2min chapter

Physio Edge podcast with David Pope cover image

05. Tendons and tendinopathy with Jill Cook

Physio Edge podcast with David Pope

CHAPTER

How to Train a Tendon for Pain

When do you start to, when do you decide that it's time to call it quits with their strength training program? When they can lift their body weight repeatedly appropriate to what they want to do. So someone who's a runner needs to be able to repeatedly hop or at least do alternate leg sort of fast movements. If they can do that, they can go back into a running type of program where you would systematically increase the amount of load on them. Tendants are all about very, very small and systematic changes in load.

00:00
Speaker 2
And how long do you tend to see these guys for? And when do you start to, when do you decide that it's time to call it quits with their strength training
Speaker 1
program? When they can lift their body weight repeatedly appropriate to what they want to do. So if they're an endurance runner, they need to be able to do tons more than someone who's a golfer. So if you're golfing, you don't need as much sort of strength, that's probably not true. You don't need as much power if you're a golfer. Let me think about another person. So someone who's not very active, you don't need to do as much strength endurance. Someone who's a marathon runner, you would need to do a ton of strength endurance with them. So it would depend on the person as to what level you would take them to, because you've got a tail what you need to do to the outcome you need from them. So again, it comes back to that specificity of assessment, specificity of treatment. Okay, what
Speaker 2
sort of guidelines would you use for for their training program to use pain guidelines? What sort of stuff do you use to tail tell their program?
Speaker 1
Yeah. Okay. So I get always got my eye on what they need. So someone who's a runner needs to be able to repeatedly hop or at least do alternate leg sort of fast movements. If they can do that, they can go back into a running type of program where you would systematically increase the amount of load on them. So you might start them with a walk job program for a short period of time, build them up to a short jog and then increase length of the job. Tendants are all about very, very small and systematic changes in load. Tendants really hate big change in load. So you can never ever take large changes in the load that you place on them. So it's all about just small, steady change in load. And every time you're just waiting for the tendon to tell you that it's okay.

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