128: Tendon Pain Update (with Jill Cook)

Whitney interviews tendon expert Dr. Jill Cook, who discusses the current understanding of tendinopathy as a degenerative condition, emphasizing the importance of proper loading in rehabilitation. She explains why she advises against traditional treatments like friction massage and stretching, why anti-inflammatory medications are ineffective, and highlights the risks of certain drugs on tendon health. Throughout the conversation, Dr. Cook provides evidence-based insights for all manual therapists on treating tendinopathies effectively.

Key Topics:

1. Shift from thinking of tendinopathies as inflammatory conditions to degenerative conditions (03:01 - 04:24)
2. Factors that contribute to pain in tendinopathies (04:40 - 05:41)
3. Clinical signs and symptoms of tendinopathy (06:06 - 08:34)
4. The role of loading and compression in tendon pathology (08:54 - 16:45)
5. Treatment strategies for tendinopathies, including friction massage and anti-inflammatory medications (19:06 - 31:48)
6. Medically-induced tendinopathies, such as those caused by fluoroquinolone antibiotics (32:05 - 35:04)
7. The role of active movement and soft tissue treatments in tendinopathy rehabilitation (35:30 -