Thanks for this nice podcast, Dr. Grimaldi and BJSM! I hope my comment can add to further clinical reflection: When doing differential diagnostic workup for lateral hip pain, may the quadriceps coxa (QC) muscle be an important muscle to assess functionally? (http://www.ncbi.nlm.nih.gov/pubmed/24961540) In addition, may the palpation tests mentioned here give false positive signs as the QC-muscle lies directly underneath the Gmed and Gmin tendons? How come the MRI is a gold standard for assessment of diagnostic accuracy of the mentioned clinical tests but not recommended for real life diagnostic workup due to false positive findings? May MRI not either be an adequate gold standard for the diagnostic accuracy study, due to its false positive findings in healthy humans? The arguments should go both ways, or not? May the lateral compression sign mentioned here just as likely be a sign of the anatomical plane abductors showing 2.5 to 3 times higher peak isometric strength when the hip is tested in the 10 degree adducted position compared with the 40 degree abducted position? (http://www.ncbi.nlm.nih.gov/pubmed/3353460)? May abduction exercises into gradually more adducted positions be the biomechanical progression for patients with lateral hip pain or gluteus medius tendinopathy? Furthermore, may the biomechanical progression principle also contain the eccentric phase of abduction exercises? As this further elevates biomechanical strength, I mean? Sincerely, on Twitter/@kvaarbakken

Tendinopathy  playlist

It is currently widely accepted among clinicians that chronic tendinopathy is caused by a degenerative process devoid of inflammation. The evidence for non-inflammatory degenerative processes alone as the cause of tendinopathy is surprisingly weak. 

In this podcast, Jon Rees a rheumatologist at Cambridge University Hospitals NHS Foundation Trust tells Jill Cook why the role of inflammation offers potential opportunities in treating chronic tendinopathies and should be explored further.

Read the article online: http://bjsm.bmj.com/content/early/2013/03/08/bjsports-2012-091957.full

Time to revisit inflammation in tendons, with Jon Rees

We started this recording with a relaxed MPC groove and added a cool bass line , some DX7 chords, acoustic guitar, and vintage synth parts. These are the sounds we used back in the days. So this chilled downtempo track has really an oldschool touch.

More information: www.urban-phunk.com

September Love Affair (Exclusive Preview)

With over twenty years' experience, accreditation in Sports Physiotherapy, and a recent PhD in the topic of lateral hip pain, Alison Grimaldi (@AlisonGrimaldi) was invited to this podcast by BJSM’s Twitter community. 

She is a popular conference speaker internationally. Here she walks you through each step of the assessment and treatment of an older patient with right hip pain. She then shares how to assess and treat a younger sportsperson. 

In both cases, Dr Grimaldi emphasizes that compression is bad for tendons that run over bony prominences (trochanter in this case) and indicates how this can be addressed. 

Enjoy one of our most practical podcasts. Recorded at the Physiotherapy New Zealand Conference, Auckland (September 2014) with thanks to the NZ Sports Physiotherapy Interest Group (@SportsPhysioNZ).

Links: 
1) JL Cook, C Purdam Is compressive load a factor in the development of tendinopathy? Br J Sports Med 46(3):163-8. 2012 http://bjsm.bmj.com/content/46/3/163.abstract

2) Fearon A, Stephens S, Cook J, et al. The relationship of femoral neck shaft angle and adiposity to greater trochanteric pain syndrome in women. A case control morphology and anthropometric study. Br J Sports Med. 2012 http://bjsm.bmj.com/content/46/12/888.long

Dr Alison Grimaldi with practical physiotherapy tips on treating lateral hip pain

What causes tendon breakdown? What are the stages of tendinopathy, and how do they effect your treatment? Is treatment just about eccentric training? When should NSAID’s be used?

This is part of the great discussion I had with Jill Cook about tendons and tendinopathy. We also chatted about some other aspects of tendinopathy, including

Factors that contribute to tendinopathy beyond biomechanics
Eccentrics – what is the future of training to rebuild tendons
Return to sport or running after tendinopathy
Avoiding tendinopathy
Treatment at each stage of tendinopathy
Rehabing achilles tendinopathy
Rehab for hamstring tendinopathy
plus we related all of these to clinical scenarios. Enjoy!

PE #005  Tendons And Tendinopathy With Jill Cook

In her first podcast since being recruited to the La Trobe University Centre for Sports and Exercise Medicine Research (Australia), Professor Jill Cook explains: (i) how tendons break down, (ii) how to assess painful tendons, (iii) how to manage tendon pain DURING a season, and (iv) how to rehabilitate a tendon properly after a season has finished. 

She explains what  a ‘reactive’ tendon is and what a ‘degenerative’ tendon is as well as what sort of loads should be prescribed for patients who have tendon with these pathologies. 

A practical masterclass. Even if you have heard Jill speak before, there will be something new for you here.  Sneak peek – Part 2 focuses on the concept of ‘capacity’ and why it’s an important concept. 

