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Jacked Athlete Podcast

Author: Jake Tuura

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Jake Tuura interviews those in the field of Athletic Performance, Muscle Hypertrophy, and Tendinopathy Rehab. You'll hear guests talk about Strength & Conditioning, Tendon Health, Anterior Knee Pain, and Muscle Gain. Website: http://jackedathlete.com
163 Episodes
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Chapters 00:00 Introduction to Gabriel Fernandes and His Work 03:51 Exploring the Role of the Soleus in Achilles Tendinopathy 11:56 Investigating the Lateral Gastrocnemius and Its Implications 18:30 Understanding Muscle Fatigue and Endurance in Running 34:14 Practical Applications for Rehabilitation and Training 37:49 Cortical Inhibition and Tendinopathy 39:27 Deficits in Endurance and Peak Force 40:48 Measuring Muscle Capacity and Joint Angles 43:13 Hypertrophy and Muscle Adaptation 45:57 Atrophy in Calf Muscles 49:23 Rehabilitation Strategies for Lateral Gastroc 53:03 Foot Positioning and Muscle Activation 56:06 Biomechanics of Gait and Muscle Engagement 01:00:47 Neurophysiology and Muscle Recruitment 01:03:14 External Feedback and Muscle Training 01:06:03 E-Stim and Muscle Activation 01:08:10 Subtendinous Mechanics and Foot Positioning 01:10:16 Future Research Directions Takeaways Gabriel Fernandes is a physiotherapist with a focus on calf muscles and tendons. Research indicates that the lateral gastrocnemius may play a more significant role in Achilles tendinopathy than previously thought. Cortical inhibition affects muscle force production, particularly in individuals with tendinopathy. Endurance deficits are commonly observed in patients with Achilles tendinopathy, impacting their rehabilitation. Rehabilitation strategies should consider specific muscle contributions and include targeted exercises for the lateral gastrocnemius. Foot positioning during exercises can influence muscle activation and should be tailored to individual needs. Eccentric training may help improve muscle function and reduce inhibition in affected muscles. Neurophysiological assessments can provide insights into muscle drive and function in tendinopathy patients. Future research should explore the relationship between muscle fatigue and tendinopathy more deeply. Collaboration between clinicians and researchers is essential for advancing treatment strategies. Gabe on Instagram: https://www.instagram.com/gabephysio/ Achilles Tendon Survey: https://scuau.qualtrics.com/jfe/form/SV_4OsDZUKYLJonUUK?utm_source=ig&utm_medium=social&utm_content=link_in_bio&fbclid=PAZXh0bgNhZW0CMTEAc3J0YwZhcHBfaWQMMjU2MjgxMDQwNTU4AAGnIIWMTpSNHXYHoYl8uvHxsmHVZvmbdhlZxeTBwHr31T0SSGCbHJnAhfrF3qY_aem_Qk9ROIvLdIVJlGy8kThOZg Paper (Selective triceps surae weakness in Achilles tendinopathy: it is time to look beyond the soleus): https://sportrxiv.org/index.php/server/preprint/view/633/1382?utm_source=ig&utm_medium=social&utm_content=link_in_bio&fbclid=PAZXh0bgNhZW0CMTEAc3J0YwZhcHBfaWQMMjU2MjgxMDQwNTU4AAGn5a-uyRWns7A2jHfVNnWCoehQ1PIgL7Ggya2Mz-kjgWM_jghd7BzybyM67D4_aem_62cdO-b2oHquLV5Ie8AmpA Gabe on Twitter: https://x.com/gabephysio Notes: https://jackedathlete.com/podcast-163-lateral-gastrocnemius-in-achilles-tendinopathy-with-gabriel-fernandes/
Chapters 00:00 The Role of Podiatry in Rehabilitation 01:19 Exploring the Peroneal and Tibialis Posterior Tendons 04:25 Phases of Tendon Rehabilitation 07:14 Differentiating Tendon Injuries 10:30 The Importance of Accurate Diagnosis 24:12 Exploring Treatment Options for Tendon Pain 32:36 Understanding Orthotics and Their Role in Recovery 41:43 The Importance of Taping Techniques 44:29 Footwear Considerations for Pain Management 51:49 Differential Diagnosis in Tendon Pain 57:06 Understanding Insertional Pain and Loading Programs 58:14 The Role of Training Load in Running Injuries 01:00:03 Conservative Care for Tears and Injuries 01:02:04 Managing Detraining Effects During Recovery 01:05:35 Exploring Plantar Fasciitis and Treatment Options 01:07:06 Differentiating Types of Plantar Fasciitis 01:11:34 The Importance of Diagnosis in Treatment 01:15:15 Understanding Pain with Weight Bearing 01:18:37 Tibialis Posterior Tendonitis: Compression vs. Strain 01:25:24 Rehabilitation Strategies for Tendon Injuries 01:26:43 Rehabilitation Techniques for Tendons 01:33:20 Understanding the Capacity Phase in Rehabilitation 01:36:27 The Role of Resistance Training in Injury Prevention 01:47:25 Dynamic Function of the Foot and Ankle 01:58:24 Insights on Shin Splints and MTSS 01:58:42 Understanding Shin Splints and Their Treatment 02:02:25 The Role of Loading Cycles in Rehabilitation 02:04:40 Specificity in Rehabilitation: Running vs. Traditional Exercises 02:07:35 The Complexity of Tendon Healing and Rehabilitation 02:17:31 Future Directions in Tendon Research and Rehabilitation   Takeaways Podiatry often misunderstood; it's more than just inserts. Tendons like peroneals and tibialis posterior require specific rehabilitation. Phases of rehab include pain management and capacity building. Differentiating between tendon injuries is crucial for effective treatment. Orthotics can significantly aid in unloading painful tendons. Load modification is key in managing chronic pain conditions. Footwear plays a vital role in recovery from injuries. Plantar fasciitis treatment requires understanding of compressive vs tensile pain. Education is essential for patients to understand their conditions. Effective communication with patients enhances treatment outcomes. Imaging is crucial for ruling out serious conditions in tendon injuries. Accurate diagnosis is essential for effective treatment of tendon pain. Rehabilitation should focus on the specific needs of the tendon involved. Ankle stiffness can significantly affect athletic performance. The minimum effective dose of exercise is important for maintaining tendon health. Tendon injuries require a combination of loading and unloading strategies for recovery. Nutrition plays a vital role in tendon healing and overall performance. Understanding the biomechanics of the foot is key to preventing injuries. The body adapts to loading cycles, which can influence recovery from injuries. Long-term monitoring of tendon health is necessary for athletes.    Blake on Instagram: https://www.instagram.com/blake.sportspodiatrist/ Blake's Patreon: https://www.patreon.com/SportsMedicineProject?utm_medium=unknown&utm_source=join_link&utm_campaign=creatorshare_creator&utm_content=copyLink&fbclid=PAZXh0bgNhZW0CMTEAc3J0YwZhcHBfaWQMMjU2MjgxMDQwNTU4AAGn0B8PgJSRp-qaCYmqC4yGv8Xy0YmTk8VSIzUffdN9odCfz2j08OrOYFQH2ek_aem_ovO72KqzHk4lxDHBBRo0XA Blake's YouTube: https://www.youtube.com/channel/UCbqw1DRZlUIcGL7rr0CHo9g Blake's Podcast: https://open.spotify.com/show/6s99soNsAnzEKd0OyPBR8P?utm_source=ig&utm_medium=social&utm_content=link_in_bio&fbclid=PAZXh0bgNhZW0CMTEAc3J0YwZhcHBfaWQMMjU2MjgxMDQwNTU4AAGn9H8fpNukw1oIy4S-X-Y-A2iUVw-kzQN31uq6oRV-ZwVbccCHH0SgPy6Zdj8_aem_bagi5CYH-BipjAbACUQDiw Notes: https://jackedathlete.com/podcast-162-peroneal-and-tibialis-posterior-tendons-with-blake-withers/  
