Jacked Athlete Podcast

Jacked Athlete host, Jake Tuura, interviews those in the field of Athletic Performance, Muscle Hypertrophy, and Injury Reduction. You'll hear guests talk about strength & conditioning, vertical jump, knee pain, fat loss, muscle gain, and becoming a beast in general. Website: http://jackedathlete.com

Patellar Tendons with Jordan Kilganon 05/08/2025

Patellar Tendons with Jordan Kilganon 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: Jump Master: Jump Master X: Jordan on YouTube: Notes: /episode/index/show/jackedathlete/id/36486510

ACLs and Quad/Patellar/Hamstring Tendon Grafts with Derek Garza 05/03/2025

ACLs and Quad/Patellar/Hamstring Tendon Grafts with Derek Garza 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: Derek's Linktree: Notes: /episode/index/show/jackedathlete/id/36422490

Patellar Tendons with Zach Jungels 05/02/2025

Patellar Tendons with Zach Jungels 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: Zach's Linktree: Notes: /episode/index/show/jackedathlete/id/36410925

Proximal Hamstring Tendinopathy with Luke Nelson 05/01/2025

Proximal Hamstring Tendinopathy with Luke Nelson 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: Luke on Twitter: Website: Notes: /episode/index/show/jackedathlete/id/36392775

Overcoming Patellar Tendinopathy with Gibson Butler 04/29/2025

Overcoming Patellar Tendinopathy with Gibson Butler 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: Notes: /episode/index/show/jackedathlete/id/36358175

Patellar Tendons with Tim Riley 04/26/2025

Patellar Tendons with Tim Riley 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: Tim's Instagram: Coach Em Up Instagram: Notes: /episode/index/show/jackedathlete/id/36322760

Patellar Tendon Case Study with Tommy Heights 04/25/2025

Patellar Tendon Case Study with Tommy Heights Chapters 00:00 Introduction to Tommy Heights and His Journey 03:05 The Rise and Fall: From Vertical Jump Success to Injury 05:55 Navigating Recovery: The Role of Physical Therapy and Self-Discovery 08:53 The Turning Point: Lifestyle Changes and Their Impact 12:04 Rebuilding Strength: The Importance of Proper Loading and Management 14:47 Lessons Learned: Patience and the Journey to Recovery 17:46 The Importance of Warm-Up and Mindset in Training 21:03 Self-Experimentation: Finding What Works for You 25:52 Exploring Split Squats and Isometrics 28:04 Weight Loss Journey and Nutrition Insights 30:10 The Mental Challenge of Jumping 32:09 Understanding Jump Technique and Pain 34:01 Future Concerns and Mental Barriers 36:12 Jumping Mechanics and Personal Style 39:06 Dietary Choices and Recovery 40:48 Advice for Recovery and Commitment Takeaways Tommy Heights is a presentation designer and basketball enthusiast. He experienced a significant increase in vertical jump but faced knee pain due to overtraining. Tommy's injury was a result of accumulated fatigue and lack of load management. He sought various treatments, including physical therapy and online programs, to address his knee pain. Lifestyle changes, such as stopping drinking, had a positive impact on his recovery. Proper loading and management are crucial for injury recovery and performance. Patience is essential in the recovery process; rushing can lead to setbacks. Warming up is vital to prevent injuries and improve performance. Self-experimentation is key to finding effective exercises for individual needs. Tommy's journey highlights the importance of understanding one's body and training smart. Split squats and isometrics can provide an analgesic effect. Weight loss can be influenced by nutrition and lifestyle choices. Eating more can be beneficial for tendon health. Monitoring glucose levels may be important for tendon recovery. Mental barriers can affect performance in jumping. Jumping technique can vary significantly between individuals. Dietary choices, like being vegan, can impact recovery. Collagen supplementation may aid in tendon health. Progressive loading is essential for recovery. Commitment to recovery requires lifestyle changes. Instagram: TikTok: Notes: /episode/index/show/jackedathlete/id/36318100

Finger Tendons with Tyler Nelson 04/19/2025

Finger Tendons with Tyler Nelson Chapters 00:00 Introduction to Finger Tendons and Climbing Injuries 03:13 Understanding Finger Anatomy and Function 06:02 Common Finger Injuries in Climbers 08:53 Pathophysiology of Tenosynovitis 12:06 Rehabilitation Strategies for Finger Injuries 15:04 Comparing Tenosynovitis and Pulley Injuries 17:56 Managing Climbing Volume and Injury Prevention 25:38 Understanding Power Loss in Climbing 29:27 Tendon Adaptation Through Lifelong Loading 33:22 Rehabilitation Challenges for Climbers 35:05 The Role of Strength Training in Climbing 37:10 Tendon Adaptation Mechanisms 38:56 Controversies in Climbing Training Methods 41:07 Ultrasound in Diagnosing Climbing Injuries 42:22 Using Strain Gauges for Performance Measurement 43:53 Understanding Pulley Ruptures 45:36 Rehabilitation Techniques for Finger Tendons 47:14 Thumb Tendon Issues in Climbers 49:09 Future Directions in Climbing Research 50:07 Finding Professional Help in Climbing Rehabilitation Takeaways Tyler Nelson has a doctorate in chiropractic and a master's in tendon research. Rock climbers often experience finger injuries due to overtraining. Finger tendons are unique in their anatomy and function compared to other tendons. Tenosynovitis is a common injury among climbers, often due to too much stress too soon. Rehabilitation for finger injuries should focus on gradual load increase and proper technique. The A2 pulley is crucial for finger movement and is often injured in climbers. Climbers need to be aware of the specific loads their fingers endure during training. Managing climbing volume is essential to prevent injuries in climbers. The tendon sheath plays a vital role in the health of finger tendons. Understanding the mechanics of finger tendons can aid in better training and injury prevention. Power loss is a key metric in understanding climbing performance. Beginners should focus on skill development rather than overloading their fingers. Body weight significantly affects the load on tendons during climbing. Lifelong loading is crucial for tendon adaptations in climbers. Climbers often underload their tendons during rehabilitation, leading to prolonged recovery. Strength training is essential for injury prevention and performance enhancement in climbing. Tendon adaptations require significant muscle load and proper joint positioning. Controversial training methods are gaining popularity, but their efficacy is debated. Ultrasound is the gold standard for diagnosing climbing injuries and assessing tendon health. There is a growing interest in climbing research, leading to better understanding and treatment of climbing-related injuries. Instagram: Website: Notes: /episode/index/show/jackedathlete/id/36230585

