Session 11 – Treating Tendons with Seth O’Neill

Oct 26, 2014
CH Admin

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Session 11 – Treating Tendons with Seth O’Neill

Session 11 features an interview with popular session 6 guest, PhD candidate Seth O’Neill. In this summary podcast, Jack and Seth discuss the treatment of common tendinopathies based on a combination of critical thinking, clinical experience and the latest evidence from the recent international tendon symposium.

Podcast Timeline:

0 – 2:25 – Introduction and Welcome back to the first returning guest!

02:25 – The International Scientific Tendon Symposium 2014 and what’s new in the tendon world

03:50 – What is load?
– The difference between energy storage and positional tendons

06:10 – Tendinopathy and compression
– To stretch or not to stretch?

09:22 – The role of continuing rehab and prevention strategies for tendon health

12:20  – Treating the TA; its not just the tendon
– Seth’s research and plantar flexion strength deficits
– Combining isometric and isotonic exercises

22:00   – The use of other interventions including injections; who’s using what?

23:30  – Making rehab functional and downregulating the psychological bits

26:35  – Petella tendon disorders
– Compression deep squatting
–  Isolation is critical – are squats and theraband enough?

29:40  – The less common ones…
– Plantar fascia
– Tib post
– Proximal hamstrings

33:45 – Treating the other leg; bilateral weakness and central changes

34:40  – The work of Alison Grimaldi and lateral hip tendinopathy
– Demographic difference to consider: the menopause, adipose tissue, pelvic morphology

38:40  – Application to other body parts and can we treat the same way?
– Glute max, ITB
– The ‘Marathon Metaphor’

42:15 – Upper limb tendinopathies

42:30 – The shoulder
– The role of central changes
– SELF study
– Utilising compression and encouraging co-contraction of the rotator cuff

49:10 – Open vs Closed chain exercise

50:05 – The need for ‘relative rest’

52:30 – Pain threshold changes in the shoulder

54:40 – Lateral epicondylalgia

          – Position of the radial head and considerations for assessment and treatment
          – Discriminating between pressure pain sensory changes and mechanical tensile loading
59:40 – Can we be more specific with elbow testing?

Twitter: @TPMPodcast @Chews_Health @SethONeill

Previous episodes:

Session 1 – Patellofemoral Pain Syndrome with Dr Lee Herrington – Part 1

Session 2 – Patellofemoral Pain Syndrome with Dr Lee Herrington – Part 2

Session 3 – The Rugby Shoulder with Dr Ian Horsley

Session 4 – Know Pain: Metaphoric Expression with Mike Stewart – Part 1

Session 5 – Know Pain: Metaphoric Expression with Mike Stewart – Part 2

Session 6 – Achilles Tendons with Seth O’Neill

Session 7 – Critical Thinking, Twitter & Manual Therapy Myths with Adam Meakins

Session 8 – Haemodynamics with Alan Taylor

Session 9 – Psychological Interventions in Physiotherapy with Dr Richard Bennett

Session 10 – Exercise Promotion with Ann Gates