Podcasts about Tendon

If you've started to feel blindsided [and totally frustrated!] by energy crashes, brain fog, or mood swings in midlife, you're not alone. But here's what no one's talking about… this isn't something to ignore or just power through. Perimenopause in midlife is a MASSIVE transition.  And the choices you make right NOW will determine your health for the next 40+ years.  In this episode, I'm sharing some science-backed strategies straight from my new book, The Perimenopause Revolution, to help you reclaim your energy, feel more like yourself again, and confidently navigate this powerful midlife transition.  We're diving into the surprising connections between your current symptoms and your long-term health, why consistency matters more than perfection, and how to future-proof your body with smart, supportive habits.  Don't let another day go by accepting less than you deserve. Listen here for all my tips and join the thousands of women who are already transforming their midlife experience with my perimenopause Freebies!IN THIS EPISODE The drastic changes we go through during perimenopause  The knowledge gap in women's health research  How your choices now impact the quality of the rest of your life How your hormones can bottom out during perimenopause  Essential biomarkers to monitor in perimenopause and beyond  Non-negotiable lifestyle strategies for optimal health How to Pre-order The Menopause Revolution book and get tons of FREE bonuses! QUOTES “Once you understand what's happening in your body during this profound transition… You can transform perimenopause from something that happens to you to something you navigate with power, knowledge, and most importantly, the right support.” “8 out of 10 of the most common perimenopausal symptoms are brain-related. We're talking sleep issues, brain fog, rage, mood swings, irritability, night sweats, zero stress tolerance, mental fatigue, anxiety, hot flashes…” “It's everything you need to get the results that you deserve. Perimenopause isn't the beginning of your decline. It's your wake-up call to step into the most vibrant, confident, unapologetic version of yourself for the next 40+ years.” RESOURCES MENTIONED Pre-order The Perimenopause Revolution HERE Dr. Mariza on Facebook  Thriving in Perimenopause FREE Survival Guide Melani Sanders We Do No Care Club on TikTok RELATED EPISODES  #648: This Changes Everything: The Perimenopause Revolution Every Woman Needs Now#646: The Number One Exercise Hack I'm Doing Daily In Peri To Burn Fat, Build Lean Muscle and Boost Energy & Mental Clarity#576: How to Build Bone, Muscle, Tendon, and Metabolic Resilience in Perimenopause and Menopause with Dr. Vonda Wright

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Presentation Slides HERE: https://www.garagestrength.com/pages/tendon-strength-download Get 7 FREE Days of Training to our Athlete Strength Training App - Peak Strength

Welcome to Season 2 of the Orthobullets Podcast.Today's show is Foundations, where we review foundational knowledge for frontline MSK providers such as junior orthopaedic residents, ER physicians, and primary care providers.This episode will cover the topic of⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Flexor Tendon Injuries⁠, from our Hand section at Orthobullets.com.Follow ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Orthobullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on Social Media:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Facebook⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Twitter⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠LinkedIn⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠YouTube

The research is so clear… if you want to speed up your biological age, don't use hormones.  You can be so healthy and dialed in with your habits, but even that won't stop your hormones from inevitably plummeting in midlife.  That's why Dr. Amy Killen joins the show to dive into the realities of women's health in midlife and how hormone replacement can be a game-changer. This conversation sheds light on what's really happening inside your body in midlife—and what you can do about it!  Dr. Amy breaks down how hormone replacement therapy (HRT), targeted supplements, and strategic lab testing can be huge for your energy, cognition, and longevity.  We'll also cover the lifestyle changes that truly move the needle in midlife, and how to stay proactive instead of stuck in “default mode.” If you've ever felt like you're doing everything right but still struggling, this episode will make you feel seen and offer real solutions. It's time to feel inspired, empowered, informed, and ready to take ownership of your midlife health journey!  Amy Killen, M.D. Dr. Amy Killen is a leading physician in regenerative and hormone optimization medicine, specializing in women's health. As an emergency physician turned longevity specialist, she combines treatments like stem cell therapy, hormone optimization, and peptides with practical lifestyle wisdom. She's the Chief Medical Officer of Humanaut Health and founder of the Human Optimization Project.  IN THIS EPISODE Why estrogen MATTERS  Prioritizing movement for longevity  Day-to-day non-negotiables that move the needle  Supplements for energy and mitochondrial health  The link between HRT and longevity in women  Addressing common myths around perimenopause and HRT  The importance of functional lab tests and screenings  QUOTES “You could be so dialed in with your lifestyle, with your mindset, with your supplements, your everything, and you'll still have declining estrogen and progesterone.”  “Start working on the hormones. It can help with the drive to do the lifestyle things. And I've seen that a lot.” “We can increase human lifespan in women with these hormones and they're very inexpensive, yet less than 5% of women have access [to them].” RESOURCES MENTIONED Dr. Amy's Website  *Join Dr. Amy's Newsletter here and get her FREE Supplement Guide! Dr. Amy's Instagram  Dr. Amy's Facebook  Dr. Amy's Female-focused supplement product: HOP Box  RELATED EPISODES  #605: Breaking the HRT Confusion: The Truth Behind Hormone Replacement Therapy for Perimenopausal Women with Karen Martel 579: Hormone Replacement Options and Hormone Testing for Women in Midlife + Self Advocacy for Optimal Health with Esther Blum #576: How to Build Bone, Muscle, Tendon, and Metabolic Resilience in Perimenopause and Menopause with Dr. Vonda Wright #557: What Every Women Needs to Know About Hormone Replacement In Their 40s and Beyond with Felice Gersh

In this episode of the Hand Surgery Resource Podcast, Dr. Larry Hurst shares more about Giant Cell Tumor of the Tendon Sheath, more popularly known as Xanthoma.A giant cell tumor of the tendon sheath (GCTTS) is a slow growing, usually painless benign lesion localized at the extremities. It is the second most common benign tumor of the hand after ganglion cyst.Find out more about it here: https://www.handsurgeryresource.net/xanthoma

Ben Maller talks about Jayson Tatum undergoing surgery to repair his torn Achilles tendon, the realistic expectations for Tatum once he returns, who deserves the most blame for the Cavs exit from the playoffs, Maller to the Third Degree, and more!See omnystudio.com/listener for privacy information.

In this radiology lecture, we review the ultrasound appearance of giant cell tumor of the tendon sheath! Key teaching points The post Ultrasound of Giant Cell Tumor of the Tendon Sheath appeared first on Radquarters.

Chapters 00:00 Introduction to Tendons and Personal Background 03:01 Understanding ACL Injuries and Rehabilitation 05:56 Graft Types: Autograft vs Allograft 08:56 Early Rehabilitation Strategies for ACL Surgery 11:53 Managing Swelling and Pain Post-Surgery 14:58 Progressing Rehabilitation: From Extension to Strength 17:59 Considerations for Graft Selection 21:01 Challenges with Quad Tendon Grafts 23:52 Hamstring and Patellar Grafts: Pros and Cons 32:06 Understanding Anterior Knee Pain and Rehabilitation 34:40 Strength Training in ACL Recovery 37:49 Introducing Plyometrics in Rehabilitation 39:28 Progressing Plyometrics and Deceleration Training 44:06 The Role of Physical Therapists in ACL Rehab 47:30 Knee Strategy vs. Hip Strategy in Rehabilitation 52:07 Re-injury Rates and Return to Sport Statistics 53:40 Education Gaps in Physical Therapy Schools 57:43 Improving ACL Rehabilitation Practices 01:01:17 Collaboration Between Therapists and Strength Coaches Takeaways Derek Garza is a licensed physical therapist with a background in athletics. He emphasizes the importance of education in ACL rehabilitation. The type of graft used in ACL surgery significantly affects recovery. Early intervention in rehabilitation can lead to better outcomes. Managing swelling is crucial for effective recovery post-surgery. Different graft types have unique healing timelines and considerations. Patient education is key to understanding the rehabilitation process. The strength of the graft can vary significantly based on the type used. Rehabilitation strategies should be tailored to the individual athlete. Understanding the risks and timelines of recovery can help prevent re-injury. The quality of physical therapy coaching is crucial for recovery. Limb symmetry index should be at least 90% for strength. Plyometrics should be introduced gradually in rehabilitation. Deceleration training is essential for athletes returning to sport. Many physical therapists lack knowledge in plyometric training. Re-injury rates for ACL injuries are alarmingly high. Education on plyometrics is lacking in physical therapy schools. Collaboration between therapists and strength coaches is vital. Athletes often shy away from loading their knees post-injury. Understanding knee and hip strategies can improve rehabilitation outcomes. Derek on Instagram: https://www.instagram.com/dr.derekpt/ Derek's Linktree: https://linktr.ee/drderekgarza?fbclid=PAZXh0bgNhZW0CMTEAAafGwPFbijuM4jTC0YjCcgMH2cY3-masDnDR00SYM7QCAyHfVaMUxWiB4ij1GQ_aem_Yj9twOyX7Rp7Un4fBhKFGg Notes: https://jackedathlete.com/podcast-148-acls-and-quad-patellar-hamstring-tendon-grafts-with-derek-garza/

