Knee Tendon Rehab with Erik Meira

Chapters 00:00 Introduction to Erik Meira and His Background 02:39 The Journey into Physical Therapy 05:51 Transitioning from Hip to ACL Focus 08:50 Understanding ACL Rehabilitation Challenges 12:01 The Role of the Quadriceps in Recovery 14:49 Pain Management and the Nervous System 17:40 Graft Types and Their Impact on Recovery 20:47 Exploring Force Output and Pain Inhibition 23:57 Warm-Up Strategies and Moment Arm Mechanics 26:39 Practical Applications in Rehabilitation 31:52 Phases of Rehabilitation 36:52 Understanding Blood Flow Restriction (BFR) Training 45:42 The Role of Pain and Function in Recovery 51:25 The Importance of the Quadriceps in ACL Recovery 55:35 The Role of the Soleus in Knee Extension 59:56 Simplifying Rehabilitation: The Focus on Force Production   Takeaways Eric Meira has decades of experience in physical therapy, focusing on sports rehabilitation. He emphasizes the importance of understanding the science behind rehabilitation. Long-term rehab is crucial for athletes, especially with chronic injuries. Pain management is often more about the nervous system than actual tissue damage. The quadriceps play a vital role in ACL recovery and overall knee function. Soleus muscle strength can compensate for quadriceps weakness in some cases. Nervous system calibration is essential for restoring function post-injury. BFR training can help maintain muscle strength when traditional loading is not possible. Restoring force production is key to successful rehabilitation. Rehabilitation should focus on the athlete's capacity to perform their sport.   Website: https://thesciencept.com Courses: https://thesciencept.com/courses/ Instagram: https://www.instagram.com/erikmeirapt/ Notes: https://jackedathlete.com/podcast-164-knee-tendon-rehab-with-erik-meira/  

Chapters 00:00 Introduction to Gabriel Fernandes and His Work 03:51 Exploring the Role of the Soleus in Achilles Tendinopathy 11:56 Investigating the Lateral Gastrocnemius and Its Implications 18:30 Understanding Muscle Fatigue and Endurance in Running 34:14 Practical Applications for Rehabilitation and Training 37:49 Cortical Inhibition and Tendinopathy 39:27 Deficits in Endurance and Peak Force 40:48 Measuring Muscle Capacity and Joint Angles 43:13 Hypertrophy and Muscle Adaptation 45:57 Atrophy in Calf Muscles 49:23 Rehabilitation Strategies for Lateral Gastroc 53:03 Foot Positioning and Muscle Activation 56:06 Biomechanics of Gait and Muscle Engagement 01:00:47 Neurophysiology and Muscle Recruitment 01:03:14 External Feedback and Muscle Training 01:06:03 E-Stim and Muscle Activation 01:08:10 Subtendinous Mechanics and Foot Positioning 01:10:16 Future Research Directions Takeaways Gabriel Fernandes is a physiotherapist with a focus on calf muscles and tendons. Research indicates that the lateral gastrocnemius may play a more significant role in Achilles tendinopathy than previously thought. Cortical inhibition affects muscle force production, particularly in individuals with tendinopathy. Endurance deficits are commonly observed in patients with Achilles tendinopathy, impacting their rehabilitation. Rehabilitation strategies should consider specific muscle contributions and include targeted exercises for the lateral gastrocnemius. Foot positioning during exercises can influence muscle activation and should be tailored to individual needs. Eccentric training may help improve muscle function and reduce inhibition in affected muscles. Neurophysiological assessments can provide insights into muscle drive and function in tendinopathy patients. Future research should explore the relationship between muscle fatigue and tendinopathy more deeply. Collaboration between clinicians and researchers is essential for advancing treatment strategies. Gabe on Instagram: https://www.instagram.com/gabephysio/ Achilles Tendon Survey: https://scuau.qualtrics.com/jfe/form/SV_4OsDZUKYLJonUUK?utm_source=ig&utm_medium=social&utm_content=link_in_bio&fbclid=PAZXh0bgNhZW0CMTEAc3J0YwZhcHBfaWQMMjU2MjgxMDQwNTU4AAGnIIWMTpSNHXYHoYl8uvHxsmHVZvmbdhlZxeTBwHr31T0SSGCbHJnAhfrF3qY_aem_Qk9ROIvLdIVJlGy8kThOZg Paper (Selective triceps surae weakness in Achilles tendinopathy: it is time to look beyond the soleus): https://sportrxiv.org/index.php/server/preprint/view/633/1382?utm_source=ig&utm_medium=social&utm_content=link_in_bio&fbclid=PAZXh0bgNhZW0CMTEAc3J0YwZhcHBfaWQMMjU2MjgxMDQwNTU4AAGn5a-uyRWns7A2jHfVNnWCoehQ1PIgL7Ggya2Mz-kjgWM_jghd7BzybyM67D4_aem_62cdO-b2oHquLV5Ie8AmpA Gabe on Twitter: https://x.com/gabephysio Notes: https://jackedathlete.com/podcast-163-lateral-gastrocnemius-in-achilles-tendinopathy-with-gabriel-fernandes/

