http://feelbettermovebetterlivebetter.libsyn.com/ Itunes: https://podcasts.apple.com/us/podcast/feel-better-move-better-live-better/id1468907912 Spotify: https://open.spotify.com/show/5I1HW6Fv5tYEZtk4yXpNBS Contact Information Email: brandonpoen@gmail.com
TRAIN HEROIC: (00:11:59) We talk to Josh Sutchar, Co-Founder of TrainHeroic - a strength and conditioning software platform for coaches and athletes. HOT PROPERTY INTERVIEW: PETER MALLIARAS (00:33:56) Dr Peter Malliaras PhD is an Associate Professor at MONASH University where he leads various tendinopathy research projects and supervises PhD and MSc students. As a Specialist Tendinopathy Physiotherapist, he regularly presents at conferences and seminars, teaching other clinicians about tendinopathy management. His passion and expertise is managing patients with long term tendon pain, sometimes referred to as tendinopathy or tendinitis. MYOVOLT: (01:12:54) We talk to Steve Leftly, Founder of Myovault - a patented wearable recovery technology that targets Vibration Massage Therapy directly onto the body. ONE STEP AHEAD: (01:35:45) Gut health LINKS: More about Peter Malliaras at http://www.completesportscare.com.au/team/dr-peter-malliaras/ Read Peter Malliaras’s blog at https://www.tendinopathyrehab.com/blog More about Myovolt at https://myovolt.com/ More about TrainHeroic at https://www.trainheroic.com/ The Elite Mindset Institute at http://elitemindsetinstitute.com.au/ Training Peaks at https://www.trainingpeaks.com/ Holistic Performance Nutrition at https://www.holisticperformancenutrition.com/ More about Rouvy at https://rouvy.com/en/ Training Peaks 20% discount at https://www.fitter.co.nz/about-radio Elite Mindset Institute 30% discount at https://www.fitter.co.nz/about-radio CONTACT US: Learn more about us at http://www.fitter.co.nz Like us on Facebook at http://www.facebook.com/fittercoaching for the latest news and information Mikki Williden can be found at https://www.facebook.com/mikkiwillidennutrition
Dr Peter Malliaras has been a clinical researcher in the field of tendinopathy pathology and rehabilitation for more than 15 years. He has contributed to more than 55 peer review publications surrounding tendinopathy and as a clinician, sees around 30-40 tendinopathy clients per week. I pick his brain around: The latest research in tendon pain and tendon rehabilitation What management has shifted in the past 5-10 years What we can conclude with shockwave. PRP and cortisone injections. Best management from acute to chronic When to be sent for scans What other structures could be contributing to pain Your Facebook questions also get answered! To visit Peter's website head to: https://www.tendinopathyrehab.com/ For Peter's twitter go to: https://twitter.com/DrPeteMalliaras To follow the podcast joint the facebook group Becoming a smarter runner click on the link: https://www.facebook.com/groups/833137020455347/?ref=group_header To find Brodie on instagram head to: https://www.instagram.com/brodie.sharpe/ To work with Brodie Sharpe at The Running Breakthrough Clinic visit: https://breakthroughrunning.physio/
Dr. Peter Malliaras is an Associate Professor at Monash University where Peter leads various research Tendinopathy projects and supervises PHD students. Peter is also a practicing clinician at Complete Sports Care in Hawthorne, Melbourne where he consults with patients who have had enduring persistent tendinopathy injuries along with elite athletes. Globally, Peter is respected as a leading Tendinopathy researcher having co-authored well over 55 peer review publications that mostly relate to Tendinopathy. During this episode, Peter outlines the framework that he uses when rehabilitating tendon injuries. Peter shares around what a good rehabilitation program entails. Peter outlines the mistakes that practitioners and patients alike can make when attempting to rehabilitate their tendon injuries. We explore Tendinopathy rehabilitation principles such as how to know when too much is harmful or when not enough maybe deleterious. If you are experiencing pain and limitation from a tendinopathy or you know someone who is, then this is an expert edition you are not going to want to miss. Jump back over to Episode 62 of The Physical Performance Show where we first featured Peter on the Podcast. SUBSCRIBE NOW! This episode is sponsored by the Gold Coast Marathon. Like the Physical Performance Show, the Gold Coast Marathon encourages runners of all ages and abilities to push their boundaries and strive to complete a personal challenge. The Gold Coast Marathon is held annually on the first weekend in July and is a must do event for any budding athlete, weekend warrior or family looking for a challenge to complete together. Run for the good times at the Gold Coast Marathon. Visit the Gold Coast Marathon here. _____ If you enjoyed this episode of The Physical Performance Show please hit SUBSCRIBE for to ensure you are one of the first to future episodes. Jump over to POGO Physio - www.pogophysio.com.au for more details Follow @Brad_Beer Instagram, Twitter, and Snapchat Please direct any questions, comments, and feedback to the above social media handles.