Chapters 00:00 Introduction to Myotendinous Junction Injuries 00:08 Pain Perception in Soleus Injuries 21:28 Rehabilitation Protocols for Soleus Injuries   Takeaways Misdiagnosis is a significant issue in myotendinous injuries. Education is crucial for effective injury management. The rectus femoris has a complex three-layer structure. Proximal muscle action is like a whip, while distal action generates force. MRI is the gold standard for assessing injuries. Pain often manifests after activity, not during. Aponeurotic tissue requires longer healing times than muscle injuries. Tendon and aponeurosis have different mechanical properties. A multidisciplinary approach is essential for injury management. Continuous improvement in clinical practice is necessary.    Filippo on Instagram: https://www.instagram.com/filippo_tilli_fisioterapista/ Filippo on LinkedIn: https://www.linkedin.com/in/filippo-tilli-429aa51a7/ Notes: https://jackedathlete.com/podcast-161-rectus-femoris-and-soleus-aponeurosis-injuries-with-filippo-tilli/
Chapters 00:00 Introduction to Tendinopathy and Personal Journeys 02:58 Exploring Treatment Approaches and Personal Experiences 05:42 Understanding the Science Behind Tendon Rehabilitation 08:52 The Role of Warm-Up Phenomenon in Tendon Health 11:34 Diving into the Berlin Method and Its Applications 14:54 Managing Tendinopathy in Professional Athletes 17:38 Innovative Exercises for Tendon Strengthening 20:40 Balancing Performance and Tendon Health 23:21 The Impact of Deep Knee Angles on Tendon Health 26:39 Utilizing Flywheel Training and K-Box for Rehabilitation 37:00 Understanding Tendon Overload and Training Methods 38:52 Managing Tendinopathy in High-Performance Athletes 41:52 The Impact of Surface on Tendon Health 45:05 Biomechanics of Jumping and Landing in Beach Volleyball 49:39 Exploring Adjunct Treatments for Tendinopathy   Takeaways Jonas Riess shares his journey with patellar tendinopathy and how it shaped his career. The importance of understanding tendon loading and biomechanics in rehabilitation. Research from influential figures like Keith Barr and Jill Cook has shaped current practices. Warm-up phenomena can temporarily alleviate pain in tendinopathy cases. The Berlin method and decline squats are effective for treating patellar tendinopathy. Managing tendon pain requires a balance between loading and recovery. Innovative training methods can enhance performance while protecting the tendon. Beach volleyball presents unique challenges for tendon health due to surface dynamics. Adjunct therapies like collagen supplementation and shockwave therapy have mixed results. Effective communication and collaboration with athletes are crucial for successful rehabilitation.   Jonas on Instagram: https://www.instagram.com/kukfrankfurt/ Jumper's Kneehab Programm: https://myablefy.com/s/kukfrankfurt/jumpers-kneehab Jonas on YouTube: https://www.youtube.com/channel/UCbyoRiUmk1MBqwxwEfthS2Q/featured Jonas's Linktree: https://linktr.ee/kukfrankfurt?utm_source=ig&utm_medium=social&utm_content=link_in_bio&fbclid=PAZXh0bgNhZW0CMTEAc3J0YwZhcHBfaWQMMjU2MjgxMDQwNTU4AAGnlEHgKh5AvX1xlo8utZkT83nxIYy09BNt3nN1P2tp8w8pdwLtIU2oSX1URA0_aem_PfHsdRbewB32IDrS3D2xKw Notes: https://jackedathlete.com/podcast-160-patellar-and-quad-tendons-with-jonas-riess/  
Chapters 00:00 Introduction to Patellar Tendinopathy and Research Background 02:59 Understanding Kinetic Chain and Loading Tiers 05:59 The Role of Ankle Dorsiflexion in Knee Stress 08:46 Biomechanics of Landing and Patellar Tendon Load 11:40 Rehabilitation Strategies for Patellar Tendinopathy 14:34 The Importance of Calf Strengthening 17:59 Electrical Stimulation in Rehabilitation 21:01 Comparing Strain and Load in Tendon Rehabilitation 23:45 BFR and Its Implications for Tendon Health 35:39 Understanding Tendon Pathologies: Quad vs. Patellar Tendon 39:24 Compression vs. Tension: The Key to Tendon Health 42:06 Loading Strategies for Quad and Patellar Tendon Rehabilitation 45:12 The Role of Muscle Strength in Tendon Health 49:36 Osgood Schlatter and Its Management 52:28 The Importance of Load Management in Young Athletes 54:55 Research Insights: Loading Index and Tendon Rehabilitation 01:01:36 Plyometrics and Kinetic Chain in Rehabilitation 01:05:10 Balancing Sports Participation and Rehabilitation 01:08:38 Current Research and Future Directions Takeaways Rodrigo Scatone specializes in sports physical therapy and patellar tendinopathy. Dorsiflexion restriction can lead to increased knee stress and patellar tendon issues. Landing mechanics significantly affect patellar tendon load during activities. Rehabilitation should focus on the entire kinetic chain, not just the affected tendon. Calf strengthening is crucial for offloading the patellar tendon during rehab. Electrical stimulation can enhance quad activation and reduce pain during rehab. Long-duration isometrics may not be suitable for all patients due to pain responses. BFR training is controversial for lower limb rehabilitation due to potential tendon strain imbalances. The quadriceps tendon may require different loading strategies compared to the patellar tendon. Young athletes with Osgood Schlatter's should avoid excessive stretching and focus on load management.   Rodrigo on Instagram: https://www.instagram.com/rscattone/ Rodrigo on Twitter: https://x.com/scattonesilva Rodrigo's Linktree: https://linktr.ee/rscattone?utm_source=ig&utm_medium=social&utm_content=link_in_bio&fbclid=PAZXh0bgNhZW0CMTEAc3J0YwZhcHBfaWQMMjU2MjgxMDQwNTU4AAGn_JYxepL7fCxUs2WEpEqJn2n6_pzuA9JJ1ieYRSf-JXqQ94mjf23DD5qRAuU_aem_wWPO4ZJf6VeuoXe52GDTHA Notes: https://jackedathlete.com/podcast-159-patellar-and-quadriceps-tendons-with-rodrigo-scattone/  
