Blood Flow and Tendon Healing
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- Опубликовано: 11 окт 2024
- Have you heard that the blood flow to a tendon is poor and that that is part of the reason why it heals so slowly? In this video, Maryke explains why you don't have to worry too much about the blood flow and what you should rather focus on.
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References:
Tol, Johannes L., Filippo Spiezia, and Nicola Maffulli. "Neovascularization in Achilles tendinopathy: have we been chasing a red herring?." Knee Surgery, Sports Traumatology, Arthroscopy 20.10 (2012): 1891-1894. link.springer....
Van Der Vlist, A. C., et al. (2021). "Which treatment is most effective for patients with Achilles tendinopathy? A living systematic review with network meta-analysis of 29 randomised controlled trials." British Journal of Sports Medicine 55(5): 249-256.
I think this is one of the best channels for physical rehabilitation on YT. And this woman, in particular is both knowledgeable and reassuring. I think one of the worst aspects of injury is the thought (worry) that an injury will never heal. This lady helps resolve that 'psychological' component. I'm very grateful. Thank you. 👍❤
You are very welcome!
I'm guessing our bodies evolved this way because our ancestors didn't obsessively try to become as strong as possible, or they didn't take prolonged breaks (weeks, months, years) from activity then suddenly go 100% one day like a lot of us do. Speaking from my own experience, I get tendonitis in my elbows when I get too strong too quickly while often testing 1RM strength
Yes, I think I agree with that - before this age of technology people would have had very consistent levels of activity (manual labour and hunting etc.) without any big sudden increases
Our modern lifestyles are so much harder on our bodies. I feel like our reliance on modern medicine has actually made us way more risky. Even our work lives represent this
I arm wrestled 3 different guys to get out of work early and my elbows were shot the entire year, serious pain.
Damned weak ancestors, setting us back.
Damn literally same last name and your speaking directly to my mistakes I push wayyyyy farther than my body can handle and refuse to sit to let it heal because it feels weak when I can still move skateboarding teaches walk on shit hurts oh well but thinking like that is why I’m out for longer
That made total sense! I have never heard so well explained before and I have suffered a lot in the past with my Achilles and more recently in my arms. I'll never heat them again! Thank you!
I dunno what I did to get matching tendon pain in both hands 😭
That was very interesting. You are an excellent teacher.
Thank you! 😃
Thats very helpful and now I understand why I made my injury worse. Never overheat tendons 💪🏾
Oh shit
Likewise it started out as a laceration top of the foot w/tendon repair surgery went well first time in a cast. but then I started wiggle my toes. first for fun but then to relieve pressure. Probably pressure from the wigglin
Good one
I have cold spot on my tendons so I just let it be and do some foot exercise and walk
this woman just stopped me from burning my elbows
same here, my triceps tendon is killing me oredy 1 week and not going better.... don't know what to do.
@@Mario9640 what's it like now??
@@wilywill3238 still have issues whit it....but rest and avoiding exercises that inflame it is key.....I gave it a good month of rest,and cut out all exercise that I feel pain while doing.
looks like it's a forever injury, just need a way around it.
@@Mario9640 that's a shame
@@wilywill3238 You have the same problem?
This really changed my perspective on tendon health and recovery! Thank you very much.
I love working physically hard, working out, and sports and at nearly 50 still do. I despise tendonitis so bloody much, been getting it all over my body my whole adult life. It takes ages to heal
How do you heal it? I have a hamstring tendinopathy for 5 months now and I can't walk at all now.
good video, realized I've been placing more emphasis on heat and less on proper loading/exercise. thank you.
You ladies are so good,, you explain, thank you
I'm an armwrestler, and this idea of using blood flow to heal tendons is a very widespread belief and recommendation among armwrestlers... if you try to tell them blood flow is not needed, 99.9% of them will argue with you. For me, trying to use blood flow just made my flexor carpi radialis tendinopathy worse and worse to the point that I couldn't even bend my wrist without pain (it's one of those nasty tendons that glides under the trapezium bone in the wrist). The no. 1 key for me to get it under control was complete rest with absolute minimal movement until all pain went away (which took a month), then gradual loading + sufficient, complete rest. I can now wrist curl ~50kg pain free (but this took 6 months of recovery). I am now progressing in all the various arm wrestling strengths (wrist flexion, flat finger flexion, pronation, radial deviation, thumb flexion, elbow flexion .. and many more) with absolutely no blood flow training at all. I only load the tendons heavy once a week.
