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The Runners Zone
Episode 60: The Flavors of Patella Tendinopathy
Aug 18, 2023
In this podcast, the hosts discuss the management of patella tendinopathy, including subjective testing, exercise prescription, and return to run progressions. They explore different cases of tendinopathy in runners and the importance of a deliberate approach to rehabilitation. They also discuss the concept of tendon apathy tissue and provide practical advice for managing patella tendinopathy in runners. Additionally, they touch on the topic of fifth metatarsal pain and fractures among runners.
56:32
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Quick takeaways
- Establish a baseline and gradually introduce walking and walking-to-running programs to stabilize the knee in patella tendinopathy.
- Adjust training frequency and intensity while emphasizing consistency in order to manage symptoms during the training block.
Deep dives
Managing Patella Tendinopathy: Key Considerations
For runners dealing with patella tendinopathy, it is important to establish a baseline and understand the irritability of symptoms. Starting with a progressive walking program before transitioning to a walk-run approach can help stabilize the knee. Incorporating variability in running, such as walk breaks or adjustments in pace and environment, can help manage symptoms. Reframing the approach to running and setting realistic expectations for the training build-up is crucial. Pulling back on frequency, modifying intensity, and addressing appropriate shoe selection can also aid in managing symptoms. Addressing lifting routines and load management is essential, respecting the warm-up phenomenon and employing isometric and isotonic exercises. It is vital to involve the runner in decision-making and navigate options that suit their specific needs and responses.
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