Barbell Medicine Podcast

Pain and Rehab Podcast Episode 7: Tendinopathy

10.14.2019 - By Barbell MedicinePlay

Download our free app to listen on your phone

Download on the App StoreGet it on Google Play

This podcast features Drs. Ray, Amato, and Miles discussing tendinopathy diagnoses, management, and more.

Time Stamps:

Introduction: 0:00

ICON Paper & Terminology: 2:00

Clinical Presentation: 14:00

Tendon Adaptation - Review Paper: 22:30

Expectations and the Rehab Process: 30:30

Programming Considerations: 39:00

What is not supported for treatment: 49:30

Summary/Conclusion: 1:02:50

References:

Docking SI, Cook J. How do tendons adapt? Going beyond tissue responses to understand positive adaptation and pathology development: A narrative review. J Musculoskelet Neuronal Interact. 2019 Sep 1;19(3):300-310.

Scott A, Squier K, Alfredson H, et al. ICON 2019: International Scientific Tendinopathy Symposium Consensus: Clinical Terminology. British Journal of Sports Medicine Published Online First: 09 August 2019

Practical Applications:

We DO NOT recommend completely off loading the area

Manage loading is the name of the game.

Type of loads (dynamic vs isotonic/isometric)

Volume variables (sets/reps - for resistance training but also based on sports such as running, cycling, swimming such as duration of training)

Intensity (internal vs external and sport specificity)

Frequency (days per week of training)

Range of motion alteration / role of technique modification?

Exercise selection

Remember to treat the person not just the tendon (psychosocial correlates), especially as the rehab process is non-linear and providing strategies for accurately interpreting the meaning and management of symptom flares

Passive modalities are not recommended

NSAID, steroid injections, PRP/prolotherapy, and tennex surgery are not recommended

Our Sponsors:

* Check out undefined: PXG.com/bbm

* This episode is sponsored by Better Help. Check out Better Help and use the code betterhelp.com/ BARBELLPOD for a 10% off your first month.

Support this podcast at — https://redcircle.com/barbell-medicine-podcast/donations

Advertising Inquiries: https://redcircle.com/brands

Privacy & Opt-Out: https://redcircle.com/privacy

More episodes from Barbell Medicine Podcast