Jacked Athlete Podcast

Enda King, sports physiotherapist and researcher focused on hip and groin pain, tendinopathy and athletic rehab. He talks about differentiating acute and chronic groin problems. He explains loading strategies, pathomechanical assessment, and how foot, ankle and thoracic mobility affect hip mechanics. He covers biomechanics for running and change‑of‑direction, plus prevention and transferring strength into skill.

Jack Davey, strength coach and strongman who documented his bilateral patellar tendon rupture and rebuild. He recounts the injury moment during a heavy log press and the surgical repairs. He describes staged rehab choices, regaining quad size and function, reintroducing squats and plyometrics, and the adjustments needed to return to training and competing.

Seth O'Neill, a physiotherapist and researcher focused on calf and Achilles tendon problems, discusses key tendon issues. He covers the often-overlooked plantaris, the crucial role of the soleus, and how dorsiflexion matters in rehab. Conversation also tackles internal vs external loads, tendon strain measurement, rupture risk factors, and how metabolic health influences recovery.

Chapters 00:00 Introduction and Background of Trent Saylo 02:16 Journey into Basketball and Physical Therapy 05:20 Transition to Specializing in Tendons 08:06 Research Initiatives at IMG Academy 10:11 Understanding Tendon Health and Assessment 13:13 Utilizing Advanced Imaging Techniques 16:14 The Role of Structure in Tendon Health 19:25 Navigating the Divisive Nature of Imaging in Tendon Care 22:16 Communicating Imaging Results to Patients 25:21 Case Studies and Practical Applications of UTC 33:06 Exploring UTC in Clinical Practice 36:22 Understanding Tendon Injuries and Healing 41:12 The Role of Structure in Tendon Health 44:02 Assessing Tendon Functionality 51:39 Rehabilitation Strategies for Tendon Health 59:51 Navigating Compression and Loading in Rehab 01:07:44 The Importance of Interdisciplinary Collaboration 01:10:47 Upcoming Tendon Summit and Future Directions Takeaways Trent Salo transitioned from basketball to specializing in tendon health. The importance of understanding tendon health is multi-dimensional. The Tendon Lab focuses on both clinical care and research. Evaluating tendon structure and function is crucial for rehabilitation. UTC scans provide valuable insights into tendon health. There is ongoing debate about the correlation between tendon structure and pain. Effective communication with patients about imaging results is essential. Bilateral imaging is important even if only one side is symptomatic. MRI can be useful for differential diagnosis in tendon issues. UTC scans can help identify specific pathologies in tendons. Understanding partial tears versus tendinopathy is key in treatment. Timeframes for tendon healing are still being researched. Assessing tendon function includes various strength tests. Rehabilitation approaches should be tailored to individual needs. Volume in rehabilitation can significantly impact tendon healing. Compression in rehabilitation should be approached with caution. Understanding mechanical thresholds is important for tendon adaptation. Collaborative learning among disciplines enhances tendon research. The Tendon Summit aims to foster dialogue and collaboration in tendon health. Trent on Instagram: https://www.instagram.com/trentsalo/ Trent on Twitter: https://x.com/trentsalo Trent on LinkedIn: https://www.linkedin.com/in/trentsalo/ Tendon Lab Website: https://www.thetendonlab.com Traverse City Tendon Summit: https://www.traversecitytendonsummit.com Notes: https://jackedathlete.com/podcast-166-achilles-and-patellar-tendons-with-trent-salo/

