Clinical Tips & Loading Progression for Tendinopathy Management - Patellar/Achilles/Golfers Elbow

💬Text “Rebuild” to 732-724-1381 for 1-on-1 coaching to get back to throwing pain free. In this video, Jeff from Lewis Physical Therapy and Sports Rehab breaks down his general loading framework for tendinopathy management — covering conditions like Achilles tendinopathy, patellar tendinopathy, golfer's elbow, tennis elbow, and glute tendinopathy. This builds on last week's video covering how to structure a weekly loading schedule, and zooms out to give the full picture of how tendon rehab progresses from start to finish. This framework is built on current tendon research and adapted from years of clinical experience treating tendon and joint-related injuries. What you'll learn: *Why rest is the worst thing you can do for a tendon injury *The 4 key principles behind effective tendon loading *The 24-hour rule for dosing exercise correctly *Stress shielding vs. stress relaxation — the science behind tendon healing *Early stage: low-intensity, long-duration isometric dosing *Mid stage: heavier isometrics and eccentric-focused strength work *Late stage: rate of force development (RFD) and plyometric progression *How this framework also applies to arthritis, joint pathology, and hypermobility This is a framework, not a rigid prescription — built from clinical experience and applicable across multiple tendinopathies and joint conditions. 🚨 Chapters: 0:00 Introduction 0:26 What is tendinopathy? (Achilles, patellar, elbow, glute) 0:50 Using this framework for joint issues & hypermobility 1:34 Tendon pathology overview (research influences) 2:07 How tendon injuries present (warm-up pain, 24-hr rule) 2:50 Principle #1: Load, load, load 3:07 Stress shielding & stress relaxation explained 4:25 Principle #2: Keep pain sub-4/10 4:42 Principle #3: Tendons take time to adapt 5:13 Principle #4: Addressing workload (intensity, volume, frequency) 7:15 Loading scheme overview 7:22 Early stage: low-intensity, long-duration isometrics 9:45 The 24-hour rule in practice 10:37 Mid stage: heavier isometrics & eccentric strength 11:52 Late stage: elastic energy storage & RFD training 13:14 Special note: hypermobile shoulders/throwers 14:01 Closing thoughts Dr. Jeff Lewis – I'm a former World Series–Winning, Major League Baseball Physical Therapist that helps injured pitchers get back on the mound, pain-free through the Lewis Arm Rebuild Program. ⚾ Built for the Diamond: 10-Week Baseball Strength & Power Program Speed, power, explosiveness, and arm care — all in one structured program built specifically for baseball players. 👉 https://www.lewisptsr.com/baseball-st... 🏋️ Stop Starting Over: 10-Week Strength Program for Former Athletes (Ages 20–30) Built for guys with an athletic background, old injuries, and a busy schedule who are ready to train smart and build something that lasts. 👉 https://www.lewisptsr.com/back-to-bas... 💪 Arm Pain with Throwing? Check out the Lewis Arm Rebuild Program here: https://www.lewisptsr.com/lewis-arm-r... 📚 Blog: https://www.lewisptsr.com/home-blog-1358 💬Found this video helpful? 👍Like this video to let us know you want more content like this! Subscribe to the channel so you don't miss out on more FREE information. Comment below to ask Dr. Jeff any questions about your training! 🎵Listen to the Lewis Physical Therapy & Sports Rehabilitation Podcast here: https://open.spotify.com/show/4A6iBs0... To view hundreds of free rehab and performance videos please follow us at https://www.instagram.com/lewisphysic... Facebook Group:   / 1163639367987642   #baseball #pitcher #strength #mobility #shoulderpain #elbowpain #Tendinopathy #TendonPain #PhysicalTherapy #SportsRehab #AchillesTendinopathy #PatellarTendinopathy #GolfersElbow #TennisElbow #IsometricExercises #EccentricExercises #TendonLoadingProtocol #ChronicPain #SportsPhysicalTherapy