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In this episode, Brodie breaks down a newly published review paper that takes a deep dive into whatβs
actually happening inside painful tendons β far beyond the usual βoveruseβ explanation. Youβll learn how healthy tendons are structured, what changes at a microscopic level when tendinopathy develops, and why pain severity often doesnβt match what shows up on scans. The episode explores how factors like load management, low-grade inflammation, oxidative stress, ageing tendon cells, and overall metabolic health all interact to influence tendon pain and recovery.
Brodie also discusses what this emerging science means for real-world rehab β including why rest alone doesnβt work, why exercises sometimes stall progress, and why a more holistic approach is often needed. The episode finishes by looking ahead at future treatment directions, from improved diagnostics to regenerative and molecular therapies, while grounding everything in practical takeaways runners can apply right now. If youβre dealing with persistent tendon pain β especially proximal hamstring or Achilles tendinopathy β this episode will help you understand
why recovery can be slow and what actually gives you the best chance of long-term success.