Hamstrings and Hamstring Tendons with Johan Lahti 04/14/2025

Hamstrings and Hamstring Tendons with Johan Lahti Chapters 00:00 Introduction to Hamstrings and Johan's Background 03:11 Functional Anatomy of the Hamstrings 06:13 Complexity of Hamstring Function and Evolution 09:06 Injury Mechanisms and Proximal vs Distal Injuries 12:02 Fatigue and Its Impact on Hamstring Injuries 15:04 Sport-Specific Hamstring Injury Risks 18:12 Rehabilitation and Development of Hamstrings 32:55 Understanding Hamstring Function and Training 37:13 The Importance of Hamstring Strength and Conditioning 42:00 Injury Prevention and Rehabilitation Strategies 46:14 Common Mistakes in Hamstring Rehabilitation 52:29 Optimizing Hamstring Training for Performance 56:20 Practical Recommendations for Hamstring Development 01:00:59 Future Directions in Hamstring Research Takeaways Johan Lahti has a strong background in strength and conditioning. Hamstrings are crucial for speed and injury prevention. The anatomy of hamstrings is complex and specialized. Biceps femoris long head is the most commonly injured hamstring. Fatigue significantly alters movement patterns and injury risk. Different sports have varying rates of hamstring injuries. Proximal injuries are more common than distal injuries. Effective rehabilitation requires understanding of hamstring function. Training should focus on both hip and knee movements. Range of motion is key for optimal performance. Knee-over-hip movement targets specific hamstring muscles. Nordics are effective for hamstring injury prevention. Trunk control is vital for efficient hamstring function. Thorough hamstring development addresses all muscle groups. Hamstrings may require different training strategies based on fiber type. Acceleration plays a significant role in hamstring rehabilitation. Strength training should focus on a large range of motion. Sled training can enhance sprinting performance. Eccentric overload studies are needed for better understanding. Practical application in training is crucial for athletes. Linktree: Instagram: Twitter: Notes: /episode/index/show/jackedathlete/id/36130345

Rotator Cuff Tendons with Jared Powell 04/08/2025

Rotator Cuff Tendons with Jared Powell Chapters 00:00 Introduction to Rotator Cuff Tendinopathy 03:13 Understanding Shoulder Pain and Its Complexities 06:04 The Shift from Impingement to Rotator Cuff Related Pain 09:00 The Role of Imaging in Shoulder Pain Diagnosis 11:58 Common Mismanagement in Shoulder Pain Treatment 15:10 Loading Programs for Rotator Cuff Rehabilitation 18:04 Positional vs. Energy Storage Tendons 20:59 The Nature of Rotator Cuff Tears 24:07 The Tipping Point to Pain in Rotator Cuff Pathology 32:53 Understanding Rotator Cuff Tears 39:26 The Role of Exercise in Recovery 46:47 Pain Management and Rehabilitation Strategies 55:19 Exploring the Mechanisms of Tendon Pain 01:00:18 The Importance of Tendon Stiffness Takeaways Rotator cuff related shoulder pain accounts for 70-80% of shoulder pain presentations. Pain is complex and multifactorial, making diagnosis challenging. The traditional impingement model is being challenged in favor of a broader understanding of shoulder pain. Imaging often does not influence management decisions for rotator cuff issues. Corticosteroid injections provide only short-term relief and can have negative effects on tendon quality. Exercise-based management is crucial for effective rehabilitation of shoulder pain. The rotator cuff tendons are positional and strain less than energy storage tendons. Rotator cuff tears are common and can exist without pain or dysfunction. Age is the biggest risk factor for developing rotator cuff pathology. Understanding the tipping point to pain is essential for effective treatment. Rotator cuff tears are often associated with poor vascular supply and degeneration over time. Metabolic factors like diabetes and smoking can increase the risk of rotator cuff tears. Exercise can be as effective as surgery for massive rotator cuff tears. Expectations of recovery significantly influence rehabilitation outcomes. Education about the commonality of tendon tears can help reduce patient anxiety. Pain during exercise can be tolerated up to a certain level without adverse effects. Sleeping positions can impact shoulder pain and should be modified accordingly. Adjunct treatments like shockwave therapy and corticosteroids have limited long-term benefits. Tendon stiffness is important for efficient force transfer, but its role in pain management is still being studied. Understanding the psychological aspects of pain can enhance recovery from tendon injuries. Website: Twitter: Instagram: Notes: /episode/index/show/jackedathlete/id/36052330