Chapters 00:00 Introduction to Achilles Health in CrossFit 02:17 Brent Fikowski's CrossFit Journey and Achilles Injuries 05:28 Understanding Achilles Ruptures in CrossFit 06:12 The Role of Physical Preparation in Preventing Injuries 09:13 Training Practices in CrossFit and Their Impact on Achilles Health 12:11 The Importance of Calf Training in CrossFit 15:22 Exploring Structural Development for Achilles Health 18:14 Prehab Strategies for Achilles and Calf Strengthening 21:26 Conclusion and Key Takeaways 25:50 Understanding Calf Muscle Dynamics 27:14 Effective Calf Training Strategies 29:30 The Importance of Single Leg Training 31:49 Optimizing Calf Raise Techniques 33:14 Equipment Considerations for Calf Training 36:34 Addressing Achilles Tendon Pain 42:47 The Role of Footwear in Calf Training 50:08 Preparing for Rebounding Box Jumps 57:34 The Importance of Calf Strength and Conditioning 01:03:15 Recovery and Warm-Up Strategies 01:07:50 Metabolic Health and Tendon Adaptation 01:13:05 Long-Term Tendon Health and Consistency Takeaways Brent Fikowski shares his experience in CrossFit and the importance of Achilles health. Achilles injuries are prevalent in CrossFit, especially during rebounding box jumps. Proper warm-up and conditioning can significantly reduce the risk of Achilles injuries. Calf training is often neglected in CrossFit, leading to potential injuries. Variability in training can help strengthen the Achilles tendon. Plyometric training should be approached with caution to prevent injuries. Structural development of muscles and tendons is crucial for injury prevention. Prehab strategies can help maintain Achilles health and prevent injuries. Loading techniques for calf raises should focus on slow, heavy movements. Metabolic health plays a significant role in tendon strength and injury recovery.   Article on this podcast: https://www.professionalfitnessathletesassociation.org/achilles-training Brent on Instagram: https://www.instagram.com/fikowski/ Website: https://brentfikowski.com PFAA: https://www.professionalfitnessathletesassociation.org Notes: https://jackedathlete.com/podcast-158-achilles-tendons-and-crossfit-injury-prevention-strategies-with-brent-fikowski/  
Video of the bilateral quad tendon rupture Chapters 00:00 Introduction to Jalen Shabazz 01:01 The Day of the Injury 02:29 Immediate Aftermath and Surgery 04:59 Post-Surgery Recovery and Physical Therapy 07:30 Rehabilitation Journey Begins 10:06 Returning to Strength Training 14:06 Gradual Return to Olympic Lifts 17:45 Relearning to Walk and Running Again 20:07 Getting Back to Jumping and Advanced Movements 22:21 Navigating Pain and Adjustments in Training 23:33 Athletic Background and Early Injuries 26:22 Transition to Weightlifting and Knee Issues 30:22 Understanding the Causes of Tendon Ruptures 34:52 The Impact of Pain Ignorance 37:56 Recovery Journey and Coaching Insights 39:43 Community and Shared Experiences of Injuries   Takeaways Jalen Shabazz is a strength and conditioning coach and former Olympic weightlifter. He experienced a bilateral quad tendon rupture during a lifting session. The injury occurred unexpectedly without prior pain or warning. Immediate medical attention was crucial, leading to surgery the next day. Post-surgery, Jalen faced significant challenges in mobility and daily activities. Physical therapy focused on regaining range of motion and strength. He utilized online resources to guide his rehabilitation process. Jalen gradually returned to strength training and Olympic lifts after recovery. Mental resilience played a key role in overcoming the fear of re-injury. He continues to adapt his training to accommodate his recovery and current capabilities. Jalen played multiple sports growing up, which contributed to his athletic development. He experienced a significant injury during the Junior Olympics due to a stress fracture. Transitioning to weightlifting initially alleviated his knee pain. Ignoring pain over the years led to inevitable injuries. He believes that many athletes push through pain, thinking it will resolve later. Jalen's recovery journey has made him more aware of the importance of addressing injuries promptly. He emphasizes the need for athletes to prioritize their long-term health over short-term gains. Jalen connects with others who have experienced similar injuries, creating a community of shared experiences. He maintains a conservative approach in coaching others, advocating for injury prevention. Jalen's story highlights the importance of listening to one's body and recognizing the signs of overuse.    Instagram: https://www.instagram.com/quicktempa/ YouTube: https://www.youtube.com/@quicktempa Website: https://tempateam.com Notes: https://jackedathlete.com/podcast-157-bilateral-quad-tendon-rupture-story-with-jalen-shabazz/  
Chapters 00:00 Introduction and Technical Challenges 03:11 Dylan Carmody's Background and Expertise 05:53 The Importance of Calf Research 08:59 Biomechanics of the Calf and Achilles 12:12 Understanding Muscle Function: Soleus vs. Gastrocnemius 14:57 Training Considerations for Calf Muscles 17:47 Injury Mechanisms and Rehabilitation Strategies 20:45 The Role of Aponeurosis in Muscle Function 24:03 Exploring Tendon Strain and Adaptation 27:01 Athletic Performance and Muscle Characteristics 37:03 Exploring the Role of Soleus and Gastrocnemius in Running 42:33 Understanding Tendon Development and Strain in Calf Training 48:34 Calf Training Strategies for Runners 53:27 Assessing Calf Strength and Endurance 58:31 Balancing Muscle and Tendon Work in Training 01:03:37 Seated vs. Standing Calf Raises: A Comparative Analysis 01:10:40 Age and Injury: Calf Strains vs. Achilles Ruptures Takeaways Dylan Carmody is a physical therapist and strength coach. He focuses on calf and Achilles research due to a lack of resources. The calf's biomechanics are easier to study due to its proximity to the ground. Soleus and gastrocnemius have different muscle fiber types and functions. Training should consider the specific muscle and tissue involved in injuries. Injury mechanisms can be complex and involve multiple muscle groups. Aponeurosis plays a significant role in muscle function and injury recovery. Tendon strain is crucial for adaptation and performance. Longer tendons may allow for greater absolute strain during activities. Athletic performance may be influenced by muscle and tendon characteristics. The soleus plays a crucial role in decelerating the shank during running. Tendon development is essential for maintaining calf health and preventing injuries. Calf training should include both heavy and endurance-focused workouts. Assessing calf strength through standardized tests can reveal weaknesses in runners. Seated calf raises may provide more controlled loading than standing raises. Age increases the risk of both calf strains and Achilles ruptures. Effective calf training requires a blend of isometric, eccentric, and concentric exercises. Cluster sets can help achieve higher volumes of calf training without excessive fatigue. Understanding the mechanics of running can inform better training practices for athletes. Injury prevention strategies should consider both muscle and tendon health.   