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/

Chapters 00:00 Introduction to Tendinopathy and Personal Journeys 02:58 Exploring Treatment Approaches and Personal Experiences 05:42 Understanding the Science Behind Tendon Rehabilitation 08:52 The Role of Warm-Up Phenomenon in Tendon Health 11:34 Diving into the Berlin Method and Its Applications 14:54 Managing Tendinopathy in Professional Athletes 17:38 Innovative Exercises for Tendon Strengthening 20:40 Balancing Performance and Tendon Health 23:21 The Impact of Deep Knee Angles on Tendon Health 26:39 Utilizing Flywheel Training and K-Box for Rehabilitation 37:00 Understanding Tendon Overload and Training Methods 38:52 Managing Tendinopathy in High-Performance Athletes 41:52 The Impact of Surface on Tendon Health 45:05 Biomechanics of Jumping and Landing in Beach Volleyball 49:39 Exploring Adjunct Treatments for Tendinopathy   Takeaways Jonas Riess shares his journey with patellar tendinopathy and how it shaped his career. The importance of understanding tendon loading and biomechanics in rehabilitation. Research from influential figures like Keith Barr and Jill Cook has shaped current practices. Warm-up phenomena can temporarily alleviate pain in tendinopathy cases. The Berlin method and decline squats are effective for treating patellar tendinopathy. Managing tendon pain requires a balance between loading and recovery. Innovative training methods can enhance performance while protecting the tendon. Beach volleyball presents unique challenges for tendon health due to surface dynamics. Adjunct therapies like collagen supplementation and shockwave therapy have mixed results. Effective communication and collaboration with athletes are crucial for successful rehabilitation.   Jonas on Instagram: https://www.instagram.com/kukfrankfurt/ Jumper's Kneehab Programm: https://myablefy.com/s/kukfrankfurt/jumpers-kneehab Jonas on YouTube: https://www.youtube.com/channel/UCbyoRiUmk1MBqwxwEfthS2Q/featured Jonas's Linktree: https://linktr.ee/kukfrankfurt?utm_source=ig&utm_medium=social&utm_content=link_in_bio&fbclid=PAZXh0bgNhZW0CMTEAc3J0YwZhcHBfaWQMMjU2MjgxMDQwNTU4AAGnlEHgKh5AvX1xlo8utZkT83nxIYy09BNt3nN1P2tp8w8pdwLtIU2oSX1URA0_aem_PfHsdRbewB32IDrS3D2xKw Notes: https://jackedathlete.com/podcast-160-patellar-and-quad-tendons-with-jonas-riess/  

Chapters 00:00 Introduction to Patellar Tendinopathy and Research Background 02:59 Understanding Kinetic Chain and Loading Tiers 05:59 The Role of Ankle Dorsiflexion in Knee Stress 08:46 Biomechanics of Landing and Patellar Tendon Load 11:40 Rehabilitation Strategies for Patellar Tendinopathy 14:34 The Importance of Calf Strengthening 17:59 Electrical Stimulation in Rehabilitation 21:01 Comparing Strain and Load in Tendon Rehabilitation 23:45 BFR and Its Implications for Tendon Health 35:39 Understanding Tendon Pathologies: Quad vs. Patellar Tendon 39:24 Compression vs. Tension: The Key to Tendon Health 42:06 Loading Strategies for Quad and Patellar Tendon Rehabilitation 45:12 The Role of Muscle Strength in Tendon Health 49:36 Osgood Schlatter and Its Management 52:28 The Importance of Load Management in Young Athletes 54:55 Research Insights: Loading Index and Tendon Rehabilitation 01:01:36 Plyometrics and Kinetic Chain in Rehabilitation 01:05:10 Balancing Sports Participation and Rehabilitation 01:08:38 Current Research and Future Directions Takeaways Rodrigo Scatone specializes in sports physical therapy and patellar tendinopathy. Dorsiflexion restriction can lead to increased knee stress and patellar tendon issues. Landing mechanics significantly affect patellar tendon load during activities. Rehabilitation should focus on the entire kinetic chain, not just the affected tendon. Calf strengthening is crucial for offloading the patellar tendon during rehab. Electrical stimulation can enhance quad activation and reduce pain during rehab. Long-duration isometrics may not be suitable for all patients due to pain responses. BFR training is controversial for lower limb rehabilitation due to potential tendon strain imbalances. The quadriceps tendon may require different loading strategies compared to the patellar tendon. Young athletes with Osgood Schlatter's should avoid excessive stretching and focus on load management.   Rodrigo on Instagram: https://www.instagram.com/rscattone/ Rodrigo on Twitter: https://x.com/scattonesilva Rodrigo's Linktree: https://linktr.ee/rscattone?utm_source=ig&utm_medium=social&utm_content=link_in_bio&fbclid=PAZXh0bgNhZW0CMTEAc3J0YwZhcHBfaWQMMjU2MjgxMDQwNTU4AAGn_JYxepL7fCxUs2WEpEqJn2n6_pzuA9JJ1ieYRSf-JXqQ94mjf23DD5qRAuU_aem_wWPO4ZJf6VeuoXe52GDTHA Notes: https://jackedathlete.com/podcast-159-patellar-and-quadriceps-tendons-with-rodrigo-scattone/  

Chapters 00:00 Introduction to Achilles Health in CrossFit 02:17 Brent Fikowski's CrossFit Journey and Achilles Injuries 05:28 Understanding Achilles Ruptures in CrossFit 06:12 The Role of Physical Preparation in Preventing Injuries 09:13 Training Practices in CrossFit and Their Impact on Achilles Health 12:11 The Importance of Calf Training in CrossFit 15:22 Exploring Structural Development for Achilles Health 18:14 Prehab Strategies for Achilles and Calf Strengthening 21:26 Conclusion and Key Takeaways 25:50 Understanding Calf Muscle Dynamics 27:14 Effective Calf Training Strategies 29:30 The Importance of Single Leg Training 31:49 Optimizing Calf Raise Techniques 33:14 Equipment Considerations for Calf Training 36:34 Addressing Achilles Tendon Pain 42:47 The Role of Footwear in Calf Training 50:08 Preparing for Rebounding Box Jumps 57:34 The Importance of Calf Strength and Conditioning 01:03:15 Recovery and Warm-Up Strategies 01:07:50 Metabolic Health and Tendon Adaptation 01:13:05 Long-Term Tendon Health and Consistency Takeaways Brent Fikowski shares his experience in CrossFit and the importance of Achilles health. Achilles injuries are prevalent in CrossFit, especially during rebounding box jumps. Proper warm-up and conditioning can significantly reduce the risk of Achilles injuries. Calf training is often neglected in CrossFit, leading to potential injuries. Variability in training can help strengthen the Achilles tendon. Plyometric training should be approached with caution to prevent injuries. Structural development of muscles and tendons is crucial for injury prevention. Prehab strategies can help maintain Achilles health and prevent injuries. Loading techniques for calf raises should focus on slow, heavy movements. Metabolic health plays a significant role in tendon strength and injury recovery.   Article on this podcast: https://www.professionalfitnessathletesassociation.org/achilles-training Brent on Instagram: https://www.instagram.com/fikowski/ Website: https://brentfikowski.com PFAA: https://www.professionalfitnessathletesassociation.org Notes: https://jackedathlete.com/podcast-158-achilles-tendons-and-crossfit-injury-prevention-strategies-with-brent-fikowski/  

