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Barbell Medicine Podcast

Episode #329: Severe Bilateral Knee Pain After Squatting 600 pounds

Jan 3, 2025
Derek Miles, Head of the Pain and Rehab Division and a doctor of physical therapy, joins the discussion to dissect a unique case of a powerlifter suffering severe knee pain after a heavy squat attempt. They explore the causes of knee injuries, including bilateral quadriceps tendon ruptures and ACL injuries. The conversation touches on the effects of anabolic steroids on tendon health and the importance of gradual training progression. Rehabilitation strategies are emphasized, along with the critical role of psychological factors in recovery.
01:10:33

Episode guests

Podcast summary created with Snipd AI

Quick takeaways

  • The podcast investigates a case of severe bilateral knee pain in a patient following a heavy squat, examining potential quadriceps tendon injuries and diagnostic approaches.
  • A critical discussion on the importance of addressing both physical and psychological aspects in rehabilitation highlights how fear of re-injury can impact recovery outcomes.

Deep dives

Introduction of New Training Programs

Two new training programs have been launched, with the first being the second generation of the Strength One program. This program is designed to enhance strength in fundamental lifts such as the squat, bench press, deadlift, and overhead press. It offers four 12-week programs allowing users to select their own exercises and choose between flexible workout schedules. The programming has been improved based on user feedback to optimize results, accommodating various preferences and equipment availability.

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