Thank you for sharing! And yes, often the best thing for an overuse injury is just to give it rest - trying too hard to fix it through doing more exercise usually just causes more overuse. Sounds like you timed it perfectly by just observing what your body wanted and how it reacted.
Nice wrist lift My friend I'm dealing with the same problem for 5 months 👍
i loved hearing these things from you, helped me to relax now.
Glad I could help!
Finally someone making sense. Thank you.
See now that surprises me, I had injured both of the tendons in my arms and for 2 weeks I couldn’t move them without pain, and they weren’t feeling any better whatsoever, and I began to have extremely warm baths, and right after just a few days of this my arms had almost zero pain and I could actually move them at full speed without the feeling of my tendons slowing me down, maybe it’s just confirmation bias but I really did only start feeling better after these long hot baths, obviously I won’t recommend it if I am wrong and you just damage your tendon more like this woman said, but it does confuse me.
Interesting! I have had the same issue but the opposite. I was swimming last Year most weekends in Winter down to 4 degrees so pretty cold and that really helped me. So cold I could only breast stroke really slowly but it was a turning point for me.
@@gibsonlespaulspecial to be fair I’ve heard both improve circulation.
I think in reality there is so much conflicting information out there on the topic that no one really knows for sure what fixes the issue. Your heat may be making the tissues warm and pliable but does that mean it's actually helping it heal? Hard to say. In my experience, light eccentric strength training with long rest periods actually helps the tissue heal properly, but everyone has had different experiences with tendinopathy.
Such a good video. Clear and concise. Thanks doc!
You're very welcome!
I have just found your video. Thank you for explaining this, . Much more than my , consult did!! 👍🙏
You are welcome!
I've had a similar experience with my surgeon.🙄
Loved the video!! Thank you so much! Wish you all the best from Belgium 🙏🍀🤗💝🤗🥳
Thank you! 😃
you're the best in the team big thank you
Thank you. Very good information, helps me understand what is taking place and how to treat! 🙏
You are welcome!
Excellent, clear explanation Maryka. Many thanks for the video. 👍
You're very welcome!
Best explained video on tendon recovery,, Iam a 100m sprinter with personal best 10:10 sec, when I train hard and try to go beyond my physical limits I often injure my hamstring tendons, done lot of online research on tendons recovery, came up with a new training , injury resistance, and fast tendon recovery method,. I want to share that info with you I want someone expert like you to verify it and recommend me weather I can go with my new training method or not. Thank you doc.
look up the knees over toes guy.
Kindly teach about tendon healing when it is used as a graft. Eg anterior or posterior cruciate ligament reconstruction.
In my opinion increasing blood flow can really help. As soon as I started putting deep relief/deep heat and taking my supplements again (some of which help blood flow such as ginseng, l arginine etc) it has started to heal more than it has in 4 months. This is for 2 wrist injuries btw. Also not using phone so much helps. Gonna start to do some light exercises next week and hopefully get back in the gym at some point soon.
If your hands and wrists are cold (eaceebated by winter and drinking alcohol imo) then I think it is a good idea to try increase blood flow to tendons.
I really went wrong by reducing my exercise but also overloading it the few times I went gym in the summer and not taking my supplements which reduced the blood flow that allowed me to get away with this awful routine I had for a bit or so I think.
I have severe tendonitis from my wrists to the end of my arm. I fucked it all up by excessive bench pressing, lifting heavy pallets at work and on top of that my dumb ass would go home and hammer grip 200lbs for 10 minutes. I straight up fried it and I have been inactive since October this is very severe. What should I do my wrists just don't seem to be healing.
@@benchnyc I would suggest rest and light activity at the moment, let your body do it's part or if it's more pain than you can bear, then time to see a doctor. If it's bearable and does not look extremely bad (like deformed or super swollen), you should be okay. Your body is probably under shock right now.
