Podcasts about tendons

Join me in revisiting this conversation with Dr. Vonda Wright, orthopedic surgeon and women's health specialist to discuss:The consequences of low estrogen on BONES, MUSCLE, TENDONS and LIGAMENTSMusculoskeletal (MSK) aging, injury prevention and staying juicy!"Active aging" - what to do in your 30s, 40s, 50s+How to reduce the threat of "frozen shoulder" (adhesive capsulitis)What are the MSK symptoms of menopause?Why your mother is shrinkingWhat do women need to do NOW?

Allison is a pretty great podcast guest! She's talented and accomplished but also honest and has a great sense of humour. We're fans of her and Kyra's podcast (CircleUp, check it out) and so it was a real treat to complete the set and have her on our rambly mess of a podcast to go along with Kyra's episode. We talk about the transition to outdoor climbing, the pressures of projecting, trying to enjoy the process without letting failure get you down and of course we couldn't let her go without a quick interrogation about her frankly ludicrously strong digits, not even we could fail to bring that up!If you're enjoying the podcast and would like to support us please consider checking out our Patreon page: https://www.patreon.com/c/user?u=70353823Support the show

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/

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/

Chapters 00:00 Introduction to Tendons and Human Performance 06:31 Understanding Tendon Injuries and Variability 12:32 The Complexity of Connective Tissue 18:06 Innovative Approaches to Tendon Training 27:55 High Intensity vs. Low Intensity Training for Tendons 30:40 Understanding Tendon Strain in Endurance Athletes 33:21 Connective Tissue Behavior and Injury Prevention 36:52 The Role of Genetics and Abnormal Connective Tissue 39:45 Assessing and Training Connective Tissue 43:11 Restoring Normal Connective Tissue Architecture 46:59 Manipulating Load, Length, and Time for Adaptation 50:40 Dynamic vs. Static Training for Connective Tissue 54:12 Integrating Multiple Training Qualities 58:52 Programming for Adaptation, Not Just Exercises   Takeaways Taylor Starch has been in the strength and conditioning industry for about 15 years. His interest in tendons grew from personal injuries and working with military athletes. Understanding tendons requires recognizing their complexity and variability. Different tissues in the body respond to different types of training. Tendons need strain to gain strength and resilience. Training should not just focus on one position or angle. Low intensity durability is crucial for tendon health. High intensity repeatability helps in sustaining performance under strain. The bigger the base of connective tissue strength, the higher the peak performance. Innovative training methods can help address specific tendon issues effectively. Endurance athletes experience significant tendon strain but manage it effectively. Connective tissue behavior is crucial for injury prevention. Genetics play a role in tendon health and injury susceptibility. Assessing connective tissue is essential for understanding injury risk. Training should focus on restoring normal connective tissue architecture. Manipulating load, length, and time is key to adaptation. Static training is often overlooked in favor of dynamic work. Integrating multiple training qualities is necessary for performance. Understanding adaptations is more important than just knowing exercises. Progressive overload is essential for long-term connective tissue health.   Notes: https://jackedathlete.com/podcast-138-tendons-with-taylor-starch/

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Every so often people reach out to me and request that I cover a particular topic, relative to our favorite subjects on this podcast. So today we are going to take a deep dive into some of those topics that were requested by some of your fellow TRLR listeners. The first topic is red light therapy (RLT) for tendinopathy ​(i.e. pain from overuse in tendons), where I discuss the mechanisms of how RLT​ has the potential to help heal this type of an injury, review the most relevant research and then provide some practical application for what a real treatment would look like with a RLT devce.The second topic is how to apply The Mitochondrial Triad for fertility.​​ I first examine the role that mitochondrial dysfunction plays in facilitating low fertility rates and then scrutinize how/why RLT, methylene blue and C60 may have efficacious, profound potential for improving and optimizing fertility — both from the female and male perspective. I also offer some practical application for each aspect of The Mitochondrial for women and men.​​ If you found the information in today's episode particularly interesting and/or compelling, please share it with a family member, friend, colleague and/or anyone that you think could benefit and be illuminated by this knowledge. Sharing is caring :)As always, light up your health! - Key points: (00:00) - The Red Light Report intro with Dr. Mike Belkowski. (00:16) - BioLight at the Health Optimization Summit; possible new product reveal. (02:49) - BioLight expanding into a Times Square retail space. (03:20) - Red light therapy for tendinopathy: reduces pain, inflammation, and boosts collagen. (06:42) - Near-infrared light aids deep tendon healing; best for surface tendons like the Achilles. (15:22) - Eccentric exercises + red light therapy improve recovery. (20:13) - Suggested dosage: 5-7 J/cm² for tendinopathy. (30:13) - Mitochondrial function is crucial for fertility in men and women. (39:02) - Red light therapy supports female fertility, PCOS, and endometriosis. (43:24) - Red light therapy boosts sperm motility and testosterone. (45:43) - Methylene blue and C60 enhance mitochondrial function and protect reproductive health. (55:26) - The mitochondrial triad (red light therapy, methylene blue, C60) optimizes fertility. (59:47) - Mitochondria are key to overall health—use light therapy wisely. - Upcoming BioLight Events:   Health Optimisation Summit (Biohacking Conference), April 12 - 13 (Austin, TX)   Returning to Nature (Quantum Health Retreat), June 26 - 27 (Franklin, TN) - Articles referenced in episode:   The effect of low-level red and near-infrared photobiomodulation on pain and function in tendinopathy: a systematic review and meta-analysis of randomized control trials ​Photobiomodulation for Tendinopathy: A Review of Preclinical Studies Photobiomodulation effects on Achilles tendon pain: a systematic review and meta-analysis of randomized clinical trials Photobiomodulation and eccentric exercise for Achilles tendinopathy: a randomized controlled trial Analysis of pain relief and functional recovery in patients with shoulder tendinopathy treated with therapeutic ultrasound combined with LED photobiomodulation therapy - Save 25% when you Subscribe & Save to a BioBundle!   For a BioBundle, you choose:1.) Any one BioBlue supplement(BioBlue, BioBlue (SR), BioBlue Leuco, BioBlue Calm, BioBlue Capsules or BioBlue Leuco Capsules)2.) Any one BioC60 supplement(Regular or Concentrated)   The BioBundle automatically saves you 15% on both of the supplements you choose.You save an additional 10% by choosing to Subscribe & Save to that BioBundle.The 25% savings is passed along for every monthly delivery of your BioBundle!No discount code necessary!   Click here to check out The BioBundle - Dr. Mike's #1 recommendations: Water products: Water & Wellness Grounding products: Earthing.com EMF-mitigating products: Somavedic Blue light-blocking glasses: Ra Optics - Stay up-to-date on social media: Dr. Mike Belkowski: Instagram LinkedIn   BioLight: Website Instagram YouTube Facebook

