# 175. Tendinopathy treatment: Your guide to isometrics, isotonics & plyometrics with Dr Ebonie Rio

Page: https://stenobird.com/podcast/physio-edge-podcast-with-david-pope-1059059/175-tendinopathy-treatment-your-guide-to-isometrics-isotonics-plyometrics-with-dr-ebonie-rio
Text version: https://stenobird.com/podcast/physio-edge-podcast-with-david-pope-1059059/175-tendinopathy-treatment-your-guide-to-isometrics-isotonics-plyometrics-with-dr-ebonie-rio.md
Podcast: [Physio Edge podcast with David Pope](https://stenobird.com/podcast/physio-edge-podcast-with-david-pope-1059059)
Published: 2026-02-18T10:53:50+00:00
Episode link: https://physioedge.libsyn.com/175-tendinopathy-treatment-your-guide-to-isometrics-isotonics-plyometrics-with-dr-ebonie-rio
Audio file: https://traffic.libsyn.com/secure/physioedge/175._Tendinopathy_treatment_isometrics_isotonics_plyometrics_Ebonie_Rio.mp3?dest-id=72110
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Duration seconds: 3230

## Resource

Should you prescribe isometric or isotonic exercises for your patient's lower limb tendinopathy? When is it safe to add plyometric loading, and how do you progress running or jumping without flaring your patients tendon pain? Why do some "tricky tendons" refuse to respond to your best loading programs? Dr Ebonie Rio (Post-Doctoral Senior Research Fellow, La Trobe University) reveals the evidence-based answers as she guides you through the clinical reasoning and practical strategies for managing patellar, achilles, and other lower limb tendinopathies. In this conversation, you'll follow clinical examples and unpack the latest research to help you feel confident with tendinopathy assessment and treatment . Inside this podcast you'll explore: Tendon pathology explained : What's happening inside tendinopathic tendons, how to explain tendinopathy and ultrasound scan results to patients The role of isometrics : Whether isometrics actually change tendon structure, when to use isometrics to improve pain, optimal dosage, and whether isometrics are all your tendinopathy patients need Safe loading from day one : When are both isometrics AND isotonics safe to start immediately, and how to choose isometric positions and loads. The 24-hour emoji rule : How to teach patients to monitor their response after running or loading using the emoji system What NOT to do : Exercises, manual therapy and supplements that won't help tendon pain and may stir it up Differential diagnosis mastery : How to distinguish patellar tendinopathy from patellofemoral pain, mid-portion achilles tendinopathy from peritendinitis, and when you've got the diagnosis wrong Stairs as a progression exercise : The quasi-isometric stair protocol that works for everyone from sedentary patients to elite sprinters—and ho…

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