Ep 205. Beyond Load Management: Pain Mechanisms in Tendinopathy with Dr. Brooke Coombes

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💡 Are you still treating tendinopathy purely as a "load capacity" or biomechanical failure issue? If you have patients who simply don't improve with isometric exercises or who experience unpredictable pain flare-ups, the problem might not be in the tendon itself, it could be in the nervous system.

Grab your notebook! We dive deep into modern pain neuroscience applied to daily clinical practice, busting old myths and bringing you assessment tools you can use in your clinic tomorrow morning.

💭 “We needed to start broadening our minds about pain — whether we can just focus on the tissues or whether we need to think beyond the tissues" - Dr. Brooke Coombes

👉🏻 Dr. Brooke Coombes is a Musculoskeletal Physiotherapist, lecturer, and Postdoctoral researcher at The University of Queensland. She is an internationally recognized expert in tendinopathy and musculoskeletal injuries, with over 65 peer-reviewed publications in prestigious journals such as The Lancet and JAMA.

Her impactful research challenges traditional treatments, like corticosteroid injections, and explores how factors such as obesity, diabetes, and exercise affect tendon and muscle health. Utilizing advanced techniques like ultrasound elastography and quantitative pain measurement, Dr. Coombes is currently focused on developing practical clinical tools to help practitioners identify and match specific treatments to a patient’s dominant pain mechanism based on IASP guidelines.

📚In this episode, you'll learn:

Tendinopathy isn't always a loading problem: why pain mechanisms change everything about how you manage these patients
How to tell your pain mechanisms apart: the clinical features and tools that help you discriminate nociceptive, neuropathic, and nociplastic pain in tendons
The research reshaping tendinopathy science: sensitisation patterns, neuropathic-like features, and what the evidence actually says
What personalised tendinopathy care looks like: moving beyond load management to match your approach to the underlying pain mechanism

🔎Brooke's Resource of Information:

📲 Brooke's contact information: