Podcasts about Tendinopathy

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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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Dr. E here with another asynchronous episode of Untold Physio Stories, featuring the great Dr. Wells!We're diving deep into the trenches of chronic elbow tendinopathies, specifically lateral epicondylalgia, and the surprising speed of response in a couple of recent patient cases.What We Cover in This Episode:The Power of Length and Load: We revisit the concept of using isometric contractions in a lengthened position (70-80% MVC) for superior tendon loading, inspired by Dr Michaud's excellent tendinopathy article.Dr. E shares a recent article on LinkedIn by Dr. Malliaras showing that this position creates significantly higher tensile force in the tendon compared to concentric/eccentric exercises, making it ideal for remodeling and managing inflammation.Case 1: The WFH Warrior (Lateral Epicondylalgia): A work-from-home patient with bilateral elbow pain from excessive arm raises found complete symptom resolution in just two weeks using the lengthened isometric contraction technique (wrist flexion, pronation, resisting extension). We discuss why this response was so much faster than typically expected for tendinopathy. Was it pain modulation, a true strength issue, or something else?Case 2: The Chronic Tennis Coach: A long-term case of lateral epicondylalgia that didn't respond to the initial lengthened isometric program or even repeated cervical retractions. We explore the eventual success with a Mulligan Mobilization with Movement (MWM) technique (lateral ulnar glide with gripping/wrist extension), highlighting the sometimes-necessary shift from exercise to pain-modulating manual therapy before resuming loading.The Big Question: Dr. Wells and Dr. E debate the varying patient responses, the balance between mid-range vs. lengthened loading, and why these tendinopathy cases can be so unpredictable. Dr. Wells also shares a cautionary tale about an athlete who didn't respond to conservative care, ultimately revealing a significant tear.

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Clinicians appreciate the value of a trustworthy clinical practice guideline for helping guide decisions in practice. Professor François Desmeules (University of Montréal) led an international team of shoulder experts who synthesised the latest evidence on diagnosing and non-surgically managing rotator cuff tendinopathy. Today he shares the headlines of the CPG and explains how the guideline group made sense of all the evidence to come up with recommendations for assessment, diagnosis, treatment and prognosis, including return to sport. ------------------------------ RESOURCES Rotator cuff tendinopathy diagnosis, non-surgical medical care and rehabilitation CPG: https://www.jospt.org/doi/10.2519/jospt.2025.13182

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If you're a runner dealing with stubborn lateral hip pain, it might be more than just tight glutes.  In this episode, Dr Lisa break down Gluteal Tendinopathy and why this condition is so common in runners, what the latest research says about treatment, and how to stop the pain without relying on stretching or foam rolling.$20 off the Hip Program with Coupon Code GLUTEALTENDINOPATHY (expires Sept 1) CLICK HERE100% Customized Training Plan: CLICK HERE

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Carolyn McMakin, MA, DC - contact-at-frequencyspecific.com Kim Pittis, LCSP, (PHYS), MT - info-at-fsmsports365.com 00:35 Patient Gratitude and Nerve Pain 01:27 Tennis Players and Shoulder Treatment 04:05 Importance of Posterior Chain in Sports 10:42 Youth and Neuroplastic Connections 16:57 Listening to Patients and Diagnostic Challenges 26:56 Knee Pain and Treatment Insights 30:50 Q&A Session 31:05 Understanding Insulin Resistance 31:52 Reducing Insulin Resistance: Protocols and Exercise 33:33 The Role of Culture and Habits in Obesity 34:43 Upcoming Events and Lectures 36:21 Case Reports and Research Insights 38:43 Addressing Specific Medical Questions 49:46 The Importance of the Vagus Nerve 54:53 Upcoming Courses and Final Thoughts Introduction to Frequency Specific Microcurrent FSM is a modality designed to aid medical practitioners in treating patients who present challenging conditions unresponsive to conventional care methods. This approach focuses on utilizing specific frequencies to influence bodily tissues and functions, thereby enhancing treatment outcomes. Key Areas of Focus in FSM 1. Shoulder and Rotator Cuff Treatment:    - The shoulder, being a complex structure, relies on proprioception and muscle balance for stability.    - Treatment often involves focusing on co-contraction and stabilization, emphasizing the critical role of the posterior muscles.    - Practitioners are encouraged to utilize slow, controlled movements to reinforce proprioceptive feedback and muscle memory. 2. Tendinopathy and Connective Tissue:    - Tendinopathy is a common issue addressed in FSM therapy, particularly in cases involving athletes and individuals with repetitive strain injuries.    - Treatments include addressing both superficial and deep tissue concerns, acknowledging that muscle tightness can contribute significantly to nerve irritation. 3. Insulin Resistance and Inflammation:    - FSM targets inflammation and toxicity in adipose tissue, which can play a role in insulin resistance.    - There is a strong emphasis on the integration of exercise and lifestyle changes alongside FSM treatment to reduce insulin resistance effectively. 4. Neuromuscular and Proprioceptive Training:    - A foundational element of FSM therapy is retraining the neuromuscular system to achieve stability and strength.    - Techniques involve engaging and strengthening deep tissue structures, particularly in sports-related treatments. 5. Cranial Nerve and Vestibular Disorders:    - FSM provides protocols to potentially aid in recovery from cranial nerve palsies, focusing on targeted frequency applications.    - Specific attention is given to understanding vestibular and cranial nerve pathways, exploring how viral infections or other non-traumatic factors may influence conditions. 6. Role of the Vagus Nerve:    - The vagus nerve plays a crucial role in maintaining equilibrium within the body.    - FSM treatments often start with stimulating the vagus nerve to provide a foundation for various other therapeutic interventions. Practical Considerations Healthcare practitioners engaging in FSM training are encouraged to apply these concepts in diverse clinical scenarios. The interplay between inflammation, nerve conductance, and muscle balance forms the basis of effective treatment planning. Moreover, integrating FSM with other therapeutic exercises and lifestyle modifications can enhance patient outcomes.

