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Talking Tendons

Science Health & Fitness

Activity Overview

Episode publication activity over the past year

Episodes

Do psychological, cognitive, and contextual factors influence rehab outcomes in Achilles tendinopathy?

01 Mar 2023

Contributed by Lukas

This week I talk about a feasibility cohort study which sought to determine whether a larger cohort study addressing this question would be feasible. ...

Does high load and high strain exercise have any benefit for Achilles tendinopathy?

21 Feb 2023

Contributed by Lukas

We have known for a while that type of exercise intervention (e.g. intensity, frequency, etc) does not seem to influence self-reported outcomes such a...

Proximal Hamstring Tendinopathy - the forgotten tendinopathy

15 Feb 2023

Contributed by Lukas

This week, I had an engaging conversation with Anthony Nasser, an up-and-coming researcher on tendinopathy who recently completed his PhD on proximal ...

How useful is palpation for diagnosis and assessment?

07 Feb 2023

Contributed by Lukas

Palpation can be useful for the diagnosis and assessment of tendinopathy, but there are limits. This is because non-painful tendons can be tender, and...

Muscle and tendon tuning and implications for tendon rehabilitation

31 Jan 2023

Contributed by Lukas

Interesting perspective paper from Arampatzis et al talking about how we should consider tuning of muscle tendon unit in terms of muscle strength and ...

Achilles forces during common rehab exercises and habitual activities.

25 Jan 2023

Contributed by Lukas

This talking tendons episode will discuss a study by Igor Sancho, PhD, assessing Achilles forces during common rehab exercises and habitual activities...

Graded exposure in tendinopathy rehabilitation.

12 Dec 2022

Contributed by Lukas

In this episode, I am discussing kinesiophobia in the context of tendon rehab and how rehab can be conceptualised as graded exposure for some people. ...

Load test pain and kinesiophobia and how they interact in tendinopathy assessment

08 Dec 2022

Contributed by Lukas

In this episode, I talk about load test pain assessment and how this can also be used to assess kinesiophobia and movement apprehension.  References ...

Functional impairments persist in Achilles tendinopathy when people are returning to running

25 Jul 2022

Contributed by Lukas

This is an interesting study from the Delaware tendinopathy group among others investigating a host of structural, tissue property, functional and pai...

Understanding the patient perspective in Achilles tendinopathy

19 Jul 2022

Contributed by Lukas

In this episode I talk about three qualitative studies that aim to understand the patient perspective and patient motivations in Achilles tendinopathy...

Humans are lazy (or efficient!) hoppers: the importance of instructions in submaximal human hopping

16 Jul 2022

Contributed by Lukas

This paper is more than 30 years old but it is a beauty. Farley et al talk about human preferred hopping frequency and how it relates to metabolic cos...

Steroid injection for Achilles tendinopathy?

15 Jul 2022

Contributed by Lukas

There is so much debate about the use of steroids for tendinopathy. Opinions vary between 'you should never use steroid as will lead to recurrence, wo...

Does pain science education improve outcomes for Achilles tendinopathy?

28 Jun 2022

Contributed by Lukas

This is a new and lovely to read randomised trial comparing pain science education (including lots of good biopsychosocial info) versus placebo educat...

Strength and other impairments in runners with Achilles tendinopathy

15 Jun 2022

Contributed by Lukas

This is a new study from my PhD student, Igor Sancho. He looks at strength, psychological and other factors that may be different between health runne...

Exciting new insights into tendon adaptation with load

26 May 2022

Contributed by Lukas

On this episode I focus on a new study from my PhD student Eman Merza. It is a cross-over randomised trial testing the effect of high and low contract...

Achilles tendinopathy clinical and patient subgroups

05 May 2022

Contributed by Lukas

Had a lovely chat with Shawn Hanlon who is a PhD candidate about his relatively new paper exploring patient features and clinical characteristics and ...

Central pain processing and Achilles tendinopathy

23 Apr 2022

Contributed by Lukas

There is lots of debate about the pain mechanisms, particularly if there are central changes, in Achilles and other tendinopathies. Most studies in th...

The amazing benefits of biologic springs like the Achilles tendon

20 Apr 2022

Contributed by Lukas

This is one of my favourite narrative expert reviews that discusses the benefits of human biologic springs like the Achilles tendon. These benefits ca...

Gluteal tendinopathy chat with Chris Clifford

18 Apr 2022

Contributed by Lukas

I had a great time talking Gluteal tendinopathy with Chris Clifford. Chris is an experienced clinician from Glasgow who is in the throws of completing...

