Chapters

00:00 Introduction to Tendinopathy and Personal Journey 02:46 Understanding Tendinopathy: Inflammation vs. Degeneration 06:02 The Role of Isometrics in Tendon Rehabilitation 09:10 Muscle Function vs. Tendon Focus in Rehabilitation 11:50 Managing Load: Balancing Pain and Progress 15:07 Powerlifting and Tendinopathy: A Unique Perspective 17:54 Biomechanics and Chronic Workload in Tendon Pain 32:51 Understanding Tendon Biomechanics 34:10 Mismanagement of Tendon Injuries 37:24 The Importance of Progressive Loading 39:07 Transitioning to Remote Rehabilitation 41:03 The Role of Imaging in Tendon Injuries 44:27 Navigating Partial Tears and Surgical Decisions 47:41 Post-Surgery Rehabilitation Challenges 53:27 The Efficacy of Injections in Tendon Pain 56:54 The Debate on Stretching Tendons 01:00:00 Exploring BPC-157 and Its Anecdotal Use

Takeaways

• Tendinopathy is often mismanaged in clinical settings.
• Isometrics can be beneficial but are not a one-size-fits-all solution.
• Muscle function and nervous system adaptation are crucial in rehab.
• Pain should guide rehabilitation strategies.
• Heavy loads must be relative to the individual's condition.
• Powerlifters can experience patellar tendinopathy due to high volume and intensity.
• Biomechanics play a role in tendon injuries but are not the sole factor.
• Chronic workload changes can lead to tendon pain.
• Expectations and beliefs can influence treatment outcomes.
• Individualized approaches are essential for effective rehabilitation. High bar back squats may aggravate tendon injuries more than low bar squats.
• Mismanagement of tendon injuries often leads to prolonged recovery times.
• Progressive loading is crucial for effective rehabilitation.
• Remote rehabilitation can provide more frequent and tailored care.
• Imaging can create fear and confusion about tendon injuries.
• Partial tears may not always require surgical intervention.
• Post-surgery rehabilitation is highly individualized and can be challenging.
• Injections may provide temporary relief but are not a guaranteed solution.
• Stretching tendons should be minimized, especially in early stages of rehab.
• BPC-157's effectiveness remains largely anecdotal and requires more research.

Alex's links: https://stan.store/training_with_tendinopathy

Alex's Instagram: https://www.instagram.com/training_with_tendinopathy/

Notes: https://jackedathlete.com/podcast-137-tendons-with-alex-nelson/

Chapters

00:00 Introduction to Byron Miller and His Journey 03:07 Understanding Tendinopathy and Its Evolution 05:51 The Shift from Traditional Views to Modern Understanding 08:53 Personal Experiences with Tendinopathy 11:50 The Role of Loading in Tendon Rehabilitation 14:59 Practical Approaches to Tendon Treatment 18:09 The Importance of Patient Education and Lifestyle Adjustments 30:55 Optimizing Recovery and Load Management 33:53 Rehabilitation Insights for Rotator Cuff Injuries 37:44 The Importance of Loading in Shoulder Rehabilitation 41:38 Understanding Rotator Cuff Functionality 46:14 Addressing Common Shoulder Pathologies 51:46 The Role of Strength and Function in Shoulder Health 56:14 Navigating Treatment Options for Shoulder Pain

Takeaways

• Byron Miller specializes in tendinopathy and has a passion for research.
• His journey into physical therapy began after a change from pursuing medicine.
• The understanding of tendinopathy has evolved significantly over the years.
• Loading strategies are crucial in the rehabilitation of tendons.
• Patient education is essential for effective treatment and management.
• Miller emphasizes the importance of simplifying rehabilitation exercises.
• He shares personal experiences with various tendon injuries.
• The role of lifestyle factors in tendon health is significant.
• Miller advocates for a tailored approach to each patient's needs.
• Understanding the difference between tolerance and capacity in tendon treatment is key. Recovery requires minimizing compressive load during rehabilitation.
• Step count and stride length can impact gluteal muscle health.
• Loading is crucial for effective shoulder rehabilitation.
• Single exercises can be more effective than multiple in rehab.
• Rotator cuff injuries often relate to tendinopathy.
• Education coupled with exercise enhances rehabilitation outcomes.
• Shoulder pain can stem from both compressive and tensile loading.
• Strengthening the shoulder complex is vital for overall function.
• Psychological factors play a significant role in shoulder pain management.
• Maintaining activity levels is important to prevent underloading.