Tendons with Chris Johnson 04/07/2025

Tendons with Chris Johnson Chapters 00:00 Introduction to Chris Johnson and Tendon Rehabilitation 03:08 Understanding Exercise Monotherapy in Tendon Rehab 05:48 The Importance of Loading in Tendon Recovery 08:56 Chris's Journey and Mentorship in Physical Therapy 12:11 Rehabilitation Insights from ACL Injuries 14:56 Exploring Patellar Tendinopathy and Its Variants 17:55 Differentiating Tendon Pain in Athletes 20:59 Pain Management and Acceptable Levels in Rehab 23:47 The Role of Isometrics in Tendon Rehabilitation 26:58 The Debate on Pain Levels in Tendon Rehab 30:03 Conclusions and Future Directions in Tendon Rehab 36:09 Navigating Knee Rehabilitation Strategies 39:58 Exploring Neuromuscular Electrical Stimulation (NMES) in Rehab 46:41 Balancing Activity and Rehabilitation in Athletes 51:07 The Importance of Warm-Up and Cool Down 55:41 Understanding Tendon Stiffness and Rehabilitation Methods 01:00:17 Psychosocial Factors in Tendinopathy Rehabilitation 01:03:41 Compression and Loading in Tendon Health 01:06:34 The Role of Mechanical Transduction in Tendon Adaptation Takeaways Exercise monotherapy simplifies tendon rehab by focusing on key loading strategies. Loading the tissue is crucial for effective tendon rehabilitation. Education and communication are vital in managing patient expectations and outcomes. Isometrics can be beneficial but may not work for everyone. Pain management in rehab is nuanced and should be individualized. Understanding the athlete's background helps tailor rehab strategies. Patellar tendinopathy presents differently in various athletes and requires specific approaches. The importance of restoring quad function in knee injuries cannot be overstated. Reactive tendinopathy cases can often resolve quickly with proper management. The debate on acceptable pain levels in rehab continues, emphasizing the need for individualized approaches. Consider alternative exercises like reverse Nordic for knee rehab. Gradually increase load and time to fatigue the quads. Warm-up routines can significantly impact tendon health. Compression forces are unavoidable in running; manage them wisely. Psychosocial factors play a crucial role in tendinopathy recovery. NMES can be a last resort for irritable tendons. Maintaining activity is essential for athletes during rehab. Walking warm-ups can enhance performance and recovery. Tendon stiffness is critical for injury prevention. Understanding mechanical transduction is vital for effective rehab. Website: Instagram: Notes: /episode/index/show/jackedathlete/id/36032780

Tendons with Taylor Starch 03/31/2025

Tendons with Taylor Starch Chapters 00:00 Introduction to Tendons and Human Performance 06:31 Understanding Tendon Injuries and Variability 12:32 The Complexity of Connective Tissue 18:06 Innovative Approaches to Tendon Training 27:55 High Intensity vs. Low Intensity Training for Tendons 30:40 Understanding Tendon Strain in Endurance Athletes 33:21 Connective Tissue Behavior and Injury Prevention 36:52 The Role of Genetics and Abnormal Connective Tissue 39:45 Assessing and Training Connective Tissue 43:11 Restoring Normal Connective Tissue Architecture 46:59 Manipulating Load, Length, and Time for Adaptation 50:40 Dynamic vs. Static Training for Connective Tissue 54:12 Integrating Multiple Training Qualities 58:52 Programming for Adaptation, Not Just Exercises Takeaways Taylor Starch has been in the strength and conditioning industry for about 15 years. His interest in tendons grew from personal injuries and working with military athletes. Understanding tendons requires recognizing their complexity and variability. Different tissues in the body respond to different types of training. Tendons need strain to gain strength and resilience. Training should not just focus on one position or angle. Low intensity durability is crucial for tendon health. High intensity repeatability helps in sustaining performance under strain. The bigger the base of connective tissue strength, the higher the peak performance. Innovative training methods can help address specific tendon issues effectively. Endurance athletes experience significant tendon strain but manage it effectively. Connective tissue behavior is crucial for injury prevention. Genetics play a role in tendon health and injury susceptibility. Assessing connective tissue is essential for understanding injury risk. Training should focus on restoring normal connective tissue architecture. Manipulating load, length, and time is key to adaptation. Static training is often overlooked in favor of dynamic work. Integrating multiple training qualities is necessary for performance. Understanding adaptations is more important than just knowing exercises. Progressive overload is essential for long-term connective tissue health. Notes: Instagram: Linktree: /episode/index/show/jackedathlete/id/35953360

Tendons with Alex Nelson 03/26/2025

Tendons with Alex Nelson Chapters 00:00 Introduction to Tendinopathy and Personal Journey 02:46 Understanding Tendinopathy: Inflammation vs. Degeneration 06:02 The Role of Isometrics in Tendon Rehabilitation 09:10 Muscle Function vs. Tendon Focus in Rehabilitation 11:50 Managing Load: Balancing Pain and Progress 15:07 Powerlifting and Tendinopathy: A Unique Perspective 17:54 Biomechanics and Chronic Workload in Tendon Pain 32:51 Understanding Tendon Biomechanics 34:10 Mismanagement of Tendon Injuries 37:24 The Importance of Progressive Loading 39:07 Transitioning to Remote Rehabilitation 41:03 The Role of Imaging in Tendon Injuries 44:27 Navigating Partial Tears and Surgical Decisions 47:41 Post-Surgery Rehabilitation Challenges 53:27 The Efficacy of Injections in Tendon Pain 56:54 The Debate on Stretching Tendons 01:00:00 Exploring BPC-157 and Its Anecdotal Use Takeaways Tendinopathy is often mismanaged in clinical settings. Isometrics can be beneficial but are not a one-size-fits-all solution. Muscle function and nervous system adaptation are crucial in rehab. Pain should guide rehabilitation strategies. Heavy loads must be relative to the individual's condition. Powerlifters can experience patellar tendinopathy due to high volume and intensity. Biomechanics play a role in tendon injuries but are not the sole factor. Chronic workload changes can lead to tendon pain. Expectations and beliefs can influence treatment outcomes. Individualized approaches are essential for effective rehabilitation. High bar back squats may aggravate tendon injuries more than low bar squats. Mismanagement of tendon injuries often leads to prolonged recovery times. Progressive loading is crucial for effective rehabilitation. Remote rehabilitation can provide more frequent and tailored care. Imaging can create fear and confusion about tendon injuries. Partial tears may not always require surgical intervention. Post-surgery rehabilitation is highly individualized and can be challenging. Injections may provide temporary relief but are not a guaranteed solution. Stretching tendons should be minimized, especially in early stages of rehab. BPC-157's effectiveness remains largely anecdotal and requires more research. Alex's links: Alex's Instagram: Notes: /episode/index/show/jackedathlete/id/35872245

