The E3 Rehab Podcast

189. A Deep Dive Into Tendon Rehab w/ Marc Surdyka

Feb 25, 2025

Marc Surdyka, an expert in tendon rehabilitation, joins Chris Hughen to explore revolutionary approaches to managing tendon pain. They discuss the evolution of tendon pain terminology, shifting from 'tendonitis' to 'tendinopathy.' The conversation highlights modern loading protocols and the importance of individualized rehabilitation strategies. Surdyka emphasizes pain monitoring, tailored exercises, and the need for baseline testing, offering clinicians insightful strategies for effective tendon management and optimal recovery.

01:15:11

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Episode guests

Marc Surdyka

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Quick takeaways

The terminology surrounding tendon pain has evolved from tendonitis to tendinopathy, reflecting a better understanding of underlying issues non-specific to inflammation.

Recent research supports the necessity of progressive loading in tendon rehabilitation, allowing pain during treatment while focusing on functional recovery.

Individualizing loading strategies based on each patient's unique situation is crucial for effective tendon rehabilitation, blending recovery with normal activity and fitness.

Deep dives

Understanding Tendons

Tendons are connective tissues that transmit force from muscles to bones, playing a crucial role in movement and injury protection. They possess unique viscoelastic properties, allowing them to store and release energy, which enhances performance. Key parameters, such as tendon strain and stiffness, define their mechanical behavior under loads. Understanding these concepts is vital for developing effective rehabilitation strategies for tendon-related injuries.

Intro

2min

Understanding Tendon Function and Pain

20min

Holistic Approaches to Osteoarthritis and Tendinopathy Rehabilitation

2min

Revolutionizing Tendon Rehabilitation

9min

Tailoring Tendon Rehabilitation

24min

Tendon Rehabilitation Strategies

15min

Key Takeaways on Tendon Rehabilitation and Resources for Further Learning

3min

Chris Hughen sat down with Marc Surdyka to discuss all things tendon rehab. We dive into the evolution of tendon pain terminology, the role of inflammation, loading protocols, clinical applications, and much more.

Watch the full episode: https://youtu.be/mF5CtFnVtO4

Episode Resources:

Video: How to Rehab Tendon Injuries and Pain

Article: How to Rehab Tendon Injuries and Pain

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