Isokinetic Eccentric Exercise for Recurrent Tendinitis

Contents


Note: This article originally appeared on my physical therapy blog between 2014 and 2017. The clinical research, literature reviews, and self-experimentation documented here served as the raw foundation for SpineFITyoga. While the data and biomechanics discussed remain rock-solid, my application has evolved. Today, I have distilled this clinical science into SFY—a highly efficient, 5-minute daily system for a pain-free spine and total-body fitness.

From this study

Treatment of recurrent tendinitis by isokinetic eccentric exercise. (2001)

Diagnosis:  9 Achilles, 10 patellar, and 15 lateral epicondyllar

Outcome:  15/34 patients had complete relief of symptoms, 10/34 had marked decrease in symptoms, 5/34 had moderate decrease in symptoms, and 4/34 had no change in symptoms.

When Assessed:  After 20 to 30 sessions, which should be ~7-10 weeks. Follow up for return to sporting activities was “after 3 months of practice”.

Subjects:  34 patients, 9 Achilles, 10 patellar and 15 epicondyllar. No blinding and no control group.

Protocol:  Isokinetic eccentric exercise 3x per week, 1-5 sets of 10-30 reps, increasing speed and intensity over time. 20-30 sessions. Co-managed with ice, TENS, ultrasound, massage and stretching.

Other Activity:  “Subjects were instructed to avoid provoking pain or discomfort in the course of activities between training sessions.”

My Comments:  

Reported they generally noted a significant decrease in pain by the 10th session. Did exercises just 3x per week to good effect. Found roughly the same effectiveness regardless of tendinitis type.

From Clinical Theory to 5-Minute Practice One can read research all day (and I have) but it's still better to enact it. SpineFITyoga takes the best clinical and exercise science and translates it into direct, daily action. Master a neutral spine with Posture-5, then build lifelong, total-body conditioning with System-5. No BS, just dialed-in exercise.

  • The Time: 5 minutes a day.
  • The Cost: $49 a year.
  • The Guarantee: If your pain isn't decreasing and your fitness isn't improving in 40 days, I'll refund you in full.

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Achilles tendinitis ACL anterior cruciate ligament Caloric Restriction CKC Diet eccentric exercise Electric Muscle Stimulation Electric Stimulation EMS EMS and pain Exercise Headaches intermittent claudication Intermittent Fasting lateral epicondylitis Low Back Pain McKenzie method neck pain neuropathy open kinetic chain patellar tendinitis peripheral artery disease peripheral vascular disease physical therapy plantar fasciitis PRE progressive resistance exercise spine strength stretch Stuart McGill supervised exercise Tendinitis Tendinopathy tendinosis tennis elbow TENS TKA TKR total knee total knee arthroplasty total knee replacement transcutaneous electrical nerve stimulation treadmill training