Gluteal and Rotator Cuff Tendons with Byron Miller 03/21/2025

Gluteal and Rotator Cuff Tendons with Byron Miller Chapters 00:00 Introduction to Byron Miller and His Journey 03:07 Understanding Tendinopathy and Its Evolution 05:51 The Shift from Traditional Views to Modern Understanding 08:53 Personal Experiences with Tendinopathy 11:50 The Role of Loading in Tendon Rehabilitation 14:59 Practical Approaches to Tendon Treatment 18:09 The Importance of Patient Education and Lifestyle Adjustments 30:55 Optimizing Recovery and Load Management 33:53 Rehabilitation Insights for Rotator Cuff Injuries 37:44 The Importance of Loading in Shoulder Rehabilitation 41:38 Understanding Rotator Cuff Functionality 46:14 Addressing Common Shoulder Pathologies 51:46 The Role of Strength and Function in Shoulder Health 56:14 Navigating Treatment Options for Shoulder Pain Takeaways Byron Miller specializes in tendinopathy and has a passion for research. His journey into physical therapy began after a change from pursuing medicine. The understanding of tendinopathy has evolved significantly over the years. Loading strategies are crucial in the rehabilitation of tendons. Patient education is essential for effective treatment and management. Miller emphasizes the importance of simplifying rehabilitation exercises. He shares personal experiences with various tendon injuries. The role of lifestyle factors in tendon health is significant. Miller advocates for a tailored approach to each patient's needs. Understanding the difference between tolerance and capacity in tendon treatment is key. Recovery requires minimizing compressive load during rehabilitation. Step count and stride length can impact gluteal muscle health. Loading is crucial for effective shoulder rehabilitation. Single exercises can be more effective than multiple in rehab. Rotator cuff injuries often relate to tendinopathy. Education coupled with exercise enhances rehabilitation outcomes. Shoulder pain can stem from both compressive and tensile loading. Strengthening the shoulder complex is vital for overall function. Psychological factors play a significant role in shoulder pain management. Maintaining activity levels is important to prevent underloading. Website: Instagram: Notes: /episode/index/show/jackedathlete/id/35809545

Tendons with Steven Sahyoun 03/16/2025

Metabolic Tendons with Derek Griffin 03/16/2025

Metabolic Tendons with Derek Griffin Chapters 00:00 Introduction to Derek Griffin and His Expertise 02:46 Understanding Tendinopathy and Pain Mechanisms 05:52 The Role of Subgrouping in Tendinopathy 08:59 Clinical Insights on Tendon Pain 11:53 Metabolic Factors Influencing Tendon Health 14:58 The Impact of Aging on Tendon Sensitivity 17:51 Exploring Systemic Risk Factors for Tendinopathy 21:07 The Connection Between Tendinopathy and Multi-Site Pain 23:55 Fluoroquinolones and Tendon Health 30:13 Understanding Tendinopathy and Antibiotics 31:49 Autoimmune Conditions and Tendinopathy 33:32 Screening for Inflammatory Factors 36:26 The Importance of Comprehensive Assessment 39:20 Differentiating Tendon Pain Causes 41:49 Clinical Probabilities in Tendon Pain 43:53 Referral to Specialists for Inflammatory Conditions 46:15 Managing Tendon Pain with Systemic Considerations 49:33 Impact of Medications on Tendons 50:08 Addressing Lifestyle Factors in Treatment 54:19 Barriers to Comprehensive Diagnosis 57:46 Research Gaps in Tendinopathy Understanding Takeaways Derek Griffin has a PhD in persistent pain and focuses on tendinopathy. Tendinopathy can arise from various factors, including metabolic and autoimmune conditions. Pain mechanisms are complex and should be viewed in a biopsychosocial context. Subgrouping in tendinopathy can provide insights but should not overshadow individual treatment. Aging can increase sensitivity to tendon injuries due to metabolic changes. Metabolic syndrome is linked to poorer tendon health and healing. Fluoroquinolones are associated with increased risk of tendon rupture. Lateral hip tendinopathy often coexists with other musculoskeletal pain conditions. Understanding the patient's story is crucial for effective treatment. Tendon health is influenced by overall systemic health and lifestyle factors. Autoimmune conditions can significantly influence tendinopathy. Screening for inflammatory factors is crucial in assessment. Understanding the patient's story is key to diagnosis. Lifestyle factors should be addressed in treatment plans. There is a need for more research on non-athletic populations. The average delay in diagnosis for autoimmune conditions is significant. Medications can have varying effects on tendon health. Comprehensive assessment can improve treatment outcomes. Clinicians should routinely ask about lifestyle factors. Common sense and flexibility in treatment approaches are essential. Derek on Twitter: Derek on Instagram: Notes: /episode/index/show/jackedathlete/id/35709805

Elbow Tendons with Mike Carroll 03/14/2025

Elbow Tendons with Mike Carroll Chapters 00:00 Introduction and Audio Quality Discussion 01:12 Mike Carroll's Background and Expertise 02:46 Building a Social Media Presence in Golf Training 05:06 Interest in Tendon Injuries and Collaboration with Keith Barr 08:29 Understanding Tendon Injuries in Golfers 14:11 The Impact of Training Load on Elbow Injuries 20:47 Differences in Stress from Swinging Techniques 25:06 Chronic Adaptation and Injury Prevention 31:35 Injury Management and Treatment Options 32:51 Understanding Elbow Injuries in Golfers 37:02 Rehabilitation Strategies for Elbow Tendon Injuries 46:10 The Role of Strength Training in Recovery 51:40 Dynamic Exercises and Their Importance 01:02:52 Isometric Exercises: A Controversial Approach 01:06:32 Conclusion and Resources for Further Learning Takeaways Mike Carroll specializes in strength and conditioning for golfers. Social media presence is crucial for promoting fitness programs. Tendon injuries often arise from sudden spikes in training load. Collaboration with experts like Keith Barr enhances knowledge. Chronic adaptation is key to preventing injuries in athletes. Swing mechanics can significantly impact elbow stress. Injury management requires understanding of training loads. Foam golf balls can reduce stress during rehabilitation. Injections may provide temporary relief but do not address underlying issues. Long-term training consistency is essential for tendon health. Adjusting training load is crucial for injury recovery. Many people lack guidance on returning to sport after injury. Passive treatments may not be as effective as exercise. Strengthening exercises can significantly reduce pain. Gradual progression is key in rehabilitation. Isometric exercises can be beneficial but may not be necessary for everyone. Dynamic exercises should be incorporated into rehab. Strength training should be heavy and progressive. Rehabilitation should be tailored to the individual's needs. Education on injury management is essential for athletes. Website: Instagram: Twitter: Notes: /episode/index/show/jackedathlete/id/35698805

