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  4. Why Your Tendons Get Injured in Perimenopause (and How to Reverse It) with Dr. Keith Baar
Why Your Tendons Get Injured in Perimenopause (and How to Reverse It) with Dr. Keith Baar

Why Your Tendons Get Injured in Perimenopause (and How to Reverse It) with Dr. Keith Baar

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If you’re a woman lifting weights, your muscles aren’t the only
tissue adapting. Your tendons and ligaments are training right
alongside them, and they respond to load very differently.

Dr. Keith Baar is a professor of physiology at UC Davis and head
of the Functional Molecular Biology Laboratory. He joins Dr.
Stephanie Estima for a deep dive into tendon and ligament
science. Whether you’re trying to stay injury-free as you build
strength or you’re frustrated and want a smarter way back from an
injury, this conversation gives you a framework for both.

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TOPICS COVERED

Tendon and ligament injury prevention for women who lift

Why lifting heavy isn’t always best for tendon health

Low-load, long-duration (3LD) isometrics explained

The 10-minute tendon training window and 6 to 8 hour recovery
gap

Isometric exercises for tendinopathy and injury rehab

Overcoming vs. yielding isometrics

Why RICE and rest can backfire after a tendon injury

Tendon structure: stiffer near bone, softer near muscle

Estrogen, testosterone, and sex differences in ACL and muscle
injuries

Birth control, menopause hormone therapy, and tendon health

Flat shoes vs. heels and knee osteoarthritis

BPC-157, peptides, whey, and collagen for tendon health

RESOURCES MENTIONED

Sinewus https://sinewus.com

Keith’s UC Davis faculty page:
https://health.ucdavis.edu/basic-sciences/physiology/team/faculty/baar

Effect of Estrogen on Musculoskeletal Performance and Injury
Risk  https://pubmed.ncbi.nlm.nih.gov/30697162/

Stress Relaxation and Targeted Nutrition to Treat Patellar
Tendinopathy https://pubmed.ncbi.nlm.nih.gov/30299199/

Effects of Different Loading Programs on Finger Strength in
Rock Climbers https://pubmed.ncbi.nlm.nih.gov/39560837/

Effects of stress shielding on the mechanical properties of
rabbit patellar tendon https://pubmed.ncbi.nlm.nih.gov/8445894/

The R.I.C.E Protocol is a MYTH: A Review and Recommendations
https://thesportjournal.org/article/the-r-i-c-e-protocol-is-a-myth-a-review-and-recommendations/

Effects of high heel wear and increased weight on the knee
during walking https://pubmed.ncbi.nlm.nih.gov/25532875/

Relationship between knee joint laxity and knee joint
mechanics during the menstrual cycle
https://pubmed.ncbi.nlm.nih.gov/18728055/

Effect of low-repetition jump training on bone mineral
density in young women https://pubmed.ncbi.nlm.nih.gov/16269526/

BIO

Dr. Keith Baar is a distinguished professor and the head of the
Functional Molecular Biology Laboratory at the University of
California, Davis. With a Ph.D. in Physiology and Biophysics, Dr.
Baar has dedicated his career to the intricate study of muscle
development and adaptation. His research primarily focuses on
understanding the molecular mechanisms behind muscle growth,
repair, and the maintenance of muscle mass and function.

****************************

P.S. When you're ready, here are two ways Dr. Stephanie can help
you:

Subscribe: The Mini
Pause — My weekly newsletter packed with the most
actionable, evidence-based tools for women 40+ to thrive in
midlife.

Build Muscle: LIFT — My
progressive strength training program designed for women in
midlife. Form-focused, joint-friendly, and built for real
results.

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