PJF Performance Review (Tendon Episode)
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- Опубликовано: 3 окт 2024
- PJF Performance Review (Tendon Episode)
This is a review of PJF Performance Podcast episode 54 with Jake Tuura. Great episode, highly encourage a listen! However, I disagree highly with one of concepts discussed as it relates to Achilles Tendon Ruptures. So this video is a response to Achilles ruptures and dismissing the importance of understanding how to apply biomechanics correctly in a manner that teaches the athlete to move in such a way that avoids the achilles rupture mechanism of injury while still performing at a high level!
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My name is Greg Schaible and I am a Physical Therapist & Strength Coach who works with a lot of athletes and active individuals to overcome injuries! Common location of injuries I treat on a daily basis are: Shoulder, Back, Hip, Knee, and Foot/Ankle. This channel aims to help athletes and regular people prevent injuries as well as speed up and increase the recovery rates!
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Agreed, and I typically like his stuff - he's usually really knowledgeable. PJF was the one who put me onto the idea of taking Collagen + Vitamin C prior to tendon PT, and how that is more beneficial than taking it afterwards.
Nutrition big part of tendon health for sure!
been dealing with an achilles tendonopothay rooting from overuse to make matters worse switched to zero drop shoes and didn't change intensity or mileage.
Took the last 3 weeks off from running and have done everything you can think of.
Heel raise
eccentric movements
plyometrics
stretching calf
tb-500/bpc-157
piezowave
pemf
scraping
dry needling
massage
EVERYTHING
I'm about to undergo PRP and curious what you think.
Well 3 weeks is still pretty early in the grand scheme of things. I haven't evaluated you so I don't know the extent that you were dealing with. But you have to get very mathematical about heel raise set/reps/frequency/load as well as plyos and return to running. Happy to set up a online consult, but if what you have mentioned is not working usually you need to get much more specific into the details.
But aren’t there heel dropping as a result of the mechanism of injury? Not because of biomechanics? I feel like these two variables are being conflated. I would like to think that every time KD pushes off he does not drop his heel extensively when he drives. Nice video
Good questions! I honestly believed the same thing at first. But if you watch the slow motion of Achilles video, the vibration of the tear happens after the heel has dropped and knee has straightened to a pretty significant degree. Also when you watch the plyo step, the more someone "ER's" the foot or toes out, the more heel contact and DF you will see with that cut. As opposed to someone with a straight foot. Obviously, a straight foot won't happen perfectly each time. But the idea of the video is trying to limit exposures. If they always toe out aggressively your going to see a high exposure of a more DF plant foot. Hope that makes sense and welcome the questions!
@@sportsrehabexpertsjust to clarify. Is ER external rotation? DF dorsiflexion?
@@MrSupercouper correct!
@@sportsrehabexperts isn’t increased ER a compensation for a lack of dorsiflexion? This could be as a result of an anatomical variant such as retroverted hips. So certain athletes may present with more of a toe out and changing there biomechanics in that sense could hinder their performance? Thanks
@@MrSupercouper if you are on the ball of the foot, it is plantar flexion. Going into too much dorsiflexion on the plyo step is part of the problem I am mentioning for achilles rupture. It's a behavior problem, people put too much emphasis on external factors such as hip retroversion. While it may apply to some, its not the majority. Someone with a retroverted hip can still run, walk, change direction with a straight foot. That would be a very retroverted socket to prevent the foot from being capable of being straight ahead during those tasks.