Chapters 00:00 Introduction and Background of Adam Petway 02:45 The Intersection of Basketball and Biomechanics 05:44 Deceleration Strategies in Basketball 08:28 The Importance of Acceleration in Deceleration 11:30 Injury Mechanisms: ACL and Achilles Tendon Ruptures 14:30 Research Findings on Achilles Tendon Ruptures 17:41 Conclusions and Future Directions 35:49 Understanding False Steps in Sports Injury Prevention 39:19 The Mechanics of Achilles Tendon Ruptures 42:32 Exploring Injury Patterns and Risk Factors 47:00 The Role of Previous Injuries in Achilles Ruptures 51:12 Chronic Pain and Its Impact on Injury Recovery 56:30 Comparative Analysis of Injury Trends in Sports 01:00:47 Future Research Directions in Sports Injuries Takeaways Adam Petway has extensive experience in basketball performance and biomechanics. His research focuses on the biomechanics of deceleration in basketball players. Deceleration strategies differ significantly between guards and bigs in basketball. Previous injuries, such as calf strains, can predispose athletes to Achilles tendon ruptures. Achilles tendon ruptures often occur during false steps at low center of mass velocity. The average age of NBA players who rupture their Achilles tendon is around 30 years. Petway's research indicates that chronic Achilles tendon pain can lead to longer recovery times. There is a growing trend of Achilles tendon ruptures in younger NBA players. The biomechanics of false steps are critical in understanding Achilles tendon injuries. Future research will explore the differences in injury mechanisms between male and female athletes. Linkedin: https://www.linkedin.com/in/adam-petway-166a01b7/ Instagram: https://www.instagram.com/adampetway/ Basketball Mechanics (Book): https://uaconcepts.com/product/basketball-mechanics/ Adam's Research: https://www.researchgate.net/scientific-contributions/Adam-Petway-2171554388 Notes: https://jackedathlete.com/podcast-165-deceleration-and-achilles-ruptures-in-basketball-with-adam-petway/

In this engaging discussion, Erik Meira, a seasoned physical therapist and educator, shares his wealth of knowledge on ACL rehabilitation. He emphasizes the critical role of the quadriceps and the impact of different graft types on recovery timelines. Pain management is highlighted as a nervous system issue, not just tissue damage. Erik also dives into the importance of blood flow restriction training and the need for simple yet effective rehabilitation strategies that focus on restoring force production. This conversation is a treasure trove for athletes and clinicians alike!

In this talk, physiotherapist Gabriel Fernandes delves into his pioneering research on the lateral gastrocnemius and its surprising role in Achilles tendinopathy. He reveals how cortical inhibition affects muscle endurance, painting a vivid picture of altered muscle coordination under fatigue. Practical insights such as specific rehabilitation strategies, foot positioning for optimal muscle activation, and the nuances of calf muscle atrophy provide listeners with actionable takeaways. Gabriel also explores innovative methods like neuromuscular stimulation to bolster muscle activation.

