Hello, I'm a MScPT student (1st year) in Canada and have been really enjoying your content. Also I feel like the video production and editing quality has increased substantially compared to older videos in your catalogue. I'm not sure when the intro was changed but it's nice! I like the lo-fi beat tape music you guys opted for. Keep up the well made content, thanks!
Paul! Thank you so much for your kind words! You are absolutely right in changed in the last few weeks and we will definitely continue with this moving forwards 😊 Really grateful for your support my friend!
Thank you! Luckily, I have a machine at home to do the exercises recommend! Just started with patella tendon issue, but am careful as I will be having surgery on my medial meniscus for partial removing of a 3 centimeter tear on the posterior of my right knee. Good advice. Liked and subscribed.
Fantastic advice, although a little confusing with leg extension machine, I have read previous about being weary of using in isotonic excercises but have also seen the research paper to contradict this and it is fine to do as long as correct loading progression but if we say it is bad for the PT yet the Isometric hold on a leg extension machine is ok, but we have to get to the angle needed to hold thus an isotonic movement, does one contradict the other if we are saying isotonic leg extension are actually detrimental to healing a PT. Would it not be better to just go with single and double leg use in both isometric and isotonic on the inclined leg press machine. I am not a Physio more a running coach and runner who himself has niggles from time to time on one of my patella tendons. only really 3/10 pain but still can be frustrating but then I'm 53 so have to expect a few creaks I suppose....
I'm currently preparing for my clinical attachment and I'm very appreciative of your videos so far - such as the ones on clinical reasoning (subjective, objective assessments). Thank you so much! I do have one question regarding this video at 4:55. You mentioned that decline squats can help to off-load the patellar tendon. However, from what I learnt, by adding a decline, we are placing the ankle into more plantarflexion and thus reducing the passive tension on the Achilles' tendon. If that's the case, wouldn't we be placing more loads onto the patellar tendon, instead of offloading it?
Interesting approach, I'd like to know more about the approach to pain. What if I'm doing every steps very gradually but in the return to sport the pain suddenly reappears
Adjust 😊 could be to adjust how quickly you return, how much activity you do on your return e.g. how many minutes, how many matches a week etc…. Could be adjust your rehab and continue with it to make sure things stay strong… can be quite normal just like if you have a bigger weight it can be sore at the beginning
Hi! I recently found your channel. Can you make a video suggesting books for medical students that are apart from textbook stuff, are knowledgeable, interesting and not boring. I'm fond of reading books and reading something apart from textbook gets retained longer for me. Like a novel maybe for medical students. (This idea came by seeing that book on your desk, this is going to hurt) I'm a First year Medical Student, gonna be in 2nd year just after 1 & 1/2 months of my exams. My exams are from 25th March.
How much discomfort from isometrics is okay? Am i doing the right number of reps if the tendon is a bit achy 6 hours later and in to the next day, or should I aim to keep the reps/weight low enough that I experience no discomfort afterwards at all? I have been rehabing for a couple months and currently have a VISA-P of about 90 and can now run at least 7km with no issues, but less day after isometrics.
Great question! Tendon pain can be latent (i.e. come on later after the activity/exercise). Great news that you are running 7km with no issues. Simple thing you could try is doing with less discomfort, see the effect over next 24-48 hours and adjust as you like
@@ClinicalPhysio thanks, I’ll try less weight. I think you got it but I meant isotonics. Yes, I rarely have any pain during the exercise, always comes on 5-6hrs later and will sometimes last all next day, and in those times has me wondering if that’s a good amount for maximum strengthening or too much and back peddling.
We always suggest going to see a local health care professional who can examine you and provide individual advice rather than giving ideas over the internet 🙏🏼
I’m 13 years old and I have patterner tendinitis I have quit sports for about 4 months know and my pain haven’t healed at all I’m getting ready to go into my high school football season and if someone could help me out and tell me stretches and exercises and stuff to do for the pain that would be greatly appreciated
When I was in high school I went to a foot knee and back doctor And he suggested I strengthen my leg muscles. I have no Arch in my feet so that results in back and knee pain for me. I’m 30 now and wish I would’ve done strengthening exercises in high school because my back and knees use to hurt a lot then. Today, I’ve been working out consistently these last five years and feel amazing, minus my careless acts of overtraining (it’s real). I am experiencing a flare up right now because I did four intense leg workouts in a week last week plus a powerlifting meet a few weeks prior and never took a deload. One of those days last week was a max squat workout. 🤦🏾♀️🤦🏾♀️🤦🏾♀️ I knew better, I shouldn’t have done it but l just felt good. I’ve learned that more isnt always better. Make sure you allow your joints time to recover. Stretch every day(I haven’t done the three last couple of weeks and I’m feeling it smh). i feel the tighter you are the more uncomfortable you’ll feel and injury prone You likely be. When you’re tight your muscles pulling on your joints and that’s not good. You want to be loose and mobile.
