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: 

<ol><li>Shift from thinking of tendinopathies as inflammatory conditions to degenerative conditions (<a href='https://www.rev.com/transcript-editor/edit?token=Z2RoSbSMsiQAjNdmyHzUSeBTuP5PVOt565rX0MrKMhzF-iL1e7fwNdcpHKBbEhziyl0mSIJmvdCYjTCTBBD7ax0jd1A&amp;loadFrom=MyFiles&amp;ts=0&amp;openShareModal=False'>03:01</a> - <a href='https://www.rev.com/transcript-editor/edit?token=Z2RoSbSMsiQAjNdmyHzUSeBTuP5PVOt565rX0MrKMhzF-iL1e7fwNdcpHKBbEhziyl0mSIJmvdCYjTCTBBD7ax0jd1A&amp;loadFrom=MyFiles&amp;ts=0&amp;openShareModal=False'>04:24</a>)</li>
<li>Factors that contribute to pain in tendinopathies (<a href='https://www.rev.com/transcript-editor/edit?token=Z2RoSbSMsiQAjNdmyHzUSeBTuP5PVOt565rX0MrKMhzF-iL1e7fwNdcpHKBbEhziyl0mSIJmvdCYjTCTBBD7ax0jd1A&amp;loadFrom=MyFiles&amp;ts=0&amp;openShareModal=False'>04:40</a> - <a href='https://www.rev.com/transcript-editor/edit?token=Z2RoSbSMsiQAjNdmyHzUSeBTuP5PVOt565rX0MrKMhzF-iL1e7fwNdcpHKBbEhziyl0mSIJmvdCYjTCTBBD7ax0jd1A&amp;loadFrom=MyFiles&amp;ts=0&amp;openShareModal=False'>05:41</a>)</li>
<li>Clinical signs and symptoms of tendinopathy (<a href='https://www.rev.com/transcript-editor/edit?token=Z2RoSbSMsiQAjNdmyHzUSeBTuP5PVOt565rX0MrKMhzF-iL1e7fwNdcpHKBbEhziyl0mSIJmvdCYjTCTBBD7ax0jd1A&amp;loadFrom=MyFiles&amp;ts=0&amp;openShareModal=False'>06:06</a> - <a href='https://www.rev.com/transcript-editor/edit?token=Z2RoSbSMsiQAjNdmyHzUSeBTuP5PVOt565rX0MrKMhzF-iL1e7fwNdcpHKBbEhziyl0mSIJmvdCYjTCTBBD7ax0jd1A&amp;loadFrom=MyFiles&amp;ts=0&amp;openShareModal=False'>08:34</a>)</li>
<li>The role of loading and compression in tendon pathology (<a href='https://www.rev.com/transcript-editor/edit?token=Z2RoSbSMsiQAjNdmyHzUSeBTuP5PVOt565rX0MrKMhzF-iL1e7fwNdcpHKBbEhziyl0mSIJmvdCYjTCTBBD7ax0jd1A&amp;loadFrom=MyFiles&amp;ts=0&amp;openShareModal=False'>08:54</a> - <a href='https://www.rev.com/transcript-editor/edit?token=Z2RoSbSMsiQAjNdmyHzUSeBTuP5PVOt565rX0MrKMhzF-iL1e7fwNdcpHKBbEhziyl0mSIJmvdCYjTCTBBD7ax0jd1A&amp;loadFrom=MyFiles&amp;ts=0&amp;openShareModal=False'>16:45</a>)</li>
<li>Treatment strategies for tendinopathies, including friction massage and anti-inflammatory medications (<a href='https://www.rev.com/transcript-editor/edit?token=Z2RoSbSMsiQAjNdmyHzUSeBTuP5PVOt565rX0MrKMhzF-iL1e7fwNdcpHKBbEhziyl0mSIJmvdCYjTCTBBD7ax0jd1A&amp;loadFrom=MyFiles&amp;ts=0&amp;openShareModal=False'>19:06</a> - <a href='https://www.rev.com/transcript-editor/edit?token=Z2RoSbSMsiQAjNdmyHzUSeBTuP5PVOt565rX0MrKMhzF-iL1e7fwNdcpHKBbEhziyl0mSIJmvdCYjTCTBBD7ax0jd1A&amp;loadFrom=MyFiles&amp;ts=0&amp;openShareModal=False'>31:48</a>)</li>
<li>Medically-induced tendinopathies, such as those caused by fluoroquinolone antibiotics (<a href='https://www.rev.com/transcript-editor/edit?token=Z2RoSbSMsiQAjNdmyHzUSeBTuP5PVOt565rX0MrKMhzF-iL1e7fwNdcpHKBbEhziyl0mSIJmvdCYjTCTBBD7ax0jd1A&amp;loadFrom=MyFiles&amp;ts=0&amp;openShareModal=False'>32:05</a> - <a href='https://www.rev.com/transcript-editor/edit?token=Z2RoSbSMsiQAjNdmyHzUSeBTuP5PVOt565rX0MrKMhzF-iL1e7fwNdcpHKBbEhziyl0mSIJmvdCYjTCTBBD7ax0jd1A&amp;loadFrom=MyFiles&amp;ts=0&amp;openShareModal=False'>35:04</a>)</li>
