type of tissue that connects muscle to bone
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We're diving into a question I get all the time as a coach, trainer, and someone who's worked with thousands of people in pain:"Should I stop doing this exercise if it hurts?"We talk pain, movement, injuries, mindset, posture, programming, tendons, recovery—you name it. And most importantly, we challenge the way most people think about pain.You'll hear stories from my personal journey of healing from ruptured tendons, broken bones, and all kinds of setbacks. You'll also learn about the 7 fundamental human movements every single person should be able to do—and what to do if pain is keeping you from doing them.This episode is about ownership. About reclaiming your power and rebuilding confidence in your body, one rep at a time. Because pain doesn't mean you're broken. It might actually be your body asking for your attention.Pain is not the end of the story. It's the beginning of your comeback.So whether you're a fitness newbie, a weekend warrior, or someone who's been struggling with chronic pain for years—this episode is a must-listen.Let's roll it back to one of the most important conversations we've ever had on this show. Here's your Throwback Thursday: “Should You Avoid Exercises If They Hurt? An Overview of Pain” — let's dive in.Resources:Brain.fm App(First month Free, then 20% off subscription)Discount Code: coachdamiensdCaldera Lab Skin Carewww.calderalab.comDiscount Code: CoachDLinks:IG:@coachdamien_sd@damienrayevans@livinthedream_podcast YouTube:https://www.youtube.com/channel/UCS6VuPgtVsdBpDj5oN3YQTgFB:https://www.facebook.com/coachdamienSD/
Maximizing Fitness, Fat Loss & Running Through Perimenopause
Is running really "bad" for you during perimenopause? If you've ever been told to “stop running” because you're a female in your late 30s, 40s or 50s, this episode is your reset button. Louise, a leading expert for perimenopausal active women and runners, breaks down one of the biggest myths floating around: that running is bad for women in perimenopause. Spoiler alert, it's not, if you do it right to work with and not against your changing hormones and female physiology.She shares why just doing long, slow cardio might be doing more harm than good for your hormones, tendon health and overall fitness, and how female-strategic sprinting, strength training, and fueling can completely transform your energy, physique, performance and mental health. You'll learn how to keep running and build muscle, boost metabolism, and better manage cortisol.This episode is filled with tangible tips, sprint training formulas, and real client stories, from injury recovery to physique glow-ups. If you love running but feel confused, tired, or stuck, this will help you take your power back, one stride at a time!Link to check out our free nutrition guide and join other fierce lady runners taking charge of their holistic health and fitness in our multi award-winning Badass Breakthrough 1:1 Academy: https://www.breakingthroughwellness.com/ Take advantage of our podcast listener discount and save 20% off all of Kion's science-backed clean products: https://www.getkion.com/pages/maximizing Episode Highlights:(0:00) Intro(3:20) The Running Myth That Broke Our Hearts(4:41) Why Running Feels Harder After 35(5:52) Types of Women This Approach Helps(7:09) Loving Running But Feeling Discouraged(7:58) What's Missing from Most Running Plans(9:07) What “Thriving” Really Looks Like Now(10:08) Why Slow Running May Hurt, Not Help(13:51) Sprinting Is Better for Cortisol Control(14:47) Easy Run + Sprints: A Game Changer(16:16) Healing Hip Pain and Hormones Naturally(19:33) When Traditional Speed Work Fails You(21:11) Hormones, Tendons, and Real Recovery(23:29) SIT Training Beats Long Slow Runs(27:18) A Sample Weekly Running Plan(29:23) How to Keep the Booty While Running(33:19) Cumulative Fatigue and Metabolic Boost(35:14) Strength Training That Actually Works(36:25) Where to Hear Real Runner Success Stories(38:57) Weeks 1–4: Building Sprint Intervals(39:54) Weeks 5–8: Advancing to 400 Meter Repeats(41:51) OutroTune in weekly to "Maximizing Fitness, Physique, and Running Through Perimenopause" for a simple female-specific science-based revolution. Let's unlock our best with less stress!I'd love to connect!Instagram