Listener Q+A with Jeremiah and Natalie.00:00 Introduction and Personal Updates03:00 Training Adjustments and Recovery Strategies06:04 Travel Experiences and Training Flexibility10:01 Photo Shoot Preparations and Content Creation12:54 Training for Muscle Growth: Lats and Quads16:01 Strength Training During a Caloric Deficit18:56 Maintenance Breaks Between Fat Loss Phases23:03 Final Thoughts on Training and Cardio27:11 Cardio and Steps: Tracking Strategies31:12 Bodybuilding Categories: Choosing the Right Fit39:09 Nutrition Timing: Fiber and Pre-Workout Considerations44:06 Tendon Health: Strengthening and Injury Prevention52:03 Transitioning from Dieting: Intuitive Eating vs. StructureTo Apply For Coaching With Our Team: CLICK HERETo ask us a question for the next Q+A episode: CLICK HERE Read Our Free Blogs: CLICK HERE

Chapters 00:00 Introduction to Tommy Heights and His Journey 03:05 The Rise and Fall: From Vertical Jump Success to Injury 05:55 Navigating Recovery: The Role of Physical Therapy and Self-Discovery 08:53 The Turning Point: Lifestyle Changes and Their Impact 12:04 Rebuilding Strength: The Importance of Proper Loading and Management 14:47 Lessons Learned: Patience and the Journey to Recovery 17:46 The Importance of Warm-Up and Mindset in Training 21:03 Self-Experimentation: Finding What Works for You 25:52 Exploring Split Squats and Isometrics 28:04 Weight Loss Journey and Nutrition Insights 30:10 The Mental Challenge of Jumping 32:09 Understanding Jump Technique and Pain 34:01 Future Concerns and Mental Barriers 36:12 Jumping Mechanics and Personal Style 39:06 Dietary Choices and Recovery 40:48 Advice for Recovery and Commitment   Takeaways Tommy Heights is a presentation designer and basketball enthusiast. He experienced a significant increase in vertical jump but faced knee pain due to overtraining. Tommy's injury was a result of accumulated fatigue and lack of load management. He sought various treatments, including physical therapy and online programs, to address his knee pain. Lifestyle changes, such as stopping drinking, had a positive impact on his recovery. Proper loading and management are crucial for injury recovery and performance. Patience is essential in the recovery process; rushing can lead to setbacks. Warming up is vital to prevent injuries and improve performance. Self-experimentation is key to finding effective exercises for individual needs. Tommy's journey highlights the importance of understanding one's body and training smart. Split squats and isometrics can provide an analgesic effect. Weight loss can be influenced by nutrition and lifestyle choices. Eating more can be beneficial for tendon health. Monitoring glucose levels may be important for tendon recovery. Mental barriers can affect performance in jumping. Jumping technique can vary significantly between individuals. Dietary choices, like being vegan, can impact recovery. Collagen supplementation may aid in tendon health. Progressive loading is essential for recovery. Commitment to recovery requires lifestyle changes.   Instagram: https://www.instagram.com/tommy__heights/ TikTok: https://www.tiktok.com/@tommy_heights Notes: https://jackedathlete.com/podcast-143-patellar-tendon-case-study-with-tommy-heights/

Just because you hit menopause doesn't mean you have to change how you exercise. Actually, moving MORE can help you feel better.  Orthopedic surgeon and expert in sports medicine Dr. Jocelyn Wittstein is on the podcast today to help you discover the best ways to support your bone health at any age.  We dive into how reducing inflammation and promoting movement and mobility can impact joint and tendon health, neuromusculoskeletal health, cardiovascular health, metabolic health, and even mental health!  We're looking at things in a “whole-body” way to help you navigate menopausal bone density changes with ease and confidence.  Dr. Wittstein is here to remind you that there's no excuse for you not to move in ways that feel good for your body to promote overall health and longevity.  Tune in here to learn how to keep your body active and support optimal bone health… all while honoring yourself where you're at.  Jocelyn Wittstein, MD Dr. Jocelyn Wittstein is an orthopedic surgeon, sports medicine specialist, clinical researcher, co-author of The Complete Bone and Joint Health Plan, and mom to 5 kids. She lives in North Carolina and works out of Duke Health Systems, where she's currently accepting new orthopedic patients.  IN THIS EPISODE Orthopedic issues that arise during menopause  Labs to check for optimal cardiovascular health How HRT can help with symptom management in menopause  Strategies to help you gain bone density  Strength and resistance training tips for maintaining bone density  Alternative methods for reducing pain and inflammation  Anti-inflammatory food options and nutrition tips for bone health  Seeking guidance from specialists for osteoarthritis or joint pain   QUOTES “I don't think a lot of women know that once menopause hits, our bone loss really clips at a pretty incredible rate. Like 2% per year.” “I can't tell someone there's a magical way you're never gonna get arthritis, or you're never going to need an intervention. But I think the most important thing is for people to find ways to keep moving and stay active.” “Tennis and pickleball and any of those types of sports, we see an increase in longevity by 9 years. They win the longevity game when it comes to physical activity.” RESOURCES MENTIONED Pre-Order The Complete Bone and Joint Health Plan: coming 5/6/25! Dr. Jocelyn's Instagram RELATED EPISODES  #576: How to Build Bone, Muscle, Tendon, and Metabolic Resilience in Perimenopause and Menopause with Dr. Vonda Wright #554: The Little Known Connection Between Declining Hormones and Bone Loss Plus Tips How to Build Stronger Bones with Kevin Ellis #552: The Midlife Muscle Crisis: Why Maintaining Muscle Is Necessary For Fat Loss, Strength and Longevity with Dr. Gabrielle Lyon #573: The Science Behind Menopausal Weight Gain and Body Composition Changes

In this episode, we're joined by Dr. Mora to discuss Pectoralis Major Tendon Tears — a serious but increasingly common injury in muscular males aged 20-40, especially those who bench press or use anabolic steroids. Dr. Mora is a native of Orange County. He graduated from Anaheim High School in Orange County CA, and went on to complete his training at UC Irvine where he earned top of his class honors with his induction into the Alpha Omega Alpha Medical Society honors. From there, he completed his Orthopedic Surgery training at USC, followed by the completion of a Sports Medicine, Cartilage, Shoulder, and Knee Fellowship at Santa Monica Orthopedic and Sports Medical Group.  He is currently practicing Orthopedic Surgery in Orange County, California.  Dr. Mora's practice focuses on sports related trauma, knee ligament and cartilage repair, shoulder rotator cuff and instability, hip arthroscopy and partial knee replacement and ACL reconstruction. He sees athletes of all levels including professional soccer and UFC/MMA. He is team doctor for the Anaheim Bolts pro indoor soccer team and Foothill High School. Some of the procedures he performs include Cartilage transplantation (Genzyme), partial custom knee replacement, OATS, tibial osteotomies, meniscus transplant, knee ligament reconstruction, shoulder reconstruction, elbow arthroscopy, hip arthroscopy, platelet rich plasma and adult stem cell injections. Dr. Mora's family heritage is Peruvian. He speaks fluent Spanish. Goal of episode: To develop a baseline knowledge of pectoralis major tendon tears. In this episode, we cover: Common patient populations & injury mechanisms Detailed pec anatomy breakdown What to look for during H&P (yes, that loss of pec contour!) Imaging essentials—why MRI is your best friend When non-op treatment makes sense (and when it really doesn't) Surgical tips for acute vs. chronic tears + allograft considerations Post-op protocol that gets your patients back to function safely This episode is sponsored by Arthrex: Do you ever find yourself explaining the same orthopedic conditions over and over to your patients? Save time and enhance patient understanding with OrthoPedia Patient. This incredible website offers a comprehensive library of videos on everything from shoulder arthritis to ACL tears, all in patient-friendly language. Each condition is covered in a series of videos that includes an overview, treatment options, a surgical animation, and more. Plus, it's regularly updated to reflect the latest research. Educate, engage, and empower your patients. Visit Patient.OrthoPedia.com today. OrthoPedia Patient—Educate, Engage, Empower.

