Tendons, Dynamic Movement, and Rehab with Matt McInnes Watson and Derek Garza

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/  

Chapters 00:00 Introduction and Updates from the Guests 02:34 Dynamic Movement and Plyometrics in Rehabilitation 05:32 ACL Rehabilitation Strategies and Insights 08:43 Understanding Knee and Ankle Dynamics 11:34 The Role of Compliance and Stiffness in Recovery 14:33 Gradual Return to Plyometrics and Dynamic Movements 17:30 Exploring Ankle Mechanics and Achilles Rehabilitation 20:29 The Importance of Individualized Rehabilitation Approaches 23:25 Reverse Engineering Movement Patterns for Recovery 26:41 Final Thoughts on Rehabilitation and Dynamic Movement 40:13 Training for Tendon Resilience 50:37 Volume vs. Intensity in Rehabilitation 59:40 The Importance of Dynamic Movement 01:07:52 Understanding Tendon Issues in Sports 01:15:06 Surface Impact on Training and Performance 01:18:44 Understanding Tendon Behavior in Plyometrics 01:22:28 The Role of Compliance in Athletic Performance 01:27:52 Relaxation vs. Tension in Athletic Movements 01:35:55 The Importance of Habitual Loading for Tendon Health 01:43:40 The Interplay of Metabolism and Tendon Pain   Takeaways Dynamic movement is crucial for rehabilitation. ACL rehabilitation requires a focus on compliance and stiffness. Volume is more important than intensity in training. Understanding knee and ankle dynamics is essential for plyometrics. Child development provides insights into effective movement patterns. Technology plays a significant role in athletic performance. Gradual return to plyometrics is vital post-injury. Tendon mechanics are complex and require careful consideration. Rehabilitation should be tailored to individual needs and backgrounds. A comprehensive approach to training enhances recovery and performance. Dynamic movement is crucial for maintaining tendon health. Tendon issues often arise from manmade training practices. Injury prevention can be achieved through consistent dynamic training. The balance between stiffness and compliance in tendons is essential for performance. Training surfaces can significantly impact athletic performance and injury risk. Shin splints are often misunderstood and can be linked to training practices. Relaxation during athletic performance can enhance efficiency and reduce injury risk. Long-term tendon adaptations require consistent and varied training. Overload is necessary for tendon adaptation and health. Good training is simply regressed good training, keeping all aspects in mind.   New York Seminar Oct 25/26: https://www.plusplyos.com/checkout?checkoutId=9455d78c-0e38-3ce9-b146-36e6a4c76434¤cy=USD&contentAppId=324cf725-53d9-4bb2-b8f6-0c8ec9a77f45&contentComponentId=4ca49999-12ba-46d7-8dca-03ee4a6c1b7c Matt on Instagram: https://www.instagram.com/mcinneswatson/ Matt's website: https://www.plusplyos.com Derek on Instagram: https://www.instagram.com/dr.derekpt/ Derek's website: https://www.gridptp.com Notes: https://jackedathlete.com/podcast-154-tendons-plyos-and-rehab-with-matt-mcinnes-watson-and-derek-garza/  

Chapters 00:00 Introduction to Q's Journey 02:59 The Influence of Mentorship in Physical Therapy 06:06 Challenging Traditional Beliefs in Physical Therapy 08:57 The Limitations of Physical Therapy Education 11:53 Experiences as an Athlete and the Role of Strength Conditioning 14:53 The Disconnect in Athletic Training and Rehabilitation 17:49 Understanding Tendon Pain and Rehabilitation Strategies 20:50 The Importance of Function Over Pain 23:57 The Role of Manual Therapy in Rehabilitation 26:48 The Psychological Impact of Injury on Athletes 30:04 Reframing Rehabilitation: Keeping Athletes Active 32:48 The Future of Physical Therapy and Athlete Care 54:21 The Psychological Aspect of Injury Recovery 56:58 Challenges in Athletic Training and Recovery 01:01:26 Cultural Shifts in Sports Medicine 01:02:23 The Role of Patient Empowerment in Recovery 01:06:23 The Importance of Enjoyment in Sports 01:08:12 Managing Pain Flare-Ups in