Hi, how long on average would you say you should stick with isometrics and then when to move to isotonics? Would prefer an estimate of weeks/months rather than the generic ‘move on when no pain’ haha. Great vid btw❤️
Thank you brother! Definitely weeks and not months if all is routine. Isometrics are aiming at relieving pain. If pain is not relieving then increase or decrease the load depending on if you think the load is not enough or if its too much which might be increasing pain. *** The only reason for months is if you genuinely believe that isometrics still have a place but the wrong intensity/amount/volume of isometrics has been given..... but in saying all this, when the patient is ready is incredibly important. You want to be sure that they are strong enough and capable enough of moving on.
@@ClinicalPhysio thanks for the reply! One last question - at what point should we begin phase 1/the isometrics? At the moment i can walk normally without pain but have pain when walking down the stairs without. Would you recommend resting more at the moment, or trying to see how my knee responds to the isometric holds?
Hello, I'm a MScPT student (1st year) in Canada and have been really enjoying your content.
Also I feel like the video production and editing quality has increased substantially compared to older videos in your catalogue. I'm not sure when the intro was changed but it's nice! I like the lo-fi beat tape music you guys opted for. Keep up the well made content, thanks!
Paul! Thank you so much for your kind words! You are absolutely right in changed in the last few weeks and we will definitely continue with this moving forwards 😊 Really grateful for your support my friend!
Thank you! Luckily, I have a machine at home to do the exercises recommend! Just started with patella tendon issue, but am careful as I will be having surgery on my medial meniscus for partial removing of a 3 centimeter tear on the posterior of my right knee. Good advice. Liked and subscribed.
Wishing you all the very best!
Top video mate. Always justifying your steps and also your courses. Recommended! 😊👍
Thank you so much brother - Really appreciate your support and kind words!
HEy, would yor recommend me to stop with the isometrics, when i am starting with step 2. thanks and grretings:)
Fantastic advice, although a little confusing with leg extension machine, I have read previous about being weary of using in isotonic excercises but have also seen the research paper to contradict this and it is fine to do as long as correct loading progression but if we say it is bad for the PT yet the Isometric hold on a leg extension machine is ok, but we have to get to the angle needed to hold thus an isotonic movement, does one contradict the other if we are saying isotonic leg extension are actually detrimental to healing a PT. Would it not be better to just go with single and double leg use in both isometric and isotonic on the inclined leg press machine. I am not a Physio more a running coach and runner who himself has niggles from time to time on one of my patella tendons. only really 3/10 pain but still can be frustrating but then I'm 53 so have to expect a few creaks I suppose....
Hi! I have no problem suggesting isometric and isotonic!
How much time it’s take to fully recover from a Tendinopathy ?
Great video 👍
Thank you so much!
Supplementation ????
I'm currently preparing for my clinical attachment and I'm very appreciative of your videos so far - such as the ones on clinical reasoning (subjective, objective assessments). Thank you so much!
I do have one question regarding this video at 4:55. You mentioned that decline squats can help to off-load the patellar tendon. However, from what I learnt, by adding a decline, we are placing the ankle into more plantarflexion and thus reducing the passive tension on the Achilles' tendon. If that's the case, wouldn't we be placing more loads onto the patellar tendon, instead of offloading it?
Thank you so much! I hear what you are saying about the ankle, but a change at the ankle wouldn’t automatically increase load on the patella tendon
Interesting approach, I'd like to know more about the approach to pain. What if I'm doing every steps very gradually but in the return to sport the pain suddenly reappears
Adjust 😊 could be to adjust how quickly you return, how much activity you do on your return e.g. how many minutes, how many matches a week etc…. Could be adjust your rehab and continue with it to make sure things stay strong… can be quite normal just like if you have a bigger weight it can be sore at the beginning
@@ClinicalPhysio i guess some level pain could be tolerated while performing and I should pay attention how my body reacts
@@pianpiano absolutely!
what about Wall Sit Exercise?