@@fj5434 it's been like this since October 2022 when I initially first got it. But I can tell you it's getting only a little bit better. I can at least do aggressive stretching like the sideway rotations on my arms when I could barely even move it before. I had to buy a cast on Amazon lol
I checked it out with the doctors though in the beginning of January last month. I know I'm a dumb as it took me 2 months to find out it was severely bad mainly cause I couldn't do any type of upperbody and losing strength to do anything. My entire body is literally being bottlenecked by one stupid tendon. Can't work chest, arms, back, abs nothing at alllll!!! They said if physiotherapy dosent heal in 8 weeks they gonna scan my tendons to see if there's long-term tearing/damage or degeneration of tendon tissue but Idk why they can't just do that immediately but instead put me through 8 weeks of hell. These guys just attach electrodes and heat my tendons for blood circulation as well as some acupunctures. They treat me like I'm retarded I swear it pisses me off. Currently suffering from body dysmorphia man I just wanna get back in the gym. Sorry for the vent but it's like I'm hopeless for a few more months cause apparently tendonitis takes 4-6 months but that's from Reddit.
@@benchnyc I've been living two years now with left shoulder tendonitis and right shoulder impingement, I feel you. I've spent loads of money on investigations, scans, medications, an electrotherapy device, acupuncture, cupping, massages. I've been told I needed immediate surgery or the tendon would snap, that I needed cortisone shots, physiotherapy, stretches, different diet, that I shouldn't do any type of surgery or shots as it's not urgent. My pain and situation is exactly the same from day one. All seen a dozen practitioners: doctors, specialists, chiropractors, physiotherapists. The back and forth is endless, it's draining, your mental, your money, all down the drain. Yet we have to persist and live according to the pain, if it's bad, your day is bad, if it's feeling okay, your day is brighter. You just forget what it's like to live without pain. You look around and seeing so many people living pain free, even elders, 70, 80 years of age, full of life and there we are, living though life as if swimming in honey while everyone else are walking past you and telling you this will fix it and that will fix is and drink more water and do this stretch but you're stuck and there does not seem a way out.
I got my problem from deadlifting too heavy one day and bam, two years later still living with it. I've done things during that time, I haven't settled because of the pain. I worked hard, got a few promotions, got married, my mental health is better than what it was before the pain (ironically - I was depressed back then but I was without pain, only pain I had was mental lol but the thing about mental pain and depression is it's almost hypothetical, not a tangible thing, not physical). During those two years, I've had countless injuries during sports (soccer), but they all got fine after a few days, weeks, even a month or two, but this shoulder pain has never gone away from my side, like a toxic relationship that's just latched onto you like a scar on your face. However, you try to hide it, it's gonna show.
Been going back to square one a while now, but I just found a good orthopedist who's guiding me trough it. Right now, I'm just taking a supplement for a month and not exerting myself too much, after that he'll see what has to be done. Ultimately, he believes I need a gel injection that will help heal the tendon (not cortisone). He's an honest person and not after my money, I can sense that.
Sorry for the delay in replying btw, youtube does not notify me, I gotta change that setting. How are you now?
@@fj5434 look at the bioneer videos on youtube he has good tendon strengthening exercises that u can do even if u have severe tendon damage
Great info. Can you make a video on the tendon healing long? And also if there are any actual disadvantages to a partial tear vs a full rupture? Can’t seem to much info on the former. Thanks!
Here's our Playlist with videos about partial tears and full ruptures, in case you haven't seen it yet. Hope you find it useful! ruclips.net/p/PL1sDnegMCeASVkEkkQVimA2OsHdPJzAuy
Hi my upper arm is very sore, my GP says it the tendons.I'm 71yr.old ,and do crochet baby blankets for charity. Should I stop the crochet?,and is it possible to heal.Thank you .love from South Africa
You explain things so well thank you so much ❤
So nice of you
Hi, great video...when you say excessive heat , what do you mean.?..I have a full supraspinatus tear 3.1cm, the only pain relief I get in bed at night without painkillers is a hot water bottle, is that to much ?
That should be fine as long as it's not super hot and you don't use it all day long. Comfortable heat is fine.