Rehabilitation 01:12:34 Understanding Pain and Its Complexity 01:17:01 Daily Life Adjustments for Pain Management 01:21:23 Personal Experiences with Tendinopathy 01:25:34 Dynamic vs. Static Rehabilitation Approaches 01:29:00 Caution in Post-Surgical Rehabilitation 01:35:38 The Complexity of Pain and Rehabilitation 01:40:40 The Balance of Activity and Rest in Recovery 01:45:37 Future Directions in Rehabilitation and Coaching   Takeaways Q's journey from strength conditioning to physical therapy was influenced by mentorship. Physical therapy education often lacks practical application for athletes. Challenging traditional beliefs in physical therapy is essential for growth. Pain management should focus on function rather than just alleviating pain. Athletes often experience a disconnect between rehabilitation and training. Manual therapy has limitations and should not be the sole focus of treatment. Keeping athletes active during rehabilitation can enhance recovery. The psychological impact of injury on athletes is significant and should be addressed. A shift in the healthcare model is needed to support athletes better. Understanding tendon pain requires a comprehensive approach to rehabilitation. The psychological aspect of injury recovery is crucial. Engaging in enjoyable activities can aid recovery. Cultural shifts in sports medicine are necessary for better outcomes. Patient empowerment plays a significant role in rehabilitation. Pain management requires understanding its complexity. Daily life adjustments can help manage pain effectively. Dynamic rehabilitation approaches may not always be suitable for every injury. Caution is essential in post-surgical rehabilitation. Sometimes, doing less can lead to better recovery outcomes. Effective communication is key in managing patient expectations.   Q on Instagram: https://www.instagram.com/coach_q_physio/ Q's Linktree: https://linktr.ee/q_willey?fbclid=PAZXh0bgNhZW0CMTEAAacZCyD5hJ7vDrU8N015yMTND-oMVC41rgX0wvgcpWU4ZLEM8cAj6otX8qq_ag_aem_90spPkBQ6rLXDVz6JZWUjg Website: https://www.findphysiotherapy.com/ Notes: https://jackedathlete.com/podcast-153-tendon-rehab-with-q-willy/

Chapters 00:00 Introduction to Sports Medicine and Tendinopathy 02:52 Understanding Tendinopathy: Causes and Challenges 05:28 Differentiating Tendon Issues: The Role of Ultrasound 08:29 Metabolic Influences on Tendon Health 11:41 Treatment Approaches: Loading vs. Anti-Inflammatories 14:36 The Role of Surgery in Tendon Management 17:24 Innovative Techniques in Tendon Surgery 20:10 The Importance of Accurate Diagnosis 23:20 Patient Management: From Diagnosis to Treatment 26:06 The Impact of Tendinopathy on Athletic Performance 29:10 Exploring Controversial Treatments: PRP and Stem Cells 32:07 The Future of Tendon Rehabilitation 34:56 Conclusion: Evolving Practices in Tendon Care   Takeaways Tendinopathy is a significant challenge in sports medicine. Understanding the metabolic influences on tendon health is crucial. Ultrasound plays a vital role in diagnosing tendon issues. Not all tendons respond to treatment in the same way. Loading strategies are essential for effective tendon rehabilitation. Surgery may be necessary for chronic tendon issues that do not respond to conservative treatment. Innovative techniques in tendon surgery can lead to quicker recovery times. Accurate diagnosis is key to successful treatment outcomes. Tendinopathy can significantly impact athletic performance and quality of life. Ongoing research and collaboration are needed to advance tendon care practices.   Jon's Bio: https://www.fortiusclinic.com/specialists/dr-jon-houghton Jarrod's Bio: https://www.fortiusclinic.com/specialists/mr-jarrod-antflick Jon on Instagram: https://www.instagram.com/joffsyboy_2.0/ Jarrod on Instagram: https://www.instagram.com/jla_888/ Notes: https://jackedathlete.com/podcast-152-achilles-and-patellar-tendons-with-jarrod-antflick-and-jon-houghton/  

