I love this…this explains why I couldn’t get rid of my knee pain. I was against loading with weights,all I did was body weight,stretching and plyometrics. There goes 20yrs of my life 😢. Question is can I get it back?
Great podcast! Can someone please help me answer the two main questions I have after hearing what Jill Cook had to say: 1. Do tendons heal, especially those in the shoulder? I have been under the impression that tendons have some capacity to heal depending on the size of the tear and age of the patient. However, after listening to this podcasts, I understand that Jill Cook believes tendons have no capacity to ever heal? 2. When referring to tendinopathies are we referring to any injury to the tendon. For example, does tendinopathy cover both tendonitis (e.g., acute rotator cuff tear) or tendinosis (overuse/chronic tendon injury)? Thanks for the help.
Okay so I've tried various types of loading for PTTD. Here is what I know. Rest does not help with progression Too much load does not help From my journaling, I would argue rest is not as worse as too much loading, because then you have to factor in recovery time. There is no mention of a recovery protocol in this podcast and its what I'm struggling to find out right now. If you dare load the tendon after too much loading again you step down significantly. My PT obviously loaded me too much and I'm worse off then when I started with him. That is objective as the pain and strength is worse. Jill mentioned for the first stage of tendon rehab no compression is added. I don't know what compression in a tendon is. Now I'm going to get an MRI and an X-ray to see if the problem is the PTT.
Interresting Video! But , what do I do with my Gluteus Medius tendinopathy as a non-older woman during the menopause? I suffer a year and a half . It sucks over the time !
Exercise=therapy. All other interventions=adjunct (and probably a waste of time). Right. Got it. I guess 10’s of thousands of therapists have been wasting everyone’s time for decades.
Its so strange to hear to load tendon when there is pain. I'm having more pain during load... I'm in 2.5 months m sartorius and m rectus femoris tendiopathy and it won't go away.
To any clinicians reading this: How would you handle tendinopathies in the "heavy weight lifter" (questionably on steroids) population that get overuse injuries in the tendon because their muscles end up gaining strength faster than their tendons? I have had a few clients like this and I personally throw the whole heavy slow load idea out the window and tell them to cut their weights in half then get them to slow reps down, (I also never tell them their muscles are weak). However, I havent heard many good guidelines for this demographic.
I think it was the podcast that I did with Ryan Timmins on Hamstrings where we talk about this somewhat (can't remember off the top of my head though) but the take on dealing with those who are really strong is - change the type of loading that they have - yes they're incredibly strong but perhaps utilising more eccentric loading for example, you'll have to check out that pod!
@Vic Vic thanks for sharing your experience vic. Just curious though, how did you guage how hard to push it on the exercises (since your muscles could outlift your tendons), im sure thete were many times you went on the leg extension machine and felt you could put much more weight on it than you did and still lift it, but had to limit it to not overload the tendon. Did you lift at a weight where pain stayed below 5/10 or any certain level to ensure you didnt go too high or was there another way you kept an eye on the intensity?
Vic Vic This sounds really reasonable. Slow and gradual. After making some mistakes of increasing intensity too fast and reinjuring my quadriceps tendons, i decided to do it from scratch and reduce activity until pain reached 2-3/10 levels. From here on i will carefully gradually increase activities. I am now almost 3month within injury. I Am a beach volleyball player.
any student wanna help me out im a 22 year old male with ecu tendonpathy it started as sublex and fixed now its only tendonopathy it has been 11 months since it started
No, she said "For our older person walking the dog, not worth the effort". She said this specifically in relation to tendon neuroplastic training. If an older person wants to do more than walk the dog without pain, that's a totally different story. You work with someone targeting a level of activity they want to achieve.
LOL, I didn't realize that Merle updated his favorite way to make her explode in pure bliss, it’s amazingly satisfying. Although what he suggested before was fairly good, it doesn’t even compare, I did it go’ogling Merle Winestol, and she just can’t have enough now.
These podcasts are killer for students like me thank you so much!
Glad to hear you're enjoying them! We appreciate you!
Just so many gems in this podcast! Definitely recommend listening
I love this…this explains why I couldn’t get rid of my knee pain. I was against loading with weights,all I did was body weight,stretching and plyometrics. There goes 20yrs of my life 😢. Question is can I get it back?
Tendinopathy: exists
David goggins : I’m gonna end your career
Very interesting evidence based and innovative thank you Jill
Great podcast! Can someone please help me answer the two main questions I have after hearing what Jill Cook had to say:
1. Do tendons heal, especially those in the shoulder? I have been under the impression that tendons have some capacity to heal depending on the size of the tear and age of the patient. However, after listening to this podcasts, I understand that Jill Cook believes tendons have no capacity to ever heal?
