Saturday, August 6, 2011

Eccentric Exercise good for tendinopathy rehab/healing? Sign me up

I just finished reading this very wordy, well written abstract of an article from begin2dig.com. It starts off covering the terminology debate of tendinitis vs. tendinosis. -itis being inflammation, and -osis being the actual degradation of the tendon. It then gets into a newer, more overall encompassing term which is tendinopathy (definition therein).

I came across this article while digging for ways to rehab my tendinopathy issues outside of rest, ice, NSAIDs, etc. Rest is an absolute mental beating for me. There had to be something else out there. This article discusses eccentric exercises (hereinafter "EE") and its possible healing benefits:
Eccentric exercises (EE) have proved successful in the management of chronic tendinopathy, particularly of the Achilles and patellar tendons, where they have been shown to be effective in controlled trials. However, numerous questions regarding EE remain. The standard protocols are time-consuming and require very motivated patients. EE are effective in some tendinopathies but not others. Furthermore, the location of the lesion can have a profound effect on efficacy; for example, standard EE in insertional lesions of the Achilles are ineffective.

Until recently little was known of the effect of EE on tendinopathic tendons, although a greater understanding of this process is emerging. Additionally, recent in vivo evidence directly comparing eccentric and concentric exercises provides a possible explanation for the therapeutic benefit of EE. The challenge now is to make EE more effective. Suggestions on areas of future research are made.
Um, right here, broguy. I'm a very motivated patient. I'll be your testee. So, like many studies, the results of EE are largely unknown, although some studies have shown early promise. Well, wait. That quote is from 2007. Perhaps we have evolved our humanbrains a bit and learned more.
A small number of studies have examined the use of eccentric exercises in the management of tendinopathy of the lateral extensors of the forearms.26–28 There is some evidence suggestive of an increase in function using EE compared with ultrasound in the treatment of lateral extensor tendons,29 and a recent study adopted an isokinetic eccentric protocol in the management of lateral elbow tendinosis and reported promising results.
I'm all ears. Learn me some knowledge.  I could continue to post quotes from the article and studies covered, but it wouldn't do it justice. I strongly suggest you read it all if you're struggling with any form of tendinopathy. Towards the end of the article the author gives a link to this site. Mike Nelson posts a vid of a sample eccentric exercise using a KB (one of my favorite tools outside of the human body itself). Here's the vid.



Nothing sexy or glamorous, which will probably turn off many in the industry since it's so flooded and geared towards the aforementioned. Whatever. It's time to quit talking and put theory to practice. I'll let you all know how this goes. Wish me luck. Train smart, people! Don't be a total bro.

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