Tendons with Falk Mersmann 03/13/2025

Tendons with Falk Mersmann Chapters 00:00 Introduction to Tendon Research 02:33 The Berlin Method and Tendon Adaptation 05:56 Strain and Metabolic Factors in Tendon Adaptation 09:54 Volume and Frequency in Tendon Training 12:46 High Strain Rates vs. Low Strain Rates 17:34 Individual Variability in Tendon Response 20:22 Personalized Approaches to Tendon Training 24:38 Viscoelastic Properties of Tendons 29:23 Understanding Tendon Mechanics and Loading Effects 35:51 Personalization in Tendon Rehabilitation 39:34 The Complexity of Tendinopathy and Pain Management 44:31 The Berlin Method: A New Approach to Tendon Training 52:30 Muscle-Tendon Imbalance: Insights and Implications 01:01:35 Practical Recommendations for Tendon Health Takeaways Dr. Falk Mersman leads a research group in tendon adaptation. The Berlin Method is based on systematic investigation of tendon factors. Tendon adaptation is primarily strain mediated. High training volume does not necessarily lead to better tendon adaptation. High strain rates can lead to localized tendon failure. Genetic factors may influence tendon adaptation responses. Personalized training approaches can help balance muscle and tendon adaptation. Viscoelastic properties of tendons affect cellular responses. Tendon creep is a consideration in training protocols. Not all elite athletes experience tendon overuse injuries. Tendons exhibit stress relaxation but not creep effects under loading. Longer contraction durations may be more effective for tendon stiffness. Personalization in rehabilitation is crucial for tendinopathy patients. Pain management in tendinopathy is complex and requires tailored approaches. The Berlin Method integrates various loading factors for tendon adaptation. Muscle-tendon imbalances can lead to overuse injuries in athletes. Plyometric training is essential for enhancing sports performance. Regular tendon training can improve structural integrity and reduce injury risk. High intensity loading may not always be necessary for tendon adaptation. Understanding individual responses to loading is key in rehabilitation. Notes: Falk's Email: [email protected] /episode/index/show/jackedathlete/id/35671215

Tendons with Peter Malliaras 03/08/2025

Tendons with Peter Malliaras Chapters 00:00 Introduction and Current Work 02:51 Shockwave Therapy: Efficacy and Mechanisms 06:07 Understanding Tendon Pathologies 09:00 Calcification and Adaptation in Tendons 11:55 The Role of Shockwave in Clinical Practice 15:12 Platelet-Rich Plasma (PRP) Insights 18:06 Stem Cells and Tendon Healing 20:57 Adjuncts in Tendon Rehabilitation 23:48 Heel Wedges: Evidence and Application 27:06 Loading Strategies for Tendinopathy 30:04 Compression and Tendon Mechanics 32:56 The Importance of Loading in Rehabilitation 35:51 Tendon Stiffness: Heavy Loads vs. Plyometrics 42:01 Understanding Tendon Loading Mechanisms 45:25 Isometric vs. Eccentric Loading for Tendon Adaptation 48:23 Maximal Eccentrics: Techniques and Applications 51:45 Fluid Movement and Tendon Health 55:35 The Role of Metabolism in Tendon Adaptation 01:01:10 The Complexity of Tendon Pathology 01:06:29 The Dynamics of Fluid Movement in Tendons 01:11:11 Plyometrics vs. Isometrics: Strain and Adaptation 01:14:05 Blood Flow Restriction Training and Tendon Adaptation 01:18:21 Metabolic Factors in Tendon Healing Takeaways Peter Malairis is a full-time professor at Monash University. Recent research shows shockwave therapy is ineffective for tendon pain. Calcification in tendons may be an adaptive response. PRP injections do not outperform placebo treatments. Stem cell therapy lacks sufficient evidence for tendon healing. Adjunct therapies should be accessible, cheap, and safe. Heel wedges have shown significant effects in treating Achilles tendinopathy. Loading strategies must be tailored to individual patient needs. Tendon stiffness is primarily improved through heavy loading. Fluid movement within tendons is essential for adaptation. Loading the tendon heavier leads to better fluid movement. Isometrics are crucial for early rehabilitation stages. Heavy maximal eccentrics are key for long-term adaptation. Fluid movement impacts stress relaxation in tendons. Tendon stiffness increases with appropriate loading. Metabolic health is essential for tendon adaptation. Pathological tendons may require different loading strategies. Fluid movement can help reduce pain and improve function. Plyometrics may not provide sufficient strain for adaptation. Blood flow restriction can be effective for tendon rehabilitation. Website: Instagram: Twitter: Email: [email protected] Notes: /episode/index/show/jackedathlete/id/35590415

