This post seems to be missing the therapy with the best evidence basis—heavy loaded eccentric training. See e. g. https://www.uptodate.com/contents/overview-of-the-management-of-overuse-persistent-tendinopathy (paywalled). The combination with concentric training is almost as well supported and easier to do. The only tool needed is a flexbar. 3x 15 reps twice daily for 3 months should bring results.
The website painscience.com is a great SSC-like read but I’ve found it lacking from time to time, for instance by omitting eccentric training.
I can also recommend a professor in Germany who specializes in tendon problems and charges ca 150eur for a 30-60m session plus email support. I could even imagine him doing a skype session with some convincing but he’ll want to get an ultra sound and strength test. He was recommended to me by a paid service in Germany (betterdoc) that asks a council of medical experts for the leading expert for a desease. The professor website: http://www.sportpraxis-knobloch.de/
Thanks for the recommendations! I’ll try to take a look at the evidence for eccentric training, I wasn’t aware of that. I didn’t go into any specific recommendations about strength training, because I expect that because I wanted to keep the post fairly short and because I expect my recommendations would depend a lot on specific case, and so couldn’t be communicated well in a general post. But if it’s as effective as you say, I definitely should have mentioned it.
I’m planning on updating this post at some point and I’ll mention eccentric training and mention you in the acknowledgements if the evidence find it does look good.
PMed you the paywalled review. There seems to be some agreement that evidence transfers between different tendons FYI, e. g. some studies are about Achilles tendons. The specific review on golfer arm (seen by my doc as nearly equivalent to RSI on the hand-facing tendons) is also in my message. If you want to talk to an expert about the evidence you can probably ask to skype him for a fee.
PMed, and yes. The exercise the doc gave me was to hold it with both hands facing down and then alternatingly bend into an inverted / normal u-shape. This hits both flexors and extensors and it’s both eccentric and concentric combined.
This post seems to be missing the therapy with the best evidence basis—heavy loaded eccentric training. See e. g. https://www.uptodate.com/contents/overview-of-the-management-of-overuse-persistent-tendinopathy (paywalled). The combination with concentric training is almost as well supported and easier to do. The only tool needed is a flexbar. 3x 15 reps twice daily for 3 months should bring results.
The website painscience.com is a great SSC-like read but I’ve found it lacking from time to time, for instance by omitting eccentric training.
I can also recommend a professor in Germany who specializes in tendon problems and charges ca 150eur for a 30-60m session plus email support. I could even imagine him doing a skype session with some convincing but he’ll want to get an ultra sound and strength test. He was recommended to me by a paid service in Germany (betterdoc) that asks a council of medical experts for the leading expert for a desease. The professor website: http://www.sportpraxis-knobloch.de/
Thanks for the recommendations! I’ll try to take a look at the evidence for eccentric training, I wasn’t aware of that. I didn’t go into any specific recommendations about strength training, because I expect that because I wanted to keep the post fairly short and because I expect my recommendations would depend a lot on specific case, and so couldn’t be communicated well in a general post. But if it’s as effective as you say, I definitely should have mentioned it.
I’m planning on updating this post at some point and I’ll mention eccentric training and mention you in the acknowledgements if the evidence find it does look good.
Did you have time to look at the evidence? If so, what is your impression?
PMed you the paywalled review. There seems to be some agreement that evidence transfers between different tendons FYI, e. g. some studies are about Achilles tendons. The specific review on golfer arm (seen by my doc as nearly equivalent to RSI on the hand-facing tendons) is also in my message. If you want to talk to an expert about the evidence you can probably ask to skype him for a fee.
Is there a non paywall version or a summary you could share? I’m guessing this is the tool you are talking about? https://www.amazon.com/TheraBand-Tendonitis-Strength-Resistance-Tendinitis/dp/B07NX7JXXH
PMed, and yes. The exercise the doc gave me was to hold it with both hands facing down and then alternatingly bend into an inverted / normal u-shape. This hits both flexors and extensors and it’s both eccentric and concentric combined.
Thanks, I’ve ordered that and will be trying those exercises!
Instructions for that: http://www.eccentrictraining.com/6.html
Thanks, very helpful!