Chapters 00:00 Introduction to Finger Tendons and Climbing Injuries 03:13 Understanding Finger Anatomy and Function 06:02 Common Finger Injuries in Climbers 08:53 Pathophysiology of Tenosynovitis 12:06 Rehabilitation Strategies for Finger Injuries 15:04 Comparing Tenosynovitis and Pulley Injuries 17:56 Managing Climbing Volume and Injury Prevention 25:38 Understanding Power Loss in Climbing 29:27 Tendon Adaptation Through Lifelong Loading 33:22 Rehabilitation Challenges for Climbers 35:05 The Role of Strength Training in Climbing 37:10 Tendon Adaptation Mechanisms 38:56 Controversies in Climbing Training Methods 41:07 Ultrasound in Diagnosing Climbing Injuries 42:22 Using Strain Gauges for Performance Measurement 43:53 Understanding Pulley Ruptures 45:36 Rehabilitation Techniques for Finger Tendons 47:14 Thumb Tendon Issues in Climbers 49:09 Future Directions in Climbing Research 50:07 Finding Professional Help in Climbing Rehabilitation   Takeaways Tyler Nelson has a doctorate in chiropractic and a master's in tendon research. Rock climbers often experience finger injuries due to overtraining. Finger tendons are unique in their anatomy and function compared to other tendons. Tenosynovitis is a common injury among climbers, often due to too much stress too soon. Rehabilitation for finger injuries should focus on gradual load increase and proper technique. The A2 pulley is crucial for finger movement and is often injured in climbers. Climbers need to be aware of the specific loads their fingers endure during training. Managing climbing volume is essential to prevent injuries in climbers. The tendon sheath plays a vital role in the health of finger tendons. Understanding the mechanics of finger tendons can aid in better training and injury prevention. Power loss is a key metric in understanding climbing performance. Beginners should focus on skill development rather than overloading their fingers. Body weight significantly affects the load on tendons during climbing. Lifelong loading is crucial for tendon adaptations in climbers. Climbers often underload their tendons during rehabilitation, leading to prolonged recovery. Strength training is essential for injury prevention and performance enhancement in climbing. Tendon adaptations require significant muscle load and proper joint positioning. Controversial training methods are gaining popularity, but their efficacy is debated. Ultrasound is the gold standard for diagnosing climbing injuries and assessing tendon health. There is a growing interest in climbing research, leading to better understanding and treatment of climbing-related injuries. Instagram: https://www.instagram.com/c4hp/ Website: https://www.camp4humanperformance.com Notes: https://jackedathlete.com/podcast-142-finger-tendons-with-tyler-nelson/

Chapters 00:00 Introduction to Rotator Cuff Tendinopathy 03:13 Understanding Shoulder Pain and Its Complexities 06:04 The Shift from Impingement to Rotator Cuff Related Pain 09:00 The Role of Imaging in Shoulder Pain Diagnosis 11:58 Common Mismanagement in Shoulder Pain Treatment 15:10 Loading Programs for Rotator Cuff Rehabilitation 18:04 Positional vs. Energy Storage Tendons 20:59 The Nature of Rotator Cuff Tears 24:07 The Tipping Point to Pain in Rotator Cuff Pathology 32:53 Understanding Rotator Cuff Tears 39:26 The Role of Exercise in Recovery 46:47 Pain Management and Rehabilitation Strategies 55:19 Exploring the Mechanisms of Tendon Pain 01:00:18 The Importance of Tendon Stiffness   Takeaways Rotator cuff related shoulder pain accounts for 70-80% of shoulder pain presentations. Pain is complex and multifactorial, making diagnosis challenging. The traditional impingement model is being challenged in favor of a broader understanding of shoulder pain. Imaging often does not influence management decisions for rotator cuff issues. Corticosteroid injections provide only short-term relief and can have negative effects on tendon quality. Exercise-based management is crucial for effective rehabilitation of shoulder pain. The rotator cuff tendons are positional and strain less than energy storage tendons. Rotator cuff tears are common and can exist without pain or dysfunction. Age is the biggest risk factor for developing rotator cuff pathology. Understanding the tipping point to pain is essential for effective treatment. Rotator cuff tears are often associated with poor vascular supply and degeneration over time. Metabolic factors like diabetes and smoking can increase the risk of rotator cuff tears. Exercise can be as effective as surgery for massive rotator cuff tears. Expectations of recovery significantly influence rehabilitation outcomes. Education about the commonality of tendon tears can help reduce patient anxiety. Pain during exercise can be tolerated up to a certain level without adverse effects. Sleeping positions can impact shoulder pain and should be modified accordingly. Adjunct treatments like shockwave therapy and corticosteroids have limited long-term benefits. Tendon stiffness is important for efficient force transfer, but its role in pain management is still being studied. Understanding the psychological aspects of pain can enhance recovery from tendon injuries. Website: https://www.shoulderphysio.com Twitter: https://x.com/JaredPowell12 Instagram: https://www.instagram.com/shoulder_physio/?hl=en Notes: https://jackedathlete.com/podcast-140-rotator-cuff-tendons-with-jared-powell/

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Dr. Keith Baar is a leading expert in tendon and ligament engineering and repair. Natalie Gilmore is a PhD student focused on climbing-specific research. We talked about the results of their recent retrospective study, exciting new science, why “Abrahangs” improve force transfer, why progressively overloading them is a bad idea, protocols for finger health and strength, and more.PhysiVantage:physivantage.com (link includes 15% off coupon)Use code "NUGGET15" at checkout for 15% off your next order.Arc'teryx:Women's climbing clothingMen's climbing clothingCheck out the NEW Kragg Collection.Rúngne:rungne.info/nuggetUse code “NUGGET” for a discount storewide.Mad Rock:madrock.comUse code “NUGGET10” at checkout for 10% off your next order. Become a Patron:patreon.com/thenuggetclimbingWe are supported by these amazing BIG GIVERS:Michael Roy and Mark and Julie CalhounShow Notes:  thenuggetclimbing.com/episodes/keith-and-natalieNuggets:(00:00:00) – Intro(00:03:03) – Keith's background(00:10:05) – Natalie's background(00:13:08) – The “Abrahangs” retrospective study(00:17:56) – Natalie's experience with “Abrahangs”(00:18:52) – The limitations of a retrospective(00:22:41) – Exciting new studies(00:32:09) – What's happening with “Abrahangs”?(00:41:33) – Is there a “best” protocol?(00:46:40) – Balancing tendon health & stiffness(00:57:00) – Recommendations(01:06:03) – A cautionary tale(01:08:36) – Low-jerk isometrics(01:13:46) – Can “Abrahangs” increase training capacity?(01:15:42) – Summary(01:16:19) – Keith & Natalie's dream studies(01:19:25) – Wrap up

Chapters 00:00 Introduction to Chris Johnson and Tendon Rehabilitation 03:08 Understanding Exercise Monotherapy in Tendon Rehab 05:48 The Importance of Loading in Tendon Recovery 08:56 Chris's Journey and Mentorship in Physical Therapy 12:11 Rehabilitation Insights from ACL Injuries 14:56 Exploring Patellar Tendinopathy and Its Variants 17:55 Differentiating Tendon Pain in Athletes 20:59 Pain Management and Acceptable Levels in Rehab 23:47 The Role of Isometrics in Tendon Rehabilitation 26:58 The Debate on Pain Levels in Tendon Rehab 30:03 Conclusions and Future Directions in Tendon Rehab 36:09 Navigating Knee Rehabilitation Strategies 39:58 Exploring Neuromuscular Electrical Stimulation (NMES) in Rehab 46:41 Balancing Activity and Rehabilitation in Athletes 51:07 The Importance of Warm-Up and Cool Down 55:41 Understanding Tendon Stiffness and Rehabilitation Methods 01:00:17 Psychosocial Factors in Tendinopathy Rehabilitation 01:03:41 Compression and Loading in Tendon Health 01:06:34 The Role of Mechanical Transduction in Tendon Adaptation   Takeaways Exercise monotherapy simplifies tendon rehab by focusing on key loading strategies. Loading the tissue is crucial for effective tendon rehabilitation. Education and communication are vital in managing patient expectations and outcomes. Isometrics can be beneficial but may not work for everyone. Pain management in rehab is nuanced and should be individualized. Understanding the athlete's background helps tailor rehab strategies. Patellar tendinopathy presents differently in various athletes and requires specific approaches. The importance of restoring quad function in knee injuries cannot be overstated. Reactive tendinopathy cases can often resolve quickly with proper management. The debate on acceptable pain levels in rehab continues, emphasizing the need for individualized approaches. Consider alternative exercises like reverse Nordic for knee rehab. Gradually increase load and time to fatigue the quads. Warm-up routines can significantly impact tendon health. Compression forces are unavoidable in running; manage them wisely. Psychosocial factors play a crucial role in tendinopathy recovery. NMES can be a last resort for irritable tendons. Maintaining activity is essential for athletes during rehab. Walking warm-ups can enhance performance and recovery. Tendon stiffness is critical for injury prevention. Understanding mechanical transduction is vital for effective rehab.   Website: https://chrisjohnsonpt.com Instagram: https://www.instagram.com/chrisjohnsonthept/?hl=en Notes: https://jackedathlete.com/podcast-139-tendons-with-chris-johnson/

How beneficial is isometric work? In this Clinical Insight we summarize a Tim Ferriss Show podcast with Dr. Keith Barr. They dive deep into how isometrics benefit tendons, both healthy and injured, and what protocols you can use to maximize strength and health of tendon tissue. This was an insightful podcast and will impact my clinical care and hopefully will benefit others as well. Check it out.LINK: https://youtu.be/XFP3lGqg-uQ LINK: https://tim.blog/2025/02/27/dr-keith-baar-transcript/ #complicatedsimple #resultsthatgiveback #clinical #insight 

After our annual hiatus, we're back! As we shook off the podcast rust, we took a moment to debrief our time at the Independent Hollywood Reels Film festival, where we screened our first short film, TENDON. We also discussed Hayden's progress fundraising for his short film TUNING IN. Kick back and hang with us as we ramble our way into a new season. Our Social: https://www.instagram.com/indieknot_films/ Check us out on YouTube: https://www.youtube.com/@indieknotfilms

Whether you're a dedicated athlete, or just love staying active outdoors, Strained & Sprained is your go-to podcast for everything related to tendon health, injuries, and recovery. Dr. Kathy Vidlock looks at the science of tendons, exploring how they work, what causes them to break down, and the best ways to heal and prevent injuries—especially for those who love hiking, running, climbing, and other outdoor adventures.  The impact of factors like overuse, aging, and even medications on tendon health are discussed. Tune in to keep your tendons strong, flexible, and ready for the next adventure!