Nothing wrong with adding heat as I'm convinced it was the major reason my calf strain held fairly fast and so did my plantar fasciitis. Sure they are designed to have the blood supply that they have but they are not suppose to get injured. I also used heat for a shin splint that was bad and I used heat on it for 7 days and it completely healed when I was told it would take 20 days. The only place I have not used heat is on my patellofemoral painpatellofemoral tendon. It took 6 months to heal and it occasionally still bothers me. I'm sure you can overdo it. My plantar fasciitis is the only place I might have come close to overdoing it but it seemed to be the only thing that helped
Love this approach. Thank you!
Thanks so much. I ripped my hamstrings common tendon off the bone. This helps me relax knowing I just have to wait it out as my surgeon is saying. I had it reconnected. Thanks again!
Glad it helped!
YES!!! I understand better now. Thank you!
You're welcome!
Thank you very much! This has helped me a great deal!
You're welcome!
My journey:
I got injured my quad tendon.
Rice method failed.
Physiotherapy 3 months of slowly progressive overloading exercise failed.
Cortisone failed.
Stretching exercises failed.
*doctor said My last therapy i can hope on it is prp 💉 (blood in the tendon) 3 injections.
Nothing work for me and i have no hope for prp.
In fact i will spend 300€ for nothing.
2 years of pain and destroyed dreams.
20 years old.
I know there is worst things in life and i appreciate what i have but..
Why nobody can help me with that, why all therapies failed.
Im not asking you to answer this. Im just saying my problem. Have a great day lady!
Rice protocol is obsolet, aim the “PEACE&LOVE“ protocol from 2019.
Also we have to bear in mind what kind of injury you suffered, there are many tendon related injuries. And perhaps you treating it wrongly, I suffered Osgood Schlatter when I was 20 for instance, I couldn't even walk without pain, I did stretching, massages and strength training, that brought me back, it took one year...furthermore I couldn't find anything in the internet, just tested different concepts based on my knowledge in sports area. Try visiting different medics and request a magnetic resonance as well. You won't heal if you don't have the proper recovery process according to your specific injury.
Prolotherapy fixed my ligaments might be able to help your tendon check it out
I’ve had chronic tendinopathy of the hamstrings for three years now, also the outside of both thighs, the pain is severe some days!
I’ve been to many doctors, PT, injections into the IT band( which is really not good) medication, ice, heat, and, nothing, I’m in the worse pain now, than before it all happened.
I went to an orthopedic and, he suggested, PRP injections also, I may have to do it!
Good luck to you🙏🏻
Try thymosin beta 4 (aka tb 500) combined or by itself with BPC 157. Its what our thymosin gland makes. CANLABSCIENCE along with other places sell it. 6 to 8 mg of Thymosin loading phase for like 2 to 3 months every other day as close to the injury area as possible. I use slightly longer needle so it goes past the fat layer of my skin so it doesnt just get allocated systemically to all areas of the body but focuses more. It will still disperse itself but not as much as a fat injection. Each vial is 10mg put 2 ml of bact static water and it cost about 150 Canadian or like 120 US dollar last you about a week and half. After the 2 or 3 months if your feeling better drop the dosage down to 4mg a week for another month and then 2 mg for another month. Its expensive but its like only thing that helped with my torn tendons in my thoracic back ( mid back) The BPC body protective compound 157 gave me trouble sleeping but im rare case most people sleep better with it, maybe it will work for you. Studies show synergistic effect with both of them together. BPC is basically found in your stomach, they said if your stomach with all that acid can repair itself like Wolverine why cant we use it on other parts of the body. Much smaller dose only 200mcg to 300mcg everyday so 0.2 -0.3 mg. Hope you feel better.
Awesome❤. I've learned great information. Excellent explanation 👏👏
So glad!
Thanks for this video!
I just got tendonitis on my wrist from climbing too much and it's great to learn more about how to take proper care of it :)
You're welcome!
Professional arm wrestlers rehab their arms this way because tendons are heavily involved in the sport
Always keep the blood flowing, lightweight when you injured.
Great video! Thx. Should I be taking collegan or any other supplement/s also to help it along? Icing or heat?