Dylan's Linktree: https://linktr.ee/dylancarmody.dpt Dylan on Instagram: https://www.instagram.com/dylancarmody.dpt/?hl=en Calf E-Book: https://www.informperformance.com/offers/JFS2R2NE/checkout Notes: https://jackedathlete.com/podcast-156-calf-achilles-with-dylan-carmody/  
Chapters 00:00 Introduction and Background 02:47 Ethics of Wearable Technology in Sports 05:48 Pathways to Professional Sports 08:46 Understanding Tendon and Cartilage Dynamics 11:53 False Steps and Achilles Ruptures 14:50 Patellofemoral Pain: An Overview 17:47 Mechanics of the Patellofemoral Joint 20:45 Cartilage and Joint Dynamics 23:21 Managing Patellofemoral Pain 26:30 Fluid Dynamics in Joint Health 29:21 Graded Exposure and Rehabilitation Strategies 32:13 Conclusion and Future Directions 55:32 Eccentric Training and Joint Mechanics 57:57 Isokinetics and Functional Assessment 01:00:39 Hydrostatic Pressure and Joint Health 01:04:25 Taping Techniques and Offloading Strategies 01:07:36 The Role of the Soleus in Knee Health 01:10:36 Understanding Patellofemoral Pain 01:13:18 The Impact of Tibial Rotation 01:16:03 Psychosocial Factors in Chronic Pain 01:19:05 Imaging and Structural Considerations 01:21:51 Surgical Interventions and Recovery 01:24:50 The Complexity of Cartilage and Tendon Health   Takeaways Wearable technology raises ethical questions about data use. Athletes' trust in data is crucial for effective use. Different athletes respond uniquely to technology. Patellofemoral pain is a complex issue involving joint mechanics. Fluid dynamics play a significant role in joint health. Graded exposure is essential for rehabilitation. High velocity movements can prepare joints for loading. Managing pain requires understanding individual responses. Cartilage health is critical for athletic performance. Athletes often find ways to compensate for injuries. Eccentric training is preferred for joint mechanics. Isokinetics provide valuable functional assessments. Hydrostatic pressure affects joint health significantly. Taping techniques can help offload stress on the knee. The soleus plays a crucial role in knee health. Patellofemoral pain is influenced by multiple factors. Tibial rotation can impact knee tracking and function. Psychosocial factors are significant in chronic pain management. Imaging is essential for understanding structural issues. Surgical interventions may be necessary for severe cases.    Rehab Code: https://www.therehabcode.com Instagram: https://www.instagram.com/rehab_code/ Linktree: https://linktr.ee/rehabcode?fbclid=PAZXh0bgNhZW0CMTEAAaclQqSRaEdilxSZtc4GugYpJ-vgCpSk9o27MRgnr1fYbmVuCHvmsZaqD96xOA_aem_SmIz4cOqMV6iGFi6kHmsyw Notes: https://jackedathlete.com/podcast-155-patellofemoral-pain-with-jess-ellis/  
Chapters 00:00 Introduction and Updates from the Guests 02:34 Dynamic Movement and Plyometrics in Rehabilitation 05:32 ACL Rehabilitation Strategies and Insights 08:43 Understanding Knee and Ankle Dynamics 11:34 The Role of Compliance and Stiffness in Recovery 14:33 Gradual Return to Plyometrics and Dynamic Movements 17:30 Exploring Ankle Mechanics and Achilles Rehabilitation 20:29 The Importance of Individualized Rehabilitation Approaches 23:25 Reverse Engineering Movement Patterns for Recovery 26:41 Final Thoughts on Rehabilitation and Dynamic Movement 40:13 Training for Tendon Resilience 50:37 Volume vs. Intensity in Rehabilitation 59:40 The Importance of Dynamic Movement 01:07:52 Understanding Tendon Issues in Sports 01:15:06 Surface Impact on Training and Performance 01:18:44 Understanding Tendon Behavior in Plyometrics 01:22:28 The Role of Compliance in Athletic Performance 01:27:52 Relaxation vs. Tension in Athletic Movements 01:35:55 The Importance of Habitual Loading for Tendon Health 01:43:40 The Interplay of Metabolism and Tendon Pain   Takeaways Dynamic movement is crucial for rehabilitation. ACL rehabilitation requires a focus on compliance and stiffness. Volume is more important than intensity in training. Understanding knee and ankle dynamics is essential for plyometrics. Child development provides insights into effective movement patterns. Technology plays a significant role in athletic performance. Gradual return to plyometrics is vital post-injury. Tendon mechanics are complex and require careful consideration. Rehabilitation should be tailored to individual needs and backgrounds. A comprehensive approach to training enhances recovery and performance. Dynamic movement is crucial for maintaining tendon health. Tendon issues often arise from manmade training practices. Injury prevention can be achieved through consistent dynamic training. The balance between stiffness and compliance in tendons is essential for performance. Training surfaces can significantly impact athletic performance and injury risk. Shin splints are often misunderstood and can be linked to training practices. Relaxation during athletic performance can enhance efficiency and reduce injury risk. Long-term tendon adaptations require consistent and varied training. Overload is necessary for tendon adaptation and health. Good training is simply regressed good training, keeping all aspects in mind.   New York Seminar Oct 25/26: https://www.plusplyos.com/checkout?checkoutId=9455d78c-0e38-3ce9-b146-36e6a4c76434¤cy=USD&contentAppId=324cf725-53d9-4bb2-b8f6-0c8ec9a77f45&contentComponentId=4ca49999-12ba-46d7-8dca-03ee4a6c1b7c Matt on Instagram: https://www.instagram.com/mcinneswatson/ Matt's website: https://www.plusplyos.com Derek on Instagram: https://www.instagram.com/dr.derekpt/ Derek's website: https://www.gridptp.com Notes: https://jackedathlete.com/podcast-154-tendons-plyos-and-rehab-with-matt-mcinnes-watson-and-derek-garza/  