<li>The role of active movement and soft tissue treatments in tendinopathy rehabilitation (<a href='https://www.rev.com/transcript-editor/edit?token=Z2RoSbSMsiQAjNdmyHzUSeBTuP5PVOt565rX0MrKMhzF-iL1e7fwNdcpHKBbEhziyl0mSIJmvdCYjTCTBBD7ax0jd1A&amp;loadFrom=MyFiles&amp;ts=0&amp;openShareModal=False'>35:30</a> - <a href='https://www.rev.com/transcript-editor/edit?token=Z2RoSbSMsiQAjNdmyHzUSeBTuP5PVOt565rX0MrKMhzF-iL1e7fwNdcpHKBbEhziyl0mSIJmvdCYjTCTBBD7ax0jd1A&amp;loadFrom=MyFiles&amp;ts=0&amp;openShareModal=False'>38:29</a>)</li>
</ol>Get the full transcript at <a href='https://advanced-trainings.com/thinking-practitioner-podcast/'>Til</a> or<a href='https://www.academyofclinicalmassage.com/podcast/episode-126-fascia-a-deep-dive-with-dr-antonio-stecco-rebroadcast/'> Whitney's</a> sites! 
<ul><li style="font-weight:400;">Whitney Lowe’s site: <a href='https://academyofclinicalmassage.com'>AcademyOfClinicalMassage.com</a> </li>
<li style="font-weight:400;">Til Luchau’s site: <a href='https://advanced-trainings.com/the-thinking-practitioner-podcast/'>Advanced-Trainings.com</a> </li>
</ul>
Resources mentioned in this episode:
<ul><li>Jill Cook: <a href='mailto:J.Cook@latrobe.edu.au'>J.Cook@latrobe.edu.au</a></li>
<li>Fairclough J, Hayashi K, Toumi H, et al. The functional anatomy of the iliotibial band during flexion and extension of the knee: implications for understanding iliotibial band syndrome. J Anat. 2006;208(3):309-316. doi:JOA531 [pii] 10.1111/j.1469-7580.2006.00531.x</li>
</ul>
Sponsor Offers: 
<ul><li style="font-weight:400;">Books of Discovery: save 15% by entering "thinking" at checkout on<a href='https://booksofdiscovery.com/'> booksofdiscovery.com</a>. </li>
<li style="font-weight:400;">ABMP: save $24 on new membership at<a href='https://www.abmp.com/thinking'> abmp.com/thinking</a>. </li>
<li>Advanced-Trainings: try a month of the amazing A-T Subscription free by entering “thinking” at checkout at <a href='http://a-t.tv/subscriptions/'>a-t.tv/subscriptions/</a>,.</li>
<li>Academy of Clinical Massage: Grab Whitney's valuable Assessment Cheat Sheet for free at: <a href='https://www.academyofclinicalmassage.com/cheatsheet/'>academyofclinicalmassage.com/cheatsheet</a></li>
</ul>
<a href='https://www.academyofclinicalmassage.com/why-study-with-whitney-lowe/'>About Whitney Lowe</a>  | <a href='https://advanced-trainings.com/whoweare/'>About Til Luchau</a>  |  Email Us: info@thethinkingpractitioner.com
(The Thinking Practitioner Podcast is intended for professional practitioners of manual and movement therapies: bodywork, massage therapy, structural integration, chiropractic, myofascial and myotherapy, orthopedic, sports massage, physical therapy, osteopathy, yoga, strength and conditioning, and similar professions. It is not medical or treatment advice.)