In today's episode, I discuss a new paper by Tom Michaud on some updated thoughts and research regarding tendon pain. From exercises and load selection, to time frames and tempo, there is some great new ideas in this in this episode. Whether you suffer from tendon pain yourself or are a clinician helping others, there something for everyone in this episode. Enjoy ! A note regarding part of the episode: I mention performing isometrics in a lengthening position vs. Neutral. I failed to mention its importance in the research. In Michaud's paper he cites the following, “research by Kubo and others confirm that prolonged isometric contractions, especially when performed with the tendon in a lengthened position, can improve tendon compliance by as much as 50%.” Simply put, isometrics at length help produces tendon stiffness, reduce pain and improve fluid dynamics. **Episode Resources **Michaud, T. Exercise Interventions for the management of tendinopahty: An overview. JCC.2025;8(1):39-49.

Get My Book On Amazon: https://a.co/d/avbaV48Download The Peptide Cheat Sheet: https://peptidecheatsheet.carrd.co/Download The Bioregulator Cheat Sheet: https://bioregulatorcheatsheet.carrd.co/In this Q&A video, I dive deep into your peptides questions—from dosage comparisons and injection techniques to protocol stacks for endurance, recovery, muscle growth, and even hormone optimization.Below are the exact timestamps with each question I answered:0:00 – [Music Introduction]0:10 – Introduction & overview of the Q&A session1:59 – Five Amino 1 MQ: Liquid vs Pills Dosage Comparison3:02 – Peptide and Supplement Protocol for Endurance Events (50k, 50 mile, 100 mile)5:01 – SLU PP332: Injectable vs Oral – Which Is Better?5:20 – Best Peptides for Jiu-Jitsu Performance, Endurance, and Recovery6:22 – SLU PP332 Dosage for Endurance: When to Take It?7:16 – Best Stack for Pre and Post Training for Endurance and Performance8:14 – Best Way to Inject: Intramuscular vs Subcutaneous for Different Peptides9:01 – How to Inject If You Have Very Little Body Fat Left9:51 – Mixing Instructions for Pinealon10:15 – Reconstituting and Dosing a Blend of GHK, TB500, and BPC 15710:54 – Is Pre-loading Multiple Peptides in the Same Syringe Safe?11:29 – How to Use and Convert Doses with the Autopens12:34 – Which Blood Tests Should You Monitor While Using Peptides?13:12 – Peptides for Injury and Pain Relief14:01 – Best Peptides for Lower Back Pain and Localized Injections15:05 – Best Peptides for Tendon and Ligament Injuries15:18 – Peptides for Nerve Pain/Neuropathy15:58 – Is a BPC 157 Cream Effective for Sports Injuries?17:38 – Are GH Peptides Safe for a 20-Year-Old Baseball Pitcher?18:05 – Peptides for Muscle Growth at Age 20 (Tesmelone, CHC, etc.)18:36 – How to Cycle Off and What's the Best Replacement?19:00 – Optimal Micro Dosing for Matsi with Reatutide19:57 – Best Stack for Muscle Gain in a 45-Year-Old Woman on Tzapatide20:04 – Peptides for Building Muscle in Adults 55+24:03 – Should You Cycle Off GLP-1s or Stay on Them Long Term?26:44 – Why Do GLP-1s Stop Working and How Can You Restart Results?30:14 – Cervodide vs Trptide Ratutide: Similarities and Differences31:34 – Testosterone and High Hematocrit: Is TRT Safe?32:29 – Optimal Testosterone Levels for a 59-Year-Old Man34:02 – Can Adding Low-Dose Estradiol to TRT Improve Libido?34:18 – How Do I Manage RBC Levels on TRT?35:45 – What Can Post-Menopausal Women Take Instead of HGH and Test Cyp?36:00 – Peptides for Hair Regrowth in Women with Male Pattern Hair Loss49:30 – What's the Best Fat Loss Stack for Fasted Cardio?51:05 – How Does Cagrilintide Tide Fit Into Fat Loss Protocols?51:52 – Does BPC 157 in Angiogenesis Increase Cancer Risk?52:46 – Can MOTS-c and L-Carnitine Raise Heart Rate?52:54 – Injectable vs Oral L-carintiine: Which Is Better?53:07 – How to Adjust Dosing for a BPC and TB500 Blend53:44 – What Is SB01 for Degenerative Disc Disease?54:14 – Best Peptides for Lung Health (COPD, Flem, etc.)54:59 – Should You Take Peptides With Food or Before Meals?55:30 – How Can I Make Peptide Injections Less Painful?55:58 – Can BPC 157/TB500 Be Used as a Nasal Spray or an Eye Drop?56:38 – VIP: Nasal Spray vs Subcutaneous Injection – Which Is Better?

Chapters 00:00 Introduction to Derek Griffin and His Expertise 02:46 Understanding Tendinopathy and Pain Mechanisms 05:52 The Role of Subgrouping in Tendinopathy 08:59 Clinical Insights on Tendon Pain 11:53 Metabolic Factors Influencing Tendon Health 14:58 The Impact of Aging on Tendon Sensitivity 17:51 Exploring Systemic Risk Factors for Tendinopathy 21:07 The Connection Between Tendinopathy and Multi-Site Pain 23:55 Fluoroquinolones and Tendon Health 30:13 Understanding Tendinopathy and Antibiotics 31:49 Autoimmune Conditions and Tendinopathy 33:32 Screening for Inflammatory Factors 36:26 The Importance of Comprehensive Assessment 39:20 Differentiating Tendon Pain Causes 41:49 Clinical Probabilities in Tendon Pain 43:53 Referral to Specialists for Inflammatory Conditions 46:15 Managing Tendon Pain with Systemic Considerations 49:33 Impact of Medications on Tendons 50:08 Addressing Lifestyle Factors in Treatment 54:19 Barriers to Comprehensive Diagnosis 57:46 Research Gaps in Tendinopathy Understanding   Takeaways Derek Griffin has a PhD in persistent pain and focuses on tendinopathy. Tendinopathy can arise from various factors, including metabolic and autoimmune conditions. Pain mechanisms are complex and should be viewed in a biopsychosocial context. Subgrouping in tendinopathy can provide insights but should not overshadow individual treatment. Aging can increase sensitivity to tendon injuries due to metabolic changes. Metabolic syndrome is linked to poorer tendon health and healing. Fluoroquinolones are associated with increased risk of tendon rupture. Lateral hip tendinopathy often coexists with other musculoskeletal pain conditions. Understanding the patient's story is crucial for effective treatment. Tendon health is influenced by overall systemic health and lifestyle factors. Autoimmune conditions can significantly influence tendinopathy. Screening for inflammatory factors is crucial in assessment. Understanding the patient's story is key to diagnosis. Lifestyle factors should be addressed in treatment plans. There is a need for more research on non-athletic populations. The average delay in diagnosis for autoimmune conditions is significant. Medications can have varying effects on tendon health. Comprehensive assessment can improve treatment outcomes. Clinicians should routinely ask about lifestyle factors. Common sense and flexibility in treatment approaches are essential.   Derek on Twitter: https://x.com/DerekGriffin86 Derek on Instagram: https://www.instagram.com/derek_griffin_phd/ Notes: https://jackedathlete.com/podcast-134-tendons-with-derek-griffin/

Chapters 00:00 Introduction and Audio Quality Discussion 01:12 Mike Carroll's Background and Expertise 02:46 Building a Social Media Presence in Golf Training 05:06 Interest in Tendon Injuries and Collaboration with Keith Barr 08:29 Understanding Tendon Injuries in Golfers 14:11 The Impact of Training Load on Elbow Injuries 20:47 Differences in Stress from Swinging Techniques 25:06 Chronic Adaptation and Injury Prevention 31:35 Injury Management and Treatment Options 32:51 Understanding Elbow Injuries in Golfers 37:02 Rehabilitation Strategies for Elbow Tendon Injuries 46:10 The Role of Strength Training in Recovery 51:40 Dynamic Exercises and Their Importance 01:02:52 Isometric Exercises: A Controversial Approach 01:06:32 Conclusion and Resources for Further Learning   Takeaways Mike Carroll specializes in strength and conditioning for golfers. Social media presence is crucial for promoting fitness programs. Tendon injuries often arise from sudden spikes in training load. Collaboration with experts like Keith Barr enhances knowledge. Chronic adaptation is key to preventing injuries in athletes. Swing mechanics can significantly impact elbow stress. Injury management requires understanding of training loads. Foam golf balls can reduce stress during rehabilitation. Injections may provide temporary relief but do not address underlying issues. Long-term training consistency is essential for tendon health. Adjusting training load is crucial for injury recovery. Many people lack guidance on returning to sport after injury. Passive treatments may not be as effective as exercise. Strengthening exercises can significantly reduce pain. Gradual progression is key in rehabilitation. Isometric exercises can be beneficial but may not be necessary for everyone. Dynamic exercises should be incorporated into rehab. Strength training should be heavy and progressive. Rehabilitation should be tailored to the individual's needs. Education on injury management is essential for athletes.   Website: https://fitforgolf.blog Instagram: https://www.instagram.com/fit_for_golf/ Twitter: https://x.com/Fit_For_Golf