Tendon Rehab with Q Willy

Tendon Rehab with Q Willy

2025-09-2801:48:49

Chapters 00:00 Introduction to Q's Journey 02:59 The Influence of Mentorship in Physical Therapy 06:06 Challenging Traditional Beliefs in Physical Therapy 08:57 The Limitations of Physical Therapy Education 11:53 Experiences as an Athlete and the Role of Strength Conditioning 14:53 The Disconnect in Athletic Training and Rehabilitation 17:49 Understanding Tendon Pain and Rehabilitation Strategies 20:50 The Importance of Function Over Pain 23:57 The Role of Manual Therapy in Rehabilitation 26:48 The Psychological Impact of Injury on Athletes 30:04 Reframing Rehabilitation: Keeping Athletes Active 32:48 The Future of Physical Therapy and Athlete Care 54:21 The Psychological Aspect of Injury Recovery 56:58 Challenges in Athletic Training and Recovery 01:01:26 Cultural Shifts in Sports Medicine 01:02:23 The Role of Patient Empowerment in Recovery 01:06:23 The Importance of Enjoyment in Sports 01:08:12 Managing Pain Flare-Ups in Rehabilitation 01:12:34 Understanding Pain and Its Complexity 01:17:01 Daily Life Adjustments for Pain Management 01:21:23 Personal Experiences with Tendinopathy 01:25:34 Dynamic vs. Static Rehabilitation Approaches 01:29:00 Caution in Post-Surgical Rehabilitation 01:35:38 The Complexity of Pain and Rehabilitation 01:40:40 The Balance of Activity and Rest in Recovery 01:45:37 Future Directions in Rehabilitation and Coaching   Takeaways Q's journey from strength conditioning to physical therapy was influenced by mentorship. Physical therapy education often lacks practical application for athletes. Challenging traditional beliefs in physical therapy is essential for growth. Pain management should focus on function rather than just alleviating pain. Athletes often experience a disconnect between rehabilitation and training. Manual therapy has limitations and should not be the sole focus of treatment. Keeping athletes active during rehabilitation can enhance recovery. The psychological impact of injury on athletes is significant and should be addressed. A shift in the healthcare model is needed to support athletes better. Understanding tendon pain requires a comprehensive approach to rehabilitation. The psychological aspect of injury recovery is crucial. Engaging in enjoyable activities can aid recovery. Cultural shifts in sports medicine are necessary for better outcomes. Patient empowerment plays a significant role in rehabilitation. Pain management requires understanding its complexity. Daily life adjustments can help manage pain effectively. Dynamic rehabilitation approaches may not always be suitable for every injury. Caution is essential in post-surgical rehabilitation. Sometimes, doing less can lead to better recovery outcomes. Effective communication is key in managing patient expectations.   Q on Instagram: https://www.instagram.com/coach_q_physio/ Q's Linktree: https://linktr.ee/q_willey?fbclid=PAZXh0bgNhZW0CMTEAAacZCyD5hJ7vDrU8N015yMTND-oMVC41rgX0wvgcpWU4ZLEM8cAj6otX8qq_ag_aem_90spPkBQ6rLXDVz6JZWUjg Website: https://www.findphysiotherapy.com/ Notes: https://jackedathlete.com/podcast-153-tendon-rehab-with-q-willy/
Chapters 00:00 Introduction to Sports Medicine and Tendinopathy 02:52 Understanding Tendinopathy: Causes and Challenges 05:28 Differentiating Tendon Issues: The Role of Ultrasound 08:29 Metabolic Influences on Tendon Health 11:41 Treatment Approaches: Loading vs. Anti-Inflammatories 14:36 The Role of Surgery in Tendon Management 17:24 Innovative Techniques in Tendon Surgery 20:10 The Importance of Accurate Diagnosis 23:20 Patient Management: From Diagnosis to Treatment 26:06 The Impact of Tendinopathy on Athletic Performance 29:10 Exploring Controversial Treatments: PRP and Stem Cells 32:07 The Future of Tendon Rehabilitation 34:56 Conclusion: Evolving Practices in Tendon Care   Takeaways Tendinopathy is a significant challenge in sports medicine. Understanding the metabolic influences on tendon health is crucial. Ultrasound plays a vital role in diagnosing tendon issues. Not all tendons respond to treatment in the same way. Loading strategies are essential for effective tendon rehabilitation. Surgery may be necessary for chronic tendon issues that do not respond to conservative treatment. Innovative techniques in tendon surgery can lead to quicker recovery times. Accurate diagnosis is key to successful treatment outcomes. Tendinopathy can significantly impact athletic performance and quality of life. Ongoing research and collaboration are needed to advance tendon care practices.   Jon's Bio: https://www.fortiusclinic.com/specialists/dr-jon-houghton Jarrod's Bio: https://www.fortiusclinic.com/specialists/mr-jarrod-antflick Jon on Instagram: https://www.instagram.com/joffsyboy_2.0/ Jarrod on Instagram: https://www.instagram.com/jla_888/ Notes: https://jackedathlete.com/podcast-152-achilles-and-patellar-tendons-with-jarrod-antflick-and-jon-houghton/  
Chapters 00:00 Introduction to Colby Beecham and His Journey 02:58 Injuries and Their Impact on Physical Therapy 06:00 Understanding Patellofemoral Pain 08:54 Differentiating Between Knee Pain Types 12:01 The Thermostat Analogy in Rehab 15:09 Loading Strategies for Knee Pain 18:13 The Role of Manual Therapy and Passive Modalities 20:56 Isometrics and Their Effect on Pain 23:58 Lifestyle Factors in Recovery 26:58 Conclusion and Key Takeaways 33:57 Understanding Patellofemoral Pain and Treatment Approaches 37:07 The Importance of Lifestyle Factors in Recovery 39:28 The Role of Imaging in Pain Management 45:34 Biomechanics and Movement Patterns in Rehabilitation 50:40 Manual Therapy Techniques and Their Effectiveness 52:27 Evolution of Physical Therapy Practices 01:01:06 The Future of Physical Therapy and Personal Growth   Takeaways Colby Beecham is a physical therapist with a focus on individualized care. He emphasizes the importance of understanding the patient's lifestyle in recovery. The thermostat analogy helps conceptualize patellofemoral pain management. Differentiating between patellar tendon pain and patellofemoral pain is crucial for treatment. Loading strategies should be tailored to the individual's pain response. Manual therapy can aid in reducing pain and improving function. Strength conditioning knowledge is essential for effective rehabilitation. Lifestyle factors like nutrition and sleep significantly impact recovery. Colby is opening Onward Physical Therapy, focusing on out-of-network care. The future of physical therapy should bridge the gap between rehab and strength conditioning.   Colby on Instagram: https://www.instagram.com/drcolby_dpt/?hl=en Onward Tampa on Instagram: https://www.instagram.com/onward_tampa/?hl=en Onward Tampa: https://onwardphysicaltherapy.com/tampa/  
