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Talking Tendons 5: Interview with Peter Malliaras Mar 16, 2020

Show notes

Dr Peter Malliaras has been a clinical researcher in the field of tendinopathy pathology and rehabilitation for more than 15 years. He has contributed to more than 55 peer review publications surrounding tendinopathy and as a clinician, sees around 30-40 tendinopathy clients per week.

I pick his brain around:

The latest research in tendon pain and tendon rehabilitation
What management has shifted in the past 5-10 years
What we can conclude with shockwave. PRP and cortisone injections.
Best management from acute to chronic
When to be sent for scans
What other structures could be contributing to pain
Your Facebook questions also get answered!

To visit Peter's website head to: https://www.tendinopathyrehab.com/

For Peter's twitter go to: https://twitter.com/DrPeteMalliaras

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Talking Tendons 4: Case study of Patellar Tendinopathy with Caz Mar 11, 2020

Show notes

Another podcast first. I talk to Caz who has agreed to be our first case study. Suffering with patella tendinopathy for 5 months now, we discuss her initial symptoms and how management spun out of control. We talk about the highs and lows of her journey, discussing recent flare-ups amongst the small wins and her battle to run the Melbourne Marathon this year.

In this episode you will learn:

Common characteristics and behaviour of patella tendinopathy
Real-world presentation of the downward spiral
Why sometimes you shouldn't listen to doctors
Tests you can perform to determine your tendon capacity
Initial steps to control tendon irritability
Why you need to be careful implementing speed
The raw emotions and frustrations with chronic tendinopathy.

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Talking Tendons 3: Achilles, Hamstring & Gluteal Tendinopathy Mar 05, 2020

Show notes

Now we get practical! We break down Achilles, High hamstring & gluteal tendinopathy into 5 categories:

1.) Generic causes & common training errors

2.) Daily modifications to avoid compression

3.) Exercise progressions: isometric, isotonic, plyometric.

4.) Running biomechanical considerations

5.) Differential diagnosis

Learn about the difference between mid-portion and insertional achilles tendinopathy
Different sleeping positions to help gluteal tendinopathy
Intrinsic risk factors for achilles tendon pain
Examples to strengthen the hamstring out of compression

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Talking Tendons 2: Tendinopathy Rehabilitation & Prevention Mar 02, 2020

Show notes

Talking tendons 1 explains WHY and HOW we get a tendinopathy, but now we look at some universal principles to rehabilitate and prevent tendon pain!

We learn 3 stages to recovery:

Stage 1: Identify daily tasks and positions that will be compressing the tendon.

Stage 2: Tendons love load! but how do we progress?

Step 1: isometrics, Step 2: Eccentrics Step 3: Concentric/eccentrics Step 4: power/speed/plyometrics Step 5: entire kinetic chain restore function

Stage 3: Throughout stage 2 carefully balancing what running loads can be tolerated.

Then we finish with Brodie's top 5 Prevention tips:

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Talking Tendons 1: Tendinopathy 101 Feb 28, 2020

Show notes

We begin a new mini-series with Talking Tendons 101.

Learn the different tendon pain terminology: Tendinopathy, Tendinosis, tendinitis.
Learn about the tendon structure continuum: Reactive, dysrepair, Degenerative.

The 3 main reasons why we get tendinopathy 1. Overload. 2 Compression. 3. Lack of recovery/reducing load tolerance.

Tendinopathy risk factors and why we don't rely heavily on biomechanics.

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Understanding good pain & bad pain for runners with Dane Verwey Feb 24, 2020

Show notes

Today we introduce Dane Verwey who is a physiotherapist & the Run Culture podcast host. We combine forces and knowledge to discuss the difference between good pain and bad pain. This is crucial to differentiate because we don’t want to push an injury into a more aggravated state but also, we don't want to completely rest if we don't have to.

Some concepts we discuss are:

Delayed onset muscle soreness (DOMS), why is it 'good' pain.
The common characteristics of DOMS
How DOMS is different to 'Bad' pain
How the location and nature of your pain can be interpreted
How you would expect good pain and bad pain to respond to rest & exercise
The consequences of misinterpreting two 2 type of pain
Some tests you can do at home to assess if you are clear to run after 'Bad' pain.
Common characteristics of stress fractures.

Dane is a good friend and will appear of several episode in the future to discuss different topics:

Click here to find his podcast on Itunes: https://podcasts.apple.com/au/podcast/run-culture-podcast/id1478354435

Click here to find Dane's FB group: https://www.facebook.com/groups/1702135413205474/

and instagram: https://www.instagram.com/run.culture/

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Strength Training 5: Keep your feet strong with Podiatrist Tim Bransdon Feb 21, 2020

Show notes

We complete the strength training for runners season by squeezing in one more episode. We highlight the importance of foot strength for running and everyday life with Tim Bransdon. Can we overcome plantar fasciitis, heel pain, foot pain with functional strengthening? If so, how?

We look at some practical tests you can perform at home to determine your level of foot balance, coordination, strength, spring & overall function. Tim also talks about the role of orthotics for runners, foot shape and pronation. Does the structure of your foot determine your level of recovery, or does strength and function play a more important role?

If your plantar fasciitis is so severe that it is painful walking, Tim talks through your first steps to recovery. He discusses the importance of establishing the correct mindset and empowering you through careful stages of rehabilitation.

Tim Bransdon is a podiatrist from Wollongong Podiatry and is also part of the Running Lab conducting StrongFeet programs for health professionals.

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Follow Wollongong Podiatry at: https://www.instagram.com/wollongongpodiatry/ and https://www.facebook.com/WollongongPodiatry

Follow The Running Lab at: https://www.instagram.com/the_running_lab/ and https://www.facebook.com/TheRunningLab.StrongFeet/

The Relationship of Sleep & Cortisol in Running Injuries Feb 17, 2020

Show notes

This episode is another big step in knowledge towards injury prevention. In order to train hard, you need to sleep hard. In order to reduce risk of overuse injuries, you need to optimize recovery. We discuss the connection of poor sleep with injury, sleep with reduced performance and the interwoven relationship of cortisol, stress and pain levels.

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Pain science 3: Pain and running injuries Feb 12, 2020

Show notes

From episode 1 & 2 of this season you should now have a clear understanding of pain & what influences pain. Now we take this concept and apply it to running. We dive into your running injuries and how certain beliefs, miscommunication and emotions influence your recovery. Is your brain working for you or against you?

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