Chapters

00:00 Introduction to Tendinopathy Coaching 03:10 The Journey into Tendon Rehabilitation 06:08 Understanding Muscle-Tendon Imbalance 09:01 Pain vs. Structural Changes in Tendons 11:55 The Complexity of Pain Management 14:45 The Role of Dynamic Loading in Recovery 18:04 Differentiating Between Patellar Tendinopathy and Patellofemoral Pain 20:50 Mid-portion vs. Insertional Achilles Tendinopathy 42:37 Gradual Exposure in Tendon Rehabilitation 45:03 Frequency and Loading in Tendon Rehab 49:27 Metabolic vs. Load-Related Tendon Pain 55:40 Inflammation and Pain Mechanisms in Tendons 01:01:01 The Role of Alcohol in Tendon Pain 01:07:14 Strength vs. Load Management in Tendon Recovery 01:13:32 Future Directions in Tendon Research

Takeaways

Niels Heim's journey into tendinopathy coaching began with a podcast. Coaching focuses on helping athletes return to their sport. Pain management in tendinopathy is complex and individualized. Dynamic loading is crucial for tendon recovery. Differentiating between patellar tendinopathy and patellofemoral pain is important. Muscle-tendon imbalances can lead to injuries. Structural changes in tendons do not always correlate with pain relief. Isometric loading can be beneficial for tendon rehabilitation. Understanding patient-specific pain responses is essential. The approach to Achilles tendinopathy should differentiate between mid-portion and insertional types. Gradual exposure to loading can enhance tendon rehabilitation. Frequency of loading is crucial; every other day may be optimal. Metabolic and load-related tendon pain require different approaches. Inflammation is not always the primary concern in tendon pain. Alcohol consumption can exacerbate tendon pain. Strength may not need to increase for recovery to occur. Managing overall load is essential for tendon health. Eliminating negative lifestyle factors can aid recovery. Pain management strategies are vital in rehabilitation. Future research should explore plyometric training frequency.

Nils on Instagram: https://www.instagram.com/nils.heim.schmerzcoach/

SehnenStark podcast (iTunes): https://podcasts.apple.com/us/podcast/sehnenstark/id1725984010

SehnenStark podcast (Spotify): https://open.spotify.com/show/63h1RG0X1ZCoWwT3Z0MgZ1?si=b0193eed8f604635

Notes here: https://jackedathlete.com/podcast-127-tendons-with-nils-heim/

Ep. 145: When Projectors Give Unsolicited Advice