128: Tendon Pain Update (with Jill Cook)

Oct 2, 2024

Dive into the world of tendinopathy with expert insights from Dr. Jill Cook. Discover the shift from viewing tendon issues as inflammatory to degenerative conditions. Learn why traditional treatments like friction massage and anti-inflammatories are being reconsidered. Explore the critical role of proper loading and compression in rehabilitation strategies. Uncover the dangers of certain medications on tendon health and the importance of muscle strength in preventing injuries. This conversation is packed with evidence-based knowledge for effective treatment!

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Intro

00:00 • 2min

Revolutionizing Tendon Treatment

01:44 • 17min

Reassessing Friction Massage for Tendinopathies

18:31 • 6min

Muscle Strength and Tendon Health

24:35 • 11min

Loading vs. Treatment in Tendinopathy

35:06 • 6min

Exploring Advances in Tendon Pathology Research

41:04 • 2min

Gratitude and Engagement with Listeners

42:44 • 2min

Whitney interviews tendon expert Dr. Jill Cook, who discusses the current understanding of tendinopathy as a degenerative condition, emphasizing the importance of proper loading in rehabilitation. She explains why she advises against traditional treatments like friction massage and stretching, why anti-inflammatory medications are ineffective, and highlights the risks of certain drugs on tendon health. Throughout the conversation, Dr. Cook provides evidence-based insights for all manual therapists on treating tendinopathies effectively.

Key Topics:

Shift from thinking of tendinopathies as inflammatory conditions to degenerative conditions (03:01 - 04:24)
Factors that contribute to pain in tendinopathies (04:40 - 05:41)
Clinical signs and symptoms of tendinopathy (06:06 - 08:34)
The role of loading and compression in tendon pathology (08:54 - 16:45)
Treatment strategies for tendinopathies, including friction massage and anti-inflammatory medications (19:06 - 31:48)
Medically-induced tendinopathies, such as those caused by fluoroquinolone antibiotics (32:05 - 35:04)
The role of active movement and soft tissue treatments in tendinopathy rehabilitation (35:30 - 38:29)

Get the full transcript at Til or Whitney's sites!

Whitney Lowe’s site: AcademyOfClinicalMassage.com
Til Luchau’s site: Advanced-Trainings.com

Resources mentioned in this episode:

Jill Cook: J.Cook@latrobe.edu.au
Fairclough J, Hayashi K, Toumi H, et al. The functional anatomy of the iliotibial band during flexion and extension of the knee: implications for understanding iliotibial band syndrome. J Anat. 2006;208(3):309-316. doi:JOA531 [pii] 10.1111/j.1469-7580.2006.00531.x

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(The Thinking Practitioner Podcast is intended for professional practitioners of manual and movement therapies: bodywork, massage therapy, structural integration, chiropractic, myofascial and myotherapy, orthopedic, sports massage, physical therapy, osteopathy, yoga, strength and conditioning, and similar professions. It is not medical or treatment advice.)