Metabolic Flexibility and Tendons with Dr. Mike T. Nelson

Chapters 00:00 Introduction and Background of Dr. Mike T Nelson 03:08 Understanding Metabolic Flexibility 06:08 The Role of Carbohydrates and Fats in Metabolism 09:00 Cellular Energy and Performance 12:04 Testing Metabolic Flexibility 14:48 The Impact of Insulin and Glucose on Metabolism 18:02 Advanced Glycation End Products and Tendon Health 20:59 Maintaining Metabolic Flexibility through Training and Nutrition 37:54 Metabolic Flexibility and Blood Work 41:25 The Impact of Carbohydrates on Metabolic Health 43:00 Obesity and Its Effects on Metabolic Flexibility 47:53 GLP-1 Drugs and Their Role in Metabolic Health 54:10 Nutrition and Tendon Health 01:02:55 Optimizing Metabolic Health for Tendon Recovery    Takeaways Metabolic flexibility is crucial for optimal performance. Carbohydrates provide quick energy, while fats offer more ATP over time. Protein is not a primary fuel source under normal conditions. High insulin levels promote carbohydrate usage. Chronic hyperglycemia can lead to tendon health issues. Testing metabolic flexibility can provide valuable insights. Movement and exercise improve glucose sensitivity. Fasting can help assess fat utilization capabilities. Athletes should balance carbohydrate and fat intake based on their needs. Endurance athletes may lose metabolic flexibility over time. Metabolic flexibility is crucial for maintaining good health. High carbohydrate intake can be beneficial for athletes but not for everyone. Obesity negatively impacts metabolic flexibility and overall health. GLP-1 drugs effectively reduce appetite but may lead to muscle loss if not managed properly. Carnivore diets can help reduce inflammation and improve health markers. Increased training frequency can accelerate tendon healing and adaptations. Neuroplasticity may enhance training outcomes and recovery. Bone health may influence muscle and tendon recovery. Dietary changes should be monitored with blood work for optimal health. Metabolic health is essential for effective tendon recovery.    Instagram: https://www.instagram.com/drmiketnelson/ Twitter: https://x.com/MikeTNelson Website: https://miketnelson.com Notes: https://jackedathlete.com/podcast-170-metabolic-flexibility-and-tendons-with-dr-mike-t-nelson/    

Chapters 00:00 Understanding Adductor Tendinopathy 02:34 Differentiating Acute and Chronic Groin Injuries 05:32 The Role of Loading in Rehabilitation 08:46 Personal Experiences with Groin Pain 11:47 Challenges in Diagnosis and Management 14:34 The Importance of Functional Deficits 17:42 Individualized Rehabilitation Approaches 20:46 The Impact of Foot and Ankle on Hip Pain 35:30 Understanding Groin Pain in Athletes 41:25 The Role of Anatomy and Hip Mobility 48:07 Managing Training Loads and Injury Prevention 51:34 Biomechanics and Movement Strategies 57:21 Injury Prevention Strategies for Athletes   Website: https://www.enda-king.com Instagram: https://www.instagram.com/enda.king/ Twitter: https://x.com/enda_king Athletic Hip and Groin Course: https://study.physiotutors.com/course/athletic-hip-and-groin-pain/ Notes: https://jackedathlete.com/podcast-169-hip-and-groin-rehab-with-enda-king/  

Chapters 00:00 Introduction and Background 02:21 The Journey to Strongman Competitions 05:14 The Day of the Injury 08:29 Emergency Response and Diagnosis 11:38 Surgery and Recovery Process 14:35 Rehabilitation and Progression 17:26 Returning to Training and Coaching 20:30 Challenges and Adjustments in Recovery 23:35 Current Status and Future Goals 28:56 Rehabilitation Journey: Progressing Through Pain 36:03 Building Strength: The Path to Recovery 42:48 Managing Daily Life: Coping with Stiffness and Pain 51:15 Reflections on Injury: Lessons Learned and Future Goals 58:22 Adapting Training: Finding What Works Post-Injury   Summary Injury event and immediate response Surgical repair techniques and hardware used Rehab protocol and progression Impact of lifestyle and metabolic health on injury Training modifications post-injury and rehab Psychological aspects of injury recovery Return to competition and future goals   Jack on Instagram: https://www.instagram.com/fenrirstrength Fenrir Strength website: https://www.fenrirstrength.theprintbar.com Notes: https://jackedathlete.com/podcast-168-bilateral-patellar-tendon-rupture-story-with-jack-davey/  

