Tendinopathy Rehab and Metabolic Health: Why Loading Alone Isn’t Enough
ChiroUp
JUNE 19, 2025
“Just load it” , right? That’s been the dominant narrative for managing tendinopathy: progressive loading with the goal of building up the capacity of the tendon. Common protocols like the Alfredson eccentric program and Heavy Slow Resistance (HSR) training are well-supported by research and utilized as the primary treatment approach. And while this biomechanical approach is effective for many patients, it’s increasingly clear that tendinopathy is not just a local overuse issue.
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