This podcast will delve deep into the best and most clinically relevant new studies on tendinopathy. The focus is what questions the researchers tried to answer and why, how they did it, what they found, and very importantly, the so what factor. That is, how can it be applied to the clinic and to individual tendinopathy patients.
Latest episodes
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7 min
Do psychological, cognitive, and contextual factors influence rehab outcomes in Achilles tendinopathy?
This week I talk about a feasibility cohort study which sought to determine whether a larger cohort study addressing this question would be feasible. Listen to hear some interestin…
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15 min
Does high load and high strain exercise have any benefit for Achilles tendinopathy?
We have known for a while that type of exercise intervention (e.g. intensity, frequency, etc) does not seem to influence self-reported outcomes such as pain. Maybe all the benefits…
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25 min
Proximal Hamstring Tendinopathy - the forgotten tendinopathy
This week, I had an engaging conversation with Anthony Nasser, an up-and-coming researcher on tendinopathy who recently completed his PhD on proximal hamstring tendinopathy. Our di…
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15 min
How useful is palpation for diagnosis and assessment?
Palpation can be useful for the diagnosis and assessment of tendinopathy, but there are limits. This is because non-painful tendons can be tender, and tenderness in painful tendons…
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7 min
Muscle and tendon tuning and implications for tendon rehabilitation
Interesting perspective paper from Arampatzis et al talking about how we should consider tuning of muscle tendon unit in terms of muscle strength and tendon stiffness when consider…
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9 min
Achilles forces during common rehab exercises and habitual activities.
This talking tendons episode will discuss a study by Igor Sancho, PhD, assessing Achilles forces during common rehab exercises and habitual activities and how this relates to repor…
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8 min
Graded exposure in tendinopathy rehabilitation.
In this episode, I am discussing kinesiophobia in the context of tendon rehab and how rehab can be conceptualised as graded exposure for some people. References 1) Physiotherapy ma…
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12 min
Load test pain and kinesiophobia and how they interact in tendinopathy assessment
In this episode, I talk about load test pain assessment and how this can also be used to assess kinesiophobia and movement apprehension. References 1) Physiotherapy management of A…
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11 min
Functional impairments persist in Achilles tendinopathy when people are returning to running
This is an interesting study from the Delaware tendinopathy group among others investigating a host of structural, tissue property, functional and pain factors that may persist amo…
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10 min
Understanding the patient perspective in Achilles tendinopathy
In this episode I talk about three qualitative studies that aim to understand the patient perspective and patient motivations in Achilles tendinopathy. I find this work really help…
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9 min
Humans are lazy (or efficient!) hoppers: the importance of instructions in submaximal human hopping
This paper is more than 30 years old but it is a beauty. Farley et al talk about human preferred hopping frequency and how it relates to metabolic cost and how fast muscles are con…
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11 min
Steroid injection for Achilles tendinopathy?
There is so much debate about the use of steroids for tendinopathy. Opinions vary between 'you should never use steroid as will lead to recurrence, worse pain or rupture' to 'it's…
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8 min
Does pain science education improve outcomes for Achilles tendinopathy?
This is a new and lovely to read randomised trial comparing pain science education (including lots of good biopsychosocial info) versus placebo education for Achilles tendinopathy.…
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12 min
Strength and other impairments in runners with Achilles tendinopathy
This is a new study from my PhD student, Igor Sancho. He looks at strength, psychological and other factors that may be different between health runners and runners with Achilles t…
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10 min
Exciting new insights into tendon adaptation with load
On this episode I focus on a new study from my PhD student Eman Merza. It is a cross-over randomised trial testing the effect of high and low contraction time and high and low inte…
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39 min
Achilles tendinopathy clinical and patient subgroups
Had a lovely chat with Shawn Hanlon who is a PhD candidate about his relatively new paper exploring patient features and clinical characteristics and how they may define certain su…
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11 min
Central pain processing and Achilles tendinopathy
There is lots of debate about the pain mechanisms, particularly if there are central changes, in Achilles and other tendinopathies. Most studies in the literature use proxy measure…
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13 min
The amazing benefits of biologic springs like the Achilles tendon
This is one of my favourite narrative expert reviews that discusses the benefits of human biologic springs like the Achilles tendon. These benefits can be summarised as follows: Me…
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35 min
Gluteal tendinopathy chat with Chris Clifford
I had a great time talking Gluteal tendinopathy with Chris Clifford. Chris is an experienced clinician from Glasgow who is in the throws of completing his PhD on this condition. We…
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12 min
Do dietary supplements improve outcomes in tendinopathy?
Patients often ask about dietary supplements and if they may be helpful in recovering from a tendinopathy problem. There is a new systematic review out which has attempted to answe…