<description>&lt;p&gt;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.&lt;/p&gt;
&lt;p&gt;
Key Topics:
&lt;/p&gt;
&lt;ol&gt;&lt;li&gt;Shift from thinking of tendinopathies as inflammatory conditions to degenerative conditions (&lt;a href='https://www.rev.com/transcript-editor/edit?token=Z2RoSbSMsiQAjNdmyHzUSeBTuP5PVOt565rX0MrKMhzF-iL1e7fwNdcpHKBbEhziyl0mSIJmvdCYjTCTBBD7ax0jd1A&amp;amp;loadFrom=MyFiles&amp;amp;ts=0&amp;amp;openShareModal=False'&gt;03:01&lt;/a&gt; - &lt;a href='https://www.rev.com/transcript-editor/edit?token=Z2RoSbSMsiQAjNdmyHzUSeBTuP5PVOt565rX0MrKMhzF-iL1e7fwNdcpHKBbEhziyl0mSIJmvdCYjTCTBBD7ax0jd1A&amp;amp;loadFrom=MyFiles&amp;amp;ts=0&amp;amp;openShareModal=False'&gt;04:24&lt;/a&gt;)&lt;/li&gt;
&lt;li&gt;Factors that contribute to pain in tendinopathies (&lt;a href='https://www.rev.com/transcript-editor/edit?token=Z2RoSbSMsiQAjNdmyHzUSeBTuP5PVOt565rX0MrKMhzF-iL1e7fwNdcpHKBbEhziyl0mSIJmvdCYjTCTBBD7ax0jd1A&amp;amp;loadFrom=MyFiles&amp;amp;ts=0&amp;amp;openShareModal=False'&gt;04:40&lt;/a&gt; - &lt;a href='https://www.rev.com/transcript-editor/edit?token=Z2RoSbSMsiQAjNdmyHzUSeBTuP5PVOt565rX0MrKMhzF-iL1e7fwNdcpHKBbEhziyl0mSIJmvdCYjTCTBBD7ax0jd1A&amp;amp;loadFrom=MyFiles&amp;amp;ts=0&amp;amp;openShareModal=False'&gt;05:41&lt;/a&gt;)&lt;/li&gt;
&lt;li&gt;Clinical signs and symptoms of tendinopathy (&lt;a href='https://www.rev.com/transcript-editor/edit?token=Z2RoSbSMsiQAjNdmyHzUSeBTuP5PVOt565rX0MrKMhzF-iL1e7fwNdcpHKBbEhziyl0mSIJmvdCYjTCTBBD7ax0jd1A&amp;amp;loadFrom=MyFiles&amp;amp;ts=0&amp;amp;openShareModal=False'&gt;06:06&lt;/a&gt; - &lt;a href='https://www.rev.com/transcript-editor/edit?token=Z2RoSbSMsiQAjNdmyHzUSeBTuP5PVOt565rX0MrKMhzF-iL1e7fwNdcpHKBbEhziyl0mSIJmvdCYjTCTBBD7ax0jd1A&amp;amp;loadFrom=MyFiles&amp;amp;ts=0&amp;amp;openShareModal=False'&gt;08:34&lt;/a&gt;)&lt;/li&gt;
&lt;li&gt;The role of loading and compression in tendon pathology (&lt;a href='https://www.rev.com/transcript-editor/edit?token=Z2RoSbSMsiQAjNdmyHzUSeBTuP5PVOt565rX0MrKMhzF-iL1e7fwNdcpHKBbEhziyl0mSIJmvdCYjTCTBBD7ax0jd1A&amp;amp;loadFrom=MyFiles&amp;amp;ts=0&amp;amp;openShareModal=False'&gt;08:54&lt;/a&gt; - &lt;a href='https://www.rev.com/transcript-editor/edit?token=Z2RoSbSMsiQAjNdmyHzUSeBTuP5PVOt565rX0MrKMhzF-iL1e7fwNdcpHKBbEhziyl0mSIJmvdCYjTCTBBD7ax0jd1A&amp;amp;loadFrom=MyFiles&amp;amp;ts=0&amp;amp;openShareModal=False'&gt;16:45&lt;/a&gt;)&lt;/li&gt;
&lt;li&gt;Treatment strategies for tendinopathies, including friction massage and anti-inflammatory medications (&lt;a href='https://www.rev.com/transcript-editor/edit?token=Z2RoSbSMsiQAjNdmyHzUSeBTuP5PVOt565rX0MrKMhzF-iL1e7fwNdcpHKBbEhziyl0mSIJmvdCYjTCTBBD7ax0jd1A&amp;amp;loadFrom=MyFiles&amp;amp;ts=0&amp;amp;openShareModal=False'&gt;19:06&lt;/a&gt; - &lt;a href='https://www.rev.com/transcript-editor/edit?token=Z2RoSbSMsiQAjNdmyHzUSeBTuP5PVOt565rX0MrKMhzF-iL1e7fwNdcpHKBbEhziyl0mSIJmvdCYjTCTBBD7ax0jd1A&amp;amp;loadFrom=MyFiles&amp;amp;ts=0&amp;amp;openShareModal=False'&gt;31:48&lt;/a&gt;)&lt;/li&gt;