Video of the bilateral quad tendon rupture Chapters 00:00 Introduction to Jalen Shabazz 01:01 The Day of the Injury 02:29 Immediate Aftermath and Surgery 04:59 Post-Surgery Recovery and Physical Therapy 07:30 Rehabilitation Journey Begins 10:06 Returning to Strength Training 14:06 Gradual Return to Olympic Lifts 17:45 Relearning to Walk and Running Again 20:07 Getting Back to Jumping and Advanced Movements 22:21 Navigating Pain and Adjustments in Training 23:33 Athletic Background and Early Injuries 26:22 Transition to Weightlifting and Knee Issues 30:22 Understanding the Causes of Tendon Ruptures 34:52 The Impact of Pain Ignorance 37:56 Recovery Journey and Coaching Insights 39:43 Community and Shared Experiences of Injuries   Takeaways Jalen Shabazz is a strength and conditioning coach and former Olympic weightlifter. He experienced a bilateral quad tendon rupture during a lifting session. The injury occurred unexpectedly without prior pain or warning. Immediate medical attention was crucial, leading to surgery the next day. Post-surgery, Jalen faced significant challenges in mobility and daily activities. Physical therapy focused on regaining range of motion and strength. He utilized online resources to guide his rehabilitation process. Jalen gradually returned to strength training and Olympic lifts after recovery. Mental resilience played a key role in overcoming the fear of re-injury. He continues to adapt his training to accommodate his recovery and current capabilities. Jalen played multiple sports growing up, which contributed to his athletic development. He experienced a significant injury during the Junior Olympics due to a stress fracture. Transitioning to weightlifting initially alleviated his knee pain. Ignoring pain over the years led to inevitable injuries. He believes that many athletes push through pain, thinking it will resolve later. Jalen's recovery journey has made him more aware of the importance of addressing injuries promptly. He emphasizes the need for athletes to prioritize their long-term health over short-term gains. Jalen connects with others who have experienced similar injuries, creating a community of shared experiences. He maintains a conservative approach in coaching others, advocating for injury prevention. Jalen's story highlights the importance of listening to one's body and recognizing the signs of overuse.    Instagram: https://www.instagram.com/quicktempa/ YouTube: https://www.youtube.com/@quicktempa Website: https://tempateam.com Notes: https://jackedathlete.com/podcast-157-bilateral-quad-tendon-rupture-story-with-jalen-shabazz/  

