The SVSP, a non-profit organisation, has more than 600 qualified physiotherapists who are specialised or work in the area of sport physiotherapy. Since 2004, the SVSP is supported by the Swiss Association of Physiotherapy (SPV), and is recognised as an expert group and is a member of the International Federation of Sports Physical Therapy (IFSPT).
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And its the job of exercise physiologists and sports scientists to do this
Listening to metronome while holding isometric? So not moving to the metronome, and it still works?
I'm confused, is there a program or anything to follow?
I think tendon injuries are much more complex than how clinicians see it. Here it is suggested that tendons should be loaded and never rested. I think it should be different treatment plans for different tendons. I had posterior tibial tendon pain for 5 years and only thing worked for me was resting in complete non-weight bearing for 30 days and have 20 sessions of hyperbaric oxygen therapy. 3 months after this treatment I could start walking again. When I had this treatment suggested some doctors were extremely against it. But the doctor in hyperbaric oxygen therapy told me I might have partial and micro tears in my tendon, since I was always stepping on it, it wasn’t properly healing. This was the only time I could feel a bit relief. For 5 years I tried ozone shots, ESWT, endless sessions of physical therapy, massage, custom made orthotics, New balance 990 shoes etc. they also gave some relief but didn’t fix the issue. Every doctor has a different view on this.. Some thinks zero shoes would help while others offers higher stiff shoes with lots of cushioning. Some says put ice while others suggest that ice is delaying the healing process. Very difficult to get a solid answer. I hope everyone a speedy recovery and finding the way works best for them.
Good!
How do we actually know is a peritendonitis?
Amazing
Excelent, the best Ann Cools
I have quad tendinopathy, PRP did not help anything but I do agree this can depend on the person, the issue and the ability to visit the best PT's
Nice yet forceful presentation that hives hope.
tendons are more vicious than frozen shoulder, shoulder bursitis, cubital tunnel- i have elbow tendinitis and tendons are evil- i wanna die ----
I am currently dealing with an issue with my right distal bicep tendon, it has been sore for the past two months. My physiotherapist directed me towards stretches and light eccentric bicep curls. I have overdone these - and had a few set backs. My fault. The last two days I attempted and conducted isometric exercise - 45lbs barbell on a power rack allowing a 90 degree at elbow, forearm, and upper arm. The pain has disappeared in day three. I will continue to progress with set and time. Eventually work in eccentric exercise in the coming weeks.
I have gluteal tendinopathy and bilateral greater tronchenteric bursitis for past 1.5 yrs,started isometric excercise from 5 months,still in pain,how long will it take to strengthen the tendon and be pain free
I loved this!! Very practical and logical progression and application of interventions!! Shoulder is very tough to navigate especially in disparately challenged shoulders (seniors with chronic structural decay / high intensity overhead athletes) Shoulder balance is huge what you mentioned at 33:40. And I love how you implement a lot of bilateral motions. Excellent to get both sides synchronized. Great watch
So what is the answer
Wow. Very good
Is she saying you can't tear a tendon? My tendon disagrees (i think)
Wonderful lesson, there's just one thing I don't understand: what is the difference between VHSR (very high speed running), Sprint distance, accels, and HMLD (min 22:30)? I'm afraid of getting confused with the different terms, I would like some clarification. By the way, you're doing a fantastic job explaining these concepts!
The presentation speaks about the tendinooathy in legs but I assume it works for the upper limbs as well? I wonder if you need then the same holding time and load?
What to do if you have quad tendenosis
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Amazing and a comprehensive information about shoulder instability. Thanks for this.
15:50 Eccentric exercise doesn't strenghten the muscle?! Really?? I am very surprised to hear that...
Claiming there to be "no" evidence is simplifying the problem. Injecting with saline isn't even a control. A saline injection could be helpful by itself.
I rested a tendon for 6-8 months. Worst thing I had ever done. As soon as I lightly loaded it, approx 50% of the original weight, it felt better by end of week. Tendons respond well to healing under loading.
Is urs okay now by using these
@@abdoukarimsanneh Yes, absolutely. Best thing I ever did was train it again carefully. I moved to a 'time under tension', 'slow and controlled' style for 3 sets of 15 reps. It was heavy weight but it wasn't max weight, maybe 25% less than my max. I used to fear triggering it or overdoing it. I no longer fear if I "piss it off" anymore, because I know how to effectively load it. It used to get me really depressed. Of course it depends on the cause of the issue, like I had poor shoulder mechanics so I had to work on that also. But now, I am pain free. I had many months of aches and pains, thinking I just needed to rest it, and it never healed that way. Loading it appropriately was the best thing ever and I kick myself for wasting SO MUCH time, I lost a lot of muscle mass during that time. 👍🏼💪🏼
@@TaxEvasi0n thank u so much,I am suffering from pht I hv been loading for a month now it's improving but something pains like a cut . below the hip down to the hamstring.i think that is sciatica
@@abdoukarimsanneh I don't know what PHT is, but if you have sciatica, that may be a separate issue all together. Loading tendons is good for pathology of the tendons. You might have a nerve compression problem.
@@TaxEvasi0n pht is proximal hamstring tendinopathy closer to the glutes I think it's the one compressing the nerve.so can I load even with sciatica?
