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Why do some patients with tendinopathy experience pain that seems inconsistent, unpredictable, and difficult to explain through tissue injury alone? In this video, we explore the concept of nociplastic pain and its role in tendon pain and tendinopathy. While many clinicians are familiar with nociceptive and neuropathic pain mechanisms, nociplastic pain remains one of the most challenging areas of pain science and rehabilitation. 👉🏻 When the Pain Pattern Doesn’t Add Up – Listen to Dr. Brooke Coombes break down what effective personalized tendinopathy care looks like. Learn how to move away from just relying on imaging and tissue capacity and start using pain threshold monitoring, sensory testing, and a broader systemic view to unlock better outcomes in the clinic. We discuss the differences between nociceptive pain and nociplastic pain, why patients often struggle to identify a specific painful structure, and how pain patterns may vary from day to day. The conversation also explores the importance of considering factors beyond tissue loading, including sleep quality, environmental influences, nervous system sensitivity, and broader pain processing mechanisms. If you've ever worked with a patient whose symptoms don't seem to match the expected tissue response, this discussion offers valuable insights into what may be happening beneath the surface. In this video, you'll learn: ✅ What nociplastic pain is and how it differs from nociceptive pain ✅ Why pain location and symptom presentation can be inconsistent ✅ How tendon pain can fluctuate even when activity levels remain the same ✅ The role of nervous system sensitization in chronic pain presentations ✅ Why sleep, stress, and environmental factors can influence pain severity ✅ Clinical features that may suggest a nociplastic pain presentation ✅ The challenges of assessing pain mechanisms in tendinopathy While nociceptive pain is generally linked to tissue injury and follows a relatively predictable pattern, nociplastic pain is characterized by altered pain processing within the nervous system. Patients may report symptoms that fluctuate significantly from day to day, and pain may be influenced by factors beyond mechanical loading alone. For clinicians treating tendinopathy, chronic pain, and musculoskeletal disorders, recognizing nociplastic features can provide a more complete understanding of the patient's experience and help guide treatment decisions. If you're interested in pain science, rehabilitation, tendinopathy research, physiotherapy education, sports medicine, and evidence-based clinical practice, be sure to subscribe and turn on notifications so you never miss future discussions. 🎥Link to interview on YouTube: https://youtu.be/pqA0POK5Vi0 🎙Listen on all platforms: https://bit.ly/45rzffO 🍁 𝗔𝗯𝗼𝘂𝘁 𝐏𝐓 𝐏𝐫𝐨 𝐓𝐚𝐥𝐤 𝐏𝐨𝐝𝐜𝐚𝐬𝐭 🍁 In this channel, you will find Physical Therapy-related content, like interviews with experts who share their views and experiences, providing relevant information to help Physical Therapists improve their practice and patient care! 📩 Don't miss out on podcast updates!📬: https://www.ptprotalk.com/ 🌐𝐅𝐨𝐥𝐥𝐨𝐰 𝐌𝐞 𝐎𝐧 𝐒𝐨𝐜𝐢𝐚𝐥𝐬 https://www.instagram.com/ptprotalk/ https://www.facebook.com/ptprotalkpodcast https://www.linkedin.com/company/pt-pro-talk/ https://twitter.com/MariHannaParks 🎧Spotify: ptprotalk ✅𝐆𝐄𝐓 𝐈𝐍 𝐓𝐎𝐔𝐂𝐇 📧 📩Email: [email protected] 🕵️‍♂️Thank you for visiting our channel and watching all our videos. Support 💁‍♂️ 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 #NociplasticPain #Tendinopathy #PainScience #Physiotherapy #PhysicalTherapy #SportsMedicine #ChronicPain #CentralSensitization #Rehabilitation #TendonPain #EvidenceBasedPractice #HealthcareEducation #SportsPhysio #PainManagement #ClinicalReasoning

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