Pain and Rehab Podcast Episode 7: Tendinopathy

Barbell Medicine Podcast

Barbell Medicine

Health & Fitness

4.8 • 1.3K Ratings

🗓️ 14 October 2019

⏱️ 66 minutes

🔗️ Recording | iTunes | RSS

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Summary

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 Chilipad and use my code sleep.me/BBM for a great deal: https://sleep.me * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com * Check out Factor and use my code factormeals.com/bbm50off for a great deal: https://www.factor75.com * Check out Quince and use my code quince.com/bbm for a great deal: https://www.quince.com Advertising Inquiries: https://redcircle.com/brands

Transcript

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0:00.0	And welcome back to the Barbell Medicine, Pain and Rehab Podcast.
0:15.0	I am your co-host Dr. Michael Ray.
0:17.0	I'm a chiropractor in Harrisonburg, Virginia.
0:20.0	I'm joined by my two usual co-host, Dr. Derek Miles, out at Stanford, Pediatrics.
0:26.1	He is a physical therapist out there.
0:28.0	And Dr. Michael Lamato, who's a physical therapist at Paulston, PT and wellness.
0:33.0	How's it going today, guys?
0:34.9	Good morning, Mike.
0:36.7	Doing well on my third coffee of the morning, so.
0:40.4	Can't wait.
0:41.7	Well, just based off of our text messages you're much more of a productive human this morning than Derek and I so far
0:48.4	That's okay. It's been a light week for me
0:50.7	There you go. You've already seen like 10 patients.
0:54.0	Yeah, pretty much.
0:55.0	Yeah.
0:58.0	I'm still drinking my fruit cup of coffee, so.
1:08.0	Well, today is going to be all about Tenant Apathies. I don't want to take too much time away from this because we're going to dive into it. It's a rather broad and lengthy topic.
1:13.2	I know at Barbile Medicine,
1:15.1	we get a ton of questions about tenanopathy's
1:17.6	and it probably is arguably one of the more prevalent issues,
1:21.1	especially if you work with athletes, that it's something that you're going to have to address at some point in time in clinic.
1:26.0	And there seems to be, at least if you look at like Instagram and Facebook's ideas about what's the appropriate management for
	...

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