Chapters 00:00 Introduction and Technical Challenges 03:11 Dylan Carmody's Background and Expertise 05:53 The Importance of Calf Research 08:59 Biomechanics of the Calf and Achilles 12:12 Understanding Muscle Function: Soleus vs. Gastrocnemius 14:57 Training Considerations for Calf Muscles 17:47 Injury Mechanisms and Rehabilitation Strategies 20:45 The Role of Aponeurosis in Muscle Function 24:03 Exploring Tendon Strain and Adaptation 27:01 Athletic Performance and Muscle Characteristics 37:03 Exploring the Role of Soleus and Gastrocnemius in Running 42:33 Understanding Tendon Development and Strain in Calf Training 48:34 Calf Training Strategies for Runners 53:27 Assessing Calf Strength and Endurance 58:31 Balancing Muscle and Tendon Work in Training 01:03:37 Seated vs. Standing Calf Raises: A Comparative Analysis 01:10:40 Age and Injury: Calf Strains vs. Achilles Ruptures Takeaways Dylan Carmody is a physical therapist and strength coach. He focuses on calf and Achilles research due to a lack of resources. The calf's biomechanics are easier to study due to its proximity to the ground. Soleus and gastrocnemius have different muscle fiber types and functions. Training should consider the specific muscle and tissue involved in injuries. Injury mechanisms can be complex and involve multiple muscle groups. Aponeurosis plays a significant role in muscle function and injury recovery. Tendon strain is crucial for adaptation and performance. Longer tendons may allow for greater absolute strain during activities. Athletic performance may be influenced by muscle and tendon characteristics. The soleus plays a crucial role in decelerating the shank during running. Tendon development is essential for maintaining calf health and preventing injuries. Calf training should include both heavy and endurance-focused workouts. Assessing calf strength through standardized tests can reveal weaknesses in runners. Seated calf raises may provide more controlled loading than standing raises. Age increases the risk of both calf strains and Achilles ruptures. Effective calf training requires a blend of isometric, eccentric, and concentric exercises. Cluster sets can help achieve higher volumes of calf training without excessive fatigue. Understanding the mechanics of running can inform better training practices for athletes. Injury prevention strategies should consider both muscle and tendon health.   Dylan's Linktree: https://linktr.ee/dylancarmody.dpt Dylan on Instagram: https://www.instagram.com/dylancarmody.dpt/?hl=en Calf E-Book: https://www.informperformance.com/offers/JFS2R2NE/checkout Notes: https://jackedathlete.com/podcast-156-calf-achilles-with-dylan-carmody/  

Chapters 00:00 Introduction and Background 02:47 Ethics of Wearable Technology in Sports 05:48 Pathways to Professional Sports 08:46 Understanding Tendon and Cartilage Dynamics 11:53 False Steps and Achilles Ruptures 14:50 Patellofemoral Pain: An Overview 17:47 Mechanics of the Patellofemoral Joint 20:45 Cartilage and Joint Dynamics 23:21 Managing Patellofemoral Pain 26:30 Fluid Dynamics in Joint Health 29:21 Graded Exposure and Rehabilitation Strategies 32:13 Conclusion and Future Directions 55:32 Eccentric Training and Joint Mechanics 57:57 Isokinetics and Functional Assessment 01:00:39 Hydrostatic Pressure and Joint Health 01:04:25 Taping Techniques and Offloading Strategies 01:07:36 The Role of the Soleus in Knee Health 01:10:36 Understanding Patellofemoral Pain 01:13:18 The Impact of Tibial Rotation 01:16:03 Psychosocial Factors in Chronic Pain 01:19:05 Imaging and Structural Considerations 01:21:51 Surgical Interventions and Recovery 01:24:50 The Complexity of Cartilage and Tendon Health   Takeaways Wearable technology raises ethical questions about data use. Athletes' trust in data is crucial for effective use. Different athletes respond uniquely to technology. Patellofemoral pain is a complex issue involving joint mechanics. Fluid dynamics play a significant role in joint health. Graded exposure is essential for rehabilitation. High velocity movements can prepare joints for loading. Managing pain requires understanding individual responses. Cartilage health is critical for athletic performance. Athletes often find ways to compensate for injuries. Eccentric training is preferred for joint mechanics. Isokinetics provide valuable functional assessments. Hydrostatic pressure affects joint health significantly. Taping techniques can help offload stress on the knee. The soleus plays a crucial role in knee health. Patellofemoral pain is influenced by multiple factors. Tibial rotation can impact knee tracking and function. Psychosocial factors are significant in chronic pain management. Imaging is essential for understanding structural issues. Surgical interventions may be necessary for severe cases.    Rehab Code: https://www.therehabcode.com Instagram: https://www.instagram.com/rehab_code/ Linktree: https://linktr.ee/rehabcode?fbclid=PAZXh0bgNhZW0CMTEAAaclQqSRaEdilxSZtc4GugYpJ-vgCpSk9o27MRgnr1fYbmVuCHvmsZaqD96xOA_aem_SmIz4cOqMV6iGFi6kHmsyw Notes: https://jackedathlete.com/podcast-155-patellofemoral-pain-with-jess-ellis/