Tendon Rehab, Stress Fractures, Running & Pain w/ Greg Lehman #115

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Chapters

00:00 Evaluating Shockwave Therapy in Tendinopathy

00:44 The Role of Exercise in Rehabilitation

03:43 Understanding Patient Ecosystems and Health

06:23 Case Studies: Practical Applications in Treatment

08:49 The Complexity of Pain Management

11:43 Research Critique: Shockwave Therapy and Evidence

14:10 Psychological Factors in Pain Perception

17:02 Clinical Decision-Making in Patient Care

26:00 Trusting Experts and Knowledge Translation

27:21 Challenging Established Beliefs

28:30 Comparing Treatment Philosophies

31:03 The Role of Patient Understanding

33:35 Exercise vs. Alternative Treatments

34:26 Load Management in Rehabilitation

35:54 Creative Approaches to Running Rehabilitation

37:06 Resistance Training for Runners

40:12 Skepticism Towards New Research

42:50 Understanding Bone Stress Injuries

54:53 Understanding Pain and Structural Changes

58:59 Navigating Risks in Running Injuries

01:04:20 The Role of Social Media in Health Information

01:09:39 Strength Training and Recovery Insights

01:12:24 Research Aspirations and Future Directions

Keywords:

shockwave therapy, tendon rehabilitation, exercise, pain management, sports medicine, patient education, metabolic health, case studies, research appraisal, individualized treatment, training protocols, bone health, stress fractures, plyometric training, rehabilitation, pain management, social media, health information, research ethics, performance.

Summary:

This conversation delves into the complexities of sports medicine, focusing on shockwave therapy, exercise rehabilitation, and the importance of understanding patient ecosystems. The speakers discuss recent research findings, the role of exercise in pain management, and the need for individualized treatment approaches. They also explore the psychological factors influencing pain and the critical appraisal of existing research in the field. In this conversation, Blake Withers and Greg delve into various aspects of training protocols, bone health, and the complexities of rehabilitation. They discuss the importance of flexibility in training, the role of frequency in plyometric exercises, and the nuances of managing pain in relation to structural changes. The dialogue also touches on the ethical considerations of pain in research, the impact of social media on health information, and future directions in rehabilitation research.takeaways

• Shockwave therapy may not provide additional benefits compared to exercise.
• Exercise should be critically evaluated just like other treatments.
• Improving a patient's overall health ecosystem is challenging but essential.
• Patient motivation is crucial for successful rehabilitation.
• Understanding the mechanisms of pain can enhance treatment outcomes.
• Research in sports medicine often lacks strong evidence for certain treatments.
• Individualized treatment plans are necessary for effective rehabilitation.
• Psychological factors play a significant role in pain perception.
• Exercise can positively influence peripheral nociception.
• Critical appraisal of research is vital for informed clinical practice. People can improve despite not following traditional protocols.
• Flexibility in training is crucial for optimal results.
• Frequency of training may be more important than intensity.
• Understanding bone health is essential for preventing stress fractures.
• Pain is not always a reliable indicator of injury severity.
• Social media can be a double-edged sword for health information.
• Research ethics play a significant role in studying pain management.
• The relationship between structure and pain is complex and often misunderstood.