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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
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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
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Learn more about Brodie's Research Database & AI Assistant
In this episode, we review the high-yield topic of Biceps Tendinopathy from the Orthopedics section at Medbullets.comFollow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets
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Jeff has been waiting a while to discuss this paper that has been widely shared by a high impact journal (BJSM) and appears to have gained a lot of attention since its publication.Are we justified in heavily critiquing this paper? Are we taking crazy pills?! Is the spin in the abstract a cause for concern and something we should rightly be angry about?Have a read for yourself and let us know your thoughts: https://bjsm.bmj.com/content/55/9/501
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Aidan is an APA Sports and Exercise Physiotherapist with over 18 years' experience working with sports medicine conditions. Aidan is a current PhD candidate (Physiotherapy for proximal hamstring tendinopathy). Aidan has a strong interest in endurance sports as a He lectures at Australian Physiotherapy Association courses and convenes the education program for Lifecare in Victoria. We chat extensively with Aidan about: Insights into Rich's PhD on proximal hamstring tendinopathy (PHT) Case presentation Differential Diagnosis Contributing factors Education & psychological screening The use of Shockwave for PHT Early loading for PHT Where and why do isometrics fit? Balancing strength loading for both in-season and off-season management. Isotonic loading parameters How much influence do we put on the patient's pain rating (VAS) Counter augments to the ‘compression theory for tendons Addressing the kinetic chain Return to stretch-shorten cycle exercises. Graded return to sports participation Ongoing ‘prevention' of PHT after a Return to sport. https://youtu.be/bx6oxwhVPb0 Additional References Treatment of Proximal Hamstring Tendinopathy with Individualized Physiotherapy: A Clinical Commentary Education, rapport and convenience are key to participants' perceptions of receiving physiotherapy or shockwave for proximal hamstring tendinopathy: a qualitative study Physiotherapy Compared With Shockwave Therapy for the Treatment of Proximal Hamstring Tendinopathy: A Randomized Controlled Trial
Aidan is an APA Sports and Exercise Physiotherapist with over 18 years' experience working with sports medicine conditions. Aidan is a current PhD candidate (Physiotherapy […] The post Clinical Cases: Hamstring Tendinopathy in a Female Hockey Athlete first appeared on The Sports MAP Network.
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Hosts: Carolyn McMakin, MA, DC & Kim Pittis, LCSP, (PHYS), MT 01:24 Core Training and Achievements 02:26 Flexibility and Adaptability in Practice 03:14 Neurotransmitter Workshop Insights 06:01 Case Study: Long COVID and Flexibility 19:28 Case Study: Hamstring Insertion Tendinopathy 30:55 The Importance of Safety in Treatment 33:41 Timing and Duration of Treatments 34:42 Patient Trauma History and Treatment Adjustments 36:03 Chemotherapy-Induced Neuropathy Case Study 38:03 Sensory Motor Cortex and Pain Pathways 40:29 Learning from Mistakes and Gaining Experience 55:38 Empowering Patients with CustomCare 58:38 Upcoming Courses and Announcements **Clinical Approach and Techniques** 1. **Patient-Centric Treatment:** - FSM emphasizes the importance of listening to patients carefully to guide treatment decisions. - Clinicians using FSM adapt their approach based on feedback and patient response, applying both clinical judgment and the art of listening to the patient's body and its unique signals. 2. **Technical Insights and Innovations:** - Understanding the underlying neural and anatomical pathways is critical for effectively utilizing FSM. - Treatments often involve addressing nerve traction injuries, hypermobility, and unexpected anatomical variations, demonstrating FSM's adaptability in treating diverse conditions. 3. **Specific Cases and Challenges:** - FSM practitioners navigate complex cases such as chronic pain, long-term conditions like long COVID, and unique structural anomalies through a flexible and iterative approach. - Cases are often revisited and re-evaluated to adjust treatment plans, emphasizing the value of starting over and reassessing when results are not as expected. **The Art and Science of Adaptation** 1. **Listening and Responding to the Tissue:** - Rather than imposing treatment, practitioners listen intently to what the tissue "tells" about its needs, allowing for a more natural and effective healing process. - This approach enhances the connection between clinician and patient, encouraging a more collaborative healing process. 2. **Harnessing Anatomical Knowledge:** - FSM practitioners possess a robust understanding of human anatomy, applying it creatively to solve complex medical puzzles. - Knowledge of specific structures, such as the operator membrane and its impact on conditions like hamstring tendinopathy, is vital for achieving successful outcomes. **The Importance of Flexibility and Continuous Learning** 1. **Educational and Professional Growth:** - FSM emphasizes continuous learning and the importance of both successes and mistakes in professional development. - Clinicians are encouraged to embrace new techniques and adapt based on evolving evidence and patient feedback, ensuring ongoing improvement and innovation in patient care. 2. **Empowering Patients:** - By providing tools such as a CustomCare unit, FSM empowers patients, fostering a sense of control over their own healing process. - This empowerment plays a critical role in enhancing patient outcomes, especially when dealing with chronic or challenging conditions.