In this episode of PTs Snacks podcast, host Kasey Hankins covers proximal hamstring tendinopathy, a common issue for runners and athletes. She describes the causes and symptoms, highlights the importance of proper diagnosis, and outlines a progressive loading system for treatment.00:00 Introduction to Proximal Hamstring Tendinopathy00:44 Understanding Proximal Hamstring Tendinopathy02:29 Diagnosing Proximal Hamstring Tendinopathy03:58 Key Tests and Assessments05:28 Treatment Approaches and Phases07:24 Advanced Rehabilitation Techniques08:21 Returning to Sport and Monitoring Progress09:47 Conclusion and Additional ResourcesSupport 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 of the Rehab Science Podcast, Dr. Tom Walters discusses proximal hamstring tendinopathy (PHT), a common condition affecting athletes, particularly runners and lifters. He explains the anatomy, biomechanics, and causes of PHT, emphasizing the importance of understanding the condition as a sensitivity issue rather than inflammation or a tear. The episode covers diagnostic strategies, effective rehabilitation techniques, and treatment options, highlighting the significance of gradual loading and physical therapy in recovery. Takeaways Proximal hamstring tendinopathy (PHT) is common among active individuals. Chronic mechanical overload is a primary cause of PHT. Symptoms often worsen with activities involving hip flexion and knee extension. Diagnosis is typically clinical and does not require imaging. Physical therapy is the cornerstone of PHT treatment. Gradual resistance training is essential for tendon healing. Rest alone will not lead to healing of tendinopathies. Education and movement-based care are crucial for recovery. PHT can be frustrating but responds well to proper rehab strategies. Most individuals can return to full activity without surgery. YouTube Link Amazon Book Link Chapters 00:00 Introduction to Proximal Hamstring Tendinopathy 02:55 Understanding the Anatomy and Biomechanics 06:09 Signs, Symptoms, and Diagnosis 08:49 Rehabilitation and Treatment Strategies 15:08 Medical Interventions and Final Thoughts

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SummaryDr. Brandon Parker joins Chase Smith and Chris Bealhen to break down pain, mobility, and recovery in everyday terms. He explains how pain doesn't just come from our bodies, but also from our minds and social lives. He emphasizes how strength training, even 3 hours a week, builds resilience, metabolic health, and community. For pain, he outlines realistic ways to move safely, reduce fear around joints, and escape the “couch cycle.” He also covers migraine relief, sciatica, tendon health, hypermobility, and knowing when to push—and when to hold back. The episode leaves listeners empowered with simple tools to live beyond pain.Chapters(00:00) Welcome & Intro to Dr. Brandon Parker(02:12) Why Brandon Chose Evidence‑Based Chiropractic(08:11) Understanding Pain: Bio‑Psycho‑Social Model(12:23) Strength Training for Prevention & Recovery(16:38) “Bad Back” Isn't a Life Sentence(24:46) Neck Alignment vs. Root Cause of Migraines(29:10) Sciatica: Inflammation, Not Just Compression(36:21) Tendon Health: From Tendonitis to Tendinopathy(40:13) How to Approach Hypermobility Safely(46:53) First Steps for Nonspecific Back Pain(50:51) Warning Signs & When to Stop an Activity(55:53) Everyday Daily Movement: Gentle SquatsSUBMIT YOUR QUESTIONS to be answered on the show: https://forms.gle/B6bpTBDYnDcbUkeD7Connect with Dr. Brandon Parker on Instagram: @dr.brandon.parkerHow to Connect with Us:Chase's Instagram: https://www.instagram.com/changing_chase/Chris' Instagram: https://www.instagram.com/conquer_fitness2021/Facebook Group: https://www.facebook.com/groups/665770984678334/Interested in 1:1 Coaching: https://conquerfitnessandnutrition.com/1on1-coachingJoin The Fit Fam Collective: https://conquerfitnessandnutrition.com/fit-fam-collective

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Learn more about Brodie's Research Database & AI Assistant