Chapters 00:00 Introduction to Tendinopathy and Personal Journey 02:46 Understanding Tendinopathy: Inflammation vs. Degeneration 06:02 The Role of Isometrics in Tendon Rehabilitation 09:10 Muscle Function vs. Tendon Focus in Rehabilitation 11:50 Managing Load: Balancing Pain and Progress 15:07 Powerlifting and Tendinopathy: A Unique Perspective 17:54 Biomechanics and Chronic Workload in Tendon Pain 32:51 Understanding Tendon Biomechanics 34:10 Mismanagement of Tendon Injuries 37:24 The Importance of Progressive Loading 39:07 Transitioning to Remote Rehabilitation 41:03 The Role of Imaging in Tendon Injuries 44:27 Navigating Partial Tears and Surgical Decisions 47:41 Post-Surgery Rehabilitation Challenges 53:27 The Efficacy of Injections in Tendon Pain 56:54 The Debate on Stretching Tendons 01:00:00 Exploring BPC-157 and Its Anecdotal Use   Takeaways Tendinopathy is often mismanaged in clinical settings. Isometrics can be beneficial but are not a one-size-fits-all solution. Muscle function and nervous system adaptation are crucial in rehab. Pain should guide rehabilitation strategies. Heavy loads must be relative to the individual's condition. Powerlifters can experience patellar tendinopathy due to high volume and intensity. Biomechanics play a role in tendon injuries but are not the sole factor. Chronic workload changes can lead to tendon pain. Expectations and beliefs can influence treatment outcomes. Individualized approaches are essential for effective rehabilitation. High bar back squats may aggravate tendon injuries more than low bar squats. Mismanagement of tendon injuries often leads to prolonged recovery times. Progressive loading is crucial for effective rehabilitation. Remote rehabilitation can provide more frequent and tailored care. Imaging can create fear and confusion about tendon injuries. Partial tears may not always require surgical intervention. Post-surgery rehabilitation is highly individualized and can be challenging. Injections may provide temporary relief but are not a guaranteed solution. Stretching tendons should be minimized, especially in early stages of rehab. BPC-157's effectiveness remains largely anecdotal and requires more research.   Alex's links: https://stan.store/training_with_tendinopathy Alex's Instagram: https://www.instagram.com/training_with_tendinopathy/ Notes: https://jackedathlete.com/podcast-137-tendons-with-alex-nelson/

Chapters 00:00 Introduction to Byron Miller and His Journey 03:07 Understanding Tendinopathy and Its Evolution 05:51 The Shift from Traditional Views to Modern Understanding 08:53 Personal Experiences with Tendinopathy 11:50 The Role of Loading in Tendon Rehabilitation 14:59 Practical Approaches to Tendon Treatment 18:09 The Importance of Patient Education and Lifestyle Adjustments 30:55 Optimizing Recovery and Load Management 33:53 Rehabilitation Insights for Rotator Cuff Injuries 37:44 The Importance of Loading in Shoulder Rehabilitation 41:38 Understanding Rotator Cuff Functionality 46:14 Addressing Common Shoulder Pathologies 51:46 The Role of Strength and Function in Shoulder Health 56:14 Navigating Treatment Options for Shoulder Pain   Takeaways Byron Miller specializes in tendinopathy and has a passion for research. His journey into physical therapy began after a change from pursuing medicine. The understanding of tendinopathy has evolved significantly over the years. Loading strategies are crucial in the rehabilitation of tendons. Patient education is essential for effective treatment and management. Miller emphasizes the importance of simplifying rehabilitation exercises. He shares personal experiences with various tendon injuries. The role of lifestyle factors in tendon health is significant. Miller advocates for a tailored approach to each patient's needs. Understanding the difference between tolerance and capacity in tendon treatment is key. Recovery requires minimizing compressive load during rehabilitation. Step count and stride length can impact gluteal muscle health. Loading is crucial for effective shoulder rehabilitation. Single exercises can be more effective than multiple in rehab. Rotator cuff injuries often relate to tendinopathy. Education coupled with exercise enhances rehabilitation outcomes. Shoulder pain can stem from both compressive and tensile loading. Strengthening the shoulder complex is vital for overall function. Psychological factors play a significant role in shoulder pain management. Maintaining activity levels is important to prevent underloading. Website: https://www.tendonrx.com Instagram: https://www.instagram.com/tendonrx/ Notes: https://jackedathlete.com/podcast-136-glute-med-and-rotator-cuff-tendons-with-byron-miller/

Chapters 00:00 Introduction and Setting the Scene 00:54 Steven's Journey into Strength and Conditioning 01:59 The Achilles Rupture Experience 11:57 Rehabilitation Insights and Lessons Learned 19:59 Exploring Patellar Tendon Issues 28:01 Understanding Elbow Tendon Pain 34:24 Managing Injury and Recovery Strategies 36:07 The Journey of Overcoming Adductor Injuries 48:06 Rehabilitation Techniques for Achilles Tendon Injuries 57:23 Understanding Elbow Tendinopathy and Rehabilitation   Takeaways Steven's passion for coaching was ignited by his own injury. The Achilles rupture experience was a turning point in Steven's career. Rehabilitation requires a systematic approach to be effective. Understanding body mechanics is crucial for injury prevention. Patellar tendonitis can stem from poor movement patterns. Elbow pain in grappling often results from increased training loads. Isometrics play a vital role in rehabilitation. Pain management is essential for quality of life during recovery. Training through discomfort can lead to better outcomes. Learning from personal experiences enhances coaching effectiveness. Fast jerk movements can aggravate injuries. Training grip and wrist work can provide relief. Rehabilitation requires understanding individual body mechanics. Pushing through discomfort can lead to injuries. Isometric exercises can aid in recovery. Listening to your body is crucial during rehab. Tendons need load to heal effectively. Rehab should consider the entire kinetic chain. Elbow pain can be linked to shoulder and neck issues. A comprehensive approach is essential for effective recovery.   Steven's Instagram: https://www.instagram.com/coach_steven_sahyoun/ Steven's YouTube: https://www.youtube.com/@coachstevensahyoun Steven's Podcast: https://open.spotify.com/show/1cQwoKXtHgfK8rXOg7205A?si=7e0d59abee61426d Steven's Linktree: https://linktr.ee/Psccoaching?fbclid=PAZXh0bgNhZW0CMTEAAaazihc-tjME4aZcBa1_GVatrfxX0D37NK9DsdrRGYOhZ57PRW6y_Zba5Jw_aem_UlXctGsQgFvIqICadC8RYg Notes: https://jackedathlete.com/podcast-135-tendons-with-steven-sahyoun/

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/

Rip answers questions live from Starting Strength Network subscribers and fans.

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

In this episode, David and “tendon God” Jake Tuura do a deep dive into all things to do with tendons; break down rehab strategies, and explore whether isometrics really work. This is one of those episodes you should not skip because there are insights at every turn. You can find Jake Tuura on Instagram here. _____ (00:15) - Introduction (0:59) - The Journey into Tendon Research (6:15) - The Role of Isometrics in Tendon Health (12:29) - Calf Strength and Rehabilitation Strategies (18:30) - Metabolic Health and Tendon Pain (31:56) - Understanding Tendon Pain and Inflammation (37.08) - Rehabilitation Strategies for Tendon Injuries (29:46) - The Journey Begins: Finding the Right Support (4312) - The Importance of Functional Assessment in Rehab (57:14) - Navigating Pain Management and Recovery (1:10:56) - The Importance of Permission in Rehab (1:16:40) - The Role of Assertiveness in Rehab (1:21:03) - Choosing the Right Protocol for Recovery ___ Don't forget to check out our programs:

In this episode, Eric interviews world-renowned muscle physiology researcher Dr. Keith Baar to apply his tendon- and ligament-specific research to the world of baseball sports medicine.