Tendons with Gerard McMahon 03/05/2025

Tendons with Gerard McMahon Chapters 00:00 Introduction to Tendon Research and Background 02:51 Understanding Tendon Mechanics and Strain 06:14 The Role of Tendons in Human Movement 09:07 Tendon Strain: Hierarchical Structure and Function 11:58 The Impact of Load and Speed on Tendon Behavior 15:08 Exploring Tendon Creep and Adaptation 18:05 Mechanotransduction and the Importance of Time 21:01 Pediatric Tendon Development and Muscle-Tendon Imbalance 24:00 Training Tendons: Strength vs. Plyometrics 26:46 Viscoelasticity and Tendon Behavior 30:14 Conclusion and Future Directions in Tendon Research 37:42 Understanding Tendon Behavior: Elasticity vs. Viscosity 42:04 The Sweet Spot of Tendon Strain 47:15 Blood Flow Restriction: Mechanisms and Efficacy 52:18 Tendon Compliance: Training and Adaptation 57:06 Passive Stretching: Effects on Tendon Adaptation 01:01:17 Training Age and Tendon Stiffness 01:06:29 Sex Differences in Tendon Adaptation 01:11:03 Future Directions in Tendon Research Takeaways Dr. McMahon's background includes a PhD in tendon mechanics. Tendons are part of a muscle-tendon-bone complex. Tendon strain is the relative change in length compared to its original length. Tendons have their own metabolism, albeit at a lower scale than muscles. The hierarchical structure of tendons serves to protect against stress. Tendon stiffness can increase with load and speed of movement. Creep occurs under constant load, affecting tendon length over time. Mechanotransduction requires time for effective cellular response. Pediatric tendon development may lead to imbalances with muscle strength. Strength training is more effective for tendon adaptation than plyometrics. Tendon behavior involves both elasticity and viscosity simultaneously. There is a sweet spot for tendon strain duration, ideally between 3 to 15 seconds. Longer isometric holds may not benefit healthy tendons. Blood flow restriction (BFR) may not have unique benefits over traditional training. Tendon compliance can be improved by reducing resistance training. Passive stretching may yield some adaptation in untrained individuals. Training age influences tendon stiffness and adaptation. Sex differences exist in tendon adaptation, with females gaining stiffness at lower force levels. The relationship between training volume and tendon adaptation is complex and requires more research. Understanding how tendons perceive strain is crucial for future studies. Gerard on Twitter: Notes: /episode/index/show/jackedathlete/id/35548225

Circadian Rhythms with Karyn Esser 03/04/2025

Circadian Rhythms with Karyn Esser Chapters 00:00 Introduction to Circadian Rhythms and Skeletal Muscle 02:52 Understanding the Circadian Clock 06:12 Dysregulation of Circadian Rhythms 09:06 Impact of Inflammation on Circadian Clocks 12:00 Peripheral Clocks and Their Independence 15:06 Exercise Timing and Performance 18:06 Feeding Patterns and Circadian Rhythms 21:00 Chronotypes and Individual Differences 23:59 Caffeine and Its Effects on the Clock 27:02 Adaptation of Circadian Clocks in Extreme Conditions 29:58 Alcohol's Impact on Circadian Function 31:01 The Impact of Circadian Clocks on Muscle and Tendon Health 36:34 Aging and Its Effects on Circadian Rhythms 40:47 Injury and Circadian Clocks: Understanding the Connection 43:10 The Role of Nutrition and Feeding Patterns 48:29 Circadian Disruption and Metabolic Health 51:50 Practical Applications for Maintaining Healthy Clocks Takeaways Circadian clocks are molecular timers found in every cell. The clock regulates metabolism and gene expression based on time of day. Dysregulation can lead to health issues like increased glucose levels. Peripheral clocks can operate independently of the central clock. Exercise timing can enhance performance and adaptation. Feeding patterns should align with activity for optimal health. Chronotype influences individual preferences for sleep and activity. Caffeine affects the sympathetic nervous system but doesn't phase shift the clock. Alcohol can disrupt circadian function and health. Adaptation of clocks can occur even in extreme light conditions. Circadian clocks significantly influence muscle and tendon health. Disruption of circadian rhythms can lead to metabolic issues. Aging affects the ability of circadian clocks to regulate gene expression. Inactivity does not stop circadian clocks, but it affects their function. Nutrition timing is crucial for maintaining healthy circadian rhythms. Exercise can enhance the function of circadian clocks in muscles. Understanding the communication between muscle and tendon is vital for rehabilitation. Time-restricted feeding may extend lifespan and improve health. Research on circadian rhythms can inform strategies for injury recovery. Maintaining a consistent activity and feeding schedule supports clock health. Karyn's profile: Karyn's Linkedin: Notes: /episode/index/show/jackedathlete/id/35528605

Tendons with Christian Couppé 03/03/2025

Tendons with Christian Couppé Chapters 00:00 Introduction to Tendon Research 02:59 The Evolution of Tendon Rehabilitation 06:07 Understanding Tendon Mechanics and Training Approaches 09:00 The Role of Load in Tendon Health 12:03 Aging and Tendon Structure 14:51 The Impact of Immobility on Tendon Health 18:09 Stages of Tendon Development 21:08 Tendon Ruptures and Age Factors 24:00 The Science of Tendon Stiffness 26:46 Cellular Dynamics in Tendon Health 32:26 Understanding Tendon Responses: Achilles vs. Patellar 36:11 The Role of Cross-Links in Tendon Stiffness 40:59 Exercise and Its Impact on Tendon Health 42:25 Dietary Influences on Tendon Integrity 44:17 Metabolic Syndrome and Tendon Health 46:38 Accumulation of Advanced Glycation End Products 49:31 Tendon Size and Vascularization in Tendinopathy 54:51 Inflammation in Tendon Pain: A Complex Relationship 01:00:07 Circadian Rhythms and Tendon Health 01:03:27 Future Research Directions in Tendon Studies Takeaways Christian Coupe is a physical therapist and researcher. He has worked extensively with elite athletes, particularly in racket sports. Tendon issues like jumpers knee and Achilles tendinopathy are common in athletes. Eccentric training was a breakthrough in tendon rehabilitation. Heavy slow resistance training may be more effective than eccentric training. Tendons require regular loading to maintain health and prevent degradation. Aging begins around the age of 17, affecting tendon structure and function. Immobility can lead to rapid deterioration of tendon health. Tendon stiffness is crucial for performance and injury prevention. There is potential for improving tendon health even in older individuals. The Achilles tendon may require different loading than the patellar tendon. Cross-links in tendons can affect stiffness and brittleness. Exercise is crucial for maintaining tendon health and properties. Dietary choices can influence tendon integrity and health. Metabolic syndrome is linked to tendon issues and injuries. Advanced glycation end products accumulate in low turnover tissues like tendons. Tendon size can increase due to vascularization in tendinopathy. Inflammation may be present in early stages of tendon pain. Circadian rhythms could play a role in tendon recovery processes. Future research should focus on the metabolic aspects of tendon health. Christian's research (Researchgate): Christian's profile: Christian on Twitter: /episode/index/show/jackedathlete/id/35512525