Further reading
Classic paper: Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy
http://bjsm.bmj.com/content/43/6/409.abstract


Professor Jill Cook (La Trobe University) revisits BJSM podcasts after two years: First of Two

Listen to this amazing warm up mix from legend Leo Mas 

Leo Mas Coma Club Copenhagen 31 October 2015// First Hour Opening The Comahagen Room

In this 2nd of 2 podcasts for 2015 (link to previous one here http://ow.ly/V8h97) Professor Jill Cook from the La Trobe University Centre for Sports and Exercise Medicine Research (Australia) introduces the term ‘capacity’ for physical therapy / physiotherapy. 

‘Capacity’ is a very practical concept that underpins successful tendon rehabilitation. Prof. Cook discusses how to use the figure from the linked paper to list exercises a patient should do. Practical stuff. 13 minutes of gold! 

Timeline:  
1:00m - Why do we need the term ‘capacity’ in clinical practice?

1:30m - Definition – What is tissue ‘capacity’? 

2:15m - The difference between ‘capacity’ and ‘function’ – capacity is tissue-specific

3:15m - Practical example: Hamstring muscle strain 

5:30m - How to use this in the clinical setting – sitting with a patient and explaining the rehab programme 

7:00m - The ‘Capacity’ figure – how to use it with patients to get buy-in to their rehabilitation 

8:30m - ‘Building a bridge’ from what patients can do now to what they want to return to

9:00m - Practical tips including examples of (i) strength, (ii) energy storage, (iii) energy storage & release exercises

12:00m - Summary (30 seconds!)  

Previous podcast: 
How tendons fail, how to treat in season/out of season http://ow.ly/V8h97

Related papers:
The Continuum model of tendinopathy http://ow.ly/V8hLr

The challenge of managing tendinopathy during the season http://ow.ly/V8oTl

Capacity – the paper (with Figure!) that underpins this podcast! http://bmj.co/1MIaBrx

What is tissue ‘capacity’? How does it help successful rehabilitation? Prof Jill Cook (2nd of 2)

Wondreful

Wondreful #4

This is a live recording from Black Rock City.

Alcazar Live @ Burning Man - September 2018

Sarah Jay - You are the sun (mCurtis Instrumental) Out Now in all platforms by Klik Records.

Buy: https://www.beatport.com/release/you-are-the-sun/2609899

It’s really difficult not to recognize Sarah Jays ethereal voice by the time it comes out of the speakers. The person behind the lyrics and vocals on "Dissolved Girl" from Massive Attacks legendary "Mezzanine" album, counts more than 80 releases as a session singer and has made her mark in the art pop, electronica music world.

After releasing her ‘’You are the sun’’ track back in 2018, together with Shez Sheridan, she collaborates with the Greek producer mCurtis and presents the track once again in a unique, groovy and down-tempo ‘’package’’ as well as an instrumental version.

“Sarah Jay - You are the sun”. A cinematic, jazz oriented - electronica instrumental with a new vocal recording will be out digitally through Klik records on Beatport.

Vocals: Sarah Jay
Production: Manos ‘mCurtis’ Kourtikakis
Double Bass: Manos Papadakis
Trumpet: Ami Psaraki
Instrumental Recordings and final mix: Groove Studio 
Artwork: Serafim

mCurtis
------------
Facebook:
http://bit.ly/mCurtisFacebook
Soundcloud:
http://bit.ly/mCurtisSoundcloud
Bandcamp:
http://bit.ly/mCurtisBandcamp
Mixcloud:
http://bit.ly/mCurtisMixcloud
Youtube:
http://bit.ly/mCurtisYoutube
Instagram:
http://bit.ly/mCurtisInstagram

Sarah Jay
---------------
FaceBook:
https://www.facebook.com/sarahjaysing...
Soundcloud:
https://soundcloud.com/sarah-jay-hawl...
Youtube:
https://www.youtube.com/channel/UCEgH...

Beatport

Sarah Jay  - You Are The Sun (mCurtis Instrumental)

deep house with nu disco, fun and soulful sound

Summer 2019 Deep & Disco

TEXT: http://www.lifeworth.com/deepadaptation.pdf

Jem Bendell - Deep Adaptation 2020 - A Map For Navigating Climate Tragedy

Moonlite (Club) (preview)

Jill Cook is BJSM’s deputy editor with particular emphasis on physiotherapy. She is a professor at Monash University, Frankston, Australia, and a renowned international tendon authority. In this podcast she answers questions she is commonly asked about the ‘continuum model’ of tendinopathy that she and Craig Purdam (Australian Institute of Sport) proposed.

See also:
Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy bit.ly/YKmKkM
Is compressive load a factor in the development of tendinopathy? bit.ly/XTvZlk
Jeremy Lewis’s podcast on rotator cuff tendinopathies bit.ly/Nhll0U
Jill’s previous podcast on managing tendinopathies bit.ly/15DM8Qp

Jill Cook on the continuum model of tendinopathy

An extension of my Smokey mixes, I had the concept of throwing this together one night to keep the mood a little more lighter.  It's music for your morning cup of coffee, a chilly rainy grey day or something to put on for a dinner party...even if it's just you, by your beautiful self.

Dr Alison Grimaldi with practical physiotherapy tips on treating lateral hip pain

BMJ talk medicine

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