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/

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

Chapters 00:00 Introduction to Tendinopathy Coaching 03:10 The Journey into Tendon Rehabilitation 06:08 Understanding Muscle-Tendon Imbalance 09:01 Pain vs. Structural Changes in Tendons 11:55 The Complexity of Pain Management 14:45 The Role of Dynamic Loading in Recovery 18:04 Differentiating Between Patellar Tendinopathy and Patellofemoral Pain 20:50 Mid-portion vs. Insertional Achilles Tendinopathy 42:37 Gradual Exposure in Tendon Rehabilitation 45:03 Frequency and Loading in Tendon Rehab 49:27 Metabolic vs. Load-Related Tendon Pain 55:40 Inflammation and Pain Mechanisms in Tendons 01:01:01 The Role of Alcohol in Tendon Pain 01:07:14 Strength vs. Load Management in Tendon Recovery 01:13:32 Future Directions in Tendon Research Takeaways Niels Heim's journey into tendinopathy coaching began with a podcast. Coaching focuses on helping athletes return to their sport. Pain management in tendinopathy is complex and individualized. Dynamic loading is crucial for tendon recovery. Differentiating between patellar tendinopathy and patellofemoral pain is important. Muscle-tendon imbalances can lead to injuries. Structural changes in tendons do not always correlate with pain relief. Isometric loading can be beneficial for tendon rehabilitation. Understanding patient-specific pain responses is essential. The approach to Achilles tendinopathy should differentiate between mid-portion and insertional types. Gradual exposure to loading can enhance tendon rehabilitation. Frequency of loading is crucial; every other day may be optimal. Metabolic and load-related tendon pain require different approaches. Inflammation is not always the primary concern in tendon pain. Alcohol consumption can exacerbate tendon pain. Strength may not need to increase for recovery to occur. Managing overall load is essential for tendon health. Eliminating negative lifestyle factors can aid recovery. Pain management strategies are vital in rehabilitation. Future research should explore plyometric training frequency.  Nils on Instagram: https://www.instagram.com/nils.heim.schmerzcoach/ SehnenStark podcast (iTunes): https://podcasts.apple.com/us/podcast/sehnenstark/id1725984010 SehnenStark podcast (Spotify): https://open.spotify.com/show/63h1RG0X1ZCoWwT3Z0MgZ1?si=b0193eed8f604635 Notes here: https://jackedathlete.com/podcast-127-tendons-with-nils-heim/

Chapters 00:00 Introduction to Coaching and Background 02:47 The Importance of Plyometrics in Training 06:13 Understanding Tendon Development and Injury Risks 08:58 The Role of Volume in Athletic Training 11:47 Exploring Isometric Training Techniques 15:10 Tendon Issues in Young Athletes 18:02 Biomechanics and Injury Prevention 20:56 The Journey with Extreme Isometrics 24:08 Experiences and Outcomes from Isometric Training 30:20 Embracing Failure in Training 32:51 The Neurological Aspect of Muscle Coordination 36:12 Understanding Energy Systems in Training 37:06 Optimizing Leg Positioning for Performance 39:55 The Role of Tendons in Rehabilitation 43:07 Balancing Loading Techniques for Tendon Health 46:03 The Impact of Blood Flow on Tendon Recovery 48:50 Integrating Plyometrics and Isometrics in Training 52:13 Foot Mechanics and Injury Prevention 57:55 Conclusion and Resources   Takeaways Rob Assisi has been a track coach for 21 years. Plyometrics play a crucial role in athletic adaptation. There needs to be a balance between stiffness and compliance in training. Volume is essential for tendon development. Isometric training can provide unique benefits for athletes. Young athletes often face tendon issues due to overtraining. Biomechanics significantly influence injury risks in athletes. Extreme isometrics can lead to remarkable performance improvements. Understanding foot contact is vital for effective training. Coaches must consider the long-term effects of training on athletes.  Embracing failure is crucial for growth in training. Pulling harder can help overcome feelings of impending failure. Muscle coordination is key to effective training. Energy systems play a significant role in performance. Tendons require specific loading techniques for rehabilitation. Long-duration holds can benefit tendon health. Blood flow restriction may aid in tendon recovery. Integrating different training modalities enhances performance. Foot mechanics are essential for injury prevention. Understanding individual biomechanics can improve training outcomes.   Rob's Instagram: https://www.instagram.com/reevolutionathletics/ Rob's Twitter: https://x.com/hfjumps Rob's Website: https://www.re-evolutionathletics.com/home

Dr. Keith Baar is a Professor at the University of California, Davis in the Department of Physiology and Membrane Biology. During his Ph.D. studies, his research revealed that mechanical strain on muscle fibers activates the mammalian target of rapamycin (mTOR) signaling pathway, a crucial regulator of muscular hypertrophy. Subsequently, he studied the molecular dynamics of skeletal muscle adaptation to endurance training under the guidance of Dr. John Holloszy, a legend in the field of exercise physiology, considered the father of modern exercise biochemistry. Building on all of this experience, he conducted research into tendon health and the potential for engineering ligaments, which could have implications for treatment and recovery from injuries.Sponsors:Cresset prestigious family office for CEOs, founders, and entrepreneurs: https://cressetcapital.com/tim (book a call today)AG1 all-in-one nutritional supplement: https://DrinkAG1.com/Tim (1-year supply of Vitamin D (and 5 free AG1 travel packs) with your first subscription purchase.)Shopify global commerce platform, providing tools to start, grow, market, and manage a retail business: https://shopify.com/tim (one-dollar-per-month trial period)*Links to everything discussed: https://tim.blog/2025/02/26/dr-keith-baar/Timestamps:[00:00:00] Start [00:07:12] How I discovered Keith's work through a tweet about tennis elbow and rock climbing.[00:07:54] Emil Abrahamsson's hangboard training protocol.[00:09:20] The fundamental principles of strength training and connective tissue adaptation.[00:10:36] mTOR complex 1 and its role in muscle growth.[00:12:06] Engineered ligaments and the discovery of minimal effective doses for tendon adaptation.[00:13:50] The refractory period between optimal tendon loading sessions.[00:16:42] Rapamycin's effects on muscle hypertrophy.[00:18:49] Protocols for tennis elbow rehabilitation.[00:20:28] Why isometrics work better than eccentrics for tendon healing.[00:22:14] Stress shielding and how load distribution affects tendon healing.[00:29:07] The misconception about eccentric loading for tendon injuries and why velocity matters.[00:29:58] Ideal duration for isometric holds (10-30 seconds) based on injury status.[00:33:50] My elbow issues and current rehab approach.[00:36:02] Overcoming vs. yielding isometrics and optimal loading strategies.[00:47:11] Dr. Barr's movement prescription for my tennis elbow.[00:52:18] Loading timing post-surgery and RICE protocol criticism.[00:56:58] Achilles tendon rehabilitation after surgery.[01:00:18] Critique of orthopedic suturing techniques and recommendation for resorbable sutures.[01:04:02] Multiple position isometrics for tennis elbow rehabilitation.[01:07:26] Collagen synthesis, supplementation, and vitamin C timing.[01:12:59] Critique of BPC-157 and other injectable peptides for tendon healing.[01:18:19] Evaluation of orthobiologics' (PRP, prolotherapy, stem cells) effectiveness.[01:21:37] JAK-STAT inhibitor drugs and their effects on tendon growth.[01:25:35] Drugs that increase risk of tendon ruptures (fluoroquinolones, AT-1 receptor drugs).[01:29:33] How estrogen affects tendon stiffness and injury risk in women.[01:32:48] Testosterone's opposite effects on tendon compared to estrogen.[01:35:31] Protein intake recommendations and timing.[01:40:11] Ketogenic diet effects on mitochondrial biogenesis and longevity.[01:41:57] Comparison of ketogenic diet, low protein diet, and rapamycin for longevity.[01:47:19] Inflammation's role in adaptation and when to reduce it.[01:51:17] Timing of ice baths relative to training for optimal recovery.[01:52:33] Parting thoughts.*For show notes and past guests on The Tim Ferriss Show, please visit tim.blog/podcast.For deals from sponsors of The Tim Ferriss Show, please visit tim.blog/podcast-sponsorsSign up for Tim's email newsletter (5-Bullet Friday) at tim.blog/friday.For transcripts of episodes, go to tim.blog/transcripts.Discover Tim's books: tim.blog/books.Follow Tim:Twitter: twitter.com/tferriss Instagram: instagram.com/timferrissYouTube: youtube.com/timferrissFacebook: facebook.com/timferriss LinkedIn: linkedin.com/in/timferrissPast guests on The Tim Ferriss Show include Jerry Seinfeld, Hugh Jackman, Dr. Jane Goodall, LeBron James, Kevin Hart, Doris Kearns Goodwin, Jamie Foxx, Matthew McConaughey, Esther Perel, Elizabeth Gilbert, Terry Crews, Sia, Yuval Noah Harari, Malcolm Gladwell, Madeleine Albright, Cheryl Strayed, Jim Collins, Mary Karr, Maria Popova, Sam Harris, Michael Phelps, Bob Iger, Edward Norton, Arnold Schwarzenegger, Neil Strauss, Ken Burns, Maria Sharapova, Marc Andreessen, Neil Gaiman, Neil de Grasse Tyson, Jocko Willink, Daniel Ek, Kelly Slater, Dr. Peter Attia, Seth Godin, Howard Marks, Dr. Brené Brown, Eric Schmidt, Michael Lewis, Joe Gebbia, Michael Pollan, Dr. Jordan Peterson, Vince Vaughn, Brian Koppelman, Ramit Sethi, Dax Shepard, Tony Robbins, Jim Dethmer, Dan Harris, Ray Dalio, Naval Ravikant, Vitalik Buterin, Elizabeth Lesser, Amanda Palmer, Katie Haun, Sir Richard Branson, Chuck Palahniuk, Arianna Huffington, Reid Hoffman, Bill Burr, Whitney Cummings, Rick Rubin, Dr. Vivek Murthy, Darren Aronofsky, Margaret Atwood, Mark Zuckerberg, Peter Thiel, Dr. Gabor Maté, Anne Lamott, Sarah Silverman, Dr. Andrew Huberman, and many more.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