-NOUVEAU PROGRAMME (-50%) / OFF-SEASON FOOTBALL - PROFITE DES PRODUITS D'EXXENTRIC-OFFRE EXCLUSIVE MOBILITY FOUNDATION- MES FORMATIONS POUR LES PROS- NOS RESSOURCES GRATUITES- BOOK UNE CONSULTATION AVEC MOI- RETROUVE MES PROGRAMMES ICI- POSE-MOI TA QUESTION ICIRetrouvez-moi sur : Instagram : @kswiss_fitWebsite : https://www.kswissformations.com
In this episode of the Barbell Rehab Podcast, Dr. Ben Geierman sits down with Dr. Chris Johnson. We explore staying up to date on research, balancing conflicting findings, and applying findings to our unique patients. We also discuss tendinopathy and newer research considerations. We dive into bone stress injuries and the multiple contributing factors impacting management. We also explore clinical humility and evolving as a clinician. We finish by exploring the role of strength training for runners. You can find Chris on Instagram at @chrisjohnsonthept. We hope you enjoy this episode! FREE Research Roundup Email Series | Get research reviews sent to your inbox, once a month, and stay up-to-date on the latest trends in rehab and fitness The Barbell Rehab Method Certification Course Schedule | 2-days, 15 hours, and CEU approved The Barbell Rehab Weightlifting Certification Course Schedule | 2-days, 15 hours, and CEU approved
From The Debbie Nigro Show Podcast Let's face it—we all want to keep doing the things we love. But one unexpected twist, fall, or awkward step (looking at you, pickleball!) and suddenly we're dealing with pain that lingers longer than our last relationship. On this episode of The Debbie Nigro Show, Dr. Alan Siegel, co-founder of ProClinix, brings 30+ years of insight on how to recover from injuries, manage chronic pain, and keep your body moving—without relying on surgery or medications. Here are the key takeaways anyone—anywhere—can benefit from: Injury Prevention Starts Before You're in Pain Dr. Siegel stresses that many injuries, especially from fast-growing sports like pickleball, happen because people jump into activities without prepping their bodies. Tendons, joints, and muscles need maintenance—just like your car! Integrated Care = Faster, Smarter Healing At ProClinix, they take a modern approach to recovery—combining chiropractic, physical therapy, acupuncture, massage therapy, and even regenerative medicine like PRP. This whole-body, drug-free strategy is gaining popularity across the U.S. for its effectiveness in treating everything from back pain to vertigo. No Script? No Problem! In many states like New York, you don't need a prescription to start physical therapy. That means you can get help right away, instead of waiting weeks or months in pain. Yes, Balance Issues Can Be Treated! Think you just have to live with dizziness or gait problems? Think again. Dr. Siegel explains how physical therapy and specialized maneuvers can dramatically improve balance—and often offer instant relief from symptoms like vertigo. From Young Athletes to Aging Joints—They Treat It All Whether it's your teenager's sports injury or your mom's hip pain, integrative practices like ProClinix are designed to treat the whole family, no matter the age or condition. Where Can You Find ProClinix? If you're in the New York Metro area, you're in luck. ProClinix has 7 locations (and growing) including Armonk, Larchmont, West Harrison, Yorktown Heights, Tarrytown, Ardsley, Pleasantville—and a new clinic opening soon in Mount Kisco. Not local? Use this episode as a wellness checklist for choosing an integrated rehab provider wherever you are! Tune in to this podcast episode of The Debbie Nigro Show to hear Dr. Siegel's real talk about the body, the pain, and how to get back to living your life.