Do dietary supplements improve outcomes in tendinopathy?

11 Apr 2022

Contributed by Lukas

Patients often ask about dietary supplements and if they may be helpful in recovering from a tendinopathy problem. There is a new systematic review ou...

Is wait and see a viable option for Achilles tendinopathy?

09 Apr 2022

Contributed by Lukas

Will midportion Achilles pain improve if you wait and see? This is often a really important question to discuss with patients. Luckily we have some ev...

Education interventions in rotator cuff tendinopathy

09 Mar 2022

Contributed by Lukas

We all understand providing education for people with rotator cuff tendinopathy (and other conditions) is really important but we have very few resour...

Chat with Ruth Chimenti: 'the best exercise is the one your patient will do'

21 Feb 2022

Contributed by Lukas

Here is my recent chat with Dr Ruth Chimenti about Achilles tendinopathy We touched on some interesting topics, including Kinesiophobia and whether i...

Chat with Colin Griffin: top tips about assessment and management for Achilles tendinopathy

06 Feb 2022

Contributed by Lukas

Enjoyable chat with Colin Griffin who is undertaking an exercise trial for Achilles tendinopathy. We touched on so many important rehab considerations...

Systematic review on plantarflexor muscle impairments in Achilles tendinopathy.

15 Jun 2021

Contributed by Lukas

In this episode I talk about a new systematic review on plantarflexor muscle impairments in Achilles tendinopathy. It is clear that the relationship i...

New Exercise Evidence for Patellar Tendinopathy

05 Dec 2020

Contributed by Lukas

This high quality trial provides further evidence to shift us away from eccentric training for Patelar Tendinoapthy.See omnystudio.com/listener for pr...

Investigating pressure massage vs eccentric exercise in Achilles tendinopathy.

13 Apr 2020

Contributed by Lukas

In this episode I talk about a relatively new trial investigating pressure massage versus eccentric exercise for Achilles tendinopathy in a randomised...

Isometric exercise and their effect on tendon pain

20 Nov 2019

Contributed by Lukas

Hi All, On this talking tendons episode, I dive into the very murky world of isometric exercise and their effect on tendon pain. A new study by Sinead...

Interview with Igor Sancho - Feasability of jumping and hopping as rehabilitation for Achilles tendinopathy.

02 Nov 2019

Contributed by Lukas

Hi All, In this episode of Talking Tendons I have an enjoyable chat with PhD student and Spanish physio, Igor Sancho. He has recently published a stud...

Isometrics in Tendinopathy: they are useful but they are not the cure for cancer

21 May 2019

Contributed by Lukas

Isometric exercise for tendinopathy has exploded onto the scene over the last few years. Unfortunately, the certainty of evidence surrounding their us...

Injection Therapy - What does the evidence tell us?

10 Apr 2019

Contributed by Lukas

Despite our best intentions, not everyone with tendinopathy will respond to conservative treatments. Clinicians need alternative options like inje...

Something IS happening in the tendon! Collagen turnover in people with Achilles tendinopathy

04 Mar 2019

Contributed by Lukas

Understanding how tendon recovers from injury and adapts to load is so important and has huge implications on how we manage tendons and the education ...

Isometric exercise for tendinopathy - Variation between humans does exist!

26 Nov 2018

Contributed by Lukas

In this week's podcast, I delve into the minefield that is isometric exercise. Is it the best thing since sliced bread? Does everyone respond? What ar...

Does your psychological wellbeing affect your tendinopathy treatment outcome?

08 Oct 2018

Contributed by Lukas

In this podcast we consider some new research exploring psychological factors and tendinopathy. There is emerging evidence that, as per other mus...

Finally some quality exercise research for the management of gluteal tendinopathy!

03 Jun 2018

Contributed by Lukas

Hi all, this episode we focus on two recent randomised controlled trials evaluating education and exercise interventions for gluteal tendinopathy, One...

Some cool new technology focused systematic reviews that will change our practice

08 May 2018

Contributed by Lukas

This episode we focus on technology use in rehab. I'm inspired by the patient will see you now by Dr Eric Topol which I recently read so this weeks po...

Non-uniform Achilles tendon strain: what is it and should we care?

02 Apr 2018

Contributed by Lukas

Hi all This week on Talking Tendons we discuss Non-uniform Achilles tendon strain and displacement and tackle the important questions…what is i...

Efficacy of PRP injections for tendinopathy...really?

07 Mar 2018

Contributed by Lukas

This episode I discuss a recent systematic review that concluded that PRP is more efficacious than control injections for tendinopathy, but the plot t...