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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/

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/  

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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/

Notes here: https://jackedathlete.com/podcast-122-tendons-with-joel-smith/ Joel's website: https://www.just-fly-sports.com Joel on Instagram: https://www.instagram.com/justflysports/?hl=en

Boston Bones, Tendons, Weights, & Whistles  https://chrisjohnsonpt.com/product/bones-tendons-weights-whistles-boston-march-2025/ Timestamps: 2:20 What's new with Chris4:30 What's new with Nathan5:30 Case study one - vague hip pain14:10 Case study two - glute med tendinopathy?16:30 Chris and Nathan come to Boston18:20 Solopreneuer corner: One tip for if and when you go out on your own25:00 What do we struggle with in the clinic?    

2024 was one of the craziest years of my life. I created some of my most demanded content ever, I traveled the world with you, AND I became a dad! 2025 may not be able to top it... but it won't be for lack of trying! Stay tuned to hear what's in store for Messed Up Origins this year (and beyond)! Oh, and remember... Jon shot first. ✈️ Join the Japan Waitlist! https://trovatrip.com/trip/asia/japan/japan-with-jon-solo-jun-2025

PodChatLive 159: Disney princess health risks, bilateral Vs unilateral heel pain, and FHL muscle volume in those with MTSS Contact us: getinvolved@podchatlive.com Links from this episode: Living happily ever after? The hidden health risks of Disney princesses Predictors for pain and functioning in patients with plantar fasciopathy one year after inclusion in a treatment trial in specialist care Complaints and Pain Predominance in Running-Related Injuries MRI-Based Morphometric Comparison of Lower Leg Muscles and Tendons in Individuals With Medial Tibial Stress Syndrome

The timing of your exercise hurts or improves exercise benefits in menopause. If this is new stay with me! If this is like a review or you're a trainer and you're unsure of how to relate these things to your clients, you stay with me too! This is a great refresher and for some trainers the first time they're ever hearing it! If you're a trainer or health pro, don't miss the She Means Fitness Podcast, and be sure if you're not getting results for your midlife and beyond clients you're aware of our sponsor of this show, the Flipping 50 Menopause Fitness Specialist®. Since 2018 we've been providing the course and CECs, and now, this is not a course, it's a business. Learn more here. Questions I Answer in This Episode: Why type and timing of exercise matters more in menopause? [00:07:56] The normal curve of hormones during the day (and night) [00:08:48] How exercise affects hormones [00:10:06] Some examples of how exercise timing change has supported symptoms of menopause [00:15:38] First steps to try if you're a little “addicted” to your exercise [00:38:49] Let's review hormones related to exercise (in menopause or any stage): Cortisol is at its highest level at 8am and lowest at 2am when you're functioning optimally. During times of stress, whether chronic or acute cortisol levels spike (also increasing blood sugar). Insulin levels will increase if blood sugar rises, in order to lower blood sugar levels. By late afternoon, cortisol levels are low and not providing the energy we've enjoyed during the morning. So if we exercise, your body will convert another hormone into cortisol. In the evening, progesterone levels rise to help facilitate the chill and relaxation that helps provide a sound night sleep. During deep cycles of sleep, we release testosterone and growth hormones which improve muscle growth and repair. Why Doing Intense Exercise Early Improves Exercise Benefits in Menopause (H2) So you don't misinterpret, this isn't a suggestion for intense exercise every day. Doing intense exercise early improves exercise benefits in menopause. Also true, intense exercise late might interfere with exercise benefits in menopause. The two keys in the conversation on High Intensity Interval Training (HIIT) are: cortisol during exercise cortisol after exercise What does cortisol do? Cortisol is responsible for physiological changes, such as the quick breakdown of fats and carbohydrates and a rise in blood sugar for immediate energy, and repressing the immune system to focus your energy on whatever you're doing at the moment. The blood sugar elevation you see on your Continuous Blood Glucose Monitor is normal and not a bad thing (provided you're recovering quickly from that spike that is caused by a legitimate need). The glucose has been released so it can be used: It's when you see your CGM continue to be elevated after your HIIT session, or crash, that you want to be concerned about. The quality of your recovery is important. In menopause, particularly perimenopause, recovery can be slowed or insufficient simply because of the changes in hormones. The same stressors in your life can potentially have a greater negative impact on your cortisol. Additionally, some of the keys to recovery are hard to get in midlife: Sleep Down time for Meditation and breath-slowing exercises Foam rolling or massage Decades of conditioning work against us getting adequate nutrition and hydration. If we still operate with “eat less, exercise more,” we generally don't have enough fuel to recover, and hydration could be impeded by low sodium intake. So many of us grew up with messaging about low salt, low sodium being the goal and have taken it so far that we're not actually hydrating by drinking water only, or worse, water with sugary substances. Exercise Early Improves Exercise Benefits in Menopause But Not If… (H2) One big mistake women make with HIIT is doing it too much or doing it after a workout that was lower intensity, assuming it's short and feeling you didn't work hard enough. We often assume feeling good after exercise is wrong. We've been conditioned by the media that it should be hard or hurt to be effective and should be under that threshold of cortisol elevation. There is a psychological effect from HIIT that differs from cardio activities. Studies on HIIT and high intensity weight training show these are safe and create positive feelings. The brain gets bathed in neurotransmitters after HIIT sessions that give a boost of creativity or problem solving. While you CAN do HIIT and strength training on the same day, it is not recommended daily. Hard exercise is more beneficial at your capacity. When you're in a period of extremely high stress (emotional and or physical) because of that overall load, the allostatic load interferes with recovery. During Perimenopause, the roller coaster of hormones can mean HIIT is not even ideal for you at all. If you do it and respond positively, 1-3 short sessions a week of not more than 45 minutes of HIIT is ideal. Beyond that point, injury rates go up significantly. Tendons can become more rigid and connective tissue is reduced thanks to lower estrogen. Awareness about this sweet spot of enough - not too much - is really important. I call it the MVP, MINIMUM VIABLE PHYSICAL activity to get results. Doing more gives you less ROI, it might tip your bucket so much that you are headed to breakdown instead of a more resilient body. During post menopause, the hormone roller coaster has generally calmed down and you can potentially include HIIT. You may be able to increase it up to 4 short sessions a week. First Steps to Improve Exercise Benefits in Menopause [H2] Skeptical or a creature of habit that it's hard to change even if you're not getting the results you want? If you say, your belly fat is not budging, in fact seems to get worse, here's my suggestion. Let's use the analogy of science by the Glucose Goddess (we'll link to that episode). If you have a plate of food and change nothing but the order you eat that food, you can change the impact of your blood glucose by up to 75%. Let's say you find it hard to give up your exercise habits. Change to exercise intensely only in the morning and light exercise or movement late in the day. Two things to keep in mind: Intensity comes from duration too. So hiking 2 or more hours may also spike your blood sugar. Lack of fuel before, during or after exercise (for recovery) will also increase the negative impact on your cortisol. There you have it, keys to improve the exercise benefits in menopause: Time intense exercise early in the day Even low to moderate intensity exercise can become intense if the cardiac drift is prolonged enough to elevate cortisol and it remain elevated, or if The habits before, during or after don't facilitate quick recover with the right fuel and rest to avoid muscle breakdown References: https://pubmed.ncbi.nlm.nih.gov/25560699/ https://www.sciencedirect.com/science/article/pii/S1728869X22000338 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9990535/ Resources: My Favorite CGM: https://www.flippingfifty.com/myglucose Flipping 50 Membership: https://www.flippingfifty.com/cafe Flipping 50 STRONGER 12-week program: https://www.flippingfifty.com/getstronger Other Episodes You Might Like: Cortisol Hormone: Don't let it derail your fat loss efforts: https://www.flippingfifty.com/cortisol-hormone/ Best HIIT Workouts for Women Over 50 | Fat Burning: https://www.flippingfifty.com/best-hiit-workouts/ The Blood Sugar Belly Fat Loss Connection for Women Over 40: https://www.youtube.com/watch?v=9qnjwjT5-nc