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La nature nous tend les bras… Tendons-lui l'oreille! Le dimanche, on se penche très près de la terre pour observer la faune et la flore de Suisse romande. Vous avez des questions à propos du potager, des arbres, des plantes d'appartement ou des fruitiers du verger? Alors, vous pouvez joindre les jardinières de Côté Jardin, dimanche matin, en direct de 6h à 9h au 058 134 0 134. Et pour en apprendre beaucoup sur la nature qui nous entoure, tendez l'oreille! Les chroniqueurs.euses du jour : - Véronique Eugène - Emile Galland - Isabelle Gendre
Welcome to Season 2 of the Orthobullets Podcast.In this episode, we review the high-yield topic of Tendons from the Basic Science section.Follow Orthobullets on Social Media:FacebookInstagramTwitterLinkedInYouTube
La nature nous tend les bras… Tendons lui lʹoreille ! Le dimanche, on se penche très près de la terre pour observer la faune et la flore de suisse romande. Vous avez des questions à propos du potager, des arbres, des plantes dʹappartement ou des fruitiers du verger ? Alors vous pouvez joindre les jardinières de Côté Jardin, dimanche matin, en direct de 6h à 9h au 058 134 0 134. Et pour en apprendre beaucoup sur la nature qui nous entoure, tendez lʹoreille ! Les chroniqueurs.euses du jour : Jacques Maillard Delphine Girod Vallotton Nicoas Faïss Sarah Germanier
Chapters 00:00 The Journey of a Dunker: Early Years and Injuries 03:02 Understanding Knee Pain: Causes and Solutions 06:09 Training Techniques: Isometrics and Warm-ups 09:00 Diet and Its Impact on Performance 12:00 Adapting to Age: Training Adjustments Over Time 15:05 The Mechanics of Jumping: Techniques and Styles 17:58 Warm-up and Cool-down: Importance in Training 20:52 Managing Volume and Intensity in Training 24:10 The Role of Recovery: Isometrics and Pain Management 26:51 Final Thoughts: The Future of Dunking and Training 33:07 Exploring Conservative Management Techniques 36:09 Plyometrics: Finding the Balance 39:30 Lifting Strategies for Injury Management 42:01 Understanding Muscle Imbalances 43:48 The Impact of Footwear on Knee Health 45:36 Managing Pain During Training 48:20 Common Tendon Issues in Dunkers 51:16 The Role of Weight Training in Dunking 53:12 Dealing with Tendon Blow-Ups 54:52 Preventing Tendon Injuries in Dunking 01:06:39 Final Advice for Dunkers with Knee Pain Takeaways Jordan Kilganon shares his journey as a professional dunker. Knee pain can be managed with proper training and techniques. Isometric exercises play a crucial role in injury prevention. Diet can significantly impact tendon health and performance. As athletes age, training methods must adapt to prevent injuries. Different jumping techniques can affect knee stress differently. Warm-ups are essential to prevent injuries, especially as one ages. Cool-downs can aid recovery and reduce next-day soreness. Managing jump volume and intensity is key to longevity in the sport. Listening to one's body is crucial for effective training. Jordan has never used injections or stem cells for recovery. He emphasizes conservative management and load management for knee issues. Plyometrics should be approached with caution, focusing on depth jumps and seated jumps. Single effort jumps are preferred over multi-effort jumps to avoid knee strain. Lifting techniques should be adjusted based on individual comfort and pain levels. Muscle imbalances should be addressed by strengthening weaker muscles rather than focusing solely on balance. Footwear can significantly impact knee health; personal preference varies. Pain management during training can involve isometric exercises and adjustments in technique. Common tendon issues arise from excessive jumping without proper recovery and management. Weight training is essential for dunkers to prevent injuries and improve performance. Jordan on Instagram: https://www.instagram.com/jordankilganon/?hl=en Jump Master: https://my.playbookapp.io/jordan-kilganon Jump Master X: https://www.jumpmasterx.com/home-copy Jordan on YouTube: https://www.youtube.com/@killerjunior23 Notes: https://jackedathlete.com/podcast-149-patellar-tendons-with-jordan-kilganon/