Chapters 00:00 Introduction to Tendon Research and Personal Insights 02:58 Exploring Tendon Development in Infants 05:42 The Berlin Method: Training Older Adults 09:01 Understanding Muscle Strength and Stability in Older Adults 11:40 Challenges in Calf Muscle Growth 14:31 The Mechanics of Tendon Adaptation 17:21 Cyclical Loading and Its Importance 20:39 Tendon Creep and Muscle Fatigue 23:26 The Role of Resting Length in Tendon Strain 26:02 Investigating Overtraining and Tendon Health 29:12 Conclusion and Future Directions in Tendon Research 43:26 Understanding the Berlin Method Frequency 47:13 Tendon Recovery and Training Volume 49:32 Mechanics of Tendon Strain and Recovery 53:41 Optimal Ranges for Tendon Strain 58:23 Research Insights on Tendon Strain Measurements 01:02:00 Individual Differences in Tendon Training 01:06:26 Training Approaches for Achilles and Calf Strength 01:11:26 Gender Differences in Tendon Training 01:14:46 Mechanotransduction in Developing Tendons 01:18:35 Future Directions in Tendon Research Takeaways Gaspar Epro is a senior lecturer and track and field coach. Tendons adapt to training, but the mechanisms are complex. The Berlin Method emphasizes high loads for tendon adaptation. Muscle strength is important, but technique and application matter more. Calf muscles are notoriously difficult to grow in strength. Tendons require time to recover and adapt to training loads. Creep studies on tendons are often conducted in mechanical settings, not in vivo. Tendon strain measurements can vary significantly based on methodology. Individual differences in tendon response necessitate personalized training. Females may experience different tendon adaptations compared to males. Gaspar on Instagram: https://www.instagram.com/gasparepro/?hl=en Gaspar on Twitter: https://x.com/gasparepro Gaspar's Email: gasparepro@gmail.com Notes: https://jackedathlete.com/podcast-150-tendons-with-gaspar-epro/
Chapters 00:00 The Journey of a Dunker: Early Years and Injuries 03:02 Understanding Knee Pain: Causes and Solutions 06:09 Training Techniques: Isometrics and Warm-ups 09:00 Diet and Its Impact on Performance 12:00 Adapting to Age: Training Adjustments Over Time 15:05 The Mechanics of Jumping: Techniques and Styles 17:58 Warm-up and Cool-down: Importance in Training 20:52 Managing Volume and Intensity in Training 24:10 The Role of Recovery: Isometrics and Pain Management 26:51 Final Thoughts: The Future of Dunking and Training 33:07 Exploring Conservative Management Techniques 36:09 Plyometrics: Finding the Balance 39:30 Lifting Strategies for Injury Management 42:01 Understanding Muscle Imbalances 43:48 The Impact of Footwear on Knee Health 45:36 Managing Pain During Training 48:20 Common Tendon Issues in Dunkers 51:16 The Role of Weight Training in Dunking 53:12 Dealing with Tendon Blow-Ups 54:52 Preventing Tendon Injuries in Dunking 01:06:39 Final Advice for Dunkers with Knee Pain Takeaways Jordan Kilganon shares his journey as a professional dunker. Knee pain can be managed with proper training and techniques. Isometric exercises play a crucial role in injury prevention. Diet can significantly impact tendon health and performance. As athletes age, training methods must adapt to prevent injuries. Different jumping techniques can affect knee stress differently. Warm-ups are essential to prevent injuries, especially as one ages. Cool-downs can aid recovery and reduce next-day soreness. Managing jump volume and intensity is key to longevity in the sport. Listening to one's body is crucial for effective training. Jordan has never used injections or stem cells for recovery. He emphasizes conservative management and load management for knee issues. Plyometrics should be approached with caution, focusing on depth jumps and seated jumps. Single effort jumps are preferred over multi-effort jumps to avoid knee strain. Lifting techniques should be adjusted based on individual comfort and pain levels. Muscle imbalances should be addressed by strengthening weaker muscles rather than focusing solely on balance. Footwear can significantly impact knee health; personal preference varies. Pain management during training can involve isometric exercises and adjustments in technique. Common tendon issues arise from excessive jumping without proper recovery and management. Weight training is essential for dunkers to prevent injuries and improve performance. Jordan on Instagram: https://www.instagram.com/jordankilganon/?hl=en Jump Master: https://my.playbookapp.io/jordan-kilganon Jump Master X: https://www.jumpmasterx.com/home-copy Jordan on YouTube: https://www.youtube.com/@killerjunior23 Notes: https://jackedathlete.com/podcast-149-patellar-tendons-with-jordan-kilganon/
Chapters 00:00 Introduction to Tendons and Personal Background 03:01 Understanding ACL Injuries and Rehabilitation 05:56 Graft Types: Autograft vs Allograft 08:56 Early Rehabilitation Strategies for ACL Surgery 11:53 Managing Swelling and Pain Post-Surgery 14:58 Progressing Rehabilitation: From Extension to Strength 17:59 Considerations for Graft Selection 21:01 Challenges with Quad Tendon Grafts 23:52 Hamstring and Patellar Grafts: Pros and Cons 32:06 Understanding Anterior Knee Pain and Rehabilitation 34:40 Strength Training in ACL Recovery 37:49 Introducing Plyometrics in Rehabilitation 39:28 Progressing Plyometrics and Deceleration Training 44:06 The Role of Physical Therapists in ACL Rehab 47:30 Knee Strategy vs. Hip Strategy in Rehabilitation 52:07 Re-injury Rates and Return to Sport Statistics 53:40 Education Gaps in Physical Therapy Schools 57:43 Improving ACL Rehabilitation Practices 01:01:17 Collaboration Between Therapists and Strength Coaches Takeaways Derek Garza is a licensed physical therapist with a background in athletics. He emphasizes the importance of education in ACL rehabilitation. The type of graft used in ACL surgery significantly affects recovery. Early intervention in rehabilitation can lead to better outcomes. Managing swelling is crucial for effective recovery post-surgery. Different