We had Dr Peter Malliaris on this week talking tendons.  Its great to hear different researcher clinicians provide their different takes on the same topic.  Dr Malliaris is a full time professor at Monash University with a keen interest in Tendinopathy.  He teaches the popular online course Tendinopathy rehab.   We talk about:   The role of injections in tendinopathy (hint: not much) The limitations of the literature and research surrounding exercise and tendinopathy The role of load management in tendinopathy and why we don't have a lot of research on it despite it probably being the most important thing we can manage The role of heavy loading, strength changes and tendinopathy recovery Strength testing and tendinopathy rehab

 Oscillatory Exercises are for healing your joints and strengthening your muscles.How To Keep Your Muscles, Joints, Tendons, and Ligaments Young with Oscillatory Training?Oscillatory training is body exercises, done fast as small-range movements. For instance 5-10 inches.Oscillatory training involves rapid, small-range movements where muscles contract and relax quickly. This type of training enhances neuromuscular performance, strength, power, and coordination by accelerating the relaxation of antagonistic muscles and improving force production. The exercises often involve pulsing actions that engage muscles continuously, promoting improved muscle engagement and athleticism.In addition, this type of training protects and strengthens ligaments, tendons, joints, and muscles. And helps them work as a team when needed. Furthermore, this specialized training helps recruit and activate all the motor units, including the slow and fast, and their corresponding muscle fibers, including Type 2a and Type 2x fast-twitch muscle fibers.I tried out the squats full down and straight up…And I got problems with my knees. Orthopedic doctors are absolutely against squats when going full down and up because it can harm the joints. Then I tried  Oscillatory training by doing my squats and pull-ups… I exercised the squats in a small range in different angles of the knees… And my knee joints recovered.After 2 weeks, I could increase my pull-ups from 11 to 12 by doing Oscillatory training in a small range… Guess, that is the science-proved results…  My Video:  Oscillatory Exercises for healing your joints https://youtu.be/jnMQlDRqK84My Audio: https://divinesuccess.net/wp-content/uploads/2021/Podcast4/Oscillatory-Exercises-for-healing-your-joints.mp3

In this episode, we are joined by Dr. Paul Sibley to discuss wide-awake surgical procedures in the upper extremity. He shares with us the various procedures he is performing, the benefits of wide-awake surgery and what we as hand therapists can expect when patients are referred to us following these procedures.Guest Bio: Dr. Paul A. Sibley is an orthopedist in Allentown, Penn. and is affiliated with multiple hospitals in the area, including Lehigh Valley Hospital-Cedar Crest and Lehigh Valley Health Network-Highland Avenue. He received his medical degree from A.T. Still University Kirksville College of Osteopathic Medicine and received his post-graduate training at Ohio University-Grandview Medical Center in Dayton, OH. He has many published research publications and has co-written chapters in Wide Awake Hand Surgery, Volumes 1 and 2.

Are you struggling with chronic pain from conditions like plantar fasciitis, tennis elbow, or golfer's elbow, with the only advice you've received offering temporary relief? In this episode of the Health Made Simple Show, Dr. Bart gets to the root of tendon pain, uncovering the key reasons behind these common issues as we age—and most importantly, what you can do to find lasting relief. Here's what you'll gain from this episode: Why Tendon Pain Seems to Strike Out of Nowhere: Understand how aging impacts tendon flexibility and strength, often leading to unexpected pain. The Power of Simple Warm-Ups: Discover how a regular warm-up routine can protect your tendons, boost blood flow, and help prevent injuries in daily life, not just during workouts. Nutrition Essentials for Tendon Health: Find out which nutrients, like amino acids and healthy fats from high-quality proteins, are crucial for strengthening and repairing tendons. Dr. Bart's Recommended Supplements: Get Dr. Bart's expert supplement suggestions to give your tendons the support they need, including Cyruta Plus and Ligaplex II. And if you want to get a head start and try the supplements Dr. Bart recommends, don't forget to grab Cyruta Plus and Ligaplex II to begin supporting your tendons today. So if you're ready to stop the pain cycle and support your body for the long haul, tune in and take control of your tendon health. Looking for a bit more personalized guidance? Dr. Bart offers 1:1 consultations to help create a tailored plan for your unique health needs. Contact our clinic to get started on your path to healing!  

