The Physio Matters Podcast

Putting big mouths and big ideas behind microphones.
The Physio Matters Podcast is a feature of Chews Health’s third core value ‘We Educate’.

Episodes will feature expert, honest advice, delivered directly to listeners at no cost.

The Physio Matters Podcast content hopes to be clinical gold delivered direct.
Musculoskeletal and Sports Medicine information for those working in physiotherapy, sports therapy, sports rehabilitation, medicine and all divisions of the healthcare industry

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

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