On this episode of The Deep Dive Rick sits down with Dr. Peter Malliaras, Associate Professor at Monash University. A Deep Dive with a different focus, Peter’s research is focused on tendons, as well as looking at musculoskeletal disorders and sports medicine. Having completed his PhD in tendinopathy in 2006, Peter has dedicated his time … Continue reading The Deep Dive with Dr. Peter Malliaras →
Kenneth intervjuar Peter Malliaras kring senor och senrelaterad värk. Några ämnen som berörs är: Varför upplever vissa personer senrelaterad värk? Vad bör man som person med senrelaterad värk fokusera på? Är det någon typ av injektioner som fungerar? Följ Tyngre Rehab och värdarna på Instagram: @Tyngrerehab, Daniel Andréasson, Kenneth Färnqvist, Adrian Valkeaoja och Erwin Lindén.
Apple watches help pod-addicts break phone addiction, Academics are adopting the podcast format, educational podcasts could revolutionise learning, and media integrated podcasts are on the rise. A big Auscast announcement and some recommendation for learning. Podcasts on Apple Watches: https://www.smh.com.au/entertainment/tv-and-radio/apple-watch-podcasts-ipods-itunes-phone-20180921-p50568.html Academics using podcasts: https://www.theaustralian.com.au/higher-education/academics-tune-in-to-podcasts-to-help-get-their-message-across/news-story/08df8cc5194399144a4a084053baeb22 Educational podcast recommendations: https://www.standard.co.uk/tech/top-podcast-2018-podcasts-for-learning-a3948366.html Sage International Australia: https://www.sageinternational.org.au/podcast/ Entale media: https://podnews.net/press-release/entale-out-of-beta The Adelaide Podcast Festival: https://www.auscastnetwork.com/adlpodfest Talking Tendons with Peter Malliaras: https://www.auscastnetwork.com/home/talking-tendons Psychosynthesis with Janine Barelds: https://www.auscastnetwork.com/home/psychosynthesis Sponsors: https://pushpull.media/ http://gotthemerchandise.com/ https://www.cartelmedia.net/
Injecting tendinopathies is a popular practice; everything from PRP to steroids to saline to even sugar. But is there any efficacy? What exactly do these things do? Could there actually be a mechanical effect or is it chemical or just good ol' placebo? When is a sham not really a sham and how do we know? We explore all these questions and more with special guest, Peter Malliaras! Effect of High-Volume Injection, Platelet-Rich Plasma, and Sham Treatment in Chronic Midportion Achilles Tendinopathy: A Randomized Double-Blinded Prospective Study. Boesen AP, Hansen R, Boesen MI, Malliaras P, Langberg H. Am J Sports Med. 2017 Jul;45(9):2034-2043. doi: 10.1177/0363546517702862. Epub 2017 May 22. 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. That said, if you are having difficulty obtaining an article, contact us. Check out Peter's blog which includes his online tendinopathy course at TendinopathyRehab.com In the episode we reference Episode 107 and that article's Checklist for Minimum Reporting for Clinical Studies Evaluating PRP. Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission
“There is no real optimal exercise program. There’s no such thing it doesn’t really exist.” LIVE from Copenhagen at the 14th Scandinavian Congress of Medicine & Science in Sports, Dr. Karen Litzy, PT, DPT, with the Healthy, Wealthy and Smart Podcast, interviews Dr. Peter Malliaras about exercise principles for patellar and Achilles tendinopathy. Peter Malliaras is an Associate Professor at Monash University in the Department of Physiotherapy. His research focus is musculoskeletal disorders, sports medicine and tendinopathy. In 2006 he completed his PhD in tendinopathy identifying novel risk factors, and since has undertaken post-doctoral research in the UK and Australia. Peter maintains a strong clinical focus, specializing in difficult tendinopathy cases and delivering clinical postgraduate education for clinicians in Australia and internationally. In this podcast, Peter discusses different loading programs, pain responses and the value of imaging for patellar and Achilles tendinopathy. Resources Peter Malliaras Twitter - http://bit.ly/2ESwPch Scandinavian Congress of Medicine & Science in Sports - http://bit.ly/2nHdZ0h Peter Malliaras Research Gate Profile - http://bit.ly/2G3K61c Tendinopathy Rehabilitation - http://bit.ly/2C94T0H Achilles and patellar tendinopathy loading programmes : a systematic review comparing clinical outcomes and identifying potential mechanisms for effectiveness - http://bit.ly/2Bn2d34 Monash University Peter Malliaras Profile - http://bit.ly/2Ey1sGg
