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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