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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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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.
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
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
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
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
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