graft types have unique healing timelines and considerations. Patient education is key to understanding the rehabilitation process. The strength of the graft can vary significantly based on the type used. Rehabilitation strategies should be tailored to the individual athlete. Understanding the risks and timelines of recovery can help prevent re-injury. The quality of physical therapy coaching is crucial for recovery. Limb symmetry index should be at least 90% for strength. Plyometrics should be introduced gradually in rehabilitation. Deceleration training is essential for athletes returning to sport. Many physical therapists lack knowledge in plyometric training. Re-injury rates for ACL injuries are alarmingly high. Education on plyometrics is lacking in physical therapy schools. Collaboration between therapists and strength coaches is vital. Athletes often shy away from loading their knees post-injury. Understanding knee and hip strategies can improve rehabilitation outcomes. Derek on Instagram: https://www.instagram.com/dr.derekpt/ Derek's Linktree: https://linktr.ee/drderekgarza?fbclid=PAZXh0bgNhZW0CMTEAAafGwPFbijuM4jTC0YjCcgMH2cY3-masDnDR00SYM7QCAyHfVaMUxWiB4ij1GQ_aem_Yj9twOyX7Rp7Un4fBhKFGg Notes: https://jackedathlete.com/podcast-148-acls-and-quad-patellar-hamstring-tendon-grafts-with-derek-garza/
Chapters 00:00 Introduction to Zach Jungels and His Journey 03:06 The Patellar Tendon Injury Experience 06:09 Rehabilitation Challenges and Discoveries 08:56 The Search for Effective Treatment 11:50 Implementing the Jumper's Knee Protocol 15:10 Sharing Knowledge and Helping Others 18:00 Understanding Pain and Recovery 21:12 The Role of Communication with Coaches 23:47 Critique of Traditional Physical Therapy 27:02 Navigating the Rehab Process 29:50 Conclusion and Future Aspirations 37:04 Understanding Knee Pain: Partial Tears vs. Tendinopathy 40:00 The Role of Isometrics in Pain Management 46:04 Navigating Athletic Rehabilitation: Challenges and Solutions 48:02 Recent Knee Injury: Insights and Recovery 52:06 Effective Rehabilitation Strategies for Knee Injuries 01:00:58 Finding the Highest Possible Entry Point in Rehab 01:08:02 Exploring the Science of Tendon Health 01:09:03 Understanding Tendon Structure and Aging 01:12:25 Pathology and Tendon Health 01:14:32 Environmental Factors in Tendon Health 01:17:10 The Impact of Weight Gain on Tendon Health 01:21:45 Dietary Influences on Tendon Pathology 01:26:50 Collagen Supplementation and Tendon Health Takeaways Zach Jungels experienced severe patellar tendon issues during his football career. His internship at the University of Minnesota was a transformative experience. He faced multiple injuries that complicated his recovery process. Zach developed a personalized jumper's knee protocol based on research and self-education. Communication with coaches was crucial for managing his injury and training. He critiqued traditional physical therapy methods for being too standardized and ineffective. Zach found success in using specific exercises that targeted his knee pain. He emphasized the psychological impact of dealing with chronic pain and injury. Zach's experience led him to help others with similar injuries through education and support. He believes in the importance of critical thinking in rehabilitation and recovery.  Zach had to gauge his pain threshold during activities. Initial sharp pain in the knee indicated a possible partial tear. Tendinopathy symptoms developed over time with different sensations. Isometrics provided pain relief for Zach for several months. Athletes often face resistance from trainers when seeking alternative rehab methods. Zach's recent knee injury was a result of heavy eccentric loading. Effective rehab requires finding the highest possible entry point. Rehabilitation should focus on loading the muscle, not just the joint. Zach's approach includes using RPR and square one techniques. Rehab is about applying proven methods to individual cases. Ground substance in tendons consists of proteoglycans and water. Aging leads to a loss of spring-like properties in tendons. Pathology in tendons can develop long before pain is felt. General health significantly impacts tendon health. Weight gain adds extra load on tendons, increasing injury risk. High blood sugar can stiffen tendons due to sugar cross-links. Dietary choices can influence tendon health and recovery. Collagen supplementation may benefit tendon health, especially if deficient in nutrients. Environmental factors like circadian rhythms can affect tendon recovery. A holistic approach is essential for optimal tendon health. Zach on Instagram: https://www.instagram.com/jungels_sp/ Zach's Linktree: https://linktr.ee/jungels_sp?fbclid=PAZXh0bgNhZW0CMTEAAacaGkjqM3BtO2cpjzsTeWTR24xN3RkpRLYohZUrVD4rFi8g4IY_rdU4khXRvA_aem_sF_ViokbqzsuGox7wTep8w Notes: https://jackedathlete.com/podcast-147-patellar-tendons-with-zach-jungels/
Chapters 00:00 Introduction to Luke Nelson 02:55 Running Journey and Injuries 06:02 Understanding Hamstring Tendinopathy 08:47 Overuse vs. Overload in Tendon Injuries 12:08 Differential Diagnosis of Hamstring Pain 15:05 Role of Imaging in Diagnosis 18:03 The Understudied Area of Hamstring Tendinopathy 20:50 Managing Daily Activities and Pain 23:52 Rehabilitation Strategies for Hamstring Tendinopathy 31:56 Understanding Hamstring Tendon Rehabilitation 36:17 Strength Training for Runners 41:06 Assessing Muscle Atrophy in Injuries 44:29 Managing Running Frequency and Intensity 47:23 Incorporating Plyometrics in Rehab 49:05 Long-Term Recovery Expectations for Tendinopathy 53:24 Function vs. Pain in Rehabilitation 59:32 Targeting Muscle and Tendon Adaptations 01:00:35 Running Technique and Proximal Hamstring Assessment 01:05:25 Rehabilitation Strategies for Running Technique 01:10:03 Interventions for Proximal Hamstring Tendinopathy 01:15:44 Field Sports vs. Distance Running Rehabilitation 01:17:27 Distal Hamstring Tendinopathy Insights 01:20:24 Metabolic Tendinopathy Considerations 01:23:11 Reflections on Knowledge and Experience Takeaways Luke Nelson is a sports and exercise chiropractor with 20 years of experience. He has run 10 marathons, with his latest being his fastest. Luke has experienced various running injuries, including hamstring tendinopathy. Hamstring tendinopathy can significantly impact daily life, not just athletic performance. The distinction between overuse and overload injuries