Chapters

00:00 Seth O'Neill's Background and Expertise 01:34 Understanding Achilles Tendon Problems 02:26 The Role of the Plantaris in Achilles Tendinopathy 07:04 The Importance of the Soleus Muscle 16:15 PhD Research on Soleus and Achilles Tendon Rehabilitation 19:43 Calf Muscle Loads and Performance 22:13 Internal vs External Loads in Rehabilitation 30:43 Rehabilitation Focus: Dorsiflexion vs Plantar Flexion 37:27 Identifying Deficits in Performance Testing 39:53 Understanding Muscle Weakness and Performance Misconceptions 40:58 Concentric vs Eccentric Training in Rehabilitation 42:29 Dorsiflexion and Insertional Tendinopathy: A Misunderstanding 45:01 Balancing Load and Pain in Rehabilitation 48:16 Rehabilitation Approaches for Mid-portion and Insertional Tendinopathy 50:35 Neuromuscular Function and Tendon Adaptation 57:41 Understanding Achilles Ruptures: The Perfect Storm 01:05:41 Fluoroquinolones and Tendon Health: Debunking Myths 01:13:07 Metabolic Health and Tendon Repair

Takeaways

Seth O'Neill is a physiotherapist specializing in calf and Achilles tendon injuries. His PhD focused on the soleus muscle's role in Achilles tendon problems. Peritendon issues can affect various tendons, not just the Achilles. The plantaris tendon is often overlooked but can contribute to Achilles tendonopathy. Dorsiflexion is crucial in rehabilitation for Achilles injuries. Calf muscle strength is directly linked to athletic performance. Training should focus on functional positions relevant to sports. Metabolic health can impact tendon recovery and injury risk. Neuromuscular function is critical for preventing tendon injuries. Fluoroquinolones may not significantly increase the risk of tendon ruptures.

Contact: https://le.ac.uk/people/seth-o-neill

Twitter: https://x.com/Seth0Neill

Notes: https://jackedathlete.com/podcast-167-achilles-tendons-with-seth-oneill/