Chapters 00:00 Introduction to Tendons and Personal Background 03:01 Understanding ACL Injuries and Rehabilitation 05:56 Graft Types: Autograft vs Allograft 08:56 Early Rehabilitation Strategies for ACL Surgery 11:53 Managing Swelling and Pain Post-Surgery 14:58 Progressing Rehabilitation: From Extension to Strength 17:59 Considerations for Graft Selection 21:01 Challenges with Quad Tendon Grafts 23:52 Hamstring and Patellar Grafts: Pros and Cons 32:06 Understanding Anterior Knee Pain and Rehabilitation 34:40 Strength Training in ACL Recovery 37:49 Introducing Plyometrics in Rehabilitation 39:28 Progressing Plyometrics and Deceleration Training 44:06 The Role of Physical Therapists in ACL Rehab 47:30 Knee Strategy vs. Hip Strategy in Rehabilitation 52:07 Re-injury Rates and Return to Sport Statistics 53:40 Education Gaps in Physical Therapy Schools 57:43 Improving ACL Rehabilitation Practices 01:01:17 Collaboration Between Therapists and Strength Coaches Takeaways Derek Garza is a licensed physical therapist with a background in athletics. He emphasizes the importance of education in ACL rehabilitation. The type of graft used in ACL surgery significantly affects recovery. Early intervention in rehabilitation can lead to better outcomes. Managing swelling is crucial for effective recovery post-surgery. Different graft types have unique healing timelines and considerations. Patient education is key to understanding the rehabilitation process. The strength of the graft can vary significantly based on the type used. Rehabilitation strategies should be tailored to the individual athlete. Understanding the risks and timelines of recovery can help prevent re-injury. The quality of physical therapy coaching is crucial for recovery. Limb symmetry index should be at least 90% for strength. Plyometrics should be introduced gradually in rehabilitation. Deceleration training is essential for athletes returning to sport. Many physical therapists lack knowledge in plyometric training. Re-injury rates for ACL injuries are alarmingly high. Education on plyometrics is lacking in physical therapy schools. Collaboration between therapists and strength coaches is vital. Athletes often shy away from loading their knees post-injury. Understanding knee and hip strategies can improve rehabilitation outcomes. Derek on Instagram: https://www.instagram.com/dr.derekpt/ Derek's Linktree: https://linktr.ee/drderekgarza?fbclid=PAZXh0bgNhZW0CMTEAAafGwPFbijuM4jTC0YjCcgMH2cY3-masDnDR00SYM7QCAyHfVaMUxWiB4ij1GQ_aem_Yj9twOyX7Rp7Un4fBhKFGg Notes: https://jackedathlete.com/podcast-148-acls-and-quad-patellar-hamstring-tendon-grafts-with-derek-garza/
Chapters 00:00 Introduction to Zach Jungels and His Journey 03:06 The Patellar Tendon Injury Experience 06:09 Rehabilitation Challenges and Discoveries 08:56 The Search for Effective Treatment 11:50 Implementing the Jumper's Knee Protocol 15:10 Sharing Knowledge and Helping Others 18:00 Understanding Pain and Recovery 21:12 The Role of Communication with Coaches 23:47 Critique of Traditional Physical Therapy 27:02 Navigating the Rehab Process 29:50 Conclusion and Future Aspirations 37:04 Understanding Knee Pain: Partial Tears vs. Tendinopathy 40:00 The Role of Isometrics in Pain Management 46:04 Navigating Athletic Rehabilitation: Challenges and Solutions 48:02 Recent Knee Injury: Insights and Recovery 52:06 Effective Rehabilitation Strategies for Knee Injuries 01:00:58 Finding the Highest Possible Entry Point in Rehab 01:08:02 Exploring the Science of Tendon Health 01:09:03 Understanding Tendon Structure and Aging 01:12:25 Pathology and Tendon Health 01:14:32 Environmental Factors in Tendon Health 01:17:10 The Impact of Weight Gain on Tendon Health 01:21:45 Dietary Influences on Tendon Pathology 01:26:50 Collagen Supplementation and Tendon Health Takeaways Zach Jungels experienced severe patellar tendon issues during his football career. His internship at the University of Minnesota was a transformative experience. He faced multiple injuries that complicated his recovery process. Zach developed a personalized jumper's knee protocol based on research and self-education. Communication with coaches was crucial for managing his injury and training. He critiqued traditional physical therapy methods for being too standardized and ineffective. Zach found success in using specific exercises that targeted his knee pain. He emphasized the psychological impact of dealing with chronic pain and injury. Zach's experience led him to help others with similar injuries through education and support. He believes in the importance of critical thinking in rehabilitation and recovery. Zach had to gauge his pain