Chapters 00:00 Introduction to Colby Beecham and His Journey 02:58 Injuries and Their Impact on Physical Therapy 06:00 Understanding Patellofemoral Pain 08:54 Differentiating Between Knee Pain Types 12:01 The Thermostat Analogy in Rehab 15:09 Loading Strategies for Knee Pain 18:13 The Role of Manual Therapy and Passive Modalities 20:56 Isometrics and Their Effect on Pain 23:58 Lifestyle Factors in Recovery 26:58 Conclusion and Key Takeaways 33:57 Understanding Patellofemoral Pain and Treatment Approaches 37:07 The Importance of Lifestyle Factors in Recovery 39:28 The Role of Imaging in Pain Management 45:34 Biomechanics and Movement Patterns in Rehabilitation 50:40 Manual Therapy Techniques and Their Effectiveness 52:27 Evolution of Physical Therapy Practices 01:01:06 The Future of Physical Therapy and Personal Growth   Takeaways Colby Beecham is a physical therapist with a focus on individualized care. He emphasizes the importance of understanding the patient's lifestyle in recovery. The thermostat analogy helps conceptualize patellofemoral pain management. Differentiating between patellar tendon pain and patellofemoral pain is crucial for treatment. Loading strategies should be tailored to the individual's pain response. Manual therapy can aid in reducing pain and improving function. Strength conditioning knowledge is essential for effective rehabilitation. Lifestyle factors like nutrition and sleep significantly impact recovery. Colby is opening Onward Physical Therapy, focusing on out-of-network care. The future of physical therapy should bridge the gap between rehab and strength conditioning.   Colby on Instagram: https://www.instagram.com/drcolby_dpt/?hl=en Onward Tampa on Instagram: https://www.instagram.com/onward_tampa/?hl=en Onward Tampa: https://onwardphysicaltherapy.com/tampa/  

Chapters 00:00 Introduction to Tendon Research and Personal Insights 02:58 Exploring Tendon Development in Infants 05:42 The Berlin Method: Training Older Adults 09:01 Understanding Muscle Strength and Stability in Older Adults 11:40 Challenges in Calf Muscle Growth 14:31 The Mechanics of Tendon Adaptation 17:21 Cyclical Loading and Its Importance 20:39 Tendon Creep and Muscle Fatigue 23:26 The Role of Resting Length in Tendon Strain 26:02 Investigating Overtraining and Tendon Health 29:12 Conclusion and Future Directions in Tendon Research 43:26 Understanding the Berlin Method Frequency 47:13 Tendon Recovery and Training Volume 49:32 Mechanics of Tendon Strain and Recovery 53:41 Optimal Ranges for Tendon Strain 58:23 Research Insights on Tendon Strain Measurements 01:02:00 Individual Differences in Tendon Training 01:06:26 Training Approaches for Achilles and Calf Strength 01:11:26 Gender Differences in Tendon Training 01:14:46 Mechanotransduction in Developing Tendons 01:18:35 Future Directions in Tendon Research Takeaways Gaspar Epro is a senior lecturer and track and field coach. Tendons adapt to training, but the mechanisms are complex. The Berlin Method emphasizes high loads for tendon adaptation. Muscle strength is important, but technique and application matter more. Calf muscles are notoriously difficult to grow in strength. Tendons require time to recover and adapt to training loads. Creep studies on tendons are often conducted in mechanical settings, not in vivo. Tendon strain measurements can vary significantly based on methodology. Individual differences in tendon response necessitate personalized training. Females may experience different tendon adaptations compared to males. Gaspar on Instagram: https://www.instagram.com/gasparepro/?hl=en Gaspar on Twitter: https://x.com/gasparepro Gaspar's Email: [email protected] Notes: https://jackedathlete.com/podcast-150-tendons-with-gaspar-epro/