Chapters 00:00 Seth O'Neill's Background and Expertise 01:34 Understanding Achilles Tendon Problems 02:26 The Role of the Plantaris in Achilles Tendinopathy 07:04 The Importance of the Soleus Muscle 16:15 PhD Research on Soleus and Achilles Tendon Rehabilitation 19:43 Calf Muscle Loads and Performance 22:13 Internal vs External Loads in Rehabilitation 30:43 Rehabilitation Focus: Dorsiflexion vs Plantar Flexion 37:27 Identifying Deficits in Performance Testing 39:53 Understanding Muscle Weakness and Performance Misconceptions 40:58 Concentric vs Eccentric Training in Rehabilitation 42:29 Dorsiflexion and Insertional Tendinopathy: A Misunderstanding 45:01 Balancing Load and Pain in Rehabilitation 48:16 Rehabilitation Approaches for Mid-portion and Insertional Tendinopathy 50:35 Neuromuscular Function and Tendon Adaptation 57:41 Understanding Achilles Ruptures: The Perfect Storm 01:05:41 Fluoroquinolones and Tendon Health: Debunking Myths 01:13:07 Metabolic Health and Tendon Repair   Takeaways Seth O'Neill is a physiotherapist specializing in calf and Achilles tendon injuries. His PhD focused on the soleus muscle's role in Achilles tendon problems. Peritendon issues can affect various tendons, not just the Achilles. The plantaris tendon is often overlooked but can contribute to Achilles tendonopathy. Dorsiflexion is crucial in rehabilitation for Achilles injuries. Calf muscle strength is directly linked to athletic performance. Training should focus on functional positions relevant to sports. Metabolic health can impact tendon recovery and injury risk. Neuromuscular function is critical for preventing tendon injuries. Fluoroquinolones may not significantly increase the risk of tendon ruptures. Contact: https://le.ac.uk/people/seth-o-neill Twitter: https://x.com/Seth0Neill Notes: https://jackedathlete.com/podcast-167-achilles-tendons-with-seth-oneill/

Chapters 00:00 Introduction and Background of Trent Saylo 02:16 Journey into Basketball and Physical Therapy 05:20 Transition to Specializing in Tendons 08:06 Research Initiatives at IMG Academy 10:11 Understanding Tendon Health and Assessment 13:13 Utilizing Advanced Imaging Techniques 16:14 The Role of Structure in Tendon Health 19:25 Navigating the Divisive Nature of Imaging in Tendon Care 22:16 Communicating Imaging Results to Patients 25:21 Case Studies and Practical Applications of UTC 33:06 Exploring UTC in Clinical Practice 36:22 Understanding Tendon Injuries and Healing 41:12 The Role of Structure in Tendon Health 44:02 Assessing Tendon Functionality 51:39 Rehabilitation Strategies for Tendon Health 59:51 Navigating Compression and Loading in Rehab 01:07:44 The Importance of Interdisciplinary Collaboration 01:10:47 Upcoming Tendon Summit and Future Directions   Takeaways Trent Salo transitioned from basketball to specializing in tendon health. The importance of understanding tendon health is multi-dimensional. The Tendon Lab focuses on both clinical care and research. Evaluating tendon structure and function is crucial for rehabilitation. UTC scans provide valuable insights into tendon health. There is ongoing debate about the correlation between tendon structure and pain. Effective communication with patients about imaging results is essential. Bilateral imaging is important even if only one side is symptomatic. MRI can be useful for differential diagnosis in tendon issues. UTC scans can help identify specific pathologies in tendons. Understanding partial tears versus tendinopathy is key in treatment. Timeframes for tendon healing are still being researched. Assessing tendon function includes various strength tests. Rehabilitation approaches should be tailored to individual needs. Volume in rehabilitation can significantly impact tendon healing. Compression in rehabilitation should be approached with caution. Understanding mechanical thresholds is important for tendon adaptation. Collaborative learning among disciplines enhances tendon research. The Tendon Summit aims to foster dialogue and collaboration in tendon health.   Trent on Instagram: https://www.instagram.com/trentsalo/ Trent on Twitter: https://x.com/trentsalo Trent on LinkedIn: https://www.linkedin.com/in/trentsalo/ Tendon Lab Website: https://www.thetendonlab.com Traverse City Tendon Summit: https://www.traversecitytendonsummit.com Notes: https://jackedathlete.com/podcast-166-achilles-and-patellar-tendons-with-trent-salo/

Chapters 00:00 Introduction and Background of Adam Petway 02:45 The Intersection of Basketball and Biomechanics 05:44 Deceleration Strategies in Basketball 08:28 The Importance of Acceleration in Deceleration 11:30 Injury Mechanisms: ACL and Achilles Tendon Ruptures 14:30 Research Findings on Achilles Tendon Ruptures 17:41 Conclusions and Future Directions 35:49 Understanding False Steps in Sports Injury Prevention 39:19 The Mechanics of Achilles Tendon Ruptures 42:32 Exploring Injury Patterns and Risk Factors 47:00 The Role of Previous Injuries in Achilles Ruptures 51:12 Chronic Pain and Its Impact on Injury Recovery 56:30 Comparative Analysis of Injury Trends in Sports 01:00:47 Future Research Directions in Sports Injuries   Takeaways Adam Petway has extensive experience in basketball performance and biomechanics. His research focuses on the biomechanics of deceleration in basketball players. Deceleration strategies differ significantly between guards and bigs in basketball. Previous injuries, such as calf strains, can predispose athletes to Achilles tendon ruptures. Achilles tendon ruptures often occur during false steps at low center of mass velocity. The average age of NBA players who rupture their Achilles tendon is around 30 years. Petway's research indicates that chronic Achilles tendon pain can lead to longer recovery times. There is a growing trend of Achilles tendon ruptures in younger NBA players. The biomechanics of false steps are critical in understanding Achilles tendon injuries. Future research will explore the differences in injury mechanisms between male and female athletes.   Linkedin: https://www.linkedin.com/in/adam-petway-166a01b7/ Instagram: https://www.instagram.com/adampetway/ Basketball Mechanics (Book): https://uaconcepts.com/product/basketball-mechanics/ Adam's Research: https://www.researchgate.net/scientific-contributions/Adam-Petway-2171554388 Notes: https://jackedathlete.com/podcast-165-deceleration-and-achilles-ruptures-in-basketball-with-adam-petway/  

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/