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Intratendinous Pressure with Lauren Pringels show art Intratendinous Pressure with Lauren Pringels

Jacked Athlete Podcast

Chapters 00:00 Introduction to Lauren Pringels and her work on tendons 00:21 The development of her interest in tendinopathy 01:18 The concept of intratendinous pressure and its significance 02:17 How loading affects pressure inside the tendon 03:13 Research aims to understand pressure's role in tendinopathy 04:17 Sources of intratendinous pressure: external and internal 05:41 The anatomy of the Achilles tendon and torsion effects 07:06 The four main aims of her research framework 08:37 How structural changes in tendinopathy alter pressure behavior 11:00 The impact of tendon torsion on...

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Tendons and Decision Making with Jarred Boyd show art Tendons and Decision Making with Jarred Boyd

Jacked Athlete Podcast

Chapters 00:00 Introduction to Jarred Boyd and His Journey 03:03 The Importance of Decision Making in Physical Therapy 05:56 Path to the NBA: How Jarred Boyd Got There 09:12 Curiosity and Learning: The Foundations of Clinical Practice 11:55 Principles of Physical Therapy: Understanding Variability and Robustness 15:12 The Role of Physics in Performance and Rehabilitation 17:55 Building Relationships in Clinical Settings 20:57 Exploring Tendons: Pain, Structure, and Function 24:01 Understanding Tendon Management and Rehabilitation 27:01 The Nuances of Tendon Pain and Function 29:58 The...

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Tendon & Cartilage Part 2 with Jess Elis show art Tendon & Cartilage Part 2 with Jess Elis

Jacked Athlete Podcast

Chapters 00:00 Introduction to Patellar Tendon and Cartilage 02:49 Exploring the Role of Imaging in Sports Medicine 06:40 Understanding Patellofemoral Pain 09:11 Kinematics vs. Kinetics in Knee Function 11:48 The Importance of the Soleus in Knee Health 14:55 Distinguishing Between Tendinopathy and Patellofemoral Pain 18:31 The Role of MRI in Diagnosing Knee Issues 20:57 The Impact of Patella Alta and Baja 23:33 Managing Knee Pain: Treatment Options 27:14 The Relationship Between Tendons and Cartilage 29:57 Surgical Options for Knee Pain 33:19 Final Thoughts on Tendon and Cartilage Health...

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Tendons and Force Testing with Chris Juneau show art Tendons and Force Testing with Chris Juneau

Jacked Athlete Podcast

Takeaways Tendon management evolution from avoidance to load-based strategies The role of biomechanics and physics in rehab Historical perspective on tendon protocols like Alfredson's The importance of strain, dose, and load in tissue adaptation Differences between pain reduction and stiffness improvement Objective measurement of tendon stiffness and strain The impact of subjective pain versus objective load Practical approaches to load prescription in rehab Future directions in in vivo strain measurement The influence of neural and muscular factors on tendon health Tendon training and its...

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How Muscles Work with Dr. Lance Brooks show art How Muscles Work with Dr. Lance Brooks

Jacked Athlete Podcast

Chapters 00:00 Introduction to Dr. Lance Brooks 04:56 The Role of Force Plates in Strength Training 11:51 Understanding the Force-Velocity Relationship 19:10 Tissue Health and Injury Prevention 26:59 The Disconnect Between Strength Training and Sprinting 28:45 Understanding Forces in Strength Training 31:03 The Science Behind Muscle Contraction 37:14 Exploring the Force-Velocity Relationship 39:02 The Role of Tendons in Sprinting 42:02 Length-Tension and Force-Length Relationships 55:52 Biomechanics and Individual Variability in Movement 01:00:00 The Interplay of Muscle and Fascia 01:00:33...

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Ethan and Jordan Pimstone: 52.5 Inch Vertical Jump Training show art Ethan and Jordan Pimstone: 52.5 Inch Vertical Jump Training

Jacked Athlete Podcast

Chapters 00:00 Introduction to the Pimstone Brothers 03:10 Ethan's Journey to the World Record 06:00 Controversies Surrounding the Record 08:57 Upcoming Challenges and Competitors 12:01 Training Insights and Methodologies 15:00 The Evolution of Jumping Records 21:24 Transitioning to Dunking Success 23:03 The Power of Basic Training 24:07 The Journey to Vertical Jumping 26:51 Understanding Jumping Styles 29:56 Managing Jumper's Knee 37:56 Training Strategies for Jumpers 44:05 Weight Room Numbers vs. Jump Performance 46:59 Balancing Strength and Explosiveness 50:16 Body Composition and Jumping...

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Tendinopathy & Neuroscience with Dr. Patrick Vallance show art Tendinopathy & Neuroscience with Dr. Patrick Vallance

Jacked Athlete Podcast

 Takeaways Personal experiences with tendinopathy can drive research interest. Central sensitization plays a role in persistent pain states. Cortical inhibition may not be the sole factor in force deficits. The reticulospinal pathway could provide alternative motor control mechanisms. Self-paced training may enhance spinal pathway excitability. Understanding the nervous system is crucial for effective rehabilitation. The garden hose analogy illustrates motor drive dynamics. Research is ongoing to explore effective interventions for tendinopathy. Future studies should focus on spinal...

