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How Mentally Strong Runners Navigate Injury & Races with Claire BartholicLearn more about Brodie's Research Database & AI Assistant
Perimenopause, Insulin Resistance, and Persistent Muscle & Joint Pain: A Functional Medicine Framework: Nutritionist Leyla Muedin discusses perimenopausal musculoskeletal symptoms—new or persistent joint pain, muscle aches, and tendon problems—and highlights a Clinician's Journal article by physical therapist Tara Moore proposing insulin resistance screening in perimenopausal musculoskeletal care. She explains that declining estradiol during the menopausal transition can worsen insulin signaling, increase visceral fat, and reduce insulin sensitivity, affecting skeletal muscle recovery and potentially contributing to tendinopathies and poor or short-lived responses to localized treatments like PT. The framework emphasizes assessing systemic metabolic contributors (e.g., sedentary behavior, high-carbohydrate nutrition patterns, PCOS, central weight gain, stress, sleep disruption) and addressing mediators such as inflammation and impaired glucose utilization. She suggests integrating metabolic risk assessment, sleep and stress strategies, resistance training, and interdisciplinary referrals, arguing that nutrition and supplementation—especially a low-carb approach—may improve recovery and pain outcomes.
PodChatLive 233: Are isometrics all that for tendinopathy, and does football boot design influence injury risk?Contact us: getinvolved@podchatlive.comLinks from this episode:Isometric Exercises for Tendinopathies: A Systematic Literature ReviewThe Impact of Football Boot Design on Lower Limb Injury Risk: A Systematic ReviewSleep chart of biological ageing clocks in middle and late lifeWorld first lego marathon ?The newest Magpie worked next door to his teammates, but they didn't know it
Episode 444: What to Focus on When You Can't RunLearn more about Brodie's Research Database & AI Assistant
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Peter Malliaras is considered one of the world's leading experts in tendon pain. He is a sports physiotherapist, researcher, and educator who is internationally recognized for his work in tendinopathy rehabilitation and tendon loading. He is an Associate Professor at Monash University and has authored hundreds of scientific publications focused on tendon pain and rehabilitation. Peter is widely known for helping shape modern evidence-based approaches to tendon rehab, bridging high-level research with practical clinical application for athletes and active populations.---Peter's WebsitePeter's Instagram---Noah's InstagramNoah's WebsiteFor questions and business inquiries: noahmandelphysio@gmail.com
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For patients who have exhausted conservative management but aren't ready for the knife, shoulder embolization offers a minimally invasive intermediary option. In this episode of BackTable MSK, host Kavi Krishnasamy welcomes Dr. Yan Epelboym, an interventional radiologist trailblazing the MSK IR space. The doctors discuss the rapid development of musculoskeletal embolization applications with an emphasis on shoulder embolization. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction 01:42 - Dr. Yan Epelboym's Origin Story in MSK03:02 - Building Referral Networks06:50 - Details on Clinic Workflow 10:08 - The Run Down on Shoulder Embolization Treatment Targets22:09 - Current Insights on Shoulder OA Embolization27:56 - Shoulder Embolization Setup and Access Choice34:28 - Shoulder Embolization Strategy and Endpoints36:38 - Post-Procedure Pain Control and Activity Limitations42:26 - Shoulder Surgery Status-Post Embolization44:17 - Discussing Existing Research Data on Shoulder Embolization01:00:32 - Key Shoulder Arterial Anatomy and Variants01:04:27 - Shoulder OA Case Discussion01:09:08 - Final Thoughts --- More about this episode The episode begins with Dr. Epelboym outlining how his interest in musculoskeletal embolization developed after exposure to Okuno's early work, along with practical considerations for establishing referral pathways for these procedures. He also provides updates on the ongoing ELECTRC clinical trial at Brigham and Women's Hospital evaluating shoulder embolization. The discussion then turns to outcome measurement, including pain scoring systems and approaches to standardized clinical follow-up. The conversation concludes with a review of the existing literature on adhesive capsulitis, including a meta-analysis demonstrating improvements in pain and range of motion with predominantly minor adverse events, while emphasizing the ongoing need for randomized trials and greater procedural standardization. --- Resources Dr. Yan Epelboym, MD, MPHhttps://www.linkedin.com/in/yan-epelboym-4a84991b/ Embolization Treatment of Chronic Refractory Shoulder Tendinopathy (ELECTRC)https://clinicaltrials.gov/study/NCT06095050 --- BackTable Vascular & Interventional (VI) is the go-to podcast for interventional radiologists, vascular surgeons, and interventional cardiologists. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app
