Hey guys, I wanted to know if there’s any more info on how to rehab quad tendinopathy other than load management. I’m a competitive powerlifter, been powerlifting for 6 years and had this pain for 3. Sometimes it’s 0/10 and I can train comfortably, sometimes it’s literally 10/10 and can’t even do a bodyweight squat, literally can’t.
When pain is consisten throughout the days I usually lower volume quite a bit, absolute load too, and use low rep tempo/paused work on my squats to get by. But in my last 2 years of training my Squat has improved like 10 kg which is pretty bad.
I don’t know if you guys are aware of any treatment that actually works besides what I’ve already been doing, but I’d REALLY like to know. I know Austin has this same issue so maybe he found something out. Thank you, Matias
If you are having trouble making progress on your own, that would be a good situation to pursue a consult with our rehab team. I suspect there are aspects of your training and programming that can be modified to improve things significantly.
Thanks for the response. I’ve read the guide and I’ve been following you for a while now, so basically I’m doing everything described there. The issue for me is that there’s no real correlation with decreasing overall training stress and pain. Sometimes I’m training hard and feeling zero pain, and out of the blue I get a ton of pain one day, and just zero pain for the next month.
I have Pan American Championships coming up in August and I wanted to know if it would be so bad to keep training as much as possible (with some days probably having zero pain and other days probably having to adjust loading due to pain) and after the meet take some time to do actual rehab? Probably with your rehab service.
What you are describing is a frustrating but normative aspect of working through this process. I agree with Austin and suspect there are more nuanced programming changes we can make to help this process along. We’d obviously be happy to help with your rehab process. I understand the desire to compete in the upcoming Pan American Championships. It’s obviously difficult for us to help adequately weigh risks vs benefits in this scenario without talking to you further. I’m not overly concerned in tendinopathic situations of something “bad” happening per se but rather the process may be more difficult to cope through and hitting maximal efforts may not be possible or at the level of your expectations.