Chapters 00:00 The Journey of a Dunker: Early Years and Injuries 03:02 Understanding Knee Pain: Causes and Solutions 06:09 Training Techniques: Isometrics and Warm-ups 09:00 Diet and Its Impact on Performance 12:00 Adapting to Age: Training Adjustments Over Time 15:05 The Mechanics of Jumping: Techniques and Styles 17:58 Warm-up and Cool-down: Importance in Training 20:52 Managing Volume and Intensity in Training 24:10 The Role of Recovery: Isometrics and Pain Management 26:51 Final Thoughts: The Future of Dunking and Training 33:07 Exploring Conservative Management Techniques 36:09 Plyometrics: Finding the Balance 39:30 Lifting Strategies for Injury Management 42:01 Understanding Muscle Imbalances 43:48 The Impact of Footwear on Knee Health 45:36 Managing Pain During Training 48:20 Common Tendon Issues in Dunkers 51:16 The Role of Weight Training in Dunking 53:12 Dealing with Tendon Blow-Ups 54:52 Preventing Tendon Injuries in Dunking 01:06:39 Final Advice for Dunkers with Knee Pain Takeaways Jordan Kilganon shares his journey as a professional dunker. Knee pain can be managed with proper training and techniques. Isometric exercises play a crucial role in injury prevention. Diet can significantly impact tendon health and performance. As athletes age, training methods must adapt to prevent injuries. Different jumping techniques can affect knee stress differently. Warm-ups are essential to prevent injuries, especially as one ages. Cool-downs can aid recovery and reduce next-day soreness. Managing jump volume and intensity is key to longevity in the sport. Listening to one's body is crucial for effective training. Jordan has never used injections or stem cells for recovery. He emphasizes conservative management and load management for knee issues. Plyometrics should be approached with caution, focusing on depth jumps and seated jumps. Single effort jumps are preferred over multi-effort jumps to avoid knee strain. Lifting techniques should be adjusted based on individual comfort and pain levels. Muscle imbalances should be addressed by strengthening weaker muscles rather than focusing solely on balance. Footwear can significantly impact knee health; personal preference varies. Pain management during training can involve isometric exercises and adjustments in technique. Common tendon issues arise from excessive jumping without proper recovery and management. Weight training is essential for dunkers to prevent injuries and improve performance. Jordan on Instagram: https://www.instagram.com/jordankilganon/?hl=en Jump Master: https://my.playbookapp.io/jordan-kilganon Jump Master X: https://www.jumpmasterx.com/home-copy Jordan on YouTube: https://www.youtube.com/@killerjunior23 Notes: https://jackedathlete.com/podcast-149-patellar-tendons-with-jordan-kilganon/

Chapters 00:00 Introduction to Tendons and Personal Background 03:01 Understanding ACL Injuries and Rehabilitation 05:56 Graft Types: Autograft vs Allograft 08:56 Early Rehabilitation Strategies for ACL Surgery 11:53 Managing Swelling and Pain Post-Surgery 14:58 Progressing Rehabilitation: From Extension to Strength 17:59 Considerations for Graft Selection 21:01 Challenges with Quad Tendon Grafts 23:52 Hamstring and Patellar Grafts: Pros and Cons 32:06 Understanding Anterior Knee Pain and Rehabilitation 34:40 Strength Training in ACL Recovery 37:49 Introducing Plyometrics in Rehabilitation 39:28 Progressing Plyometrics and Deceleration Training 44:06 The Role of Physical Therapists in ACL Rehab 47:30 Knee Strategy vs. Hip Strategy in Rehabilitation 52:07 Re-injury Rates and Return to Sport Statistics 53:40 Education Gaps in Physical Therapy Schools 57:43 Improving ACL Rehabilitation Practices 01:01:17 Collaboration Between Therapists and Strength Coaches Takeaways Derek Garza is a licensed physical therapist with a background in athletics. He emphasizes the importance of education in ACL rehabilitation. The type of graft used in ACL surgery significantly affects recovery. Early intervention in rehabilitation can lead to better outcomes. Managing swelling is crucial for effective recovery post-surgery. Different graft types have unique healing timelines and considerations. Patient education is key to understanding the rehabilitation process. The strength of the graft can vary significantly based on the type used. Rehabilitation strategies should be tailored to the individual