There are a range of tendinopathy presentations, from easily diagnosed with a local area of pain and clear pain response to tissue overload; through to patients with trickier presentations and multiple contributors to pain e.g. long term proximal hamstring or gluteal tendinopathy with a lumbar spine radiculopathy. How can you diagnose and treat patients with complex tendinopathy presentations? How does the latest research around tendinopathy help us? I explore these issues and more with Dr Peter Malliaras in episode 68 of the Physio Edge podcast. We also explore: Do tendinopathy patients always present with a small area of pain, or can they have pain in larger, more diffuse areas? How will you identify tendinopathy or other structures that may be contributing to your patients symptoms? Clues in your patients' history to help you identify and differentiate tendinopathies, lumbar and SIJ referral Symptoms and how your treatment will differ in patients with paratenon and fat pad involvement How can you measure your patients load tolerance? What categories of tendinopathy patients can you use to help differentiate your treatment? How can you rehabilitate patients with tendinopathy? What role does biomechanics have? What advice can you provide to your patients about load management, symptoms and flareups? When is it ok for your patients to continue or return to running? What strength tests should your patients be able to complete before returning to running? If your patients are not tolerating running, which aspects should you modify first - frequency, intensity, type or duration? When are isometrics useful in your treatment? When can you start isotonic and plyometric exercises? How can you incorporate tendon neuroplastic training (TNT)? Links associated with this episode Download your podcast handout Dr Peter Malliaras on Twitter Tendinopathy rehab blog with Dr Peter Malliaras Get your free trial Clinical Edge membership David Pope on Twitter Clinical Edge on Facebook Other episodes of interest: PE 046 - Proximal hamstring tendinopathy with Tom Goom PE 042 – Treatment of plantaris and Achilles tendinopaty with Seth O’Neil PE 023 – Lower limb tendinopathies with Dr Pete Malliaras Articles associated with this episode: Coombes et at. 2016. Isometric exercise above but not below an individuals pain threshold influences pain perception in people with lateral epicondylalgia Rio et al. 2015. Isometric exercise induces analgesia and reduces inhibition in patellar tendinopathy Silbernagel et al. 2007a. Continued sports activity, using a pain-monitoring model, during rehabilitation in patients with Achilles tendinopathy: a randomized controlled trial. Silbernagel et al. 2007. Full symptomatic recovery does not ensure full recovery of muscle-tendon function in patients with Achilles tendinopathy.
In this episode of The Physical Performance Show I have a fire-side chat with Assoc Professor, Tendon Specialist Physiotherapist - Dr Peter Malliaras. During the episode Peter unpacks his fascination with tendons as well as some practical tips for patients with long term tendon pain and those looking at returning to running. Listen in as we delve into the following: Peter's fascination with Tendon's Where does the pain come from? Tendinopathy Classification Clinical diagnosis of tendons Rehabilitation Exercises Views on surgery when it comes to tendons Key Practical Tips for Tendon Pain Tips for returning to running Peter's best advice to those who suffer from Tendon Conditions Physical Challenge – stand up all day challenge If you have enjoyed the show please hit SUBSCRIBE for to ensure you are one of the first to future episodes. Jump over to POGO Physio - www.pogophysio.com.au for more details Follow @Brad_Beer Instagram, Twitter, and Snapchat Please direct any questions, comments, and feedback to the above social media handles. Powered by POGO Physio, Mermaid Waters, Australia
Proximal hamstring tendinopathy (PHT) occurs in athletes, runners, weightlifters, and other athletes, as well as more sedentary patients, causing pain at the hamstring origin and limiting your patients ability to sit, run and continue to be active. There are a number of structures that can contribute to pain in this area, and in this podcast, Tom Goom and David Pope discuss how to clearly identify PHT and differentiate it from lumbar spine referred pain, hip pain, sciatic nerve pain and other conditions. Tom recently released an article in JOSPT on Proximal Hamstring Tendinopathy: clinical aspects of assessment and management with Peter Malliaras, Mike Reiman and Craig Purdam. We explore this article, and the research around PHT, and cover in detail: Subjective clues to guide you towards diagnosis Aggravating factors and 24 hour pain patterns Differential diagnosis Lumbar spine pain How the lumbar spine could contribute to development of PHT Hip pain SIJ pain Sciatic nerve pain Development of PHT Central sensitisation Diagnostic tests for PHT Hamstring tests Other assessment tests Functional tests The value of palpation Tests for involvement of the rest of the kinetic chain Running assessment/gait analysis Testing load tolerance Biopsychosocial aspects of tendon recovery Other advice for patients Whether stretching is helpful When your patient can return to