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Ep 205: Beyond Load Management: Pain Mechanisms in Tendinopathy with Dr. Brooke Coombes Analytics Table
Income Estimates for Ep 205: Beyond Load Management: Pain Mechanisms in Tendinopathy with Dr. Brooke Coombes
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About Ep 205: Beyond Load Management: Pain Mechanisms in Tendinopathy with Dr. Brooke Coombes
Explore Ep 205: Beyond Load Management: Pain Mechanisms in Tendinopathy with Dr. Brooke Coombes with 1,257 views, 7 likes, and 3 comments. Experience the impact of this video content that has captured audience attention.
In this episode of PT Pro Talk, Mariana Parks sits down with Dr. Brooke Coombes to explore one of the most important shifts happening in modern physiotherapy and pain science: understanding tendinopathy beyond the traditional biomechanical model. ππ» Dr. Brooke Coombes is a Musculoskeletal Physiotherapist, lecturer, and Postdoctoral researcher at The University of Queensland. She is an internationally recognized expert in tendinopathy and musculoskeletal injuries, with over 65 peer-reviewed publications in prestigious journals, including The Lancet and JAMA. Her impactful research challenges traditional treatments, like corticosteroid injections, and explores how factors such as obesity, diabetes, and exercise affect tendon and muscle health. Utilizing advanced techniques like ultrasound elastography and quantitative pain measurement, Dr. Coombes is currently focused on developing practical clinical tools to help practitioners identify and match specific treatments to a patientβs dominant pain mechanism based on IASP guidelines. For years, tendon pain has largely been treated as a load management issue. Too much load, too little adaptation, poor progression, or tissue overload. This conversation dives deep into: β’ Nociceptive vs neuropathic vs nociplastic pain β’ Central sensitization in tendinopathy β’ Why some patients fail traditional tendon rehab β’ Pain science and persistent tendon pain Dr. Brooke Coombes shares insights from over 15 years of research bridging contemporary pain neuroscience with tendon rehabilitation. Her work focuses on understanding the biopsychosocial drivers of tendon pain and developing tools to identify dominant pain mechanisms so clinicians can better match treatment. Help Us Build Better Solutions for Your Practice! π Take 60 seconds to answer 3 quick questions and help us build new paths to make your practice run smoother. πhttps://forms.gle/LmAh4H1vRKjKqCtW8 π¨Try Hanna Health free for 30 days - a customizable HEP platform where you can use your own videos, edit quickly, and track patient access. Start your trial here: https://bit.ly/4pSkYjP π*In this episode, you'll learn:* β’ Tendinopathy isn't always a loading problem: why pain mechanisms change everything about how you manage these patients β’ How to tell your pain mechanisms apart: the clinical features and tools that help you discriminate nociceptive, neuropathic, and nociplastic pain in tendons β’ The research reshaping tendinopathy science: sensitisation patterns, neuropathic-like features, and what the evidence actually says π*Brooke's Resource of Information:* β Wheeler, PC. Up to a quarter of patients with certain chronic recalcitrant tendinopathies may have central sensitisation: a prospective cohort of more than 300 patients. Br J Pain. 2019 Aug;13(3):137-144. doi: 10.1177/2049463718800352. β Shraim MA, et.al. Features and methods to discriminate between mechanism-based categories of pain experienced in the musculoskeletal system: a Delphi expert consensus study. Pain. 2022 Sep 1;163(9):1812-1828. doi: 10.1097/j.pain.0000000000002577. β Rio E, et. al. Sensory Processing in People With and Without Tendinopathy: A Systematic Review With Meta-analysis of Local, Regional, and Remote Sites in Upper- and Lower-Limb Conditions. J Orthop Sports Phys Ther. 2021 Jan;51(1):12-26. doi: 10.2519/jospt.2021.9417. β Cancela-Cilleruelo I, et. al. Presence of Neuropathic-Like Symptoms in Individuals With Painful Tendinopathy/Overuse Injuries: A Systematic Review and Meta-Analysis. Clin J Pain. 2025 Jul 1;41(7):e1292. doi: 10.1097/AJP.0000000000001292. β Coombes BK, et. al. A new integrative model of lateral epicondylalgia. Br J Sports Med. 2009 Apr;43(4):252-8. doi: 10.1136/bjsm.2008.052738. π² Brooke's contact information: β’ [email protected] π© Don't miss out on podcast updates!π¬: https://www.ptprotalk.com/ π Share Your Feedback: https://forms.gle/YspLGAzHph2fVord8 πListen on all platforms: https://bit.ly/45rzffO π ππ―πΌππ ππ ππ«π¨ πππ₯π€ ππ¨ππππ¬π π In this channel, you will find Physical Therapy-related content, like interviews with experts that share their views and experiences, providing relevant information to help Physical Therapists to improve their practice and patient care! π© Don't miss out on podcast updates!π¬: https://www.ptprotalk.com/ ππ π¨π₯π₯π¨π° ππ ππ§ ππ¨ππ’ππ₯π¬ https://www.instagram.com/ptprotalk/ https://www.facebook.com/ptprotalkpodcast https://www.linkedin.com/company/pt-pro-talk/ https://twitter.com/MariHannaParks Spotify: http://bit.ly/3HFJcNQ β πππ ππ πππππ π§ π©Email: [email protected] Support πββοΈ PT Pro Talk Podcast is only possible with the support of forward-looking and innovative companies like: Hanna Health: https://hannahealthhub.com/hep and SaRaHealth: https://bit.ly/saraytb #Tendinopathy #PainScience #PhysicalTherapy #Physiotherapy #ChronicPain #TendonPain #CentralSensitization #SportsMedicine #Rehab #AchillesTendinopathy #TennisElbow #NociplasticPain #NeuropathicPain #PTProTalk
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