athlete. Understanding the risks and timelines of recovery can help prevent re-injury. The quality of physical therapy coaching is crucial for recovery. Limb symmetry index should be at least 90% for strength. Plyometrics should be introduced gradually in rehabilitation. Deceleration training is essential for athletes returning to sport. Many physical therapists lack knowledge in plyometric training. Re-injury rates for ACL injuries are alarmingly high. Education on plyometrics is lacking in physical therapy schools. Collaboration between therapists and strength coaches is vital. Athletes often shy away from loading their knees post-injury. Understanding knee and hip strategies can improve rehabilitation outcomes. Derek on Instagram: https://www.instagram.com/dr.derekpt/ Derek's Linktree: https://linktr.ee/drderekgarza?fbclid=PAZXh0bgNhZW0CMTEAAafGwPFbijuM4jTC0YjCcgMH2cY3-masDnDR00SYM7QCAyHfVaMUxWiB4ij1GQ_aem_Yj9twOyX7Rp7Un4fBhKFGg Notes: https://jackedathlete.com/podcast-148-acls-and-quad-patellar-hamstring-tendon-grafts-with-derek-garza/

Chapters 00:00 Introduction to Zach Jungels and His Journey 03:06 The Patellar Tendon Injury Experience 06:09 Rehabilitation Challenges and Discoveries 08:56 The Search for Effective Treatment 11:50 Implementing the Jumper's Knee Protocol 15:10 Sharing Knowledge and Helping Others 18:00 Understanding Pain and Recovery 21:12 The Role of Communication with Coaches 23:47 Critique of Traditional Physical Therapy 27:02 Navigating the Rehab Process 29:50 Conclusion and Future Aspirations 37:04 Understanding Knee Pain: Partial Tears vs. Tendinopathy 40:00 The Role of Isometrics in Pain Management 46:04 Navigating Athletic Rehabilitation: Challenges and Solutions 48:02 Recent Knee Injury: Insights and Recovery 52:06 Effective Rehabilitation Strategies for Knee Injuries 01:00:58 Finding the Highest Possible Entry Point in Rehab 01:08:02 Exploring the Science of Tendon Health 01:09:03 Understanding Tendon Structure and Aging 01:12:25 Pathology and Tendon Health 01:14:32 Environmental Factors in Tendon Health 01:17:10 The Impact of Weight Gain on Tendon Health 01:21:45 Dietary Influences on Tendon Pathology 01:26:50 Collagen Supplementation and Tendon Health Takeaways Zach Jungels experienced severe patellar tendon issues during his football career. His internship at the University of Minnesota was a transformative experience. He faced multiple injuries that complicated his recovery process. Zach developed a personalized jumper's knee protocol based on research and self-education. Communication with coaches was crucial for managing his injury and training. He critiqued traditional physical therapy methods for being too standardized and ineffective. Zach found success in using specific exercises that targeted his knee pain. He emphasized the psychological impact of dealing with chronic pain and injury. Zach's experience led him to help others with similar injuries through education and support. He believes in the importance of critical thinking in rehabilitation and recovery.  Zach had to gauge his pain threshold during activities. Initial sharp pain in the knee indicated a possible partial tear. Tendinopathy symptoms developed over time with different sensations. Isometrics provided pain relief for Zach for several months. Athletes often face resistance from trainers when seeking alternative rehab methods. Zach's recent knee injury was a result of heavy eccentric loading. Effective rehab requires finding the highest possible entry point. Rehabilitation should focus on loading the muscle, not just the joint. Zach's approach includes using RPR and square one techniques. Rehab is about applying proven methods to individual cases. Ground substance in tendons consists of proteoglycans and water. Aging leads to a loss of spring-like properties in tendons. Pathology in tendons can develop long before pain is felt. General health significantly impacts tendon health. Weight gain adds extra load on tendons, increasing injury risk. High blood sugar can