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: https://stan.store/training_with_tendinopathy

Alex's Instagram: https://www.instagram.com/training_with_tendinopathy/

Notes: https://jackedathlete.com/podcast-137-tendons-with-alex-nelson/

Tendons with Alex Nelson

Jacked Athlete Podcast