&lt;li&gt;Medically-induced tendinopathies, such as those caused by fluoroquinolone antibiotics (&lt;a href='https://www.rev.com/transcript-editor/edit?token=Z2RoSbSMsiQAjNdmyHzUSeBTuP5PVOt565rX0MrKMhzF-iL1e7fwNdcpHKBbEhziyl0mSIJmvdCYjTCTBBD7ax0jd1A&amp;amp;loadFrom=MyFiles&amp;amp;ts=0&amp;amp;openShareModal=False'&gt;32:05&lt;/a&gt; - &lt;a href='https://www.rev.com/transcript-editor/edit?token=Z2RoSbSMsiQAjNdmyHzUSeBTuP5PVOt565rX0MrKMhzF-iL1e7fwNdcpHKBbEhziyl0mSIJmvdCYjTCTBBD7ax0jd1A&amp;amp;loadFrom=MyFiles&amp;amp;ts=0&amp;amp;openShareModal=False'&gt;35:04&lt;/a&gt;)&lt;/li&gt;
&lt;li&gt;The role of active movement and soft tissue treatments in tendinopathy rehabilitation (&lt;a href='https://www.rev.com/transcript-editor/edit?token=Z2RoSbSMsiQAjNdmyHzUSeBTuP5PVOt565rX0MrKMhzF-iL1e7fwNdcpHKBbEhziyl0mSIJmvdCYjTCTBBD7ax0jd1A&amp;amp;loadFrom=MyFiles&amp;amp;ts=0&amp;amp;openShareModal=False'&gt;35:30&lt;/a&gt; - &lt;a href='https://www.rev.com/transcript-editor/edit?token=Z2RoSbSMsiQAjNdmyHzUSeBTuP5PVOt565rX0MrKMhzF-iL1e7fwNdcpHKBbEhziyl0mSIJmvdCYjTCTBBD7ax0jd1A&amp;amp;loadFrom=MyFiles&amp;amp;ts=0&amp;amp;openShareModal=False'&gt;38:29&lt;/a&gt;)&lt;/li&gt;
&lt;/ol&gt;&lt;p&gt;Get the full transcript at &lt;a href='https://advanced-trainings.com/thinking-practitioner-podcast/'&gt;Til&lt;/a&gt; or&lt;a href='https://www.academyofclinicalmassage.com/podcast/episode-126-fascia-a-deep-dive-with-dr-antonio-stecco-rebroadcast/'&gt; Whitney's&lt;/a&gt; sites! &lt;/p&gt;
&lt;ul&gt;&lt;li style="font-weight:400;"&gt;Whitney Lowe’s site: &lt;a href='https://academyofclinicalmassage.com'&gt;AcademyOfClinicalMassage.com&lt;/a&gt; &lt;/li&gt;
&lt;li style="font-weight:400;"&gt;Til Luchau’s site: &lt;a href='https://advanced-trainings.com/the-thinking-practitioner-podcast/'&gt;Advanced-Trainings.com&lt;/a&gt; &lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;Resources mentioned in this episode:&lt;/p&gt;
&lt;ul&gt;&lt;li&gt;Jill Cook: &lt;a href='mailto:J.Cook@latrobe.edu.au'&gt;J.Cook@latrobe.edu.au&lt;/a&gt;&lt;/li&gt;
&lt;li&gt;Fairclough J, Hayashi K, Toumi H, et al. The functional anatomy of the iliotibial band during flexion and extension of the knee: implications for understanding iliotibial band syndrome. J Anat. 2006;208(3):309-316. doi:JOA531 [pii] 10.1111/j.1469-7580.2006.00531.x&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;Sponsor Offers: &lt;/p&gt;
&lt;ul&gt;&lt;li style="font-weight:400;"&gt;Books of Discovery: save 15% by entering "thinking" at checkout on&lt;a href='https://booksofdiscovery.com/'&gt; booksofdiscovery.com&lt;/a&gt;. &lt;/li&gt;
&lt;li style="font-weight:400;"&gt;ABMP: save $24 on new membership at&lt;a href='https://www.abmp.com/thinking'&gt; abmp.com/thinking&lt;/a&gt;. &lt;/li&gt;
&lt;li&gt;Advanced-Trainings: try a month of the amazing A-T Subscription free by entering “thinking” at checkout at &lt;a href='http://a-t.tv/subscriptions/'&gt;a-t.tv/subscriptions/&lt;/a&gt;,.&lt;/li&gt;