is crucial in rehabilitation. Imaging is not always necessary for diagnosing tendinopathy. Hamstring tendinopathy is often under-researched compared to other tendon injuries. Daily activities, such as sitting, can exacerbate hamstring pain. A multifaceted approach is essential for effective rehabilitation. Strengthening exercises, particularly hamstring curls, are vital in recovery. Early hamstring rehabilitation focuses on building capacity and strength. Runners often lack strength training, impacting their recovery. Incorporating heavy lifting and compound movements is crucial. Plyometrics can enhance performance and aid in rehabilitation. Managing running frequency is essential for tendon recovery. Pain levels may not correlate directly with functional improvements. Capacity testing is vital for assessing recovery progress. Long-term recovery from tendinopathy can take over 12 months. Flare-ups during rehab are common and should be managed. Muscle and tendon adaptations should be targeted separately.  Running technique significantly impacts proximal hamstring load. Trunk position and over-stride are critical factors in assessment. Flexibility in runners may not always correlate with performance. Rehabilitation strategies should focus on individual needs. Shockwave therapy has mixed results for tendinopathy treatment. Field sports present unique challenges in managing injuries. Distal hamstring tendinopathy is less common but still relevant. Metabolic conditions can trigger various tendinopathies. Continuous learning and adaptation are essential in rehabilitation. AI may play a future role in predicting running injuries. Luke on Instagram: https://www.instagram.com/sportschiroluke/?hl=en Luke on Twitter: https://x.com/SportsChiroLuke Website: https://www.healthhp.com.au Notes: https://jackedathlete.com/podcast-146-proximal-hamstring-tendinopathy-with-luke-nelson/
Chapters 00:00 Introduction to Gibson Butler and His Journey 02:53 The Onset of Knee Pain and Its Impact 06:05 The Role of Hunting and Physical Activity 08:58 Exploring Treatment Options and Their Efficacy 11:46 The 10x Procedure and Its Aftermath 15:00 Discovering Effective Rehabilitation Strategies 17:54 The Importance of Isometric Exercises 21:05 Reflections on the Healing Journey 24:28 Isometric Exercises and Pain Management 30:10 Rehabilitation Journey and Athletic Goals 35:55 Hunting and Knee Pain Experiences 41:52 Advice for Managing Tendon Pain Takeaways Gibson Butler's knee pain began in adolescence during sports activities. Hunting in steep terrains exacerbated his patellar tendon issues. Sitting for long hours at work contributed to his knee pain. He explored various treatments including PRP and stem cell injections. The 10x procedure was recommended to address scar tissue in his tendon. Physical therapy played a crucial role in his recovery process. Isometric exercises helped him engage his quad muscle effectively. Gibson found that consistent loading improved his knee condition. He realized the importance of proper diagnosis and treatment for tendinopathy. Gibson's journey highlights the need for tailored rehabilitation strategies. Isometric exercises can provide immediate pain relief. Leg extensions have been particularly effective for Gibson. Rehabilitation is a gradual process that requires patience. Setting athletic goals can motivate recovery efforts. Flare-ups are a normal part of the healing journey. Strength training plays a crucial role in recovery. Listening to your body is essential during rehabilitation. Avoid falling for quick-fix solutions for tendon pain. Maintaining a healthy diet can support recovery. Engaging in activities you love, like hunting, can be challenging but rewarding.    Gibson in Instagram: https://www.instagram.com/gibsonbutler.596/ Notes: https://jackedathlete.com/podcast-145-overcoming-patellar-tendinopathy-with-gibson-butler/
Chapters 00:00 Introduction to Performance Coaching and Jumper's Knee 02:59 Understanding Jumper's Knee: Personal Experiences and Misconceptions 05:53 The Evolution of Training Approaches for Jumper's Knee 08:52 The Importance of Quad Strength in Recovery 11:50 Deceleration and Its Impact on Jumper's Knee 15:10 Plyometric Progressions and Their Role in Recovery 17:57 Exploring Exercise Techniques: What Works and What Doesn't 21:02 The Role of Eccentric Loading in Tendon Health 24:09 Debunking Myths: The Truth About Leg Extensions 27:13 Conclusion: Key Takeaways and Future Directions 38:30 Exploring Effective Leg Exercises 41:34 Understanding Knee Pain and Rehabilitation 46:25 The Role of Isometrics in Knee Recovery 51:30 Addressing Patellar Tendon Issues 54:20 Navigating Athletic Pain and Recovery 01:06:30 Injury Management: Achilles and Rotator Cuff 01:14:23 Conclusion and Future Directions   Takeaways Tim Riley is a performance coach working with various athletes. Jumper's knee is often misunderstood and mismanaged. Rest and ice were traditionally recommended for jumper's knee, but this approach is outdated. Quad strength is crucial for recovery from jumper's knee. Deceleration is a significant factor in developing jumper's knee. Plyometric progressions must be approached carefully to avoid aggravating knee pain. Not all exercises are effective for everyone; individual responses vary. Eccentric loading is essential for tendon health and recovery. Leg extensions can be beneficial but may not work for everyone. There is no magical exercise for knee pain; a comprehensive approach is necessary. Sissy squats can be more effective than leg extensions. Eccentric loading is crucial for knee rehabilitation. Isometric exercises can help with jumper's knee recovery. Athletes often need to reduce sport-specific activities to heal. Pain management requires honest conversations with athletes. Frequency of training can impact recovery from knee injuries. Achilles injuries require careful management and progression. Partial tears in tendons can be challenging to rehabilitate. Cultural attitudes towards pain vary among athletes. Consistency in rehabilitation exercises leads to better outcomes.   Tim's Website: https://www.timrileytraining.com Tim's Instagram: https://www.instagram.com/timrileytraining/?hl=en Coach Em Up Instagram: https://www.instagram.com/coachemuppodcast/?hl=en Notes: https://jackedathlete.com/podcast-144-patellar-tendons-with-tim-riley/
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