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/