threshold during activities. Initial sharp pain in the knee indicated a possible partial tear. Tendinopathy symptoms developed over time with different sensations. Isometrics provided pain relief for Zach for several months. Athletes often face resistance from trainers when seeking alternative rehab methods. Zach's recent knee injury was a result of heavy eccentric loading. Effective rehab requires finding the highest possible entry point. Rehabilitation should focus on loading the muscle, not just the joint. Zach's approach includes using RPR and square one techniques. Rehab is about applying proven methods to individual cases. Ground substance in tendons consists of proteoglycans and water. Aging leads to a loss of spring-like properties in tendons. Pathology in tendons can develop long before pain is felt. General health significantly impacts tendon health. Weight gain adds extra load on tendons, increasing injury risk. High blood sugar can stiffen tendons due to sugar cross-links. Dietary choices can influence tendon health and recovery. Collagen supplementation may benefit tendon health, especially if deficient in nutrients. Environmental factors like circadian rhythms can affect tendon recovery. A holistic approach is essential for optimal tendon health. Zach on Instagram: https://www.instagram.com/jungels_sp/ Zach's Linktree: https://linktr.ee/jungels_sp?fbclid=PAZXh0bgNhZW0CMTEAAacaGkjqM3BtO2cpjzsTeWTR24xN3RkpRLYohZUrVD4rFi8g4IY_rdU4khXRvA_aem_sF_ViokbqzsuGox7wTep8w Notes: https://jackedathlete.com/podcast-147-patellar-tendons-with-zach-jungels/
Chapters 00:00 Introduction to Performance Coaching and Jumper's Knee 02:59 Understanding Jumper's Knee: Personal Experiences and Misconceptions 05:53 The Evolution of Training Approaches for Jumper's Knee 08:52 The Importance of Quad Strength in Recovery 11:50 Deceleration and Its Impact on Jumper's Knee 15:10 Plyometric Progressions and Their Role in Recovery 17:57 Exploring Exercise Techniques: What Works and What Doesn't 21:02 The Role of Eccentric Loading in Tendon Health 24:09 Debunking Myths: The Truth About Leg Extensions 27:13 Conclusion: Key Takeaways and Future Directions 38:30 Exploring Effective Leg Exercises 41:34 Understanding Knee Pain and Rehabilitation 46:25 The Role of Isometrics in Knee Recovery 51:30 Addressing Patellar Tendon Issues 54:20 Navigating Athletic Pain and Recovery 01:06:30 Injury Management: Achilles and Rotator Cuff 01:14:23 Conclusion and Future Directions Takeaways Tim Riley is a performance coach working with various athletes. Jumper's knee is often misunderstood and mismanaged. Rest and ice were traditionally recommended for jumper's knee, but this approach is outdated. Quad strength is crucial for recovery from jumper's knee. Deceleration is a significant factor in developing jumper's knee. Plyometric progressions must be approached carefully to avoid aggravating knee pain. Not all exercises are effective for everyone; individual responses vary. Eccentric loading is essential for tendon health and recovery. Leg extensions can be beneficial but may not work for everyone. There is no magical exercise for knee pain; a comprehensive approach is necessary. Sissy squats can be more effective than leg extensions. Eccentric loading is crucial for knee rehabilitation. Isometric exercises can help with jumper's knee recovery. Athletes often need to reduce sport-specific activities to heal. Pain management requires honest conversations with athletes. Frequency of training can impact recovery from knee injuries. Achilles injuries require careful management and progression. Partial tears in tendons can be challenging to rehabilitate. Cultural attitudes towards pain vary among athletes. Consistency in rehabilitation exercises leads to better outcomes. Tim's Website: https://www.timrileytraining.com Tim's Instagram: https://www.instagram.com/timrileytraining/?hl=en Coach Em Up Instagram: https://www.instagram.com/coachemuppodcast/?hl=en Notes: https://jackedathlete.com/podcast-144-patellar-tendons-with-tim-riley/
Jim is a family man with 3 kids. They live in Norfolk, Englad. He spent most of his life working on offshore oil rigs as an electrician. He has ruptured his achilles tendon multiple times over his life while playing sports & still deals with it to this day. He is also a self proclaimed "program hopper" that has decided to call Linchpin his home. This is his story.