Dr. Peter Rippey covers the No. 10 article of 2024, titled “Effect of Extracorporeal Shockwave Therapy for Rotator Cuff Tendinopathy: A Systematic Review and Meta-Analysis,” which was originally published in BMC Musculoskeletal Disorders in May 2024. Dr. Jeremy Schroeder serves as the series host. Dr. Rippey is a member of the Top Articles Subcommittee, and this episode is part of an ongoing mini journal club series highlighting each of the Top Articles in Sports Medicine from 2024, as selected for the 2025 AMSSM Annual Meeting. Effect of Extracorporeal Shockwave Therapy for Rotator Cuff Tendinopathy: A Systematic Review and Meta-Analysis: https://link.springer.com/article/10.1186/s12891-024-07445-7
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This episode is a REPLAY of one of the most popular Physio Explained episodes we've ever released, originally launched on the 6th of October 2021. In this episode with Jill Cook we explore:The tendon continuum model and tendon pathophysiology based on current researchWhat is clinically relevant for patient careHow to progress a real caseChallenging the idea of “just loading a tendon heavy and slow”Practical tips on measuring tendon load, not just pain
Rotator Cuff Tendinopathy explained, including a review of what is the rotator cuff and muscles involved, Rotator Cuff Tendinopathy pathophysiology, as well as symptoms and diagnosis. We look at the Rotator Cuff physical exam, as well as Rotator Cuff Tendinopathy diagnosis and treatment. PDFs available here: https://rhesusmedicine.com/pages/orthopaedicsConsider subscribing (if you found any of the info useful!): https://www.youtube.com/channel/UCRks8wB6vgz0E7buP0L_5RQ?sub_confirmation=1Patreon: https://www.patreon.com/rhesusmedicineBuy Us A Coffee!: https://www.buymeacoffee.com/rhesusmedicineTimestamps: 0:00 What is the Rotator Cuff?1:05 What is Rotator Cuff Tendinopathy?1:36 Rotator Cuff Tendinopathy Pathophysiology3:28 Rotator Cuff Tendinopathy Symptoms4:00 Rotator Cuff Tendinopathy Diagnosis6:11 Rotator Cuff Tendinopathy TreatmentLINK TO SOCIAL MEDIA: https://www.instagram.com/rhesusmedicine/Please remember this podcast and all content from Rhesus Medicine is meant for educational purposes only and should not be used as a guide to diagnose or to treat. Please consult a healthcare professional for medical advice. ReferencesBMJ Best Practice (2025) Rotator cuff injury – Symptoms, diagnosis and treatment. BMJ Best Practice. Available at: https://bestpractice.bmj.com/topics/en-gb/586 BMJ Best PracticeTeachMeAnatomy (2026) The intrinsic muscles of the shoulder. TeachMeAnatomy. Available at: https://teachmeanatomy.info/upper-limb/muscles/shoulder/intrinsic/ TeachMeAnatomyExploreAnatomy.com (n.d.) Rotator cuff muscles. ExploreAnatomy.com. Available at: https://exploreanatomy.com/musculoskeletal-system/rotator-cuff-musclesPhysio-Pedia (n.d.) Rotator Cuff Tendinopathy. Physio-Pedia. Available at: https://www.physio-pedia.com/Rotator_Cuff_Tendinopathy physio-pedia.comDesmeules, F., Roy, J-S., Lafrance, S. et al. (2025) Rotator Cuff Tendinopathy Diagnosis, Nonsurgical Medical Care, and Rehabilitation: A Clinical Practice Guideline, Journal of Orthopaedic & Sports Physical Therapy, 55(4), pp.235–274. DOI: 10.2519/jospt.2025.13182 PubMed+1
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This episode is a REPLAY of one of the most popular Physio Explained episodes we've ever released, originally launched on the 23rd of September 2020.In this episode with Ebonie Rio, we discuss optimal loading for tendinopathy. We explore: Tendon load in rehabilitationDifferential diagnosis in tendinopathyDifferences in treatment for peritendon vs tendon issuesKey tips and tricks during rehabilitation of tendonsRecent evidence based changes in clinical practiceThis episode is closely tied to Ebonie's Practical she did with us. Inside Practicals, you get to see exactly how top experts assess and treat specific conditions - helping you become a better clinician, faster.
