How to Best Treat Tendons with Dr. Peter Malliaras
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Show Notes
Guest: Dr. Peter Malliaris, a leading expert in tendinopathy research and clinical practice for over 15 years.
Here is what we will cover today:
Effective Management of Tendinopathy:
- Exercise and Education:
- Importance of progressive exercise to build tendon tolerance.
- Education on managing symptoms and avoiding aggravating activities.
- Isometrics and Loading:
- Isometrics were initially thought to reduce pain but recent studies show progressive loading is equally effective.
Adjunct Therapies:
- Shockwave and PRP:
- Evidence on their effectiveness is mixed; more placebo-controlled studies needed.
- Scans and Imaging:
- Not necessary for diagnosis; used if initial treatments fail to identify other possible issues.
Pain and Function Management:
- Mechanisms of Pain:
- Pain is multifactorial; education should address beliefs and neuromuscular factors.
- Loading and Tolerance:
- Gradual increase in load is crucial for rehabilitation.
- Individualized Education:
- Tailored education interventions for conditions like rotator cuff pain.
Then I answer your Facebook Group Questions
To visit Peter's website head to: https://www.tendinopathyrehab.com/
For Peter's twitter go to: https://twitter.com/DrPeteMalliaras
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