In Episode 365 of The Physical Performance Show we welcome back renowned tendinopathy expert, Professor Peter Malliaras, for a 2025 Tendinopathy Rehabilitation Update.
As a leading physiotherapist, researcher, and director at Monash University’s Musculoskeletal Research Unit, Peter shares the latest advancements in managing and rehabilitating tendon injuries.
Having previously featured on episodes 62 and 161, Peter continues to provide cutting-edge insights into evidence-based treatments for persistent tendon symptoms. Whether you’re an athlete dealing with tendinopathy or a practitioner looking to refine your approach, this episode is packed with valuable takeaways to help you stay at the forefront of tendon rehabilitation.
“Persistent pain is not always load related”
Two phase framework of tendon development:
1. Tissue Adaptation – building muscle ability to contract and to activate
2. Tendon Elasticity – build the elasticity of the tendon
“If you’re wanting to adapt a tendon, you are far better to do short duration contractions”
“There’s hope, understand that we are getting better at treating this” – Best Advice
“Be clear about the messages you’re giving to patients.” – Top Tip Practitioner
Instagram: @tendinopathyrehab
Twitter: @DrPeteMalliaras
Website: Tendinopathy Rehab
Monash University email: [email protected]
Podcast: Episode 161 of The Physical Performance Show
Podcast: Episode 62 of The Physical Performance Show
00:00 Start
02:30 Advancements in tendinopathy rehabilitation
08:30 Examples of other factors patients and athletes should consider when managing tendon pain
13:15 Exercise prescription variation
18:33 Approach to low-level elasticity work
24.25 How practitioners can apply recent scientific insights on driving adaptations to navigate short vs long duration, and isometrics in the field
33:35 How might the approach change if we instead adopt short-duration rather than heavy isotonics?
38:40 Adjunctive Treatments
44:10 What should practitioners and tendon pain sufferers be aware of in 2025 regarding upper vs lower limb tendon pain?
46:30 Project Call to Actions – How to be involved
47:30 Best Advice
48:15 Top Tip – Practitioner
51:27 Finish
For questions and comments about this Episode Send to the Show Host @Brad_Beer (Twitter) or @brad_beer(Instagram)
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