About this episode
Chapters 00:00 Introduction to Tendon Talk 01:55 Understanding Patellofemoral Pain 06:02 The Biopsychosocial Model in Pain Management 09:57 The Role of Muscle Strength in Tendon Health 13:54 Exploring Achilles Tendinopathy 17:55 Calf Raises and Their Effectiveness 22:04 The Importance of Loading in Rehab 26:05 Comparing Patellar and Achilles Tendon Rehab 29:57 Final Thoughts on Tendon Management 38:20 Rehabilitation Challenges with Achilles and Patellar Ruptures 41:23 Innovative Techniques in Achilles Rehabilitation 44:09 The Debate on Literature vs. Real-World Experience 49:15 Personal Experiences with Achilles Injuries 53:30 Genetics and Tendon Injuries 57:07 Understanding Partial Ruptures vs. Tendinopathy 01:00:11 Pain Response in Achilles Rehabilitation 01:02:29 The Role of Pain in Rehabilitation 01:04:50 Loading Techniques for Achilles Rehabilitation 01:09:21 Exploring Jerk Isometrics in Rehabilitation 01:10:46 The Value of Isometrics in Rehabilitation 01:11:11 Surface Variation in Achilles Rehab 01:12:04 Manipulating Center of Mass for Rehab 01:15:24 Encouraging Movement Variety in Rehabilitation 01:16:14 Understanding Tendon Mechanics and Mobility 01:18:14 The Role of Heel Wedges in Pain Relief 01:19:35 Insights on Upper Body Tendon Rehabilitation 01:22:08 Exploring Movement Variability in Upper Limbs 01:31:06 The Importance of Variety and Variability in Movement 01:35:35 Upcoming Programs and Workshops Takeaways David discusses the challenges of managing time and opportunities in his work. Jake shares his personal experience with weight loss and its impact on his social life. David explains his approach to treating patellofemoral pain and the importance of loading. The conversation highlights the biopsychosocial model in understanding pain. David emphasizes the need for less frequent loading for patellofemoral pain compared to tendon pain. Jake questions the structural understanding of patellofemoral pain and its implications for rehab. David shares his personal journey with Achilles tendinopathy and its impact on his athletic performance. The discussion reveals the common pitfalls in calf raise exercises for Achilles rehab. David advocates for high intensity and low frequency in calf raise training. The conversation concludes with insights on the differences between patellar and Achilles tendon management. Rehabbing an Achilles rupture requires careful management of tendon lengthening. Overcoming isometrics are effective for strengthening the Achilles during rehab. Real-world experiences can often contradict existing literature on rehabilitation. Personal experiences with tendon injuries highlight the unpredictability of recovery. Genetics may play a significant role in tendon injuries and recovery. Partial ruptures should be approached with caution, similar to tendinopathy. Pain response is less significant in Achilles rehabilitation compared to other injuries. It's crucial to focus on loading techniques rather than just range of motion. The literature on tendon injuries can be misleading and should be interpreted with caution. Effective rehabilitation requires pushing patients as hard as possible without exceeding their limits. Isometrics can clarify what's working in rehab. Varying surfaces can enhance Achilles rehab. Manipulating center of mass is crucial for rehab. Movement variety is often overlooked in rehab. Tendon mechanics play a significant role in recovery. Heel wedges can provide relief for insertional pain. Upper body tendons require a different approach. Movement variability is essential for upper limb function. Older athletes often lack movement variety and variability. A holistic approach to rehab includes strength, mobility, and control. David's Website: https://davidgreyrehab.com David's Instagram: https://www.instagram.com/davidgreyrehab/?hl=en Notes: https://jackedathlete.com/podcast-124-tendons-with-david-grey/