๐Ÿ‹๐Ÿปโ€โ™€๏ธ The one drill to kill tendon pain (1 session)


Hey Reader,

Here's what to expect in today's issue of The Bulletproof Newsletter:

  • The single exercise protocol I use to fix tendon pain in a single session so that my clients can train pain-free.

Let's dive in!

Deep Dive

The tendon pain fix nobody tells CrossFitters about

When a tendon starts barking, the first instinct is to stretch it, foam roll it, or rest it completely.

All three make sense on paper. But, these usually make tendon pain worse or keep it exactly the same.

Tendons don't respond to stretching, they respond to load. The right kind of load, applied the right way, can drop your pain in one session.

Why Isometrics Work So Fast

An isometric is a muscle contraction with no joint movement. You push or pull against something immovable and hold.

Two things happen almost immediately.

โœ… Isometrics create a short window of pain relief called exercise induced hypoalgesia.

Your nervous system dials down pain signaling from that tendon for roughly 30 to 60 minutes after the hold.

โœ… Isometrics load the tendon without the fast, repetitive stress that may irritate it, so you get strength stimulus without the flare up.

This is why isometrics are the first tool I reach for with almost every tendinopathy case in my clinic.

Ex. Patellar, Achilles, biceps, rotator cuff, doesn't matter. Same principle applies.

The One Session Protocol

Here's exactly what to do the next time a tendon is angry.

Pick the Right Exercise for the Area

โœ… Patellar tendon: Spanish Squat hold or wall sit

โœ… Achilles tendon: Standing calf raise hold at mid range, heel slightly off the ground

โœ… Biceps tendon: Isometric bicep curl hold at 90 degrees against a rack pin or band

โœ… Rotator cuff: Isometric external rotation hold with a band, elbow pinned to your side

Dose It Like This

5 reps; 45 second holds ; :30-:60 rest between reps

Intensity around a 5 out of 10 on a pain or effort scale, never higher

Test Before and After

Before you start, do whatever movement normally triggers the pain.

A step down, a calf raise, a shoulder press, whatever it is. Rate the pain 0 to 10. Do your isometric protocol. Retest the same movement.

Most people see a real drop in pain right away. That's your sign it's working and your sign to keep going with this approach.

The 2 Day (or As Needed) Program

You don't need a complicated plan here. Consistency beats complexity with tendons.

Day 1

โœ… Isometric hold, 5 x 45 seconds at RPE 5

โœ… Light range of motion work through the joint, pain free range only

โœ… Normal training as tolerated, avoiding the specific aggravating movement pattern

Day 2 (48 to 72 hours later)

โœ… Same isometric protocol

โœ… Add a slow, heavy, tempo based strength movement for that tendon at low volume, think 3 sets of 6 to 8 reps with a 3 second lowering phase

โœ… Progress load week to week as pain allows

Discomfort vs Pain That Needs a Look

This matters more than the exercises themselves.

Discomfort during the isometric hold is normal and expected.

A dull ache, tightness, or mild burning in the tendon during the hold, sitting around a 3 to 5 out of 10, is fine. It should settle within a few minutes after you finish.

Pain that needs to be looked at is different. Sharp pain, pain that spikes above a 6 or 7, pain that lingers or gets worse over the next 24 hours, swelling, or a noticeable loss of strength are all signs to stop and get evaluated.

Tendons can handle load. They can't handle guessing when something deeper is going on, like a partial tear.

Where This Shows Up in CrossFit

Tendinopathy loves CrossFit. High volume overhead work, kipping pull ups and muscle ups, and snatches all put massive repetitive load through the shoulder, biceps, and patellar tendons in a short window.

I see this constantly with athletes who go from zero volume to a metcon heavy week with 100 wall balls and a barbell complex.

The tendon doesn't have time to adapt.

The isometric protocol above is exactly what I use to get an athlete's shoulder or knee calm enough to keep training through a competition block instead of shutting them down completely.

I rehabbed my own rotator cuff tear using this exact loading philosophy and I still train with zero restrictions today.

If This Is You Right Now

If you're dealing with a tendon that's been nagging you for weeks or months, or one that just flared up and you're not sure what to do with it, I'd rather look at it directly than have you guess your way through it.

I offer a free consultation where we talk through what's going on, what's driving it, and whether 1:1 rehab coaching makes sense for you.

You can grab a spot here and we'll build a plan that keeps you training instead of sitting on the sideline.

1:1 Rehab Coaching Testimonial

Talk to you soon, Reader!

Dr. Will Murtagh, PT, DPT, MS, CSCS, CISSN

Physical Therapist | Remote Fitness Coach

P.S. Book your free consultation HERE spots are limited

13 Summit Place Apt 301, Branford, CT 06405
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