The discussion of collagen is often focused on beauty - hair, skin, and nails - but collagen is vitally important for all of the connective tissues in the body, as well as bone! On this episode of Vitality Radio Jared invites Richard Passwater back to the show and they focus on the role of silica in collagen production, and specifically how this pertains to joint and bone health. They explore how BioSil, a specific form of silica, enhances the body's ability to produce collagen and maintain healthy connective tissues. The conversation delves into the mechanisms of collagen turnover, the significance of cofactors, and the impact of movement on joint health. You'll learn also about the essential nutrients required for optimal collagen production, including vitamin C, iron, and protein. The discussion also contrasts BioSil with collagen supplements, highlighting their unique roles in the body. Products:BioSilNatural Factors Total Body CollagenVitamin CIron BisglycinateAdditional Information:#303: Collagen, How We Make It, Why We Need It, and How to Build More With SilicaThe Science Behind BioSilVisit the podcast website here: VitalityRadio.comYou can follow @vitalitynutritionbountiful on Instagram, or Vitality Radio and Vitality Nutrition on Facebook. Join us also in the Vitality Radio Podcast Listener Community on Facebook. Shop the products that Jared mentions at vitalitynutrition.com. Let us know your thoughts about this episode using the hashtag #vitalityradio and please rate and review us on Apple Podcasts. Thank you!Just a reminder that this podcast is for educational purposes only. The FDA has not evaluated the podcast. The information is not intended to diagnose, treat, cure, or prevent any disease. The advice given is not intended to replace the advice of your medical professional.

Did you know ActivMend is the first treatment option that addresses and heals the root cause of your pain, not just masking the symptoms, for long-lasting pain relief? Other treatments simply cover the symptoms of your pain through heat, cooling, or NSAIDs.This is a clinically proven technology. Their very own patented HASA nanotechnology reduces inflammation, bruising and pain from minor injuries to joints, tendons, ligaments, and muscles.Your healing matters to us she says . She only offers products that promote true healing, rather than masking the pain. She will tell you if their product cannot heal your injury and will suggest alternatives whenever possible. If you don't find relief with ActivMend, she will provide a complete refund. Your recovery is her measure of success. https://activmend.com/http://www.yourlotandparcel.org

One of the ironies of climbing performance outcomes is that as hard as you've physically trained in preparation, the outcome often hinges on the quality of your mental game. The power point, here, is that when it comes down to the final days and hours leading up to an important climb, the keys to performing your best are largely mental! While many athletes "shoot themselves in the foot” in any number of ways in the days or hours leading up to competition — or even during the sports event itself! — a well-coached and mentally apt and experienced individual will act in deliberate ways to set the stage for peak performance. Towards this end, I'm going to detail 8 so called "last-minute" things you can do (or not do) that will help set the stage for climbing your best when it counts most. The more of these items that you deliberately optimize, the better you'll sort of stack the deck for performing your best when it counts. Support the TFC podcast...and amplify your training and performance with PhysiVantage Nutrition! This month (Rock-tober) only, get 20% off full-priced nutrition with checkout code: PODCAST20 (North America only). In Europe and elsewhere visit EPIC-TV Shop or BananaFingers.com to get your PhysiVantage! Links to more Training For Climbing! The Power of Pre-Climb Rituals >> 10 Does and Don'ts of Effective Redpointing >> How To Develop Stronger Fingers and Tendons for Climbing >>   Music by Misty Murphy SAVE on  La Sportiva shoes here >> Thank you! La Sportiva, Maxim Ropes, DMM Climbing, Friction Labs Follow Eric on Twitter @Train4Climbing Check out Eric's YouTube channel. Follow Eric on Facebook! And on Instagram at: Training4Climbing Copyright 2024 Eric Hörst | Horst Training, LLC.

Dr Gerard McMahon is a sports scientist out of Ulster University with a special interest in how we can train tendons for both performance and rehab. We talk: Partial range vs full range squats for vertical jump   Partial range vs long range training to build tendon mechanical properties (e.g stiffness)   Is there a sweetspot for tendon loading (e.g 4.5-6% strain) and why it may be greater than this range.   Why knowing the actual tendon strain may not be required to prescribe exercises to increase tendon stiffness and strength   Dr McMahon's Ulster University Profile

Send us a textIn part 2 of her interview with Buff Bones' Rebekah Rotstein tells Hotflash inc founder Ann Marie McQueen about the complexities of health during perimenopause and menopause, highlighting the importance of both mineral density, muscles, tendons, collagen and fascia. She outlines the Buff Bones comprehensive exercise plan to hit all the targets in a week, emphasizing personalized care and the importance of mobility and motor control exercises. They explore the impact of collagen, estrogen and (briefly) progesterone on bone health and dive into the fascinating role of fascia in the body's connective tissue system – and in menopause. 02:01 Building bone and muscle through menopause04:38 The importance of mobility07:03 Collagen and bone density09:40 Hormone therapy and bone health18:46 The role of fascia in healthNB: These episodes were recorded in late 2023. Thank you to our sponsor, Midi Health. They provide holistic, insurance-covered care by perimenopause and menopause specialists. Check out JoinMidi.comJoin the Hotflash Inc perimenoposse: Web: hotflashinc.comTikTok: @hotflashincInstagram: @hotflashincX: @hotflashinc Episode website: Hotflashinc See hotflashinc.com/privacy-policy for privacy information

In this Join the Docs episode, the ever-charismatic Professor Jonathan Sackier and the delightfully witty Doctor Nigel Guest dive headfirst into a rollicking discussion about the medical marvels of various body parts. Picture this: a room filled with laughter as they dissect (pun intended) the critical importance of blood and organ donation, weaving in tales of heroic donors and miraculous recoveries.So, what are the ethics of organ donation? The Docs debate the merits of donating your earthly vessel to science versus becoming a mummy in a museum. And just when you think it can't get any more fascinating, they plunge into the world of umbilical cord blood and placenta, painting vivid pictures of these often-overlooked biological treasures. It's a labour of love, quite literally!Hold onto your seats as the discussion gets a bit cheeky with sperm and eggs, where The Docs' playful banter about the birds and the bees will have you in stitches. And just when you think the episode has reached its peak, they introduce the pièce de résistance: faecal transplants. Yes, you heard that right. The episode delves into the surprisingly sophisticated science of poop, sharing stories that are both mind-blowing and side-splitting. What have we learned from the past? The Docs entertain listeners with captivating tales of ancient medical practices, ranging from the bizarre to the revolutionary, offering insights into just how much progress we've made in understanding and treating the human body.The episode also features a segment on the future of medicine, where the potential advancements that could revolutionise healthcare are brought to attention. From the promise of regenerative medicine and stem cell therapy to the ethical implications of genetic engineering, the discussion is as thought-provoking as it is entertaining.So, whether you're a medical professional, a curious layperson, or simply someone who enjoys a good laugh, this episode of "Join the Docs" promises to be a captivating and enlightening experience. Tune in and join the conversation, because when it comes to understanding the human body, It's bound to be just what the doctor ordered!—--DISCLAIMER: The views and opinions expressed on Join the Docs are those of Dr. Nigel Guest, Jonathan Sackier and other people on our show. Be aware that Join the Docs is not intended to be medical advice, it is for information and entertainment purposes only - please, always take any health concerns to your doctor or other healthcare provider. We respect the privacy of patients and never identify individuals unless they have consented. We may change details, dates, place names and so on to protect privacy. Listening to Join the Docs, interacting on our social media, emailing or writing to us does not establish a doctor patient relationship.To Contact Us: For a deeper dive on this episode's issue, merchandise and exclusive content, head to www.jointhedocs.comFollow us on youtube.com/JoinTheDocs Follow us on instgram.com/JoinTheDocsFollow us on tiktok.com/JoinTheDocsFollow us on: facebok.com/JoinTheDocsFollow us on: x.com/JoinTheDocs