stiffen tendons due to sugar cross-links. Dietary choices can influence tendon health and recovery. Collagen supplementation may benefit tendon health, especially if deficient in nutrients. Environmental factors like circadian rhythms can affect tendon recovery. A holistic approach is essential for optimal tendon health. Zach on Instagram: https://www.instagram.com/jungels_sp/ Zach's Linktree: https://linktr.ee/jungels_sp?fbclid=PAZXh0bgNhZW0CMTEAAacaGkjqM3BtO2cpjzsTeWTR24xN3RkpRLYohZUrVD4rFi8g4IY_rdU4khXRvA_aem_sF_ViokbqzsuGox7wTep8w Notes: https://jackedathlete.com/podcast-147-patellar-tendons-with-zach-jungels/

Chapters 00:00 Introduction to Luke Nelson 02:55 Running Journey and Injuries 06:02 Understanding Hamstring Tendinopathy 08:47 Overuse vs. Overload in Tendon Injuries 12:08 Differential Diagnosis of Hamstring Pain 15:05 Role of Imaging in Diagnosis 18:03 The Understudied Area of Hamstring Tendinopathy 20:50 Managing Daily Activities and Pain 23:52 Rehabilitation Strategies for Hamstring Tendinopathy 31:56 Understanding Hamstring Tendon Rehabilitation 36:17 Strength Training for Runners 41:06 Assessing Muscle Atrophy in Injuries 44:29 Managing Running Frequency and Intensity 47:23 Incorporating Plyometrics in Rehab 49:05 Long-Term Recovery Expectations for Tendinopathy 53:24 Function vs. Pain in Rehabilitation 59:32 Targeting Muscle and Tendon Adaptations 01:00:35 Running Technique and Proximal Hamstring Assessment 01:05:25 Rehabilitation Strategies for Running Technique 01:10:03 Interventions for Proximal Hamstring Tendinopathy 01:15:44 Field Sports vs. Distance Running Rehabilitation 01:17:27 Distal Hamstring Tendinopathy Insights 01:20:24 Metabolic Tendinopathy Considerations 01:23:11 Reflections on Knowledge and Experience Takeaways Luke Nelson is a sports and exercise chiropractor with 20 years of experience. He has run 10 marathons, with his latest being his fastest. Luke has experienced various running injuries, including hamstring tendinopathy. Hamstring tendinopathy can significantly impact daily life, not just athletic performance. The distinction between overuse and overload injuries is crucial in rehabilitation. Imaging is not always necessary for diagnosing tendinopathy. Hamstring tendinopathy is often under-researched compared to other tendon injuries. Daily activities, such as sitting, can exacerbate hamstring pain. A multifaceted approach is essential for effective rehabilitation. Strengthening exercises, particularly hamstring curls, are vital in recovery. Early hamstring rehabilitation focuses on building capacity and strength. Runners often lack strength training, impacting their recovery. Incorporating heavy lifting and compound movements is crucial. Plyometrics can enhance performance and aid in rehabilitation. Managing running frequency is essential for tendon recovery. Pain levels may not correlate directly with functional improvements. Capacity testing is vital for assessing recovery progress. Long-term recovery from tendinopathy can take over 12 months. Flare-ups during rehab are common and should be managed. Muscle and tendon adaptations should be targeted separately.  Running technique significantly impacts proximal hamstring load. Trunk position and over-stride are critical factors in assessment. Flexibility in runners may not always correlate with performance. Rehabilitation strategies should focus on individual needs. Shockwave therapy has mixed results for tendinopathy treatment. Field sports present unique challenges in managing injuries. Distal hamstring tendinopathy is less common but still relevant. Metabolic conditions can trigger various tendinopathies. Continuous learning and adaptation are essential in rehabilitation. AI may play a future role in predicting running injuries. Luke on Instagram: https://www.instagram.com/sportschiroluke/?hl=en Luke on Twitter: https://x.com/SportsChiroLuke Website: https://www.healthhp.com.au Notes: https://jackedathlete.com/podcast-146-proximal-hamstring-tendinopathy-with-luke-nelson/