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BETTER! with Dr. Stephanie Estima | Strength, Body Composition & Perimenopause

The Lifting Heavy Trap: Strong Muscles but Weak Tendons & Why You Get Injured

BETTER! with Dr. Stephanie Estima | Strength, Body Composition & Perimenopause

Dr. Stephanie Estima

Intimacy, Menopause, Betterpodcast, Nutrition, Women's Health, Menstruation, Hormones, Optimization, Sex, Fitness, Sleep, Dr. Stephanie, Health & Fitness, Science, Parenting, Motherhood, Health, Self Care, Drstephanie, Mindset, Alternative Health, Self Love

4.8 β€’ 613 Ratings

πŸ—“οΈ 23 February 2026

⏱️ 56 minutes

🧾️ Download transcript

Summary

Dr. Stephanie delivers a comprehensive tendon masterclass: why these underappreciated tissues deserve your attention, how they adapt differently than muscle, common injuries women over 40 sustain (lateral hip pain, rotator cuff issues, tennis elbow), and the rehab strategies that actually work. Watch the full episode at https://youtu.be/9kGdzLbGN9g

Transcript

Click on a timestamp to play from that location

0:00.0

I know that muscles are super sexy and we get to build them and we can see them, but in my opinion,

0:08.6

tendons are the most underappreciated tissue in the body. You can't just go out because I've said

0:15.7

you have to sprint or Stacey Sims or whoever has said sprinting is important. But you have to earn the right in,

0:22.5

you know, from your tendon's perspective, you have to earn the right to be able to do that well.

0:26.6

You can't outhack tendon healing with just circulations. Like you can put heat on it, you can

0:32.8

massage it, you can try to increase blood flow. Those things can help symptoms, but it's the mechanical loading

0:38.7

of the tendon that is still the primary driver of remodeling.

0:42.9

One of the best ways that you can heal the tendon is by actually moving it. Like we used to,

0:47.4

I don't know if you ever remember this acronym Rice, Rest, Ice, Compression, Elevation with any

0:52.7

type of injury. That is completely outdated.

0:56.3

What tendons hate is spikes. They do not like sudden jumps in intensity, volume, or novel

1:02.2

activity, just like me. Tendons, you are my spirit animal. Don't surprise me. And this is why people

1:08.8

will say, like, there's just nothing like exercise.

1:12.5

You know, it's like, I can give you all the drugs and give you the corticosteroids to sort

1:15.9

temporarily blunt something. But if you want real remodeling, it has to come under heavy,

1:21.0

slow resistance.

1:26.8

All right, my friends, welcome back to another episode of Better with Dr. Stephanie.

1:31.4

It's me, your host, Dr. Stephanie, Stima.

1:34.0

And today we are going to be talking all about tendons, why they deserve their own episode,

1:40.8

what are some of the common injuries and mechanisms of injuries for tendons, how they're

1:45.8

different from muscle, and then maybe most importantly, some of the very common tendness injuries

1:51.2

that women over 40 tend to sustain and what we can do to rehab our tendons so that we prevent

...

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