Send us a Text Message.In this episode, host and Hotflash inc founder Ann Marie McQueen interviews Rebecca Rotstein.Rebekah is the founder of Buff Bones, a medically endorsed exercise method for bone and joint health with on-demand classes and trained instructors in more than 30 countries. Rebekah is a former ballet dancer who has trained athletes and deeply studied the body, including cadaver dissections, along with coursework and fascia research, somatic studies, and visceral manipulation. She serves on bone health working groups in the US, contributing to their recommendations. She's a Pilates teacher, advocate and well-known speaker.Part 1 of this conversation delves into into the intricacies of bone and joint health, sharing evidence-based studies that emphasize the need for high-intensity exercise to increase bone density after menopause. They discuss societal misconceptions, the importance of understanding one's body type, the critical roles of muscle tension and gravity in bone health, and the impacts of early life habits on long-term bone health.Next week in Part 2: What you do to keep your bones, muscles, tendons and fascia strong. 02:52 The Importance of bone health04:00 Research and misconceptions in bone health05:49 Backlash and misunderstandings10:46 Rebekah's personal journey with osteoporosis19:03 The interconnectedness of bones and muscles33:14 Preventing bone problems from early lifeThank you to our sponsor, Midi Health. They provide holistic, insurance-covered care by perimenopause and menopause specialists. Check out JoinMidi.comJoin the Hotflash Inc perimenoposse: Web: hotflashinc.comTikTok: @hotflashincInstagram: @hotflashincX: @hotflashinc Episode website: Hotflashinc See hotflashinc.com/privacy-policy for privacy information

Female Tendons are from Venus and Male Tendons are from Mars, But Does it Matter for Tendon Health? McMahon G, Cook J Sports Med. Published Ahead of Print. doi:10.1007/s40279-024-02056-7 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'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

In this episode, we review the high-yield topic of⁠⁠ Tendons ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠from the Basic Science section. Follow ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Orthobullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on Social Media: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Facebook⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Twitter⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠LinkedIn⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠YouTube

Chris 'Mad Dog' Russo, Bart Scott, Louis Riddick and Chad Ochocinco Johnson discuss whether or not the Cowboys are cheap, if the Texans are the Chiefs biggest threat in the AFC and what position is more important in the NFL: Wide receiver or edge rusher? Learn more about your ad choices. Visit megaphone.fm/adchoices

Achilles. Rotator cuff. Patella. Hamstring. They're all structures involving tendons, and you probably either know someone who's injured them, or have experienced the dreaded tendon injury yourself. Aaron Rodgers experienced an acute Achilles tendon rupture on Monday Night Football in September 2023, just 4 plays into his first season as QB for the New York Jets. Fans watched as he dramatically pulled up lame after a tackle, having snapped his Achilles, and subsequently sitting out the 2023 season. Just this week he stated in an interview "my summer ends Sunday", confirming that he is back to play this upcoming 2024 football season for the Jets. So what the heck is actually going on? Why do tendons hurt sometimes? Why do they snap? Is it all just degenerative, "getting old"-type stuff? How can we prevent an injury like Rodgers' from happening to US?? In this episode, we reveal it all, friends! We have a world's expert in tendon pathology, treatment and injury prevention to tell us why our tendons get injured, what we can do to treat them and most importantly, the things we can do prevent them from breaking down. Jill Cook, PhD is a professor in musculoskeletal health in the La Trobe Sport and Exercise Medicine Research Centre at La Trobe University in Melbourne Australia. Jill's research areas include sports medicine and tendon injury. She is the "tendon guru" and has dedicated her career to learning about and improving our care of tendons. Jeremy recently had the privilege of attending Jill's educational lecture at the NBA Team Physician's national meeting, and she so graciously agreed to be our guest for this episode! Your Doctor Friends bring the professional-level expert education straight to you, friends! Topics covered in today's episode include: What actually ARE tendons? What do they do? Types of tendon injuries- including acute tears, "overuse" injuries, and degenerative "wear and tear". Risk factors associated with tendon injuries. What is "tendinopathy"? Is it there forever? What is the role of imaging/MRI in the diagnosis and treatment of tendon injury? What about shots? Do cortisone or platelet-rich plasma (PRP) injections help in tendon injuries? How do you actually treat tendinopathy? Can it be "cured"? Thanks for tuning in, friends! Please sign up for our “PULSE CHECK” monthly newsletter! Signup is easy, right on our website, and we PROMISE not to spam you. We just want to send you monthly cool articles, videos, and thoughts :)  For more episodes, limited edition merch, to send us direct messages, and more, follow this link!  Connect with us: Website: https://yourdoctorfriendspodcast.com/ Email us at yourdoctorfriendspodcast@gmail.com @your_doctor_friends on  Instagram - Send/DM us a voice memo or question and we might play it/answer it on the show! @yourdoctorfriendspodcast1013 on YouTube @JeremyAllandMD on Instagram, Facebook, and Twitter/X @JuliaBrueneMD on Instagram

Guest: Dr. Peter Malliaris, a leading expert in tendinopathy research and clinical practice for over 15 years.Here is what we will cover today:Effective Management of Tendinopathy:Exercise and Education:Importance of progressive exercise to build tendon tolerance.Education on managing symptoms and avoiding aggravating activities.Isometrics and Loading:Isometrics were initially thought to reduce pain but recent studies show progressive loading is equally effective.Adjunct Therapies:Shockwave and PRP:Evidence on their effectiveness is mixed; more placebo-controlled studies needed.Scans and Imaging:Not necessary for diagnosis; used if initial treatments fail to identify other possible issues.Pain and Function Management:Mechanisms of Pain:Pain is multifactorial; education should address beliefs and neuromuscular factors.Loading and Tolerance:Gradual increase in load is crucial for rehabilitation.Individualized Education:Tailored education interventions for conditions like rotator cuff pain.Then I answer your Facebook Group QuestionsTo visit Peter's website head to:  https://www.tendinopathyrehab.com/For Peter's twitter go to: https://twitter.com/DrPeteMalliarasFor MORE Run Smarter Resources