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Finn Addy on Rehabbing Jumper's Knee with a 45-inch Vertical show art Finn Addy on Rehabbing Jumper's Knee with a 45-inch Vertical

Jacked Athlete Podcast

Chapters 00:00 Introduction to Patellar Tendon Issues 02:57 Finn Addy's Dunking Journey and Injury 06:02 Rehabilitation and Recovery Process 08:52 Training Adjustments and Strength Training 12:08 Current Training Regimen and Future Goals 19:48 Managing Performance and Pain During Training 22:02 Training Regimen: Lifts and Plyometrics 23:29 Injury History and Its Impact on Performance 26:03 Reflections on Past Training Decisions 28:07 Strength Training and Its Importance for Jumpers 30:03 Navigating Pain Management and Recovery 33:04 Future Goals and Expectations for Recovery 37:05 Community...

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Basketball and Tendons with Max Schmarzo show art Basketball and Tendons with Max Schmarzo

Jacked Athlete Podcast

Chapters 00:00 Max's Basketball Journey: A Personal Exploration 10:31 Training Insights: Adapting Strength Programs for Basketball 20:19 Deceleration and Skill: The Mechanics of Basketball Performance 30:02 Injury Prevention: Understanding Achilles Ruptures in Basketball 34:10 Understanding Force Production and Muscle Dynamics 41:57 The Stretch-Shortening Cycle Explained 52:10 The Importance of Defense in Athletic Training 01:00:56 Osteokinetic Loading and Its Implications 01:03:37 The Physics of Athletic Performance 01:10:06 The Role of Strength Training in Basketball 01:13:03 Personal...

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Metabolic Flexibility and Tendons with Dr. Mike T. Nelson show art Metabolic Flexibility and Tendons with Dr. Mike T. Nelson

Jacked Athlete Podcast

Chapters 00:00 Introduction and Background of Dr. Mike T Nelson 03:08 Understanding Metabolic Flexibility 06:08 The Role of Carbohydrates and Fats in Metabolism 09:00 Cellular Energy and Performance 12:04 Testing Metabolic Flexibility 14:48 The Impact of Insulin and Glucose on Metabolism 18:02 Advanced Glycation End Products and Tendon Health 20:59 Maintaining Metabolic Flexibility through Training and Nutrition 37:54 Metabolic Flexibility and Blood Work 41:25 The Impact of Carbohydrates on Metabolic Health 43:00 Obesity and Its Effects on Metabolic Flexibility 47:53 GLP-1 Drugs and Their Role...

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More Episodes

Chapters

00:00 Introduction to Lauren Pringels and her work on tendons
00:21 The development of her interest in tendinopathy
01:18 The concept of intratendinous pressure and its significance
02:17 How loading affects pressure inside the tendon
03:13 Research aims to understand pressure's role in tendinopathy
04:17 Sources of intratendinous pressure: external and internal
05:41 The anatomy of the Achilles tendon and torsion effects
07:06 The four main aims of her research framework
08:37 How structural changes in tendinopathy alter pressure behavior
11:00 The impact of tendon torsion on pressure during loading
13:23 Differences in tendon structure at the insertion and mid portion
16:36 Alterations in pressure behavior in tendinopathy
19:44 The vicious cycle of pressure, swelling, and pain
22:21 Therapeutic strategies to control pressure in tendons
25:18 Experimental studies on pressure during movement
37:50 Measuring pressure in living athletes
46:58 GAGs, fluid content, and their role in pressure changes
57:38 Implications for clinical practice and rehabilitation
01:17:14 How this research changes clinical practice and patient management

Takeaways

Tensile strain alone cannot fully explain insertional tendinopathy development.
Increased tensile loads lead to higher pressure in tendon insertions.
Torsion in tendons can significantly impact internal pressure during loading.
Intra-tendinous pressure increases with exercise, affecting tendon perfusion.
Corticosteroids can reduce GAG synthesis, impacting tendon health.
Fluid retention in tendons can lead to increased pressure and pain.
GAG accumulation in tendons is linked to swelling and pressure changes.
Rest and proper recovery are crucial for tendon health post-exercise.
High pressures in tendons can collapse blood vessels, affecting perfusion.
Exercise can help reduce fluid retention in tendons. Heavier loading creates a stronger driving force for fluids.
Slow loading provides time for fluids to escape from the tendon.
The slow heavy condition produced the greatest response in tendon thickness and stiffness.
Reducing compression during rehabilitation improves patient outcomes.
Patient satisfaction was significantly higher in the low compression group.
Applying a good load on the tendon is crucial for recovery.
Rest is essential in the early stages of tendon injuries.
Heavy slow and isometric exercises are well tolerated by patients.
The GhenTendon initiative aims to bridge clinical care and research.
Understanding intra-tendinous pressure is key to managing tendinopathy.

Download Lauren's PhD: https://www.publicatie-online.nl/publicaties/lauren-pringels/ 

Lauren on Twitter: https://x.com/LaurenPringels 

Lauren on Instagram: https://www.instagram.com/lauren.pringels/ 

Lauren on LinkedIn: https://www.linkedin.com/in/lauren-pringels-773197203/ 

GhenTendon: https://www.ugent.be/ge/hsr/en/research/orthopaedics-and-traumatology/ghentendon 

Notes: https://jackedathlete.com/podcast-179-intratendinous-pressure-with-lauren-pringels/