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Chapters 00:00 Introduction to Finger Tendons and Climbing Injuries 03:13 Understanding Finger Anatomy and Function 06:02 Common Finger Injuries in Climbers 08:53 Pathophysiology of Tenosynovitis 12:06 Rehabilitation Strategies for Finger Injuries 15:04 Comparing Tenosynovitis and Pulley Injuries 17:56 Managing Climbing Volume and Injury Prevention 25:38 Understanding Power Loss in Climbing 29:27 Tendon Adaptation Through Lifelong Loading 33:22 Rehabilitation Challenges for Climbers 35:05 The Role of Strength Training in Climbing 37:10 Tendon Adaptation Mechanisms 38:56 Controversies in Climbing Training Methods 41:07 Ultrasound in Diagnosing Climbing Injuries 42:22 Using Strain Gauges for Performance Measurement 43:53 Understanding Pulley Ruptures 45:36 Rehabilitation Techniques for Finger Tendons 47:14 Thumb Tendon Issues in Climbers 49:09 Future Directions in Climbing Research 50:07 Finding Professional Help in Climbing Rehabilitation Takeaways Tyler Nelson has a doctorate in chiropractic and a master's in tendon research. Rock climbers often experience finger injuries due to overtraining. Finger tendons are unique in their anatomy and function compared to other tendons. Tenosynovitis is a common injury among climbers, often due to too much stress too soon. Rehabilitation for finger injuries should focus on gradual load increase and proper technique. The A2 pulley is crucial for finger movement and is often injured in climbers. Climbers need to be aware of the specific loads their fingers endure during training. Managing climbing volume is essential to prevent injuries in climbers. The tendon sheath plays a vital role in the health of finger tendons. Understanding the mechanics of finger tendons can aid in better training and injury prevention. Power loss is a key metric in understanding climbing performance. Beginners should focus on skill development rather than overloading their fingers. Body weight significantly affects the load on tendons during climbing. Lifelong loading is crucial for tendon adaptations in climbers. Climbers often underload their tendons during rehabilitation, leading to prolonged recovery. Strength training is essential for injury prevention and performance enhancement in climbing. Tendon adaptations require significant muscle load and proper joint positioning. Controversial training methods are gaining popularity, but their efficacy is debated. Ultrasound is the gold standard for diagnosing climbing injuries and assessing tendon health. There is a growing interest in climbing research, leading to better understanding and treatment of climbing-related injuries. Instagram: https://www.instagram.com/c4hp/ Website: https://www.camp4humanperformance.com Notes: https://jackedathlete.com/podcast-142-finger-tendons-with-tyler-nelson/
Chapters 00:00 Introduction to Hamstrings and Johan's Background 03:11 Functional Anatomy of the Hamstrings 06:13 Complexity of Hamstring Function and Evolution 09:06 Injury Mechanisms and Proximal vs Distal Injuries 12:02 Fatigue and Its Impact on Hamstring Injuries 15:04 Sport-Specific Hamstring Injury Risks 18:12 Rehabilitation and Development of Hamstrings 32:55 Understanding Hamstring Function and Training 37:13 The Importance of Hamstring Strength and Conditioning 42:00 Injury Prevention and Rehabilitation Strategies 46:14 Common Mistakes in Hamstring Rehabilitation 52:29 Optimizing Hamstring Training for Performance 56:20 Practical Recommendations for Hamstring Development 01:00:59 Future Directions in Hamstring Research Takeaways Johan Lahti has a strong background in strength and conditioning. Hamstrings are crucial for speed and injury prevention. The anatomy of hamstrings is complex and specialized. Biceps femoris long head is the most commonly injured hamstring. Fatigue significantly alters movement patterns and injury risk. Different sports have varying rates of hamstring injuries. Proximal injuries are more common than distal injuries. Effective