When runners get hurt, it's often a tissue health problem, like a tendon injury. Jay Dicharry is a physical therapist, author, entrepreneur, and faculty member at Oregon State University who knows a lot about tissue health for runners. He's written some of my favorite books on running performance and injury prevention, including “Anatomy for Runners” and “Running Rewired.” Jay also hosts workshops for physical therapists. In this episode, Jay and I talk about: New research on tissue remodeling and load tolerance skills to develop durable runners Improving strength, bone density, and tendon health through specific exercises and training methods Debunking common beliefs around running and bone health Proper plyometric training for bone and tissue health The link between nutrition, bone health, and stress fractures Tendon health and repair through slow loading (including Achilles injuries) How to prevent and address tendon injuries in runners through sound strength training Why runner's feet need special attention Using the MOBO Board as a diagnostic tool for fatigue Every runner can learn something about tissue health from Jay in this episode to help them run strong and stay injury-free. Links & Resources from the Show: Running Rewired: Reinvent Your Run for Stability, Strength, and Speed by Jay Dicharry Jay on Instagram MOBO Board on Instagram Get the free injury prevention email series. Take the Strength Running Podcast listener survey to let us know your thoughts and you might win a 30-minute coaching call with me or your choice of one of our training programs. Thank you MOBO Board!Invented by renowned physical therapist Jay Dicharry, MOBO helps you stabilize your stance with an innovative rocker board that's set up on two fins. The design effectively forces you to drive your big toe into the board to improve your stability. I was pretty arrogant going into my first session on the MOBO Board. How hard can it be to balance, right? Well, I was humbled pretty quickly! Even if you're a good runner, better balance, stability, and proprioception is going to help you have a more powerful stride and prevent more running injuries. You'll learn how to improve the efficiency of the kinetic chain from your hip to your big toe. Because as Jay likes to say, it's not just how strong you are, but how well you use that strength. I was recently at a weekend physical therapy workshop (lol I was the only running coach) and learned how important (and rare) this simple movement is. Save 10% with code STRENGTHRUN10 at checkout at moboboard.com. Thank you DrinkLMNT! A big thanks to DrinkLMNT for their support of this episode! They make electrolyte drinks for athletes and low-carb folks with no sugar, artificial ingredients, or colors. They are offering a free gift with your purchase at DrinkLMNT. And this does NOT have to be your first purchase. You'll get a sample pack with every flavor so you can try them all before deciding what you like best.  DrinkLMNT's products have some of the highest sodium concentrations that you can find. Anybody who runs a lot knows that sodium, as well as other electrolytes like magnesium and potassium, are essential to our performance and how we feel throughout the day. If you're not familiar, LMNT is my favorite way to hydrate. They make electrolytes for athletes and low-carb folks with no Sugar, artificial ingredients, or colors. I'm now in the habit of giving away boxes of LMNT at group runs around Denver and Boulder and everyone loves this stuff. Boost your performance and your recovery with LMNT. They're the exclusive hydration partner to Team USA Weightlifting and quite a few professional baseball, hockey, and basketball teams are on regular subscriptions. So check out DrinkLMNT to get a free sampler pack and get your hydration optimized for the upcoming season. Thank you Previnex! After resisting most supplements for the better part of my life, I'm cautiously changing my tune. I'm now a Masters runner and in my personal life, I'm optimizing for longevity. I want to be my healthiest self for as long as possible and I'm excited to partner with Previnex to make that happen. Previnex uses the most bioavailable, clinically tested ingredients, the optimal form and dose of each ingredient, pharmaceutical grade manufacturing, testing of raw ingredients and finished products. For every purchase you make, they also donate vitamins to kids in need. Their new Muscle Health Plus is something I'm now taking. Turning 40 – and having a thin frame – has made me realize that I need to prioritize lean muscle mass to stay healthy and age well. Muscle Health Plus has creatine, essential and branched chain amino acids, and it's designed in a way to maximize protein synthesis and the absorption of amino acids. Muscle Health Plus will help you prevent muscle damage, which is particularly important for aging runners who want to protect themselves from muscle loss and recover faster after hard workouts. As is true for all of their products, Previnex adheres to the highest of standards: their ingredients are clinically proven to do what they say they're going to do. 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Dr. Amy West, a Sports Medicine Physiatrist, is at the forefront of a paradigm shift in understanding the root causes of joint pain, tendon issues, and other musculoskeletal problems. Sponsored Message: Support your Intermittent Fasting lifestyle with the Berberine Fasting Accelerator by MYOXCIENCE: https://bit.ly/berberine-fasting-accelerator Save with code podcast at checkout Link to Video Interview, Research and Show Notes: https://bit.ly/3U5RIaS Show Notes: 02:00 CrossFit trains all three energy pathways: glycolytic, anaerobic, and aerobic. It is based on function. Physiatry and CrossFit focus on function and living better. 08:00 Metabolic health impacts recovery, injury propensity, pain levels and physical function. Leptin worsens osteoarthritis and pain issues. 12:15 Osteoarthritis is from the dysfunction of chondrocytes within the joint from inflammation and fragility of cartilage within the joint. Metabolic disease causes a downward spiral. There is more inflammation and more cartilage damage and more boney hypertrophy. 14:00 Trigger finger is often a first sign of metabolic disease. Tendons are also impacted by the inflammation of metabolic disease. Healing process is impacted by the chronic inflammation of metabolic disease. 14:54 Bone and bone density are impacted inflammation. This can appear as stress fractures. Treat the fracture and the reason why. 17:00 Hemoglobin A1C is a marker of overall glycation in the body. Non-painful things become painful with increased glycation. 17:30 The burden of age-related changes is dependent upon your metabolic state and physical wellbeing. 96% of American adults have some sort of metabolic dysfunction, making them predisposed to accelerated aging and physical decline. 23:00 Time is a major reason for not exercising. Short 20-minute bouts of more intense exercise are easier to fit in and you get the same metabolic benefits in a shorter time. 23:40 Functional movement training increases strength and supports life functions. It uses multiple joints and practices coordination. 24:30 Heavy resistance training induces the benefits of bone density and muscle integrity. 24:45 Osteosarcopenic obesity: as you gain weight, you lose muscle mass and bone. 26:00 Weakened tendons, tendonitis, and fibrosis are often a result of chronic inflammation from metabolic dysfunction like diabetes. Arthritis is the leading cause of disability in the US. 27:25 Cortisone is a potent anti-inflammatory that brings short-term pain relief. It can raise blood sugar. Repeated cortisone injections can further degrade cartilage, worsening arthritis. You can build up a tolerance to it. 29:00 Hormones affect joint pain. Menopausal decreased estrogen levels correlate to increased joint pain. 29:40 Turmeric, omega 3s, vitamin D anti-inflammatory effects can be effective in a person with a small amount of inflammation. 31:00 PRP can be beneficial in the right patient with mild arthritis or chronic tendinopathy. It is only as good as whatever is attached to it. PRP efficacy depends upon your metabolic health. 34:10 Athletes have more muscle mass around the joints making the joint more functional and eases the load bearing on the joint. Muscle secretes myokines, which affect pain perception. 34:50 Chronic inflammation from metabolic disease around your joints can affect levels of inflammation and how the inflammation is received by your brain. It can affect brain serotonin signaling. 36:00 Low carb diets produce less leptin signaling which reduces pain and inflammation signaling. 39:50 Dr. West prioritizes protein. Traditional medicine protein recommendations are just enough to keep you alive. Protein helps with satiety and powers workout gains. 41:25 Animal protein, over plant protein, can help you feel stronger. It is challenging to get enough plant protein without eating a lot of carbs. Chronic vegan/vegetarian dieting can cause collagen and bone breakdown. 50:30 Eccentric loading of the Achilles tendon can help build capacity and be more effective than chronic stretching. Tight hamstrings can be addressed with hip extension, pelvic tilting, and hip adduction. 55:25 There can be some risk to doing isolated heavy bicep work. You can develop bicep tendonitis. Over time, it can result in rupture of the bicep tendon. 58:36 Shoulder: Drill down on technique before adding load or intensity. 01:00:10 Hanging is important for grip strength and being able to manage your own body load. 01:01:10 Deadlift/hip hinge can be done using a platform to limit range of motion to maintain form. Push with your legs rather than pulling with your back. 01:02:30 Have a physical biomarker. Do an annual measure of functional movement or movements to track your strength and fitness, along with your labs. Continue to improve. Physical goals are important. 01:06:30 Coca Cola/Gatorade has invested heavily in healthcare, exercise science and exercise guidelines. Fitness professionals are pressured not to make nutritional recommendations. Coca Cola is involved in the American Cancer Society and American College of Cardiology.