Chapters 00:00 Introduction to Tendon Research 02:33 The Berlin Method and Tendon Adaptation 05:56 Strain and Metabolic Factors in Tendon Adaptation 09:54 Volume and Frequency in Tendon Training 12:46 High Strain Rates vs. Low Strain Rates 17:34 Individual Variability in Tendon Response 20:22 Personalized Approaches to Tendon Training 24:38 Viscoelastic Properties of Tendons 29:23 Understanding Tendon Mechanics and Loading Effects 35:51 Personalization in Tendon Rehabilitation 39:34 The Complexity of Tendinopathy and Pain Management 44:31 The Berlin Method: A New Approach to Tendon Training 52:30 Muscle-Tendon Imbalance: Insights and Implications 01:01:35 Practical Recommendations for Tendon Health   Takeaways Dr. Falk Mersman leads a research group in tendon adaptation. The Berlin Method is based on systematic investigation of tendon factors. Tendon adaptation is primarily strain mediated. High training volume does not necessarily lead to better tendon adaptation. High strain rates can lead to localized tendon failure. Genetic factors may influence tendon adaptation responses. Personalized training approaches can help balance muscle and tendon adaptation. Viscoelastic properties of tendons affect cellular responses. Tendon creep is a consideration in training protocols. Not all elite athletes experience tendon overuse injuries. Tendons exhibit stress relaxation but not creep effects under loading. Longer contraction durations may be more effective for tendon stiffness. Personalization in rehabilitation is crucial for tendinopathy patients. Pain management in tendinopathy is complex and requires tailored approaches. The Berlin Method integrates various loading factors for tendon adaptation. Muscle-tendon imbalances can lead to overuse injuries in athletes. Plyometric training is essential for enhancing sports performance. Regular tendon training can improve structural integrity and reduce injury risk. High intensity loading may not always be necessary for tendon adaptation. Understanding individual responses to loading is key in rehabilitation.   Notes:  https://jackedathlete.com/podcast-132-tendons-with-falk-mersmann/ Falk's Email: falk.mersmann@hu-berlin.de

Have you tried (and possibly failed) at keeping a consistent morning routine? You're not alone! You've heard the benefits of a morning routine, but sometimes you may feel like you don't have the time to commit to one… or staying in bed an extra few minutes just feels too good.  That's why Liz Plosser joins the show today to talk about being the architect of your mornings– meaning creating a morning routine with things that energize you and fill your cup.  We're talking simple routine ideas, benefits of morning strength training in our 40s, 50s, 60s, and beyond, nutrition tips, and re-inventing your health to set you up for success. As we get older, our bodies are physiologically changing and unless we do something to counteract that to stay healthy, we're just going to continue down that path. The easiest way to counteract it?  A consistent morning routine packed with healthy habits.  Tune in here to learn how to make the most of your mornings! Liz Plosser Liz Plosser is the former Editor-in-Chief of Women's Health and has since then launched a community and Substack called Best Case Scenario– a playbook for helping readers feel a little better every day. She's held senior strategy and content roles at Well+Good, SoulCycle, SELF, & Cosmopolitan. Liz is the author of Own Your Morning: Reset Your A.M to Unlock Your Potential. She graduated from Princeton University and currently lives in Brooklyn, NY with her family.  IN THIS EPISODE The benefits of starting your morning with exercise  Finding morning routines that work for YOUR body and lifestyle  How your evening routine sets you up for your morning routine  Focusing on strength training as a top form of exercise The best strength exercises and how to keep moving all day The perks of a mid-life career shift like Liz's and getting out of your comfort zone QUOTES “There are so many different ways to do it, and I think that's the beauty of mornings– it's going to look different for everybody.” “I felt better, stronger, more energetic, more balanced, sleeping more soundly. Everything just felt so good.” “I'm on a mission to help as many women click with heavy lifting as possible. Not only because of the emotional and mental benefits, but because of all the changes that will happen to us during these chapters of our life as we're navigating perimenopause and menopause.” RESOURCES MENTIONED Get your KION Aminos here >> Liz's Substack Newsletter: Best Case Scenario  Liz's Website Liz's Instagram  Get your copy of Liz's book– Own Your Morning  Check out Kion Aminos, used by Liz and Mariza pre-workout each morning RELATED EPISODES  #413: 3 Easy Ways To Create A Metabolic-Boosting Morning Routine #546: How To Stay Lean, Energized And Strong By Working With Your Physiology, Not Against It With Dr. Stacy Sims #491: Five Self-Care Rituals I Never Skip In The Morning To Feel My Best #576: How To Build Bone, Muscle, Tendon, And Metabolic Resilience In Perimenopause And Menopause With Dr. Vonda Wright

Send us a textWe explore the final stages of rehabilitation for quadriceps and patellar tendon repairs, focusing on the progression from 12 weeks post-operation to full functional recovery. This episode completes our four-part series on tendon repair rehabilitation with practical guidance for therapists and patients navigating the return to higher-level activities.• By 12 weeks, patients should have nearly full knee range of motion and natural gait on level surfaces• Continue avoiding high-impact activities and forceful eccentric contractions• Progress balance training from double to single leg, stable to unstable surfaces• Advance cardiovascular training with stationary bike and elliptical• Implement forward, backward and lateral walking with resistance for gait training• Begin closed chain quad exercises with mini squats up to 70° knee flexion• Carefully progress core exercises considering tension on the extensor mechanism• Transition to higher activities around 4 months when meeting specific functional criteria• Work on deceleration activities and controlled change of direction• Progress from assisted hopping to full body weight jumping activities• Take a more conservative approach with smokers or less active patients• Be aware that quinolone antibiotics increase rupture risk during rehabilitationIf you're listening before May 31st, 2025 and interested in my upcoming live shoulder course in Auburn, Maine, check out the agenda on my website through the link in the show notes.✅Are you looking for One on one Coaching? We have it!✅ Hop onto our email list?

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/

Chapters 00:00 Introduction to Tendon Research and Background 02:51 Understanding Tendon Mechanics and Strain 06:14 The Role of Tendons in Human Movement 09:07 Tendon Strain: Hierarchical Structure and Function 11:58 The Impact of Load and Speed on Tendon Behavior 15:08 Exploring Tendon Creep and Adaptation 18:05 Mechanotransduction and the Importance of Time 21:01 Pediatric Tendon Development and Muscle-Tendon Imbalance 24:00 Training Tendons: Strength vs. Plyometrics 26:46 Viscoelasticity and Tendon Behavior 30:14 Conclusion and Future Directions in Tendon Research 37:42 Understanding Tendon Behavior: Elasticity vs. Viscosity 42:04 The Sweet Spot of Tendon Strain 47:15 Blood Flow Restriction: Mechanisms and Efficacy 52:18 Tendon Compliance: Training and Adaptation 57:06 Passive Stretching: Effects on Tendon Adaptation 01:01:17 Training Age and Tendon Stiffness 01:06:29 Sex Differences in Tendon Adaptation 01:11:03 Future Directions in Tendon Research   Takeaways Dr. McMahon's background includes a PhD in tendon mechanics. Tendons are part of a muscle-tendon-bone complex. Tendon strain is the relative change in length compared to its original length. Tendons have their own metabolism, albeit at a lower scale than muscles. The hierarchical structure of tendons serves to protect against stress. Tendon stiffness can increase with load and speed of movement. Creep occurs under constant load, affecting tendon length over time. Mechanotransduction requires time for effective cellular response. Pediatric tendon development may lead to imbalances with muscle strength. Strength training is more effective for tendon adaptation than plyometrics. Tendon behavior involves both elasticity and viscosity simultaneously. There is a sweet spot for tendon strain duration, ideally between 3 to 15 seconds. Longer isometric holds may not benefit healthy tendons. Blood flow restriction (BFR) may not have unique benefits over traditional training. Tendon compliance can be improved by reducing resistance training. Passive stretching may yield some adaptation in untrained individuals. Training age influences tendon stiffness and adaptation. Sex differences exist in tendon adaptation, with females gaining stiffness at lower force levels. The relationship between training volume and tendon adaptation is complex and requires more research. Understanding how tendons perceive strain is crucial for future studies.    Notes: https://jackedathlete.com/podcast-130-tendons-with-gerard-mcmahon/

Send us a textDiscover the essential steps for recovering from quadriceps and patella tendon surgery within the pivotal 6 to 12-week mark. We focus on the importance of actively working towards range-of-motion improvement while engaging in tailored exercises to enhance strength and stability.• Discusses the importance of early rehabilitation steps post-surgery• Highlights targeted exercises to enhance range of motion and strength• Emphasizes the significance of confidence building during recovery• Explores the role of blood flow restriction training in rehab and much more!(Video) Knee flexion stretching. See arm position. Gentle stretching✅Are you looking for One on one Coaching? We have it!✅ Hop onto our email list?