Physiotherapy Compared With Shockwave Therapy for the Treatment of Proximal Hamstring Tendinopathy: A Randomized Controlled Trial Rich A, Ford J, Cook J, et al. Am J Sports Med. 2025;53(14):3396-3407. doi:10.1177/03635465251391134 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
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Learn more about Brodie's Research Database & AI Assistant
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Heavy Slow Resistance Training Combined with Patient Education in Patients with Gluteal Tendinopathy: A Feasibility Study Grigat JM, Kjeldsen T, Jørgensen SL, et al. Musculoskelet Sci Pract. Published online September 2025:103425. doi:10.1016/j.msksp.2025.103425 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
We dive into Tendon health where we discuss tendons function, ways to keep our tendons healthy, difference between type of tendon issues (tendonitis vs tendinopathy), and ways to rehab these injuries. We also discuss what the best type of muscle contractions are for tendon rehab...listen to the end to find out
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Modern athletes know that strength and endurance alone aren't enough. The ability to generate power efficiently, resist injury, and recover quickly depends just as much on the health of connective tissues—tendons, ligaments, and the extracellular matrix (ECM)—as on muscle strength itself. Yet, these vital tissues have long been misunderstood as relatively static and untrainable. The latest research proves otherwise: tendons and ligaments are remarkably adaptive, capable of remodeling and strengthening in response to targeted loading and proper nutrition. The white paper presented in this podcast distills more than a decade of cutting-edge research into a clear, evidence-based framework for improving connective tissue health and performance. Drawing on the work of leading scientists and sports medicine experts, it explains how short bouts of specific mechanical loading—paired with precise nutritional strategies—stimulate collagen synthesis, enhance tendon stiffness, and accelerate recovery. The paper also details the biological mechanisms behind these adaptations, offering a practical roadmap for both elite and dedicated recreational climbers. Whether you're looking to climb harder, rehab a connective tissue injury, or simply increase your resilience so as to stay injury-free longer, this research-driven guide provides the tools to do it. Listeners (and readers) will learn how to structure brief daily tendon-training sessions, time nutrient intake to maximize collagen synthesis, and avoid common anti-adaptive mistakes that slow recovery. Backed by peer-reviewed science and real-world application, this paper redefines how athletes can train smarter—and perform stronger—through the science of connective tissue optimization. Podcast Rundown 0:15 – Eric's welcome statement 0:30 - Overview of this podcast and the research White Paper. Download a PDF with supporting diagrams and research references here >>
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Learn more about Brodie's Research Database & AI Assistant
Learn more about Brodie's Research Database & AI Assistant
Learn more about Brodie's Research Database & AI Assistant
Learn more about Brodie's Research Database & AI Assistant
Learn more about Brodie's Research Database & AI Assistant
Learn more about Brodie's Research Database & AI Assistant