136. The Tendinopathy Game Changers w/ Myles Murphy
Feb 20, 2024
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Tendon expert Myles Murphy discusses structure, function, and adaptation of tendons, exciting new areas of tendon research, challenges in managing tendons in sedentary and athletic populations, effectiveness of Platelet-Rich Plasma in treating patellar tendon issues, embracing patient-centered care, advancements in tendon research, and personalized approach to tendinopathy treatment.
Different tendons exhibit unique responses to stress and loading, emphasizing the need for personalized treatment approaches.
Function-oriented progressive tendon loading has shown superior outcomes compared to traditional protocols involving rest, Cortisone, and eccentric training.
Recent advances in tendon research focus on individual factors, uni-lateral training, outcome measure standardization, and patient-centric care for effective management.
Deep dives
Tendon Structure and Function
Tendons are stretchy tissues that transduce force, allowing movement. Unlike muscles, tendons lack contractile capacity, serving as force transducers. Tendons like the Achilles exhibit energy storage and release, essential for movements like jumping. Different tendons vary in their responses to stress and loading.
Treatment Evolution for Tendons
Historically, rest was a common treatment for tendon pain, but the understanding of mechanotherapy has shifted focus. Cortisone and eccentric training gained popularity, but studies show mixed outcomes. Recent trials highlight the effectiveness of function-oriented progressive tendon loading over traditional protocols.
Challenges and Advancements in Tendon Management
Recent research emphasizes the importance of considering individual factors like pain self-efficacy in tendon treatment. Uni-lateral training, specific to the Achilles and patellar tendons, has shown superior outcomes. New tools like Tendonopathy Severity Assessment aim to refine outcome measurement and inform treatment.
Future Directions in Tendon Research
Upcoming trends include consensus groups standardizing outcome measures, enhancing trial comparability. Research shifts towards a broader population focus beyond athletes, addressing a diverse range of tendon issues. Advancements in histopathology studies, along with patient-centric research, promise more inclusive and effective tendon management.
Patient-Centered Care in Tendon Treatment
Successful tendon management involves listening to patients, understanding their needs, and collaboratively designing tailored rehab programs. Patient goals and constraints should guide treatment decisions, promoting adherence and holistic recovery. The integration of research evidence with patient preferences ensures personalized and effective tendon care.
Chris sat down with Myles Murphy to discuss all things tendons. Myles describes the difference in structure, function, and adaptation of tendons compared to other tissues, tendon rehabilitation, exciting new areas of tendon research, and much more.