{"id":8383,"date":"2019-04-12T19:38:19","date_gmt":"2019-04-12T18:38:19","guid":{"rendered":"https:\/\/blogs.bmj.com\/bjsm\/?p=8383"},"modified":"2019-04-12T19:51:53","modified_gmt":"2019-04-12T18:51:53","slug":"talking-tendinopathy-solving-the-soleus-conundrum-with-dr-seth-oneill","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bjsm\/2019\/04\/12\/talking-tendinopathy-solving-the-soleus-conundrum-with-dr-seth-oneill\/","title":{"rendered":"Talking Tendinopathy &amp; Solving the Soleus Conundrum with Dr Seth O\u2019Neill"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p><em>Elaborating on a milestone podcast:<\/em><\/p>\n<p>5000 listens within 48-hours of going live\u2026usually associated with football transfer announcements, not chats about muscles of the lower limb! Testament to the quality of the guest, the podcast has generated quite a response online.<\/p>\n<p><a href=\"https:\/\/soundcloud.com\/bmjpodcasts\/talking-tendinopathies-solving-the-soleus-conundrum-with-seth-oneil-episode-375?utm_source=feedburner&amp;utm_medium=feed&amp;utm_campaign=Feed%3A+bjsm%2Fpodcasts+%28Latest+from+British+Journal+of+Sports+Medicine+podcasts%29\" rel=\"https:\/\/soundcloud.com\/bmjpodcasts\/talking-tendinopathies-solving-the-soleus-conundrum-with-seth-oneil-episode-375?utm_source=feedburner&amp;utm_medium=feed&amp;utm_campaign=Feed%3A+bjsm%2Fpodcasts+%28Latest+from+British+Journal+of+Sports+Medicine+podcasts%29\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-8384\" src=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2019\/04\/Picture1-2.png\" alt=\"\" width=\"555\" height=\"230\" srcset=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2019\/04\/Picture1-2.png 939w, https:\/\/blogs.bmj.com\/bjsm\/files\/2019\/04\/Picture1-2-300x124.png 300w, https:\/\/blogs.bmj.com\/bjsm\/files\/2019\/04\/Picture1-2-768x318.png 768w, https:\/\/blogs.bmj.com\/bjsm\/files\/2019\/04\/Picture1-2-640x265.png 640w\" sizes=\"auto, (max-width: 555px) 100vw, 555px\" \/><\/a><\/p>\n<p><u>What are the key concepts, models &amp; papers referred to in the podcast?<\/u><\/p>\n<ul>\n<li>Risk Factors for Achilles Tendinopathy\n<ul>\n<li>Intrinsic Risk Factors: <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/16260469\">https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/16260469<\/a><\/li>\n<li>A Delphi Study Of Risk Factors For Achilles Tendinopathy <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5046962\/\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5046962\/<\/a><\/li>\n<\/ul>\n<\/li>\n<li>Management Techniques &amp; Strengthening Protocols\n<ul>\n<li>Heavy Slow Resistance Versus Eccentric Training as Treatment for Achilles Tendinopathy <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/26018970\">https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/26018970<\/a><\/li>\n<li>Why Are Eccentric Exercises Effective For Achilles Tendinopathy? <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4527202\/\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4527202\/<\/a><\/li>\n<\/ul>\n<\/li>\n<li>Measuring progression\n<ul>\n<li>Full symptomatic recovery does not ensure full recovery of muscle-tendon function in patients with Achilles tendinopathy <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/17261555\">https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/17261555<\/a><\/li>\n<li>Continued Sports Activity, Using a Pain-Monitoring Model <a href=\"https:\/\/journals.sagepub.com\/doi\/full\/10.1177\/0363546506298279\">https:\/\/journals.sagepub.com\/doi\/full\/10.1177\/0363546506298279<\/a><\/li>\n<\/ul>\n<\/li>\n<li>Strengthening the soleus\n<ul>\n<li>Plantarflexor strength and endurance deficits associated with mid-portion Achilles tendinopathy: The role of soleus <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S1466853X18305017\">https:\/\/www.sciencedirect.com\/science\/article\/pii\/S1466853X18305017<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><u>#TendonTremor<\/u><\/p>\n<p>In the podcast, Seth alludes to the #TendonTremor that is often seen during calf raises (video below) as the muscles fail to coordinate the eccentric portion of the exercises. Seth alludes to the relevance of these oscillations in the podcast, and in the second video, you can hear Seth and see the patient work to try and \u2018smooth\u2019 these.