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In this episode with Cliff, we discuss the use of shockwave therapy for treatment of tendinopathies. We discuss:Different treatment modalities for tendinopathyRole of shockwave in treatment of tendinopathy and plantar fasciitisAchilles Insertional Tendinopathy vs Mid-portion Tendinopathy
Psychological factors can be prominent for people with tendinopathy–so how do you pick up on them? How might psychological factors guide your plan of care? Today, physiotherapist Jack Mest (University of Canberra), is your guide to understanding how best to screen for important psychological factors, and how to address them in the clinic. Jack Mest is a PhD candidate, studying psychological factors associated with persistent tendinopathy and psychologically informed approaches in Achilles tendinopathy rehabilitation. ------------------------------ RESOURCES Psychological factors in people with and without persistent tendinopathy: https://www.jospt.org/doi/10.2519/jospt.2025.13307 Scoping review of psychological factors in tendinopathy: https://www.jospt.org/doi/10.2519/jospt.2022.11005 JOSPT Insights ep 255: what if clinicians trusted people in pain? With Joletta Belton & Ben Darlow: https://pod.link/1522929437/episode/ZjcwNTljYzMtMjI5Ny00NWI2LWJjNzMtYzlkZTA3ZjVhODcz
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Dr. Mike Maddaleni reviews the No. 2 article of 2024, titled “Subacromial Injection of Platelet-Rich Plasma Provides Greater Improvement in Pain and Functional Outcomes Compared to Corticosteroids at 1-Year Follow-Up: A Double-Blinded Randomized Controlled Trial,” which was originally published in the Journal of Shoulder and Elbow Surgery in December 2024. Dr. Jeremy Schroeder serves as the series host. Dr. Maddaleni 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. Subacromial Injection of Platelet-Rich Plasma Provides Greater Improvement in Pain and Functional Outcomes Compared to Corticosteroids at 1-Year Follow-Up: A Double-Blinded Randomized Controlled Trial: https://www.jshoulderelbow.org/article/S1058-2746(24)00544-5/abstract
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For patients who have exhausted conservative management but aren't ready for the knife, shoulder embolization offers a minimally invasive intermediary option. In this episode of BackTable MSK, host Kavi Krishnasamy welcomes Dr. Yan Epelboym, an interventional radiologist trailblazing the MSK IR space. The doctors discuss the rapid development of musculoskeletal embolization applications with an emphasis on shoulder embolization. --- SYNPOSIS The episode begins with Dr. Epelboym outlining how his interest in musculoskeletal embolization developed after exposure to Okuno's early work, along with practical considerations for establishing referral pathways for these procedures. He also provides updates on the ongoing ELECTRC clinical trial at Brigham and Women's Hospital evaluating shoulder embolization. The discussion then turns to outcome measurement, including pain scoring systems and approaches to standardized clinical follow-up. The conversation concludes with a review of the existing literature on adhesive capsulitis, including a meta-analysis demonstrating improvements in pain and range of motion with predominantly minor adverse events, while emphasizing the ongoing need for randomized trials and greater procedural standardization. --- TIMESTAMPS 00:00 - Introduction 01:42 - Dr. Yan Epelboym's Origin Story in MSK03:02 - Building Referral Networks06:50 - Details on Clinic Workflow 10:08 - The Run Down on Shoulder Embolization Treatment Targets22:09 - Current Insights on Shoulder OA Embolization27:56 - Shoulder Embolization Setup and Access Choice34:28 - Shoulder Embolization Strategy and Endpoints36:38 - Post-Procedure Pain Control and Activity Limitations42:26 - Shoulder Surgery Status-Post Embolization44:17 - Discussing Existing Research Data on Shoulder Embolization01:00:32 - Key Shoulder Arterial Anatomy and Variants01:04:27 - Shoulder OA Case Discussion01:09:08 - Final Thoughts --- RESOURCES Dr. Yan Epelboym, MD, MPHhttps://www.linkedin.com/in/yan-epelboym-4a84991b/ Embolization Treatment of Chronic Refractory Shoulder Tendinopathy (ELECTRC)https://clinicaltrials.gov/study/NCT06095050
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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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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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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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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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