Thank you Jill I do the 2 minutes rest with each set the. A 5 minute rest and another differs 5 sets
I can't tell you how comforting this is. I think so many of us with any sort of tendinopathy feel utterly lost at what to do and feel like we are walking through the dark trying to find our way out of it. I stupidly decided to rapidly increase my squat load in a few week span about a year ago, and here I still am struggling with knee issues daily.
Lol loser
Hey mate. I'm recovering from a longhead bicep issue for the 2nd time. First time I reduced chest load and had huge success recovering. My training didn't change much, just a few months off biceps. I eventually went balls to the wall with chest again, and bam. This time I rested it thinking I needed more rest. Worst thing I ever did. 6-8 months lost due to me resting my tendon. I'm having a hard time getting a good footing on it, since it's just got weaker in the down time. I will say this though... as soon as I started loading it again carefully, it felt great. If I had of known loading was so important and resorted to my first protocol, I wouldn't be where I am today. I don't know what your exact issue is, but one guy on KZread Natural Galliant Bodybuilding did a video on exercises that cause tendon pain. He said you want to do the same exercise, but at a lighter weight. The logic is the weight is too much, but you want to keep the movement so you know it's targeting the tendon. From my experience, loading has always been the answer. It's finding the right load that is the problem. A good rule of thumb is any weight that doesn't cause pain, even if that means you are dropping it in half. Maybe rest a few days to allow inflammation to settle, if there is any. I try to load my bicep twice a week through DB floor presses and bicep curls; both incorporate shoulder flexion. I hope this helps. Just don't give up mate. Tendons respond very well to load... the right amount of load. Trial and error. Write down exactly what load you are using and keep going til you have no pain under load.
@@TaxEvasi0n i am resting with tendon bicep at the elbow for 1 year now and quit all my activities, please help
@@TaxEvasi0n I have had a nagging longhead bicep issue playing pickleball - it was an overextension. The injury kept going and coming and i will definitely start bench pressing after watching this video. I come from powerlifting so I know how to progress loads. Now, my lateral knee pain is bothering me and I may do the same with squats or single leg lunges.
@@Xand3r7 You need to train it. Resting tendons for months hoping it will get better is what put me behind - it never stopped aching. Only until I started training did it immediately feel better.
I have tendinitis in my knee (LCL) from biking alot and not matter what I do I cant cure it. Cold compress rest etc. When I walk alot or bike it hurts. It has gotten a bit better. do you know what I should do?
Bike more. Find your range, tolerance and keep pushing it in bursts. Rest in between with heat to increase blood flow
Outstanding information ; This information is helping me on my tendinitis .
Excellent video. Ive struggled with PHT for roughly a year now. This is probably the best piece of content ive found on the topic.
Wow, very informative and interesting! Thanks a lot
This is 5 yrs old. I just read a scientific journal in German that said Prp injections has a significant positive effect on guteus medius tendinopathy.
very annoying, what is the point?
After watching the whole video, I can say that I don't understand the purpose of TNT.
Great presentation. I would say though that if you just partially tore a tendon, there's no guarantee that you'll be able to do heavy loads or long holds or both even though isometrics seem to be magical. For example, you might only be able to do 2 sets of 10 second holds with 2 lbs after 1 week of rest after injuring your elbow (let's say, golfer elbow). Also, isometrics can cause pain during and after doing them (can be a sign that you did too much if too painful or a sign that it was fine if the pain is not much worse). So, be careful. Less is more. So if you're not sure, do less and less often at first.
Tendinopathy and tendon rupture are not the same, though. That's a different discussion.
agreed! @@justjustjoo
Where's Jill's presentation on restoring energy? Thank you... Is it Jill Blakeway?
I so appreciate your presentation!!! I feel like my Healthcare providers treated my proximal hamstring tendinopathy too simplicsticly, lacking the emphasis of the progression of the rehabilitation especially considering removing compression early on. Thank you so mucn
That part about plants having its own circadian rhythm is an amazing information.
he started like he had a point , he implied it all depends on joints , he ended without any point and no information about the joint. why man why ?
I think his point is to avoid using terms that suggest surgical intervention as a treatment and RCRSP is a generalised diagnosis for symtpoms around the shoulder that may be managed with exercise as treatment.
What if I already rested it for 7 months alrdy ... Fk my docs, gave me only wrong advice
If bad tissue never heals and we should focus on the good tissue, what prevents the bad tissue from keeping developing?
the 2018 Andersson study was more direct but was very poorly designed, and used only a questionnaire.
This is very disappointing. The Norwegian studies did not measure scapular dyskinesia in anyway. What they measured is an exercise program purported to address a variety of issues, including scapular strength. These studies have no direct bearing on the validity of scapular dyskinesis. This is not honest science. It is controversy shopping.
😊😊😊
Good lecture..So can someone tell me a competent shoulder specialist up the road? 😊
Good presentation. Thank you.
Extremely informative and interesting one 🌸👏🏽
There is something about the isometric load that is somehow better than isotonic. I use to be in excruciating insertional Achille tendon pain for years. After driving a manual car for a few months where at intersection, i would press the clutch and hold it in until the light turned green, that cured my Achille tendon 70 to 80% where i can walk without limping. Btw, this wasn't intended as a rehab, a simple habit rehabbed my Achille tendon.
my favourite physio. she is my idol.
is it possible that high lactic acid caused by high intensity and high volume training will support cell healing. It's well known that typical bodybuilding training higher reps to failure help with joint pain. maybe it also help the tendon.