(English) Episode 91-Untangling Tendon Pain - How Your Brain's "Go"and "Stop" Signals Hold the Key to Recovery

This review paper introduces Tendon Neuroplastic Training (TNT), a novel approach to tendon rehabilitation that addresses limitations in current treatment methods for tendinopathy. The authors highlight that traditional strength training, while beneficial for tissue, often neglects the central nervous system's role in motor control, which may contribute to the recurrence and recalcitrance of tendon pain. They propose that tendinopathy involves altered corticospinal control, with imbalances in motor cortex excitability and inhibition that can be bilateral and persist even after pain reduction. The core of TNT involves externally paced strength training, as studies show this method effectively modulates corticospinal excitability and inhibition, unlike self-paced training. Ultimately, TNT aims to integrate strength-based loading with strategies that optimize neuroplasticity to improve pain, restore motor control, and potentially reduce recurrence rates in tendinopathy(Rio E, Kidgell D, Moseley GL, Gaida J, Docking S, Purdam C, et al. Tendon neuroplastic training: changing the way we think about tendon rehabilitation: a narrative review. Br J Sports Med [Internet]. 2016;50(4):209–15. Available from: http://dx.doi.org/10.1136/bjsports-2015-095215)