Finally, the video is here!

Most of the people who order Target Tendonitis are very satisfied with the ebook. The return rate is less than one percent (which, believe me, is really gratifying). But one complaint that I have gotten a few times is that there was no video component to the ebook, because for some people the text-and-photo exercise recommendations were a little hard to follow.

So about a year ago I started to put together a companion video that would go with the ebook. When I started the project I figured it would take a month–at the most–to film a bunch of sequences showing people how to go about rehabbing their tendons, and giving them specific examples of what to do and maybe discuss a little theory about tendon degeneration and treatment along the way as well.

Turns out I was, um, somewhat naive. Sure, the video filming didn’t take that long (once I learned how to light it…and bought a decent microphone…and mastered all the various settings on the camera…and got reasonably comfortable in front of it…), but the editing? And then figuring out how to deliver it to customers? The sheer amount of content turned out to be a problem: what I thought would be maybe a half-hour turned into a behemoth three times that long, and let me tell you, an hour and a half of video is a big file. Too big, really, to send over the internet, especially when some of your customers are in places that still use dial-up connections.

Anyway, long story short I solved the various technical problems and am now officially launching the third edition of Target Tendonitis. People who buy now will get not only the ebook, but access to 90 minutes of detailed video demonstration of exercises for pretty much any bodypart that might be affected by tendon pain. Been using your iPhone or Blackberry too much, and have tendon pain in your thumb? No problem. Are you a guitarist with pain in your arm or wrist? I’ve got you covered. Tennis elbow, golfer’s elbow, runner’s knee? There are exercises specifically for those conditions, and much more as well. You’ll also learn about special resources that can help to speed up recovery even beyond what’s possible with just the ebook (and remember, the ebook has proven to be VERY effective already).

And now for the really big news: for a short time, in the holiday spirit, I’m going to be selling the new and improved TT for the same low price that it’s always been: $19.97, still with a full, 100% 60-day guarantee. Only now you’re going to be getting the video absolutely free along with it.

I want to be clear here: the price WILL be going up soon, and once it does, it’s not coming back down again. This isn’t a marketing gimmick; I put a lot of time and effort into the video and I feel like it raises the value of my product enough that I’m completely justified in charging more money for it. (Haven’t quite figured out how much more yet.) But for the moment, it’s still $19.97.

So if you’re on the fence about ordering, there’s never going to be a better time. Target Tendonitis, still less than twenty bucks, and you get 90 minutes of video completely for free. Get it now or kick yourself all through 2012!

Runner’s knee

I spend a lot of time talking about what tendonitis and tendonosis are, but in this post I’m going to talk about one case of what they are not. Runner’s knee is a sort of catch-all term for pain experienced in the knee, and the people who suffer from it aren’t limited to just runners. Cyclists, weightlifters, hikers… the list goes on and on. Basically, anyone who walks can get “runner’s knee”, but the knee is a complex joint and there are a lot of different ways that the pain can manifest.

Today, let’s talk about what happens when pain is experienced on the outside of the knee. This is a sub-category of runner’s knee, and the technical term for the condition is Iliotibial band syndrome (or ITBS). The iliotibial band stretches from the outside of the hip, down the thigh and past the outside of the knee, finally inserting into the top of the tibia. People can experience pain anywhere along it, but we’re going to focus on pain that occurs right next to the knee itself.

Iliotibial band
Two views of the iliotibial band

Sooo… If you have pain on the outside of your knee (not in the front, or directly below, or inside or anywhere else), chances are good that you have ITBS. Is this a tendonitis or tendonosis?

Although the IT band is, in fact, a tendon, ITBS is most likely not a form of tendonitis or tendonosis. Contrary to the traditional view that the IT band “rubs” across the lateral femoral epicondyle (a bony knob on the side of the knee) during walking and running and is thus irritated into a tendonitis condition, current research shows that it’s more likely the uncomfortable compression of a pocket of fat that lies beneath the IT band that accounts for the pain. (See, for example, The functional anatomy of the iliotibial band during flexion and extension of the knee: implications for understanding iliotibial band syndrome, by Fairclough et al, published in the Journal of Anatomy, March 2006, for a nice discussion of the issue.) Since most health care professionals hold the old view, unfortunately most of the advice given about how to take care of this problem is wrong. Go to massage therapist and you will most likely receive a vigorous “stretching” of the IT band; talk to a doctor and s/he might recommend training the quadriceps muscle; a physical therapist will likely make noises about the tracking of the patella… None of it is particularly effective.

So what should you do? Probably the best home treatment available is to get yourself a $10 foam roller and just roll the affected area a couple of times a day on a regular basis. If you don’t know how to do this, check around the Net – there are lots of videos out there that will show you the basics. If that (along with some rest) doesn’t work, you can try icing the area, and/or contrast baths (basically alternating icing and heating the area for 10-15 minutes at a time, doing three “sets” in all). If that doesn’t work either, then you probably will need to see a doctor for MRIs and so on to determine if there’s a real problem with your knee. Sorry. But at least you’ll know that you’ve tried the best current science has to offer, unlike this poor fellow who is relying on [snort, chortle] Wikipedia :rolleyes: for his information.