Tendons with Nils Heim 03/02/2025

Tendons with Nils Heim Chapters 00:00 Introduction to Tendinopathy Coaching 03:10 The Journey into Tendon Rehabilitation 06:08 Understanding Muscle-Tendon Imbalance 09:01 Pain vs. Structural Changes in Tendons 11:55 The Complexity of Pain Management 14:45 The Role of Dynamic Loading in Recovery 18:04 Differentiating Between Patellar Tendinopathy and Patellofemoral Pain 20:50 Mid-portion vs. Insertional Achilles Tendinopathy 42:37 Gradual Exposure in Tendon Rehabilitation 45:03 Frequency and Loading in Tendon Rehab 49:27 Metabolic vs. Load-Related Tendon Pain 55:40 Inflammation and Pain Mechanisms in Tendons 01:01:01 The Role of Alcohol in Tendon Pain 01:07:14 Strength vs. Load Management in Tendon Recovery 01:13:32 Future Directions in Tendon Research Takeaways Niels Heim's journey into tendinopathy coaching began with a podcast. Coaching focuses on helping athletes return to their sport. Pain management in tendinopathy is complex and individualized. Dynamic loading is crucial for tendon recovery. Differentiating between patellar tendinopathy and patellofemoral pain is important. Muscle-tendon imbalances can lead to injuries. Structural changes in tendons do not always correlate with pain relief. Isometric loading can be beneficial for tendon rehabilitation. Understanding patient-specific pain responses is essential. The approach to Achilles tendinopathy should differentiate between mid-portion and insertional types. Gradual exposure to loading can enhance tendon rehabilitation. Frequency of loading is crucial; every other day may be optimal. Metabolic and load-related tendon pain require different approaches. Inflammation is not always the primary concern in tendon pain. Alcohol consumption can exacerbate tendon pain. Strength may not need to increase for recovery to occur. Managing overall load is essential for tendon health. Eliminating negative lifestyle factors can aid recovery. Pain management strategies are vital in rehabilitation. Future research should explore plyometric training frequency. Nils on Instagram: https://www.instagram.com/nils.heim.schmerzcoach/ SehnenStark podcast (iTunes): https://podcasts.apple.com/us/podcast/sehnenstark/id1725984010 SehnenStark podcast (Spotify): https://open.spotify.com/show/63h1RG0X1ZCoWwT3Z0MgZ1?si=b0193eed8f604635 Notes here: https://jackedathlete.com/podcast-127-tendons-with-nils-heim/ /episode/index/show/jackedathlete/id/35499465

Tendons with Rob Assise 03/01/2025

Tendons with Rob Assise Chapters 00:00 Introduction to Coaching and Background 02:47 The Importance of Plyometrics in Training 06:13 Understanding Tendon Development and Injury Risks 08:58 The Role of Volume in Athletic Training 11:47 Exploring Isometric Training Techniques 15:10 Tendon Issues in Young Athletes 18:02 Biomechanics and Injury Prevention 20:56 The Journey with Extreme Isometrics 24:08 Experiences and Outcomes from Isometric Training 30:20 Embracing Failure in Training 32:51 The Neurological Aspect of Muscle Coordination 36:12 Understanding Energy Systems in Training 37:06 Optimizing Leg Positioning for Performance 39:55 The Role of Tendons in Rehabilitation 43:07 Balancing Loading Techniques for Tendon Health 46:03 The Impact of Blood Flow on Tendon Recovery 48:50 Integrating Plyometrics and Isometrics in Training 52:13 Foot Mechanics and Injury Prevention 57:55 Conclusion and Resources Takeaways Rob Assisi has been a track coach for 21 years. Plyometrics play a crucial role in athletic adaptation. There needs to be a balance between stiffness and compliance in training. Volume is essential for tendon development. Isometric training can provide unique benefits for athletes. Young athletes often face tendon issues due to overtraining. Biomechanics significantly influence injury risks in athletes. Extreme isometrics can lead to remarkable performance improvements. Understanding foot contact is vital for effective training. Coaches must consider the long-term effects of training on athletes. Embracing failure is crucial for growth in training. Pulling harder can help overcome feelings of impending failure. Muscle coordination is key to effective training. Energy systems play a significant role in performance. Tendons require specific loading techniques for rehabilitation. Long-duration holds can benefit tendon health. Blood flow restriction may aid in tendon recovery. Integrating different training modalities enhances performance. Foot mechanics are essential for injury prevention. Understanding individual biomechanics can improve training outcomes. Rob's Instagram: Rob's Twitter: Rob's Website: /episode/index/show/jackedathlete/id/35493085

