Chronic Tendon Pain: Why Load Beats Rest | Dr. Rob DPT New Jersey Spectrum Therapeutics

Send us a text if you want to be on the Podcast & explain why!Read the article here on Showupfitness.com: https://www.showupfitness.com/blogs/blog/chronic-tendon-pain-why-load-beats-rest-and-what-shockwave-actually-doesThat nagging Achilles that “felt better with rest” and then flared the second you returned to training isn’t bad luck, and it usually isn’t an inflammation problem you can ice away. Chronic tendon pain is often a capacity problem, which means the fix is not doing less forever, it’s rebuilding tolerance with the right load, the right timeline, and the right rules.We read a detailed article from Dr. Rob, a physical therapist and clinic owner, and translate it into practical coaching for personal trainers. We break down what tendinopathy actually looks like in chronic cases, why the old “tendinitis” model leads people into months of stop-start training, and how the pain monitoring model gives you guardrails without demanding zero discomfort. The centerpiece is the 24-hour rule: judge your dosage by how the tendon feels tomorrow, not just how it feels mid-set.From there, we lay out a four-stage tendon rehab and return-to-sport framework you can run with cleared clients: isometrics for high irritability, heavy slow resistance as the main tendon remodeling tool, energy storage work for running and jumping, and a smart return to the real demand while keeping strength work in the plan. We also call out common trainer mistakes, the importance of upstream strength, and the specific red flags that mean you stop and refer out.We finish by getting honest about shockwave therapy (ESWT): what it is, where evidence is strongest, and why it never builds tendon capacity on its own. If you want more confident programming, better outcomes, and a stronger PT referral network, subscribe, share this with a trainer friend, and leave a review.Want to become a SUCCESSFUL personal trainer? SUF-CPT is the FASTEST growing personal training certification in the world!Want to ask us a question?  Email [email protected] with the subject line PODCAST QUESTION to get your question answered live on the show!Website: https://www.showupfitness.com/Become a Successful Personal Trainer Book Vol. 2 (Amazon): https://a.co/d/1aoRnqANASM / ACE / ISSA study guide: https://www.showupfitness.com