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: https://www.tendinopathyrehab.com

Instagram: https://www.instagram.com/tendinopathyrehab/?hl=en

Twitter: https://x.com/DrPeteMalliaras

Email: peter.malliaras@monash.edu

Notes: https://jackedathlete.com/podcast-131-tendons-with-peter-malliaras/

Tendons with Peter Malliaras

Jacked Athlete Podcast