Website: https://www.tendonrx.com

Instagram: https://www.instagram.com/tendonrx/

Notes: https://jackedathlete.com/podcast-136-glute-med-and-rotator-cuff-tendons-with-byron-miller/

Chapters

00:00 Introduction and Setting the Scene 00:54 Steven's Journey into Strength and Conditioning 01:59 The Achilles Rupture Experience 11:57 Rehabilitation Insights and Lessons Learned 19:59 Exploring Patellar Tendon Issues 28:01 Understanding Elbow Tendon Pain 34:24 Managing Injury and Recovery Strategies 36:07 The Journey of Overcoming Adductor Injuries 48:06 Rehabilitation Techniques for Achilles Tendon Injuries 57:23 Understanding Elbow Tendinopathy and Rehabilitation

Takeaways

Steven's passion for coaching was ignited by his own injury. The Achilles rupture experience was a turning point in Steven's career. Rehabilitation requires a systematic approach to be effective. Understanding body mechanics is crucial for injury prevention. Patellar tendonitis can stem from poor movement patterns. Elbow pain in grappling often results from increased training loads. Isometrics play a vital role in rehabilitation. Pain management is essential for quality of life during recovery. Training through discomfort can lead to better outcomes. Learning from personal experiences enhances coaching effectiveness. Fast jerk movements can aggravate injuries. Training grip and wrist work can provide relief. Rehabilitation requires understanding individual body mechanics. Pushing through discomfort can lead to injuries. Isometric exercises can aid in recovery. Listening to your body is crucial during rehab. Tendons need load to heal effectively. Rehab should consider the entire kinetic chain. Elbow pain can be linked to shoulder and neck issues. A comprehensive approach is essential for effective recovery.

Steven's Instagram: https://www.instagram.com/coach_steven_sahyoun/

Steven's YouTube: https://www.youtube.com/@coachstevensahyoun

Steven's Podcast: https://open.spotify.com/show/1cQwoKXtHgfK8rXOg7205A?si=7e0d59abee61426d

Steven's Linktree: https://linktr.ee/Psccoaching?fbclid=PAZXh0bgNhZW0CMTEAAaazihc-tjME4aZcBa1_GVatrfxX0D37NK9DsdrRGYOhZ57PRW6y_Zba5Jw_aem_UlXctGsQgFvIqICadC8RYg

Notes: https://jackedathlete.com/podcast-135-tendons-with-steven-sahyoun/

Chapters

00:00 Introduction to Derek Griffin and His Expertise 02:46 Understanding Tendinopathy and Pain Mechanisms 05:52 The Role of Subgrouping in Tendinopathy 08:59 Clinical Insights on Tendon Pain 11:53 Metabolic Factors Influencing Tendon Health 14:58 The Impact of Aging on Tendon Sensitivity 17:51 Exploring Systemic Risk Factors for Tendinopathy 21:07 The Connection Between Tendinopathy and Multi-Site Pain 23:55 Fluoroquinolones and Tendon Health 30:13 Understanding Tendinopathy and Antibiotics 31:49 Autoimmune Conditions and Tendinopathy 33:32 Screening for Inflammatory Factors 36:26 The Importance of Comprehensive Assessment 39:20 Differentiating Tendon Pain Causes 41:49 Clinical Probabilities in Tendon Pain 43:53 Referral to Specialists for Inflammatory Conditions 46:15 Managing Tendon Pain with Systemic Considerations 49:33 Impact of Medications on Tendons 50:08 Addressing Lifestyle Factors in Treatment 54:19 Barriers to Comprehensive Diagnosis 57:46 Research Gaps in Tendinopathy Understanding

