Tendons with Alex Nelson


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Mar 26 2025 63 mins   12

Chapters

00:00 Introduction to Tendinopathy and Personal Journey
02:46 Understanding Tendinopathy: Inflammation vs. Degeneration
06:02 The Role of Isometrics in Tendon Rehabilitation
09:10 Muscle Function vs. Tendon Focus in Rehabilitation
11:50 Managing Load: Balancing Pain and Progress
15:07 Powerlifting and Tendinopathy: A Unique Perspective
17:54 Biomechanics and Chronic Workload in Tendon Pain
32:51 Understanding Tendon Biomechanics
34:10 Mismanagement of Tendon Injuries
37:24 The Importance of Progressive Loading
39:07 Transitioning to Remote Rehabilitation
41:03 The Role of Imaging in Tendon Injuries
44:27 Navigating Partial Tears and Surgical Decisions
47:41 Post-Surgery Rehabilitation Challenges
53:27 The Efficacy of Injections in Tendon Pain
56:54 The Debate on Stretching Tendons
01:00:00 Exploring BPC-157 and Its Anecdotal Use

Takeaways

  • Tendinopathy is often mismanaged in clinical settings.
  • Isometrics can be beneficial but are not a one-size-fits-all solution.
  • Muscle function and nervous system adaptation are crucial in rehab.
  • Pain should guide rehabilitation strategies.
  • Heavy loads must be relative to the individual's condition.
  • Powerlifters can experience patellar tendinopathy due to high volume and intensity.
  • Biomechanics play a role in tendon injuries but are not the sole factor.
  • Chronic workload changes can lead to tendon pain.
  • Expectations and beliefs can influence treatment outcomes.
  • Individualized approaches are essential for effective rehabilitation. High bar back squats may aggravate tendon injuries more than low bar squats.
  • Mismanagement of tendon injuries often leads to prolonged recovery times.
  • Progressive loading is crucial for effective rehabilitation.
  • Remote rehabilitation can provide more frequent and tailored care.
  • Imaging can create fear and confusion about tendon injuries.
  • Partial tears may not always require surgical intervention.
  • Post-surgery rehabilitation is highly individualized and can be challenging.
  • Injections may provide temporary relief but are not a guaranteed solution.
  • Stretching tendons should be minimized, especially in early stages of rehab.
  • BPC-157's effectiveness remains largely anecdotal and requires more research.

Alex's links: https://stan.store/training_with_tendinopathy

Alex's Instagram: https://www.instagram.com/training_with_tendinopathy/

Notes: https://jackedathlete.com/podcast-137-tendons-with-alex-nelson/