Chapters 00:00 The Role of Podiatry in Rehabilitation 01:19 Exploring the Peroneal and Tibialis Posterior Tendons 04:25 Phases of Tendon Rehabilitation 07:14 Differentiating Tendon Injuries 10:30 The Importance of Accurate Diagnosis 24:12 Exploring Treatment Options for Tendon Pain 32:36 Understanding Orthotics and Their Role in Recovery 41:43 The Importance of Taping Techniques 44:29 Footwear Considerations for Pain Management 51:49 Differential Diagnosis in Tendon Pain 57:06 Understanding Insertional Pain and Loading Programs 58:14 The Role of Training Load in Running Injuries 01:00:03 Conservative Care for Tears and Injuries 01:02:04 Managing Detraining Effects During Recovery 01:05:35 Exploring Plantar Fasciitis and Treatment Options 01:07:06 Differentiating Types of Plantar Fasciitis 01:11:34 The Importance of Diagnosis in Treatment 01:15:15 Understanding Pain with Weight Bearing 01:18:37 Tibialis Posterior Tendonitis: Compression vs. Strain 01:25:24 Rehabilitation Strategies for Tendon Injuries 01:26:43 Rehabilitation Techniques for Tendons 01:33:20 Understanding the Capacity Phase in Rehabilitation 01:36:27 The Role of Resistance Training in Injury Prevention 01:47:25 Dynamic Function of the Foot and Ankle 01:58:24 Insights on Shin Splints and MTSS 01:58:42 Understanding Shin Splints and Their Treatment 02:02:25 The Role of Loading Cycles in Rehabilitation 02:04:40 Specificity in Rehabilitation: Running vs. Traditional Exercises 02:07:35 The Complexity of Tendon Healing and Rehabilitation 02:17:31 Future Directions in Tendon Research and Rehabilitation Takeaways Podiatry often misunderstood; it's more than just inserts. Tendons like peroneals and tibialis posterior require specific rehabilitation. Phases of rehab include pain management and capacity building. Differentiating between tendon injuries is crucial for effective treatment. Orthotics can significantly aid in unloading painful tendons. Load modification is key in managing chronic pain conditions. Footwear plays a vital role in recovery from injuries. Plantar fasciitis treatment requires understanding of compressive vs tensile pain. Education is essential for patients to understand their conditions. Effective communication with patients enhances treatment outcomes. Imaging is crucial for ruling out serious conditions in tendon injuries. Accurate diagnosis is essential for effective treatment of tendon pain. Rehabilitation should focus on the specific needs of the tendon involved. Ankle stiffness can significantly affect athletic performance. The minimum effective dose of exercise is important for maintaining tendon health. Tendon injuries require a combination of loading and unloading strategies for recovery. Nutrition plays a vital role in tendon healing and overall performance. Understanding the biomechanics of the foot is key to preventing injuries. The body adapts to loading cycles, which can influence recovery from injuries. Long-term monitoring of tendon health is necessary for athletes. Blake on Instagram: https://www.instagram.com/blake.sportspodiatrist/ Blake's Patreon: https://www.patreon.com/SportsMedicineProject?utm_medium=unknown&utm_source=join_link&utm_campaign=creatorshare_creator&utm_content=copyLink&fbclid=PAZXh0bgNhZW0CMTEAc3J0YwZhcHBfaWQMMjU2MjgxMDQwNTU4AAGn0B8PgJSRp-qaCYmqC4yGv8Xy0YmTk8VSIzUffdN9odCfz2j08OrOYFQH2ek_aem_ovO72KqzHk4lxDHBBRo0XA Blake's YouTube: https://www.youtube.com/channel/UCbqw1DRZlUIcGL7rr0CHo9g Blake's Podcast: https://open.spotify.com/show/6s99soNsAnzEKd0OyPBR8P?utm_source=ig&utm_medium=social&utm_content=link_in_bio&fbclid=PAZXh0bgNhZW0CMTEAc3J0YwZhcHBfaWQMMjU2MjgxMDQwNTU4AAGn9H8fpNukw1oIy4S-X-Y-A2iUVw-kzQN31uq6oRV-ZwVbccCHH0SgPy6Zdj8_aem_bagi5CYH-BipjAbACUQDiw Notes: https://jackedathlete.com/podcast-162-peroneal-and-tibialis-posterior-tendons-with-blake-withers/

Chapters 00:00 Introduction to Myotendinous Junction Injuries 00:08 Pain Perception in Soleus Injuries 21:28 Rehabilitation Protocols for Soleus Injuries Takeaways Misdiagnosis is a significant issue in myotendinous injuries. Education is crucial for effective injury management. The rectus femoris has a complex three-layer structure. Proximal muscle action is like a whip, while distal action generates force. MRI is the gold standard for assessing injuries. Pain often manifests after activity, not during. Aponeurotic tissue requires longer healing times than muscle injuries. Tendon and aponeurosis have different mechanical properties. A multidisciplinary approach is essential for injury management. Continuous improvement in clinical practice is necessary. Filippo on Instagram: https://www.instagram.com/filippo_tilli_fisioterapista/ Filippo on LinkedIn: https://www.linkedin.com/in/filippo-tilli-429aa51a7/ Notes: https://jackedathlete.com/podcast-161-rectus-femoris-and-soleus-aponeurosis-injuries-with-filippo-tilli/

Jonas Riess, a strength and conditioning coach and tendon expert, shares his journey from battling patellar tendinopathy to helping professional beach volleyball athletes. He discusses innovative treatment approaches, including the Berlin Method and decline squats, highlighting the importance of managing tendon load. Jonas emphasizes the role of warm-ups for pain relief, and explores the impact of deep knee angles on tendon health. Unique challenges in beach volleyball are also examined, along with practical rehabilitation techniques and adjunct treatments.