78: What Runners Need to Know about Tendinopathy and Tendon Health (with Dr. Alex Nelson)
Aug 10, 2024
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Dr. Alex Nelson, a DPT and owner of Training with Tendinopathy, dives into the intricacies of tendon health, particularly for runners. He clarifies the differences between tendinopathy, tendonitis, and tendinosis, emphasizing that rest alone won't heal these issues. Dr. Nelson discusses the crucial role of strength training in rehab, while addressing the benefits of collagen supplements and protein intake for recovery. Additionally, he provides insights on managing high hamstring tendinopathy, the implications of footwear, and the importance of listening to pain cues during recovery.
Understanding the distinctions between tendinopathy, tendinitis, and tendinosis is crucial for effectively managing tendon injuries and rehabilitation.
Active rehabilitation combining strength training and pain management is essential for recovering from tendinopathy, as complete rest may worsen the condition.
Deep dives
Understanding Tendon Terminology
Clarifying the terminology surrounding tendon injuries, the discussion highlights the differences between tendinitis, tendinopathy, and tendinosis. Tendinitis is often mischaracterized as the primary cause of tendon pain, leading individuals to believe that inflammation is the main issue, prompting them to rest and reduce activity. In contrast, tendinopathy is a more accurate, overarching term encompassing tendon pain associated with various loading issues and associated structural changes in the tendon. Tendinosis describes long-term degenerative changes which may mislead individuals into considering invasive solutions, but recognizing these distinctions helps provide better management strategies.
The Importance of Active Rehabilitation
For those diagnosed with tendinopathy, complete rest is counterproductive and can exacerbate tendon issues. Instead, a balance of activity and rehabilitation is crucial, as inactivity can lead to further maladaptive changes within the tendon. Physical therapy and appropriate loading exercises can facilitate recovery, fostering stronger tendons rather than merely focusing on pain relief. Engaging in an active rehabilitation process tailored to the individual's needs not only effectively addresses the injury but also aids in long-term resilience against future tendon issues.
Role of Strength Training in Recovery
Strength training is highlighted as a vital component in the recovery from tendon injuries, effectively contributing to tendon healing and reconditioning. Higher loads during strength training exercises can enhance the adaptiveness of the tendon, moving beyond conventional rehab exercises which often involve minimal resistance. As part of a comprehensive rehabilitation program, strength training should progress from lighter loads to heavier resistance, allowing athletes to regain functionality in a structured way. Moreover, incorporating plyometrics into training can further prepare the tendon for the demands of running and other athletic activities while emphasizing the importance of gradual integration into the program.
Addressing Pain Management and Treatment Approaches
The conversation addresses common misconceptions surrounding pain and its role in tendon rehabilitation, emphasizing that experiencing mild discomfort during recovery can be normal. Athletes are encouraged to listen to their bodies, adjusting their training intensity to prevent exacerbating injuries while understanding that some discomfort may signify progress. It also discusses the potential drawbacks of cortisone injections, noting that while they may provide temporary relief, they do not address the root cause and can adversely affect long-term outcomes if relied upon without proper rehabilitation. Ultimately, a proactive and informed approach to managing pain, combined with a robust recovery strategy, is essential for successful outcomes in tendon rehabilitation.
Are you struggling with Achilles pain, a chronic high hamstring injury, or another tendon issue? This is the episode for you! We brought on an expert on tendinopathy and tendon health - Dr. Alex Nelson, DPT, owner of Training with Tendinopathy.
You can follow Dr. Nelson on Instagram @training_with_tendinopathy
Discussion points include:
Defining tendinopathy vs tendonitis vs tendinosis
Why rest alone doesn’t resolve tendinopathy
Warning signs and risk factors for tendinopathy
Why you need strength training to rehab tendinopathy
Plyometrics vs isometrics for tendon health and rehab
Return to run timelines for tendinopathy
The risks and rewards of a cortisone shot
How to use pain to guide your tendon rehab process
Do collagen supplements support tendon healing?
How protein supports tendon health
Tips for managing high hamstring tendinopathy
What happens if you train through untreated tendinopathy?
Do carbon plated running shoes hurt or harm tendons?
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