THE DAVID GREY REHAB PODCAST

#80 Jake Tuura: The Secrets Of Patellar & Achilles Tendon Rehab

Jul 17, 2023
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ANECDOTE

Jake's Lat Rupture Led Him To Choose Surgery

  • Jake tore his lat on a heavy trap-bar deadlift and initially thought it was minor until ultrasound showed a complete rupture.
  • An NFL friend's experience influenced the surgeon to repair rather than leave it non-operative.
ADVICE

Consider Early Repair For Retracted Ruptures

  • When scans suggest a complete tendon rupture, early surgical repair can be preferable to non-operative care if retraction will later prevent reattachment.
  • Jake chose surgery for a lat rupture because delay would make tendon retraction worse.
ADVICE

Treat Metabolic Health To Help Tendons

  • Address systemic risk factors like metabolic health and obesity when rehabbing tendons.
  • Jake calls out patients with high BMI/A1C: weight loss and metabolic control often improve tendon symptoms more than injections or passive treatments.
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