running Cross training Does manual therapy have a role in the treatment of PHT? Starting treatment (Stage 1) When and how to progress rehabilitation (Stage 2) Further rehabilitation progressions (Stage 3) Advanced exercise progressions for high load sports Exercises you can incorporate during the various stages How long recovery will take Links Free webinar with Tom Goom Download the free handout summary of this podcast Tom’s website - Running Physio Tom on Twitter Running Repairs courses with Tom Article in JOSPT on Proximal Hamstring Tendinopathy: clinical aspects of assessment and management JOSPT Peter Malliaras Mike Reiman Craig Purdam VISA-H Become a Clinical Edge member to access Tom’s webinar and other great online education
Physio Edge 042 Treatment of Plantaris & Achilles Tendinopathy with Seth O’Neill Treatment of your patients’ Achilles Tendinopathy may be slowed by involvement of Plantaris. In Episode 41 of the Physio Edge podcast, Dr Christoph Spang and I discussed how Plantaris may play a role in Achilles tendinopathy. In this episode of the Physio Edge podcast, I discuss with Seth O’Neill how you can identify Plantaris involvement in your patients, and adjust and progress your conservative treatment of Achilles pain and tendinopathy with Plantaris involvement. We discuss: What indicates Plantaris involvement and helps you differentiate from mid portion Achilles Tendinopathy Where do patients have pain with Plantaris tendinopathy What history do patients with Plantaris involvement or tendinopathy present with Objective tests and findings for Plantaris tendinopathy and involvement Biomechanics contributing to Plantaris tendinopathy Is treatment successful for Plantaris How to treat Plantaris tendinopathy and involvement in midportion Achilles How to perform a loading program Running adjustments Taping Manual therapy Links of Interest Download your podcast handout by CLICKING HERE Access to the Lower Limb Tendinopathy free videos, including Seth’s presentation on Achilles Tendinopathy Lower Limb Tendinopathy Virtual Conference with detailed, practical presentations: Dr Jill Cook will cover “Structure, function and pain in tendinopathy” Dr Sean Docking is then going to take us through “The role of imaging in the diagnosis and monitoring of tendinopathy”. Dr Peter Malliaras is presenting “Staged rehabilitation of Patellar Tendinopathy”. Craig Purdam takes you through “Staged rehabilitation of Hamstring Tendinopathy” Seth O’Neill will help you understand “Achilles Tendinopathy Exercise & rehab progressions. Risk factors and the importance of Soleus in Achilles tendinopathy” Dr Ebonie Rio will conclude the Virtual Conference with “Tendon pain and the brain – what do we know and can we change it?” CLICK HERE for more information on the Lower Limb Tendinopathy Virtual Conference Seth on Twitter Seth’s website on Achilles Tendon Research David on Twitter Subscribe to the podcast on iTunes Physio Edge podcast episode 41 Plantaris Involvement In Achilles Tendinopathy With Dr Christoph Spang
Lower limb tendinopathies with Dr Peter Malliaras Tendinopathies are a hot topic, and there are lots of new developments in research and treatment. Dr Peter Malliaras, a Physiotherapist with a PhD studying tendinopathy, has a special interest in the treatment of tendinopathy, and treats elite basketball and volleyball, EPL football, rugby, and cricket players, the Royal Ballet and track and field athletes. Peter has also published numerous studies on tendinopathy. In this episode of the Physio Edge podcast, Peter and David Pope discuss The latest research on tendinopathy Different types of loading programs for tendinopathy Outcomes for various types of loading Tendinopathy on Doppler Ultrasound or other imaging, and what changes with a loading program The tendon pathology continuum by Dr Jill Cook and Craig Purdham Mid portion Achilles tendinopathy Insertional Achilles treatment Patellar tendinopathy treatment, and a loading program for this that may challenge your preconceptions! Tenosynovitis Biomechanics contributing to tendinopathy Return to sport following tendinopathy Injury reduction/prevention Injections Peter shared so much great info on tendinopathy, check it out now on episode 23 of the Physio Edge podcast Show your love for the podcast sponsor, Clinical Edge, and their fantastic face to face and online education. Get 20% off your first months Clinical Edge membership with the code “PHYSIOEDGE”. Links of Interest Be. Awesome. Write a review on iTunes Dr Peter Malliaras Studies with Dr Peter Malliaras as one of the authors Physio Edge podcast episode 5 with Dr Jill Cook Clinical Edge Subscribe to the Physio Edge podcast on iTunes Tags: tendinopathy, tendinitis, tendinosis, malliaras, dr peter malliaras, tendon pathology, continuum, dr jill cook, craig purdham, physiotherapy, movement, research, podcast, injuries, rehabilitation, physio edge, clinical edge