Mar 02 2025 84 mins 13
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/