A good exercise but just personally I prefer some of the others to this for patella tendinopathy
Hi! I recently found your channel. Can you make a video suggesting books for medical students that are apart from textbook stuff, are knowledgeable, interesting and not boring. I'm fond of reading books and reading something apart from textbook gets retained longer for me. Like a novel maybe for medical students.
(This idea came by seeing that book on your desk, this is going to hurt)
I'm a First year Medical Student, gonna be in 2nd year just after 1 & 1/2 months of my exams. My exams are from 25th March.
د خالد ميدان حضرتك مصري صح؟
How much discomfort from isometrics is okay? Am i doing the right number of reps if the tendon is a bit achy 6 hours later and in to the next day, or should I aim to keep the reps/weight low enough that I experience no discomfort afterwards at all? I have been rehabing for a couple months and currently have a VISA-P of about 90 and can now run at least 7km with no issues, but less day after isometrics.
Great question! Tendon pain can be latent (i.e. come on later after the activity/exercise). Great news that you are running 7km with no issues. Simple thing you could try is doing with less discomfort, see the effect over next 24-48 hours and adjust as you like
@@ClinicalPhysio thanks, I’ll try less weight. I think you got it but I meant isotonics. Yes, I rarely have any pain during the exercise, always comes on 5-6hrs later and will sometimes last all next day, and in those times has me wondering if that’s a good amount for maximum strengthening or too much and back peddling.
I am suffering from last 4 to 5 month and without exercise I am dying everyday don't know what to do. Can you please suggest anything
We always suggest going to see a local health care professional who can examine you and provide individual advice rather than giving ideas over the internet 🙏🏼
This exercise to much for me. Cant do nothig with waight or body wait.. just some stretching and litle exercise
Wishing you all the best 🙏🏼
My patella tendons are so bad I have trouble just standing in one spot without having to sit.
How is it doing now?
same. think its a foot or hip issue?
@@erenix3909 Try looking at foot insoles with the over pronation support? flat feet?
I’m 13 years old and I have patterner tendinitis I have quit sports for about 4 months know and my pain haven’t healed at all I’m getting ready to go into my high school football season and if someone could help me out and tell me stretches and exercises and stuff to do for the pain that would be greatly appreciated
Don’t no nothing, strengthen your quads by doing slow squats
@@kaihenderson3573 alright thank you
When I was in high school I went to a foot knee and back doctor And he suggested I strengthen my leg muscles. I have no Arch in my feet so that results in back and knee pain for me. I’m 30 now and wish I would’ve done strengthening exercises in high school because my back and knees use to hurt a lot then. Today, I’ve been working out consistently these last five years and feel amazing, minus my careless acts of overtraining (it’s real).
I am experiencing a flare up right now because I did four intense leg workouts in a week last week plus a powerlifting meet a few weeks prior and never took a deload. One of those days last week was a max squat workout. 🤦🏾♀️🤦🏾♀️🤦🏾♀️ I knew better, I shouldn’t have done it but l just felt good.
I’ve learned that more isnt always better. Make sure you allow your joints time to recover. Stretch every day(I haven’t done the three last couple of weeks and I’m feeling it smh). i feel the tighter you are the more uncomfortable you’ll feel and injury prone You likely be. When you’re tight your muscles pulling on your joints and that’s not good. You want to be loose and mobile.
@@SuprEmpth -ok thanks for the advice i havent got to go back to sports yet tho
Hi, how long on average would you say you should stick with isometrics and then when to move to isotonics? Would prefer an estimate of weeks/months rather than the generic ‘move on when no pain’ haha. Great vid btw❤️
Thank you brother! Definitely weeks and not months if all is routine. Isometrics are aiming at relieving pain. If pain is not relieving then increase or decrease the load depending on if you think the load is not enough or if its too much which might be increasing pain. *** The only reason for months is if you genuinely believe that isometrics still have a place but the wrong intensity/amount/volume of isometrics has been given..... but in saying all this, when the patient is ready is incredibly important. You want to be sure that they are strong enough and capable enough of moving on.
@@ClinicalPhysio thanks for the reply! One last question - at what point should we begin phase 1/the isometrics?
At the moment i can walk normally without pain but have pain when walking down the stairs without. Would you recommend resting more at the moment, or trying to see how my knee responds to the isometric holds?
Great video
Euxaristo
Parakalo file mou!