rehabilitation requires understanding of hamstring function. Training should focus on both hip and knee movements. Range of motion is key for optimal performance. Knee-over-hip movement targets specific hamstring muscles. Nordics are effective for hamstring injury prevention. Trunk control is vital for efficient hamstring function. Thorough hamstring development addresses all muscle groups. Hamstrings may require different training strategies based on fiber type. Acceleration plays a significant role in hamstring rehabilitation. Strength training should focus on a large range of motion. Sled training can enhance sprinting performance. Eccentric overload studies are needed for better understanding. Practical application in training is crucial for athletes. Linktree: https://linktr.ee/r5.johan?fbclid=PAZXh0bgNhZW0CMTEAAacrLUbPVowp-fLmXuiL24aEhLAbiDybz36SPGRE1B5OGUQazY4BMcIuIcmP6A_aem_v59RXN2FxyxAgIMsNZpAmQ Instagram: https://www.instagram.com/r5.johan/?hl=en Twitter: https://x.com/lahti_johan Notes: https://jackedathlete.com/podcast-141-hamstrings-and-hamstring-tendons-with-johan-lahti/
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 to Derek Griffin and His Expertise 02:46 Understanding Tendinopathy and Pain Mechanisms 05:52 The Role of Subgrouping in Tendinopathy 08:59 Clinical Insights on Tendon Pain 11:53 Metabolic Factors Influencing Tendon Health 14:58 The Impact of Aging on Tendon Sensitivity 17:51 Exploring Systemic Risk Factors for Tendinopathy 21:07 The Connection Between Tendinopathy and Multi-Site Pain 23:55 Fluoroquinolones and Tendon Health 30:13 Understanding Tendinopathy and Antibiotics 31:49 Autoimmune Conditions and Tendinopathy 33:32 Screening for Inflammatory Factors 36:26 The Importance of Comprehensive Assessment 39:20 Differentiating Tendon Pain Causes 41:49 Clinical Probabilities in Tendon Pain 43:53 Referral to Specialists for Inflammatory Conditions 46:15 Managing Tendon Pain with Systemic Considerations 49:33 Impact of Medications on Tendons 50:08 Addressing Lifestyle Factors in Treatment 54:19 Barriers to Comprehensive Diagnosis 57:46 Research Gaps in Tendinopathy Understanding Takeaways Derek Griffin has a PhD in persistent pain and focuses on tendinopathy. Tendinopathy can arise from various factors, including metabolic and autoimmune conditions. Pain mechanisms are complex and should be viewed in a biopsychosocial context. Subgrouping in tendinopathy can provide insights but should not overshadow individual treatment. Aging can increase sensitivity to tendon injuries due to metabolic changes. Metabolic syndrome is linked to poorer tendon health and healing. Fluoroquinolones are associated with increased risk of tendon rupture. Lateral hip tendinopathy often coexists with other musculoskeletal pain conditions. Understanding the patient's story is crucial for effective treatment. Tendon health is influenced by overall systemic health and lifestyle factors. Autoimmune conditions can significantly influence tendinopathy. Screening for inflammatory factors is crucial in assessment. Understanding the patient's story is key to diagnosis. Lifestyle factors should be addressed in treatment plans. There is a need for more research on non-athletic populations. The average delay in diagnosis for autoimmune conditions is significant. Medications can have varying effects on tendon health. Comprehensive assessment can improve treatment outcomes. Clinicians should routinely ask about lifestyle factors. Common sense and flexibility in treatment approaches are essential. Derek on Twitter: https://x.com/DerekGriffin86 Derek on Instagram: https://www.instagram.com/derek_griffin_phd/ Notes: https://jackedathlete.com/podcast-134-tendons-with-derek-griffin/
Chapters 00:00 Introduction and 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/
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
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
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.
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