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Movement Optimism
Dr Peter Malliaras and Greg talk tendons, tendinopathy and rehab
Dec 12, 2024
Dr. Peter Malliaras, a full-time professor at Monash University and expert in tendinopathy, shares his insights on tendon rehabilitation. He emphasizes the limited role of injections in treatment, highlighting the importance of personalized care and effective load management. Peter discusses the complexities of strength testing methods and the significance of proper loading in recovery. He reflects on his transition from practice to academia and acknowledges the influence of mentorship in his career while advocating for accessible educational resources on tendinopathy.
43:35
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Quick takeaways
- The podcast critically evaluates the role of injections in treating tendinopathy, revealing a lack of supporting evidence for their effectiveness beyond short-term improvements.
- There is a strong emphasis on the need for further research into exercise protocols and load management approaches to enhance tendinopathy rehabilitation outcomes.
Deep dives
Injected Treatments for Tendinopathy
The effectiveness of injections like PRP (Platelet-Rich Plasma) in treating tendinopathy is critically examined, revealing a lack of strong evidence supporting their use. High-quality studies consistently show that PRP does not provide significant benefits when compared to placebo treatments. While PRP might have shown some improvements compared to steroids in short-term applications, long-term outcomes remain unsatisfactory. The discussion emphasizes the importance of patient-centered care, allowing patients to weigh the risks and potential short-term benefits before deciding on injection treatments.
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