Episode Details

Chapters

00:00 Seth O'Neill's Background and Expertise
01:34 Understanding Achilles Tendon Problems
02:26 The Role of the Plantaris in Achilles Tendinopathy
07:04 The Importance of the Soleus Muscle
16:15 PhD Research on Soleus and Achilles Tendon Rehabilitation
19:43 Calf Muscle Loads and Performance
22:13 Internal vs External Loads in Rehabilitation
30:43 Rehabilitation Focus: Dorsiflexion vs Plantar Flexion
37:27 Identifying Deficits in Performance Testing
39:53 Understanding Muscle Weakness and Performance Misconceptions
40:58 Concentric vs Eccentric Training in Rehabilitation
42:29 Dorsiflexion and Insertional Tendinopathy: A Misunderstanding
45:01 Balancing Load and Pain in Rehabilitation
48:16 Rehabilitation Approaches for Mid-portion and Insertional Tendinopathy
50:35 Neuromuscular Function and Tendon Adaptation
57:41 Understanding Achilles Ruptures: The Perfect Storm
01:05:41 Fluoroquinolones and Tendon Health: Debunking Myths
01:13:07 Metabolic Health and Tendon Repair

Takeaways

Seth O'Neill is a physiotherapist specializing in calf and Achilles tendon injuries.
His PhD focused on the soleus muscle's role in Achilles tendon problems.
Peritendon issues can affect various tendons, not just the Achilles.
The plantaris tendon is often overlooked but can contribute to Achilles tendonopathy.
Dorsiflexion is crucial in rehabilitation for Achilles injuries.
Calf muscle strength is directly linked to athletic performance.
Training should focus on functional positions relevant to sports.
Metabolic health can impact tendon recovery and injury risk.
Neuromuscular function is critical for preventing tendon injuries.
Fluoroquinolones may not significantly increase the risk of tendon ruptures.

Contact: https://le.ac.uk/people/seth-o-neill

Twitter: https://x.com/Seth0Neill

Notes: https://jackedathlete.com/podcast-167-achilles-tendons-with-seth-oneill/