The Physical Performance Show Ep 365: Professor Peter Malliaras ‘Tendinopathy Rehabilitation’
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Feb 24, 2025 Professor Peter Malliaras, a leading tendinopathy expert and director at Monash University’s Musculoskeletal Research Unit, shares invaluable insights into tendon rehabilitation. He discusses cutting-edge treatment strategies and highlights the importance of personalized loading techniques. The conversation delves into how biopsychosocial factors affect outcomes, the role of muscle activation, and the nuances of pain management. With a focus on recent research and evolving strategies, this is a must-listen for athletes and practitioners alike on the path to recovery.
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Tendinopathy Rehab Evolution
- Tendinopathy rehabilitation has evolved, focusing on specific loading for desired outcomes.
- Pain improves regardless of exercise, making targeted loading crucial for tissue adaptation.
Multifactorial Tendinopathy
- Tendinopathy is multifactorial, not solely load-related, encompassing biopsychosocial factors.
- Persistent pain, often present in tendinopathy, isn't always caused by load.
Non-Mechanical Tendon Pain
- One patient developed tendon pain after starting statins, with no mechanical change in symptoms.
- Another, a swimmer, experienced shoulder pain after a breakup and stress, alongside training changes.