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-8386\" src=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2019\/04\/D1dMA1qW0AA_N8P.png-large.png\" alt=\"\" width=\"510\" height=\"358\" srcset=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2019\/04\/D1dMA1qW0AA_N8P.png-large.png 1312w, https:\/\/blogs.bmj.com\/bjsm\/files\/2019\/04\/D1dMA1qW0AA_N8P.png-large-300x211.png 300w, https:\/\/blogs.bmj.com\/bjsm\/files\/2019\/04\/D1dMA1qW0AA_N8P.png-large-768x539.png 768w, https:\/\/blogs.bmj.com\/bjsm\/files\/2019\/04\/D1dMA1qW0AA_N8P.png-large-640x449.png 640w\" sizes=\"auto, (max-width: 510px) 100vw, 510px\" \/><\/p>\n<p><u>\u00a0<\/u><\/p>\n<p><u>Video demonstration<\/u><\/p>\n<p><iframe loading=\"lazy\" title=\"The #TendonTremor often seen during calf raises\" width=\"640\" height=\"480\" src=\"https:\/\/www.youtube.com\/embed\/Ig3YS3lCRiM?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/p>\n<p><u>Seth\u2019s explanation<\/u><\/p>\n<p><iframe loading=\"lazy\" title=\"Dr Seth O\u2019Neill explains the #TendonTremor\" width=\"640\" height=\"360\" src=\"https:\/\/www.youtube.com\/embed\/M5D26gm5zLk?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/p>\n<p>We\u2019re super grateful to Seth for lending his time &amp; expertise to broaden the discussion about managing Achilles Tendinopathy, and if you want to see more of Seth\u2019s work he\u2019s very active on social media:\u00a0<a href=\"https:\/\/twitter.com\/Seth0Neill\">https:\/\/twitter.com\/Seth0Neill<\/a><\/p>\n<p>For some more broad reads into lower limb tendinopathies\/if you\u2019re a huge tendon geek, this link gives you access to a wide range of articles that Seth has authored\/recommended \u2013 please enjoy! <a href=\"https:\/\/drive.google.com\/open?id=1atPwJRKbTmUs62EjzeI_C3c2xoNPGvq9\">https:\/\/drive.google.com\/open?id=1atPwJRKbTmUs62EjzeI_C3c2xoNPGvq9<\/a><\/p>\n<p>Have anything to add or comment on? Tweet us using the #TendonTremor hashtag.<\/p>\n<p>We look forward to hear from you!<\/p>\n<p>#TeamBJSM<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; Elaborating on a milestone podcast: 5000 listens within 48-hours of going live\u2026usually associated with football transfer announcements, not chats about muscles of the lower limb! Testament to the quality of the guest, the podcast has generated quite a response online. What are the key concepts, models &amp; papers referred to in the podcast? Risk [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bjsm\/2019\/04\/12\/talking-tendinopathy-solving-the-soleus-conundrum-with-dr-seth-oneill\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":8386,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[16068,2786,8288],"class_list":["post-8383","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","tag-featured","tag-tendon","tag-tendon-pain"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Talking Tendinopathy &amp; Solving the Soleus Conundrum with Dr Seth O\u2019Neill - BJSM blog - social media&#039;s leading SEM voice<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bjsm\/2019\/04\/12\/talking-tendinopathy-solving-the-soleus-conundrum-with-dr-seth-oneill\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Talking Tendinopathy &amp; Solving the Soleus Conundrum with Dr Seth O\u2019Neill - BJSM blog - social media&#039;s leading SEM voice\" \/>\n<meta property=\"og:description\" content=\"&nbsp; Elaborating on a milestone podcast: 5000 listens within 48-hours of going live\u2026usually associated with football transfer announcements, not chats about muscles of the lower limb! 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