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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 Luke Nelson 02:55 Running Journey and Injuries 06:02 Understanding Hamstring Tendinopathy 08:47 Overuse vs. Overload in Tendon Injuries 12:08 Differential Diagnosis of Hamstring Pain 15:05 Role of Imaging in Diagnosis 18:03 The Understudied Area of Hamstring Tendinopathy 20:50 Managing Daily Activities and Pain 23:52 Rehabilitation Strategies for Hamstring Tendinopathy 31:56 Understanding Hamstring Tendon Rehabilitation 36:17 Strength Training for Runners 41:06 Assessing Muscle Atrophy in Injuries 44:29 Managing Running Frequency and Intensity 47:23 Incorporating Plyometrics in Rehab 49:05 Long-Term Recovery Expectations for Tendinopathy 53:24 Function vs. Pain in Rehabilitation 59:32 Targeting Muscle and Tendon Adaptations 01:00:35 Running Technique and Proximal Hamstring Assessment 01:05:25 Rehabilitation Strategies for Running Technique 01:10:03 Interventions for Proximal Hamstring Tendinopathy 01:15:44 Field Sports vs. Distance Running Rehabilitation 01:17:27 Distal Hamstring Tendinopathy Insights 01:20:24 Metabolic Tendinopathy Considerations 01:23:11 Reflections on Knowledge and Experience Takeaways Luke Nelson is a sports and exercise chiropractor with 20 years of experience. He has run 10 marathons, with his latest being his fastest. Luke has experienced various running injuries, including hamstring tendinopathy. Hamstring tendinopathy can significantly impact daily life, not just athletic performance. The distinction between overuse and overload injuries is crucial in rehabilitation. Imaging is not always necessary for diagnosing tendinopathy. Hamstring tendinopathy is often under-researched compared to other tendon injuries. Daily activities, such as sitting, can exacerbate hamstring pain. A multifaceted approach is essential for effective rehabilitation. Strengthening exercises, particularly hamstring curls, are vital in recovery. Early hamstring rehabilitation focuses on building capacity and strength. Runners often lack strength training, impacting their recovery. Incorporating heavy lifting and compound movements is crucial. Plyometrics can enhance performance and aid in rehabilitation. Managing running frequency is essential for tendon recovery. Pain levels may not correlate directly with functional improvements. Capacity testing is vital for assessing recovery progress. Long-term recovery from tendinopathy can take over 12 months. Flare-ups during rehab are common and should be managed. Muscle and tendon adaptations should be targeted separately.  Running technique significantly impacts proximal hamstring load. Trunk position and over-stride are critical factors in assessment. Flexibility in runners may not always correlate with performance. Rehabilitation strategies should focus on individual needs. Shockwave therapy has mixed results for tendinopathy treatment. Field sports present unique challenges in managing injuries. Distal hamstring tendinopathy is less common but still relevant. Metabolic conditions can trigger various tendinopathies. Continuous learning and adaptation are essential in rehabilitation. AI may play a future role in predicting running injuries. Luke on Instagram: https://www.instagram.com/sportschiroluke/?hl=en Luke on Twitter: https://x.com/SportsChiroLuke Website: https://www.healthhp.com.au Notes: https://jackedathlete.com/podcast-146-proximal-hamstring-tendinopathy-with-luke-nelson/

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/

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Dr Susie Spirlock aka Dr Susie Squats guests to share detail and nuance about:-Why stretching doesn't often alleviate “tight” muscles. -Why dynamic mobility drills and load work better for creating lasting improvements to mobility. -How to manage hyper mobility.-Why the old injury management protocol of Rest, Ice, Compression, and Elevation is outdated and what to do instead. -What is tendonopathy, what's changed about our understanding, and how to manage and treat it. -Why surgery often isn't the best intervention for injury.-And much more.Links:https://moveyourbones.myflodesk.com/traffic-light-systemhttps://www.moveyourbonespt.com/freebies01:09 Debunking Stretching Myths03:00 Dynamic vs. Static Stretching06:39 Effective Warm-Up Strategies10:14 Understanding Hypermobility and EDS15:48 Strength Training for Hypermobility23:16 Tendinopathy Explained29:17 Form, Load, and Injury Prevention31:54 Debunking RICE for Soft Tissue Injuries35:29 The New Approach: PEACE and LOVE39:51 Pain Management Without NSAIDs42:49 Rethinking Surgery for Injuries48:54 The Role of Athletes in Surgery Perception56:08 Resources and Final ThoughtsI've been putting a lot of time and effort into making these new episodes valuable for you. You can help me get these great guests and their knowledge in front of more people by:-Subscribing and checking out more episodes-Sharing on your social media (please tag me - I promise I'll respond)-Sharing with the friend you think of who needs this episodeFollow Andrew Coates:Instagram:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@andrewcoatesfitness⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Join My Email List:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.andrewcoatesfitness.com⁠⁠⁠Get the RP App at ⁠⁠⁠www.rpstrength.com/coates⁠⁠⁠ - use the code COATESRPUse Code ANDREWCOATESFITNESS to save 10% off at https://justbitememeals.com/

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