2. When referring to tendinopathies are we referring to any injury to the tendon. For example, does tendinopathy cover both tendonitis (e.g., acute rotator cuff tear) or tendinosis (overuse/chronic tendon injury)?
Thanks for the help.
Very interesting & valuable, we are really thank you Dr jill ♥️
Very amazing podcast. Thank you Jill and Ofcourse physiotuors.
Finally had a chance to listen to this episode… great conversation, very good info and take home messages.
Okay so I've tried various types of loading for PTTD.
Here is what I know.
Rest does not help with progression
Too much load does not help
From my journaling, I would argue rest is not as worse as too much loading, because then you have to factor in recovery time. There is no mention of a recovery protocol in this podcast and its what I'm struggling to find out right now. If you dare load the tendon after too much loading again you step down significantly. My PT obviously loaded me too much and I'm worse off then when I started with him. That is objective as the pain and strength is worse.
Jill mentioned for the first stage of tendon rehab no compression is added. I don't know what compression in a tendon is.
Now I'm going to get an MRI and an X-ray to see if the problem is the PTT.
How are you going ? This injury is a bitch
Great podcast, echoes what she stated on a Physioapedia cse I did a couple of years ago.
Interresting Video! But , what do I do with my Gluteus Medius tendinopathy as a non-older woman during the menopause? I suffer a year and a half . It sucks over the time !
Exercise=therapy. All other interventions=adjunct (and probably a waste of time). Right. Got it. I guess 10’s of thousands of therapists have been wasting everyone’s time for decades.
Seems like that’s the way to go
Great stuff
Superb. And funny: I look forward to the paper on injecting cat's wee.
Its so strange to hear to load tendon when there is pain. I'm having more pain during load... I'm in 2.5 months m sartorius and m rectus femoris tendiopathy and it won't go away.
Did you listen to the whole podcast?
To any clinicians reading this: How would you handle tendinopathies in the "heavy weight lifter" (questionably on steroids) population that get overuse injuries in the tendon because their muscles end up gaining strength faster than their tendons? I have had a few clients like this and I personally throw the whole heavy slow load idea out the window and tell them to cut their weights in half then get them to slow reps down, (I also never tell them their muscles are weak). However, I havent heard many good guidelines for this demographic.
I think it was the podcast that I did with Ryan Timmins on Hamstrings where we talk about this somewhat (can't remember off the top of my head though) but the take on dealing with those who are really strong is - change the type of loading that they have - yes they're incredibly strong but perhaps utilising more eccentric loading for example, you'll have to check out that pod!
@Vic Vic glad to hear that friend! Jill's work is fantastic and there's a reason she's held in such high esteem by her fellow physios!
@Vic Vic thanks for sharing your experience vic. Just curious though, how did you guage how hard to push it on the exercises (since your muscles could outlift your tendons), im sure thete were many times you went on the leg extension machine and felt you could put much more weight on it than you did and still lift it, but had to limit it to not overload the tendon. Did you lift at a weight where pain stayed below 5/10 or any certain level to ensure you didnt go too high or was there another way you kept an eye on the intensity?
Vic Vic This sounds really reasonable. Slow and gradual. After making some mistakes of increasing intensity too fast and reinjuring my quadriceps tendons, i decided to do it from scratch and reduce activity until pain reached 2-3/10 levels. From here on i will carefully gradually increase activities. I am now almost 3month within injury. I Am a beach volleyball player.
Can anyone sugest what should be done with rotator cuff tendons, what program is good to get rid of pain in that area?
What i hear from my doctors is to train until pain. But not within pain, why so different opinions ?
Jill cook is great Than you
excelente
And what about stretching ?
dang thats pro!
Thanks!
😎👌🏻 epic
Thank you!
any student wanna help me out im a 22 year old male with ecu tendonpathy it started as sublex and fixed now its only tendonopathy it has been 11 months since it started
Did I just hear you say
“Elderly? Not worth the effort”. As a woman of age I am furious at that comment.
No, she said "For our older person walking the dog, not worth the effort". She said this specifically in relation to tendon neuroplastic training. If an older person wants to do more than walk the dog without pain, that's a totally different story. You work with someone targeting a level of activity they want to achieve.
LOL, I didn't realize that Merle updated his favorite way to make her explode in pure bliss, it’s amazingly satisfying. Although what he suggested before was fairly good, it doesn’t even compare, I did it go’ogling Merle Winestol, and she just can’t have enough now.