&lt;li&gt;Academy of Clinical Massage: Grab Whitney's valuable Assessment Cheat Sheet for free at: &lt;a href='https://www.academyofclinicalmassage.com/cheatsheet/'&gt;academyofclinicalmassage.com/cheatsheet&lt;/a&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&lt;a href='https://www.academyofclinicalmassage.com/why-study-with-whitney-lowe/'&gt;About Whitney Lowe&lt;/a&gt;  | &lt;a href='https://advanced-trainings.com/whoweare/'&gt;About Til Luchau&lt;/a&gt;  |  Email Us: info@thethinkingpractitioner.com&lt;/p&gt;
&lt;p&gt;(The Thinking Practitioner Podcast is intended for professional practitioners of manual and movement therapies: bodywork, massage therapy, structural integration, chiropractic, myofascial and myotherapy, orthopedic, sports massage, physical therapy, osteopathy, yoga, strength and conditioning, and similar professions. It is not medical or treatment advice.)&lt;/p&gt;
</description>

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:
Shift from thinking of tendinopathies as inflammatory conditions to degenerative conditions (03:01 - 04:24)
Factors that contribute to pain in tendinopathies (04:40 - 05:41)
Clinical signs and symptoms of tendinopathy (06:06 - 08:34)
The role of loading and compression in tendon pathology (08:54 - 16:45)
Treatment strategies for tendinopathies, including friction massage and anti-inflammatory medications (19:06 - 31:48)
Medically-induced tendinopathies, such as those caused by fluoroquinolone antibiotics (32:05 - 35:04)
The role of active movement and soft tissue treatments in tendinopathy rehabilitation (35:30 - 38:29)
Get the full transcript at Til or Whitney's sites! 
Whitney Lowe’s site: AcademyOfClinicalMassage.com 
Til Luchau’s site: Advanced-Trainings.com 
Resources mentioned in this episode:
Jill Cook: J.Cook@latrobe.edu.au
Fairclough J, Hayashi K, Toumi H, et al. The functional anatomy of the iliotibial band during flexion and extension of the knee: implications for understanding iliotibial band syndrome. J Anat. 2006;208(3):309-316. doi:JOA531 [pii] 10.1111/j.1469-7580.2006.00531.x
Sponsor Offers: 
Books of Discovery: save 15% by entering "thinking" at checkout on booksofdiscovery.com. 
ABMP: save $24 on new membership at abmp.com/thinking. 
Advanced-Trainings: try a month of the amazing A-T Subscription free by entering “thinking” at checkout at a-t.tv/subscriptions/,.
Academy of Clinical Massage: Grab Whitney's valuable Assessment Cheat Sheet for free at: academyofclinicalmassage.com/cheatsheet
About Whitney Lowe  | About Til Luchau  |  Email Us: info@thethinkingpractitioner.com
(The Thinking Practitioner Podcast is intended for professional practitioners of manual and movement therapies: bodywork, massage therapy, structural integration, chiropractic, myofascial and myotherapy, orthopedic, sports massage, physical therapy, osteopathy, yoga, strength and conditioning, and similar professions. It is not medical or treatment advice.)

The Thinking Practitioner

128: Tendon Pain Update (with Jill Cook)

128: Tendon Pain Update (with Jill Cook)

Description