Chat with @LucyAnneCharles for @220Triathlon. Encouraging form at Ironman Lanzarote, particularly as the effort was capped at 80%. Strong thoughts on the avoidable 'blister-gate' situation too. 220triathlon.com/news/lucy-c…

Con 39 años. Luego de 5 horas. Contra un chico 20 años menor. Dejó absolutamente todo lo que tenía y no le alcanzó, pero para nosotros eso no importa. Novak Djokovic DIGNIFICA el tenis.

The Evidence Behind Shockwave Therapy — All in One Place 660 peer-reviewed studies across 8 clinical domains. This ESWT & EMTT bibliography represents a comprehensive, clinically focused evidence base for shockwave and regenerative therapies. Covering plantar fasciitis, Achilles tendinopathy, knee pathology, scar therapy, neurological conditions and more — it highlights not just what is being treated, but how strong the evidence is behind it. Colour-coded by therapy type and level of evidence, this is designed to bridge the gap between research and real-world clinical practice.

Subchondral Bone Lesions Drive Knee OA. Shockwave MSCs Target the Source. Regenerative . Medicine. RMOS - Regenerative Medicine Orthopaedic Society Dr Shinya Nakasato (N Clinic / Waseda University, Japan) has spent ten years building something rare — a clinically and histologically grounded framework for knee OA with subchondral bone lesions, supported by serial MRI data collected in real patients over a decade. His central insight: it is the subchondral bone plate tear — not cartilage loss alone — that drives the most aggressive bone marrow lesions. Synovial fluid infiltrates the bone marrow cavity. NGF rises. Osteoclast density rises. The microenvironment collapses from within. Nakasato S, Aso K, Mitsuoka T, et al. Appl Sci. 2025;15:11661. lnkd.in/e-8safrz His response: focused ESWT combined with both intra-articular and intraosseous MSC delivery — targeting the pathological core directly. Dr Nasakato s published evidence supports this precisely: ▸ Hernigou et al. 2021 — intraosseous delivery: 20% needed TKA at 15 years vs 70% intra-articular alone lnkd.in/ePdD3GNK ▸ Sun et al. 2013 — ATP/P2X7 confirmed as the master osteogenic switch activated by ESWT lnkd.in/euvyrgT2 ▸ Zhang/Zou 2018 — ESWT boosts MSC proliferation; complete cartilage healing in vivo lnkd.in/ehAGu5_U ▸ Kon et al. 2021 — combined IA IO BMAC: IKDC 40→63, bone marrow oedema reduced on MRI lnkd.in/eETGuhvP Presented at RMOS. RMOS - Regenerative Medicine Orthopaedic Society Shinya Nakasato | STORZ MEDICAL AG Yoshiyuki Senbonmatsu Japan 🇯🇵 Looking forward to meeting up with Dr Nasakato at Madrid ISMST Congress to continue Research and Development ESWT Stem Cells combination plus rehabilitation thanks to collaboration clinical trials Cellcolabs Sweden GMP BM Stem Cells and USA TOBI: The Orthobiologic Institute

Mark sits down with Collin Chartier for a conversation that doesn’t shy away from the uncomfortable. After receiving a three-year ban for a doping violation, Collin opens up, honestly and without deflection about that decision that changed everything. Why did he do it?

“How can she be THAT far clear of the 2nd and 3rd fastest athletes ever?” Excellent question.

Shockwave therapy works by giving the tendon a controlled stimulus that kick-starts the healing process. It helps increase blood flow, activates tendon cells, and encourages the body to produce and organise stronger collagen. It also helps settle pain and irritation in the tissue. Tendons are slow to adapt, so this process continues over weeks, not days. When the diagnosis is right, shockwave is a very safe treatment. Over 11 years, I’ve used it across all tendon problems—from Achilles to shoulders—particularly in athletes who often prefer to avoid injections. I’ve seen consistently strong results when it’s combined with the right rehab. Demand has grown significantly, with a full clinic and ongoing waiting list, having to turn patients away.

When collegiate men are upset about a doping accusation and so refuse to share the podium with another athlete who might have had a sliver of advantage, they are praised by the public. When collegiate women refuse to play games against men, they are shamed, insulted, threatened, told they are sore losers, told to "get good," told they are lazy, lectured by senators who would have "welcomed the chance" to compete against someone with an unfair advantage.

Tour of Hormuz 2.1

Sat here watching the @worldtriathlon in Lanza. I think next time put the commentators in a sound proof room and some metrics would be helpful. Asking for a friend

RED-S, trabecular bone Mountjoy et al., IOC RED-S Consensus, BJSM 2023 Gordon et al., Functional Hypothalamic Amenorrhea Guideline, JCEM 2017 Misra et al., Bone Microarchitecture in Amenorrheic Athletes, JCEM 2011 Baxter-Jones et al., Peak Bone Mass Development, JBMR 2011

Best conference I’ve ever attended on RED-S, led by Professor Alan Currie, in terms of the depth and quality of evidence presented, PROMISE Conference. Edinburgh 2025 Here’s the link for anyone interested: USA 🇺🇸 August 2026 promiseconference.co.uk/

Selling performance-enhancing drugs around Girona

Next episode of The Brick Session 🎙️ Mark is joined by co-host Caroline Livesey to cut through the noise in modern triathlon. We talk the PTO buying everything not nailed down, why Ironman banning in-race filming is actually a good thing, plus a bit more. Buckle up

Tendons decondition fast. Just 1–2 weeks of reduced load can drop collagen activity & reduce stiffness. they lose spring. progressive loading matters. reload properly, collagen activity rises Tendons don’t rest back to performance. They load back to performance. ⚡

UlS 2015 used once severe calcific insertional Achilles. Rehab failed. Shockwave surgical opinion Prof Maffulli Surgery avoided. Full return to running for years no reoccurrence 70 years now Imaging isn’t destiny. #Achilles #Shockwave #insertionalachilles

Congrats 🥳 2015: Severe calcific insertional Achilles. Surgery considered. Under Prof Maffulli’s supervision, shockwave load restored adaptation. Surgery avoided. Now applied in-season with elite athletes.

Been using focused shockwave for lumbar facet joint pain for 8 years. Now supported by a 2025 sham-controlled RCT Nedelka et al., 2025 High-energy focused ESWT for lumbar facet pain Int J Surg. DOI: 10.1097/JS9.0000000000002538 Evidence catching up with practice.