Chapters 00:00 Introduction to Tendon Research 02:59 The Evolution of Tendon Rehabilitation 06:07 Understanding Tendon Mechanics and Training Approaches 09:00 The Role of Load in Tendon Health 12:03 Aging and Tendon Structure 14:51 The Impact of Immobility on Tendon Health 18:09 Stages of Tendon Development 21:08 Tendon Ruptures and Age Factors 24:00 The Science of Tendon Stiffness 26:46 Cellular Dynamics in Tendon Health 32:26 Understanding Tendon Responses: Achilles vs. Patellar 36:11 The Role of Cross-Links in Tendon Stiffness 40:59 Exercise and Its Impact on Tendon Health 42:25 Dietary Influences on Tendon Integrity 44:17 Metabolic Syndrome and Tendon Health 46:38 Accumulation of Advanced Glycation End Products 49:31 Tendon Size and Vascularization in Tendinopathy 54:51 Inflammation in Tendon Pain: A Complex Relationship 01:00:07 Circadian Rhythms and Tendon Health 01:03:27 Future Research Directions in Tendon Studies   Takeaways Christian Coupe is a physical therapist and researcher. He has worked extensively with elite athletes, particularly in racket sports. Tendon issues like jumpers knee and Achilles tendinopathy are common in athletes. Eccentric training was a breakthrough in tendon rehabilitation. Heavy slow resistance training may be more effective than eccentric training. Tendons require regular loading to maintain health and prevent degradation. Aging begins around the age of 17, affecting tendon structure and function. Immobility can lead to rapid deterioration of tendon health. Tendon stiffness is crucial for performance and injury prevention. There is potential for improving tendon health even in older individuals.  The Achilles tendon may require different loading than the patellar tendon. Cross-links in tendons can affect stiffness and brittleness. Exercise is crucial for maintaining tendon health and properties. Dietary choices can influence tendon integrity and health. Metabolic syndrome is linked to tendon issues and injuries. Advanced glycation end products accumulate in low turnover tissues like tendons. Tendon size can increase due to vascularization in tendinopathy. Inflammation may be present in early stages of tendon pain. Circadian rhythms could play a role in tendon recovery processes. Future research should focus on the metabolic aspects of tendon health.   Christian's research (Researchgate): https://www.researchgate.net/profile/Christian-Couppe Christian's profile: https://researchprofiles.ku.dk/en/persons/christian-couppé Christian on Twitter: https://x.com/ccouppe

Tendon pain — it's one of the most annoying and stubborn issues for active people. In this episode of The Healthy Charleston Podcast, we break down why tendon injuries happen, what actually helps them heal, and the biggest mistakes that can slow down your progress. We'll talk about why loading your tendons the right way is key (spoiler: heavy, slow resistance training is a game-changer) and how to stop tendon pain before it even starts. Whether you're an athlete, a weekend warrior, or just trying to stay active without pain, this episode is packed with practical tips to keep you moving and feeling good!Welcome to the "Healthy Charleston Podcast," your ultimate guide to taking charge of your health and wellness journey. In a world where health information can be overwhelming and confusing, we strive to be your trusted source of accurate, evidence-based knowledge. Our goal is to equip you with the tools and resources you need to lead a healthier lifestyle. Tune in to each episode as we connect with inspirational community leaders in Charleston and Summerville, SC. These individuals are dedicated to creating a healthier community and they share their perspective on what health means to them. Join us as we embark on an exploration into the realms of health, well-being, and community empowerment!@healthycharleston@made2movept www.made2movept.comDON'T spend another day in pain! Request an appointment at https://www.made2movept.com/contact and get 10% off your Initial Evaluation when you mention the podcast.

Chris Hughen sat down with Marc Surdyka to discuss all things tendon rehab. We dive into the evolution of tendon pain terminology, the role of inflammation, loading protocols, clinical applications, and much more. Watch the full episode: https://youtu.be/mF5CtFnVtO4  Episode Resources: Video: How to Rehab Tendon Injuries and Pain Article: How to Rehab Tendon Injuries and Pain --- Follow Us: YouTube: https://www.youtube.com/e3rehab  Instagram: https://www.instagram.com/e3rehab/ Twitter: https://twitter.com/E3Rehab --- Rehab & Performance Programs: https://store.e3rehab.com/  Newsletter: https://e3rehab.ck.page/19eae53ac1  Coaching & Consultations: https://e3rehab.com/coaching/  Mentoring: https://e3rehab.com/mentorship-intake-form/  Articles: https://e3rehab.com/articles/  --- Podcast Sponsors: Legion Athletics: Get 20% off using "E3REHAB" at checkout! - https://legionathletics.rfrl.co/wdp5g  Vivo Barefoot: Get 20% off all shoes! - https://www.vivobarefoot.com/e3rehab --- @dr.surdykapt @tony.comella @dr.nicolept @chrishughen @nateh_24 --- This episode was produced by Kody Hughes

Send us a textThis episode focuses on the critical rehabilitation period for quadriceps and patellar tendon repairs from two to six weeks post-surgery. We explore individualized care strategies, precautions, and core exercises to optimize recovery. • Importance of individualized rehab strategies • Managing precautions during recovery • Techniques to regain range of motion • Role of blood flow restriction training in rehab • Recommended exercises for knee strength and flexibility • Strategies for patient monitoring and feedback✅Are you looking for One on one Coaching? We have it!✅ Hop onto our email list?

On this episode of the AMSSM Sports Medcast (X: @TheAMSSM), host Dr. Jeremy Schroeder, MD, is joined by Dr. Ashwin Rao, MD, to provide a preview of his main stage presentation about Microsurgical Tendon Debridement vs. Orthobiologics for Tendinopathy during the 2025 AMSSM Annual Meeting. Dr. Rao is board certified in family medicine and sports medicine, and is a Professor in UW School of Medicine's Department of Family Medicine. He is also a team physician for University of Washington Husky Athletics and a medical consultant for the Brooks Beast Middle Distance Track Club. He previously served as a team physician for the NFL's Seattle Seahawks, Program Director of the UW Primary Care Sports Medicine Fellowship, and Co-Chair of the Education Committee on the Board of Directors of the American Medical Society for Sports Medicine (AMSSM). In-person and virtual attendance options are still available for the conference. Register to attend the 2025 AMSSM Annual Meeting at annualmeeting.amssm.org.

Chapters 00:00 Introduction to Greg Lehman's Approach 03:06 Understanding Tendinopathy and Its Implications 05:59 The Role of Tendon Stiffness in Rehabilitation 09:06 The Complexity of Tendon Rehabilitation 12:01 The Importance of Individualized Treatment Plans 15:03 Exploring the Connection Between Metabolic Health and Tendon Pain 17:59 The Debate on Stretching and Tendon Health 21:04 Compression and Its Effects on Tendons 24:06 Managing Activity Levels During Rehabilitation 26:54 Evaluating Loading Protocols for Tendon Recovery 30:08 Muscle-Tendon Imbalance and Injury Risk 33:10 Research Insights on Tendon Adaptation 36:34 Understanding Tendon Strain Dynamics 39:04 Exploring Tendon Rehabilitation Protocols 42:54 The Role of Muscle in Tendon Health 46:24 Isometrics and Their Evolving Role in Rehab 56:36 Patient-Centered Care in Tendon Rehabilitation   Takeaways The diagnosis often does not dictate treatment in rehab. Tendon stiffness is a key factor in rehabilitation. Individualized treatment plans are crucial for effective rehab. Metabolic health can significantly impact tendon pain. Stretching may still have a role in tendon health. Compression effects on tendons are complex and not fully understood. Maintaining activity levels can be beneficial during rehab. Loading protocols should be tailored to the individual. Muscle-tendon imbalances can increase injury risk. Research continues to evolve our understanding of tendon adaptation. Tendon strain is influenced by joint angle and muscle contraction. Isometric holds may not be the only effective method for tendon rehabilitation. Patient-centered care is crucial in designing rehabilitation programs. Performance goals should be integrated into rehabilitation strategies. Muscle strength plays a significant role in tendon health and recovery. The body can adapt to protect injured areas, complicating rehabilitation. Isometrics can provide analgesic effects, but results vary among individuals. Conscious isolation of muscle groups may be necessary for effective rehab. Tendons respond to load, regardless of the type of contraction used. Understanding individual patient goals is essential for effective treatment.   Greg's Website: https://www.greglehman.ca Greg's Linktree: https://linktr.ee/greglehman?fbclid=PAZXh0bgNhZW0CMTEAAaY1JK0-KyV8C2O6j4k0Nv2xCnekXbXyAyevDP_vAwhwrFPt-vdPlgeJV6U_aem_5GCz-V50wzOwW-ZtfDIKzw Greg's Instagram: https://www.instagram.com/greglehman/ Greg's Twitter: https://x.com/GregLehman?ref_src=twsrc%5Egoogle%7Ctwcamp%5Eserp%7Ctwgr%5Eauthor Notes here: https://jackedathlete.com/podcast-125-tendons-with-greg-lehman/

On this episode of the AMSSM Sports Medcast (X: @TheAMSSM), host Dr. Jeremy Schroeder, DO (X: @thejschro), is joined by Dr. Ashwin Rao, MD, to provide a preview of his main stage presentation about Microsurgical Tendon Debridement vs. Orthobiologics for Tendinopathy during the 2025 AMSSM Annual Meeting. Dr. Rao is board-certified in family medicine and sports medicine, and is a Professor in UW School of Medicine's Department of Family Medicine. He is also a team physician for University of Washington Husky Athletics and a medical consultant for the Brooks Beast Middle Distance Track Club. He previously served as a team physician for the NFL's Seattle Seahawks, Program Director of the UW Primary Care Sports Medicine Fellowship, and Co-Chair of the Education Committee on the Board of Directors of the American Medical Society for Sports Medicine (AMSSM). In-person and virtual attendance options are still available for the conference. Register to attend the 2025 AMSSM Annual Meeting at annualmeeting.amssm.org.