Takeaways

Derek Griffin has a PhD in persistent pain and focuses on tendinopathy. Tendinopathy can arise from various factors, including metabolic and autoimmune conditions. Pain mechanisms are complex and should be viewed in a biopsychosocial context. Subgrouping in tendinopathy can provide insights but should not overshadow individual treatment. Aging can increase sensitivity to tendon injuries due to metabolic changes. Metabolic syndrome is linked to poorer tendon health and healing. Fluoroquinolones are associated with increased risk of tendon rupture. Lateral hip tendinopathy often coexists with other musculoskeletal pain conditions. Understanding the patient's story is crucial for effective treatment. Tendon health is influenced by overall systemic health and lifestyle factors. Autoimmune conditions can significantly influence tendinopathy. Screening for inflammatory factors is crucial in assessment. Understanding the patient's story is key to diagnosis. Lifestyle factors should be addressed in treatment plans. There is a need for more research on non-athletic populations. The average delay in diagnosis for autoimmune conditions is significant. Medications can have varying effects on tendon health. Comprehensive assessment can improve treatment outcomes. Clinicians should routinely ask about lifestyle factors. Common sense and flexibility in treatment approaches are essential.

Derek on Twitter: https://x.com/DerekGriffin86

Derek on Instagram: https://www.instagram.com/derek_griffin_phd/

Notes: https://jackedathlete.com/podcast-134-tendons-with-derek-griffin/

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

Notes: https://jackedathlete.com/podcast-133-elbow-tendons-with-mike-carroll/

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: [email protected]

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.

Website: https://www.tendinopathyrehab.com

Instagram: https://www.instagram.com/tendinopathyrehab/?hl=en

Twitter: https://x.com/DrPeteMalliaras

Email: [email protected]

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. 

Gerard on Twitter: https://x.com/gerdy_mac

Notes:  https://jackedathlete.com/podcast-130-tendons-with-gerard-mcmahon/

Chapters

00:00 Introduction to Circadian Rhythms and Skeletal Muscle 02:52 Understanding the Circadian Clock 06:12 Dysregulation of Circadian Rhythms 09:06 Impact of Inflammation on Circadian Clocks 12:00 Peripheral Clocks and Their Independence 15:06 Exercise Timing and Performance 18:06 Feeding Patterns and Circadian Rhythms 21:00 Chronotypes and Individual Differences 23:59 Caffeine and Its Effects on the Clock 27:02 Adaptation of Circadian Clocks in Extreme Conditions 29:58 Alcohol's Impact on Circadian Function 31:01 The Impact of Circadian Clocks on Muscle and Tendon Health 36:34 Aging and Its Effects on Circadian Rhythms 40:47 Injury and Circadian Clocks: Understanding the Connection 43:10 The Role of Nutrition and Feeding Patterns 48:29 Circadian Disruption and Metabolic Health 51:50 Practical Applications for Maintaining Healthy Clocks

Takeaways

Circadian clocks are molecular timers found in every cell. The clock regulates metabolism and gene expression based on time of day. Dysregulation can lead to health issues like increased glucose levels. Peripheral clocks can operate independently of the central clock. Exercise timing can enhance performance and adaptation. Feeding patterns should align with activity for optimal health. Chronotype influences individual preferences for sleep and activity. Caffeine affects the sympathetic nervous system but doesn't phase shift the clock. Alcohol can disrupt circadian function and health. Adaptation of clocks can occur even in extreme light conditions. Circadian clocks significantly influence muscle and tendon health. Disruption of circadian rhythms can lead to metabolic issues. Aging affects the ability of circadian clocks to regulate gene expression. Inactivity does not stop circadian clocks, but it affects their function. Nutrition timing is crucial for maintaining healthy circadian rhythms. Exercise can enhance the function of circadian clocks in muscles. Understanding the communication between muscle and tendon is vital for rehabilitation. Time-restricted feeding may extend lifespan and improve health. Research on circadian rhythms can inform strategies for injury recovery. Maintaining a consistent activity and feeding schedule supports clock health.

Karyn's profile: https://physiology.med.ufl.edu/profile/esser-karyn/

Karyn's Linkedin: https://www.linkedin.com/in/karyn-esser-a187333

Notes: https://jackedathlete.com/podcast-129-circadian-rhythms-with-karyn-esser/

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