Tendons with Greg Lehman 02/22/2025

Tendons with Greg Lehman Chapters 00:00 Introduction to Greg Lehman's Approach 03:06 Understanding Tendinopathy and Its Implications 05:59 The Role of Tendon Stiffness in Rehabilitation 09:06 The Complexity of Tendon Rehabilitation 12:01 The Importance of Individualized Treatment Plans 15:03 Exploring the Connection Between Metabolic Health and Tendon Pain 17:59 The Debate on Stretching and Tendon Health 21:04 Compression and Its Effects on Tendons 24:06 Managing Activity Levels During Rehabilitation 26:54 Evaluating Loading Protocols for Tendon Recovery 30:08 Muscle-Tendon Imbalance and Injury Risk 33:10 Research Insights on Tendon Adaptation 36:34 Understanding Tendon Strain Dynamics 39:04 Exploring Tendon Rehabilitation Protocols 42:54 The Role of Muscle in Tendon Health 46:24 Isometrics and Their Evolving Role in Rehab 56:36 Patient-Centered Care in Tendon Rehabilitation Takeaways The diagnosis often does not dictate treatment in rehab. Tendon stiffness is a key factor in rehabilitation. Individualized treatment plans are crucial for effective rehab. Metabolic health can significantly impact tendon pain. Stretching may still have a role in tendon health. Compression effects on tendons are complex and not fully understood. Maintaining activity levels can be beneficial during rehab. Loading protocols should be tailored to the individual. Muscle-tendon imbalances can increase injury risk. Research continues to evolve our understanding of tendon adaptation. Tendon strain is influenced by joint angle and muscle contraction. Isometric holds may not be the only effective method for tendon rehabilitation. Patient-centered care is crucial in designing rehabilitation programs. Performance goals should be integrated into rehabilitation strategies. Muscle strength plays a significant role in tendon health and recovery. The body can adapt to protect injured areas, complicating rehabilitation. Isometrics can provide analgesic effects, but results vary among individuals. Conscious isolation of muscle groups may be necessary for effective rehab. Tendons respond to load, regardless of the type of contraction used. Understanding individual patient goals is essential for effective treatment. Greg's Website: Greg's Linktree: Greg's Instagram: Greg's Twitter: Notes here: /episode/index/show/jackedathlete/id/35388655

Tendons with David Grey 02/17/2025

Tendons with David Grey 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: David's Instagram: Notes: /episode/index/show/jackedathlete/id/35317635

Tendons with Matt McInnes Watson 02/15/2025

Tendons with Matt McInnes Watson Chapters 00:00 Moving to Tennessee: A New Chapter 05:12 Understanding the Tier System for Plyometrics 10:06 The Importance of Tendon Health in Sports 14:55 Exploring Structural Changes in Muscle and Tendon 19:58 Volume vs. Intensity: The Key to Structural Development 24:59 The Role of Joint Stiffness in Athletic Performance 30:02 The Stretch-Shorten Cycle and Its Implications 35:16 Understanding Tendon Development 39:01 The Neuromuscular Connection 44:07 Stiffness vs. Compliance in Tendons 48:01 The Importance of Deep Tier Movements 56:56 Tendon Development in Youth 01:04:00 Upcoming Projects and Future Plans Takeaways Matt recently moved to Knoxville, Tennessee, and is working with the NFL Combine Group. The tier system for plyometrics is based on a simple classification of movement intensity. Tendon health is crucial for athletes, especially in track and field. Volume is essential for structural development in muscles and tendons. Joint stiffness plays a significant role in athletic performance. The light tier of plyometrics is more muscular-based and less effective for structural changes. High volumes of plyometric training can lead to significant improvements in performance. Athletes in team sports often hide injuries better than those in track and field. The stretch-shortening cycle is vital for understanding tendon function during athletic movements. Fatigue in muscles can limit the effectiveness of tendon utilization during performance. Max effort jumps primarily enhance neuromuscular output. Tendon development requires specific training tiers. Stiffness and compliance are crucial for tendon health. Deep tier movements may improve tendon compliance. Youth training should consider peak height velocity. Monitoring volume and intensity is essential for young athletes. Tendons behave differently in youth compared to adults. Injury prevention strategies must include structural training. The relationship between joint angles and tendon strain is complex. Upcoming courses will focus on practical training methods. Matt's Website: Matt's Instagram: Notes: /episode/index/show/jackedathlete/id/35294885

Tendons with Joel Smith 02/11/2025

Tendons with Joel Smith Chapters 00:00 Introduction and Personal Updates 02:58 Child Development and Movement Efficiency 05:46 Rock Climbing Insights and Tendon Health 09:10 The Importance of Volume in Training 11:53 Integrating Fun into Training 14:46 Seasonal Training Adjustments 18:10 Managing Tendon Health and Injury Prevention 25:14 Evolving Training Approaches 27:40 The Importance of Timing in Athletic Performance 28:10 Utilizing Music and Rhythm in Training 31:30 Exploring Flywheel Training and Tendon Health 33:20 Understanding Finger Tendon Development 39:08 Personal Experiences with Achilles Issues 49:30 Prehab Strategies for Achilles Health 53:37 Exploring Variability in Training 56:48 Understanding Tendon Issues in Athletes 01:00:24 The Mechanics of Jumping and Tendon Strain 01:05:25 The Role of Foot Position in Athletic Performance 01:10:59 The Importance of Play in Child Development 01:21:36 Upcoming Seminars and Future Projects Takeaways Kids are incredibly efficient in their movements. Fingers in rock climbing are as crucial as the Achilles tendon for runners. Climbing provides a fun way to train without expending willpower. Integrating fun into training can enhance performance and enjoyment. Seasonal training adjustments can help maintain athletic performance. Managing tendon health is essential to prevent injuries during training. Volume in training is more effective when it feels enjoyable. Isometric training is beneficial for both climbing and other athletic pursuits. Understanding the body's response to training is key to avoiding burnout. Finding natural movement patterns can lead to better strength outcomes. Training methods evolve over time, adapting to seasonal changes. Injuries often stem from timing issues in muscle activation. Incorporating music and metronomes can enhance training effectiveness. Flywheel training may offer unique benefits for tendon health. Finger tendons may develop differently compared to Achilles tendons. Personal experiences with injuries can inform training practices. Prehab strategies are essential for maintaining athletic health. Variability in training can lead to better movement quality. Simplicity in training can yield maximal benefits. Understanding biomechanics is crucial for effective rehabilitation. It's important to incorporate variability in training for better performance. Rehabilitation should be approached with a focus on play and enjoyment. Athletes often need to balance strength training with play to avoid injuries. Understanding the mechanics of jumping can help prevent tendon strain. Foot position can significantly impact athletic performance and injury risk. Free play is essential for developing strong tendons in children. Jump roping can enhance plyometric development in kids. Wrestling can be beneficial for children's physical development. Coaches need to manage workloads to prevent injuries in athletes. Training should be approached as a creative art form. Notes here: Joel’s website: Joel on Instagram: /episode/index/show/jackedathlete/id/35231440

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