Send us a textThe podcast episode focuses on the first two weeks following quadriceps and patella tendon repairs, providing essential strategies for managing recovery. Emphasis is placed on avoiding complications, proper bracing techniques, and establishing patient confidence during the rehabilitation process.• Discusses the importance of early management in recovery • Highlights strategies for controlling swelling and promoting circulation • Explains the necessity of using a dial brace locked in full extension • Offers guidelines on maintaining limited range of motion • Provides exercise recommendations to activate muscles and aid recovery • Addresses pain management and appropriate modalities • Stresses the importance of building patient confidence post-surgery • Previews future discussions on rehabilitation progress and strategies✅Are you looking for One on one Coaching? We have it!✅ Hop onto our email list?

This Episode is Sponsored by Orthopedia: Do you ever find yourself explaining the same orthopedic conditions over and over to your patients? Save time and enhance patient understanding with OrthoPedia Patient. This incredible website offers a comprehensive library of videos on everything from shoulder arthritis to ACL tears, all in patient-friendly language. Each condition is covered in a series of videos that includes an overview, treatment options, a surgical animation, and more. Plus, it's regularly updated to reflect the latest research. Educate, engage, and empower your patients. Visit Patient.OrthoPedia.com today. OrthoPedia Patient—Educate, Engage, Empower. Watch Citation Classics on Youtube: https://youtu.be/XCv1ZLRDrQ4 The goal of these episodes is to go over the most cited articles in a certain topic over the past 15-20 years to give learners an idea of what articles are being read and what are some of the important studies out there to read! In this episode we have Dr. Samuel Fuller, a resident at University at Buffalo, Dr. Alexander Macfarlane, a current shoulder & Elbow fellow, Teja Polisetty, a resident at Harvard University, Matthew Corsi, a 4th year medical student at Wayne State University School of Medicine, and Jalen Warren, a 4th year medical student at Ohio University College of Health Sciences.  Enjoy!    

Chapters 00:00 Introduction to Tendon Talk 01:55 Understanding Patellofemoral Pain 06:02 The Biopsychosocial Model in Pain Management 09:57 The Role of Muscle Strength in Tendon Health 13:54 Exploring Achilles Tendinopathy 17:55 Calf Raises and Their Effectiveness 22:04 The Importance of Loading in Rehab 26:05 Comparing Patellar and Achilles Tendon Rehab 29:57 Final Thoughts on Tendon Management 38:20 Rehabilitation Challenges with Achilles and Patellar Ruptures 41:23 Innovative Techniques in Achilles Rehabilitation 44:09 The Debate on Literature vs. Real-World Experience 49:15 Personal Experiences with Achilles Injuries 53:30 Genetics and Tendon Injuries 57:07 Understanding Partial Ruptures vs. Tendinopathy 01:00:11 Pain Response in Achilles Rehabilitation 01:02:29 The Role of Pain in Rehabilitation 01:04:50 Loading Techniques for Achilles Rehabilitation 01:09:21 Exploring Jerk Isometrics in Rehabilitation 01:10:46 The Value of Isometrics in Rehabilitation 01:11:11 Surface Variation in Achilles Rehab 01:12:04 Manipulating Center of Mass for Rehab 01:15:24 Encouraging Movement Variety in Rehabilitation 01:16:14 Understanding Tendon Mechanics and Mobility 01:18:14 The Role of Heel Wedges in Pain Relief 01:19:35 Insights on Upper Body Tendon Rehabilitation 01:22:08 Exploring Movement Variability in Upper Limbs 01:31:06 The Importance of Variety and Variability in Movement 01:35:35 Upcoming Programs and Workshops   Takeaways David discusses the challenges of managing time and opportunities in his work. Jake shares his personal experience with weight loss and its impact on his social life. David explains his approach to treating patellofemoral pain and the importance of loading. The conversation highlights the biopsychosocial model in understanding pain. David emphasizes the need for less frequent loading for patellofemoral pain compared to tendon pain. Jake questions the structural understanding of patellofemoral pain and its implications for rehab. David shares his personal journey with Achilles tendinopathy and its impact on his athletic performance. The discussion reveals the common pitfalls in calf raise exercises for Achilles rehab. David advocates for high intensity and low frequency in calf raise training. The conversation concludes with insights on the differences between patellar and Achilles tendon management. Rehabbing an Achilles rupture requires careful management of tendon lengthening. Overcoming isometrics are effective for strengthening the Achilles during rehab. Real-world experiences can often contradict existing literature on rehabilitation. Personal experiences with tendon injuries highlight the unpredictability of recovery. Genetics may play a significant role in tendon injuries and recovery. Partial ruptures should be approached with caution, similar to tendinopathy. Pain response is less significant in Achilles rehabilitation compared to other injuries. It's crucial to focus on loading techniques rather than just range of motion. The literature on tendon injuries can be misleading and should be interpreted with caution. Effective rehabilitation requires pushing patients as hard as possible without exceeding their limits. Isometrics can clarify what's working in rehab. Varying surfaces can enhance Achilles rehab. Manipulating center of mass is crucial for rehab. Movement variety is often overlooked in rehab. Tendon mechanics play a significant role in recovery. Heel wedges can provide relief for insertional pain. Upper body tendons require a different approach. Movement variability is essential for upper limb function. Older athletes often lack movement variety and variability. A holistic approach to rehab includes strength, mobility, and control.   David's Website: https://davidgreyrehab.com David's Instagram: https://www.instagram.com/davidgreyrehab/?hl=en Notes: https://jackedathlete.com/podcast-124-tendons-with-david-grey/  

Chapters 00:00 Moving to Tennessee: A New Chapter 05:12 Understanding the Tier System for Plyometrics 10:06 The Importance of Tendon Health in Sports 14:55 Exploring Structural Changes in Muscle and Tendon 19:58 Volume vs. Intensity: The Key to Structural Development 24:59 The Role of Joint Stiffness in Athletic Performance 30:02 The Stretch-Shorten Cycle and Its Implications 35:16 Understanding Tendon Development 39:01 The Neuromuscular Connection 44:07 Stiffness vs. Compliance in Tendons 48:01 The Importance of Deep Tier Movements 56:56 Tendon Development in Youth 01:04:00 Upcoming Projects and Future Plans   Takeaways Matt recently moved to Knoxville, Tennessee, and is working with the NFL Combine Group. The tier system for plyometrics is based on a simple classification of movement intensity. Tendon health is crucial for athletes, especially in track and field. Volume is essential for structural development in muscles and tendons. Joint stiffness plays a significant role in athletic performance. The light tier of plyometrics is more muscular-based and less effective for structural changes. High volumes of plyometric training can lead to significant improvements in performance. Athletes in team sports often hide injuries better than those in track and field. The stretch-shortening cycle is vital for understanding tendon function during athletic movements. Fatigue in muscles can limit the effectiveness of tendon utilization during performance. Max effort jumps primarily enhance neuromuscular output. Tendon development requires specific training tiers. Stiffness and compliance are crucial for tendon health. Deep tier movements may improve tendon compliance. Youth training should consider peak height velocity. Monitoring volume and intensity is essential for young athletes. Tendons behave differently in youth compared to adults. Injury prevention strategies must include structural training. The relationship between joint angles and tendon strain is complex. Upcoming courses will focus on practical training methods.    Matt's Website: https://www.plusplyos.com Matt's Instagram: https://www.instagram.com/mcinneswatson/?hl=en Notes: https://jackedathlete.com/podcast-123-tendons-with-matt-mcinnes-watson/

Welcome to Season 2 of the Orthobullets Podcast.Today's show is Foundations, where we review foundational knowledge for frontline MSK providers such as junior orthopaedic residents, ER physicians, and primary care providers.This episode will cover the topic of⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Posterior Tibial Tendon Insufficiency (PTTI), from our Foot & Ankle section at Orthobullets.com.Follow⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Orthobullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on Social Media:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Facebook⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Twitter⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠LinkedIn⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠YouTube

On this episode of the Pacey Performance Podcast, Jake Tuura shares his journey into tendon training after personal struggles with jumper's knee. He highlights the critical role tendons play in sports performance, acting as energy-storing structures that absorb and release force during high-intensity movements. Proper tendon stiffness minimizes excessive strain, reducing the risk of tendon injuries such as tendinopathy and ruptures. Jake explains that developing tendon stiffness takes time and is best achieved through long-term heavy lifting and isometric exercises rather than relying solely on plyometrics. Research indicates that short-duration heavy isometric contractions stimulate collagen production and improve tendon resilience, whereas plyometrics alone may not provide sufficient loading for tendon adaptation. Effective training should apply 4-20% strain to optimize tendon health while maintaining overall strength and conditioning. Jake spends time on explaining that early engagement in diverse physical activities (ages 0-17) helps build robust tendons, while poor training practices and high blood sugar levels can negatively affect tendon stiffness. Both male and female athletes should follow structured tendon training approaches, as biological differences do not necessitate separate programs. After being asked about the Achilles rupture epidemic in NFL, Jake explains that proper offseason conditioning and tendon monitoring are crucial. Regular assessments, high-load training, and structured progressions can prevent degenerative issues, helping athletes maintain high performance while minimizing injury risks. Main talking points: Tendon stiffness is crucial for sports performance Proper tendon training helps prevent injuries Heavy lifting and isometrics improve tendon stiffness Plyometrics alone are insufficient for tendon adaptation Short-duration heavy isometrics enhance tendon resilience Early physical activity builds strong tendons Achilles injuries are increasing in professional sports Offseason conditioning is critical for tendon health Regular assessments help prevent tendon degeneration

Using load to improve tendon/ligament tissue engineering and develop novel treatments for tendinopathy Tam KT, Baar K. Matrix Biol. 2025;135:39-54. doi:10.1016/j.matbio.2024.12.001 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 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

Chuck and Chris discuss several listener submitted questions and comments on the CMC joint as well as a case of TFCC pathology.  Our focus is FPL rupture and reconstruction- we discuss interpositional tendon graft and FDS transfer.Flexor Pollicis Longus Reconstruction After Rupture Following Distal Radius Fixation With Volar Locking Plate: A Technique Guide.Welbeck A, Goldfarb CA, Calfee RP, Dy CJ.Tech Hand Up Extrem Surg. 2024 Sep 1;28(3):124-128.  PMID: 38516925Our surgical follow- up article will be published in JHS Go but is not yet available.Please complete our survey:  https://bit.ly/3iHGFpDSee www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities.Check out this link for the lecture series from Checkpoint Surgical.  https://checkpointsurgical.com/education/decision-point.   Subscribe to our newsletter: bit.ly/3X0Gq89As always, thanks to @iampetermartin for the amazing introduction and concluding music.Complete podcast catalog at theupperhandpodcast.wustl.edu.  

This episode features performance coach and tendon specialist Jake Tuura. Jake is an experienced coach and educator focusing on athlete hypertrophy, vertical jump improvement, and patellar tendinopathy rehabilitation. He spent seven years as a collegiate strength and conditioning coach as well as time in the private training sector. Connective tissue is critical in athletic movement and performance, but its relationship to both performance and the rehab process is still evolving. New research is continually coming out that is molding our understanding of what is really happening “under the hood” in training, and how to optimize processes to maximize tendon health and performance. On today's podcast, Jake explores tendon science alongside athletic performance concepts. He covers ideas on animal tendon properties, age-related tendon changes, tendon stiffness vs. compliance, and the collagen matrix. On the performance end, Jake talks about the impacts of various training means on tendon adaptation, particularly various forms of isometric training, heavy strength training, plyometrics, and more. This was an awesome show connecting the latest tendon science with practical training solutions for healthier tendons and better athletic movement. Today's episode is brought to you by TeamBuildr's Gym Studio and the Just Fly Sports Online Courses. To learn more about the Sprint Acceleration Essentials, Elastic Essentials, or Speed ID courses, go to justflysports.thinkific.com Use the code “justfly25” for 25% off any Lila Exogen wearable resistance training, including the popular Exogen Calf Sleeves. For this offer, head to Lilateam.com View more podcast episodes at the podcast homepage. Main Points 6:42- Achilles Tendon Length Disparity: Humans vs. Deer. 9:33- Tendon Regeneration Discrepancy in Wild vs. Racehorses 21:55- Golgi Tendon Organ and Training Optimization 24:39- Age-Related Changes in Tendon Properties 26:44- Collagen Production Influencing Tendon Stiffness Adaptation 28:47- Tendon Compliance Impact on Athletic Performance 40:41- Preserving Tendon Elasticity for Athletic Longevity 45:38- Reframing Tendon Pain as a Healing Signal 53:14- Optimizing Joint Rotation for Enhanced Performance 1:04:41- Tendon Health and Aerobic Fitness Relationship 1:08:01- Tendon Health Benefits of Isometrics and Lifting 1:11:17- Tendon Strain Variability in Plyometric Training 1:16:24- Enhancing Performance Through Muscle-Tendon Synchronization in Plyometrics 1:21:54- Tendon-Focused Training Periodization Strategy Quotes (7:38) "It's crazy to see how long that (deer Achilles tendon) is and how little blood flow it gets and they're able to do what they do." - Jake Tuura (12:50) “I went hunting for three months. So I didn't, I didn't jump at all. It was winter, it was icy out. And then I go back to dunking and (the patellar tendon) blows up again. So it's like the man-made tendon issues are when you change things suddenly.” - Jake Tuura (21:49) "The worst thing you can do is completely take it away and then try to hop back in. I think it's going to blow up or maybe it's going to have a serious injury." - Jake Tuura (28:10) “The tendon gets pulled on and then the tendon has a, the cells have a response to get stiffer. So like if you pull on the tendon, let's say 10% of its resting length, which is a pretty big pull on a tendon. The tendon has this, this adaptation where the cells kick out more collagen. It lays down the collagen, the tendon to get stiffer.” - Jake Tuura (37:00) “Collagen fascicles don't really extend a whole lot. Yeah, like, their strain is very minimal. And the collagen fascicles have this helical rotation, which then is again, more extendability. The helical angle decreases as you get older because the gel is drying up and it becomes more linear.” - Jake Tuura (47:00) “You have to respect the many months process where it's going to reorient t...

After our longest hiatus, we were return to talk about a potentially career altering injury to one the best line backers, the rest of the country doesn't know about, a patellar tendon tear for Nakobe Dean, linebacker for the Philadelphia Eagles. Additionally, we cover multiple playoff significant injuries, going into the weekend!

In this episode of the Healthy, Wealthy, and Smart podcast, host Dr. Karen Litzy welcomes fellow physical therapist Jay Dicharry, MPT, SCS, a leading expert in sports rehabilitation and the author of "Running Rewired." The conversation dives into running, covering assessment, injuries, and innovative approaches to help endurance athletes recover. Jay shares insights on the evolution of running advice over the decades, highlighting the need for updated methodologies in training and rehabilitation. Tune in to gain valuable knowledge on running techniques and how to effectively address common injuries while benefiting from Jay's extensive experience in the field.   Time Stamps:  [00:02:20] Assessing body mechanics in running. [00:03:41] Postural compensations in running. [00:08:48] Running economy and control. [00:11:09] Runners' identity and injury management. [00:14:01] Hip extension vs. lumbar compensation. [00:17:02] Tech-assisted motor control techniques. [00:21:15] Wearable tech in biomechanics. [00:25:26] Asymmetries in runner's performance. [00:27:34] Strength, power, and running injuries. [00:30:03] Plyometrics for bone density. [00:32:28] Tendon rehabilitation techniques. [00:36:30] Patient engagement in physical therapy. [00:40:24] Mental focus in running. [00:42:30] Improve movement quality for runners. [00:46:08] Strength training for runners. [00:50:24] Personal growth in physical therapy. [00:00:00] Staying healthy, wealthy, and smart.   More About Jay: Jay Dicharry completed his Masters of Physical Therapy at Louisiana State University Medical Center and is a Board-certified Sports Clinical Specialist. Dicharry's career blurs the line between clinical practice, coaching, and engineering to solve problems and optimize performance. Dicharry built his reputation in biomechanical analysis as Director of the SPEED Clinic at the University of Virginia and is the Founder of MOBO. Dicharry writes for digital and print media and has authored two books on running gait, “Running Rewired” and "Anatomy for Runners." Dicharry enjoys an active research career and has published over thirty-five professional journal articles and book chapters. He also consults for the running and cycling industry, the US Armed Forces, USA Track and Field, USA Triathlon, and athletes across the world.  Having taught in the Sports Medicine program at UVA and the DPT program at OSU-Cascades, he brings a strong bias towards patient education, and teaches internationally to elevate the standard of care for Therapists, Physicians, and Coaches. He is excited to share his research-driven focus and expertise to build our students into critical thinkers and push the needle in our profession.   Resources from this Episode: Mobo Board Use the code TRN10 to get 10% off Mobo board Jay's Website Running Rewired Book Jay on Instagram Mobo Board on Instagram New York Times Article on Injury Prevention Jay on ResearchGate   Jane Sponsorship Information: Book a one-on-one demo here Mention the code LITZY1MO for a free month   Follow Dr. Karen Litzy on Social Media: Karen's Twitter Karen's Instagram Karen's LinkedIn   Subscribe to Healthy, Wealthy & Smart: YouTube Website Apple Podcast Spotify SoundCloud Stitcher iHeart Radio