Collagen can help. Here's our video on that: ruclips.net/video/HMpcNOUhS14/видео.html
Ice or heat: ruclips.net/video/WXRbl7XZG50/видео.html
@@TreatMyAchilles great thx
Very helpful video,good teaching straight to the point..
does it work for tendon infiammation? and in how long if you know? sorry for the inconvenience
When i was vitamin D deficient i kept getting muscle and tendon strains. The pain was debilitating. Walking helped me but of course increased my vitamin d daily to 8000 iu.
Thanks for sharing
Thank you for these videos that make so much sense. I am not nor have I ever been an athlete...in fact I am a walker everywhere, and I have had Achilles issues because of poor footwear while walking, and found your talk on adding a heel lift, or wearing shoes with a small heel to be the best advice for my sore ankle. I will continue to check in with you for more great advice😊
You are welcome!
Do you have any recommendations for cervical instability? How do you strengthen the tendon and ligaments?
I don't - it is best to see someone in person to get it assessed because the advice must be tailored to your specific case.
This is so sensible...
You’re so brilliant thank you , does this same topic apply to my rotator cuff tendons ? I seem to have a strained shoulder tendon from learning to do deadlifts as a beginner?
Yes, this information applies to all tendons.
Outstanding information!!!
Thanks for watching!
hi doc, your english very very clear,even foreign peple can understand you easy.what about cooling warming the tissue. is it helpfull to heal the tendons.tendon irritations.Thanx.
Hi Devri,
Thanks for your question. You may find this video of ours helpful: ruclips.net/video/WXRbl7XZG50/видео.html
More blood flow will always heal stuff faster. The body is built on conservation of energy and designs its blood flow in order to survive, not optimal blood flow for healing trauma. Heat is GREAT for blood flow and subsequent healing due to increased blood flow
Are the White Cells or the Platelets the ones responsible for healing muscle and tendon injuries ? Anyone?
Thanks!!
How helpful is growth hormone for long term tendon damage from sports?
Thanks for this video :) I guess this is the same for MCL & ACL injuries?
Yes, all of these injuries really just need the right amount of rest and exercise - if you want more advice about MCL injuries this video may be useful ruclips.net/video/pMtaeuOW7JE/видео.html
@@TreatMyAchilles thank you 🙂
To speed up my recovery my doctor prescribed me CO2 therapy which from what I read increses blood Flow significaly, now I see why is that important
Hi thankyou for your informative videos. I was just wondering. My brother use to find great relief from short hot baths for his general arthritis is it still okay for him to have a short bath occasionally though his achilles has ruptured?
I just woke up in Jan this year out the blue I can’t load or put any weight on my Achilles
Every physical therapist I’ve ever been to for tendinitis in my elbows apply heat for 15 minutes before they do anything.
I have a ulnar tendon problem on my right wrist for a year, I have been doing strength exercises for approximately 10 months now and have seen only progress in the beginning stages of the therapy, any advice that you may have on this matter?
Hi there,
We cannot provide individual treatment advice without doing an in-depth assessment of your injury and your personal circumstances, as the advice might not be appropriate for you. You're welcome to book a video consultation with one of our physios if you would like an assessment and a personalised treatment plan: www.sports-injury-physio.com/
Hello. Thank you for the helpful video. I’ve injured my AC joint in November 30th last year and let it heal on its own. I didn’t actually know what was injured, now 4 months later my bicep hurts to lift heavy things and had to get an x-ray. Made a mistake to surf for two months with a low level of pain. Is it posible to still heal the tendon after this long? I also want to get an mri to make sure it’s the AC join separation only. Thank you so much.
Yes, absolutely - tendons can always get better if you provide them with the correct rehab. I have made videos about AC joints and Biceps tendons as well:
AC joint injuries: ruclips.net/video/eegEgaur-rc/видео.html
Biceps tendonitis: ruclips.net/video/CcfUFdQBxCA/видео.html
Is contrast therapy of any use or is it just pointless due to the cap of bloodflow needed already being satisfied under normal conditions?
You’ve answered it. The blood flow is exactly right for tendons and contrast therapy won’t make much difference to that.
I appreciate your thoughtful education
Hello. Thank you so much for your helpful information.
I've injured my right foot ankle, it's been six weeks. I got an MRI to see what was going on, based on what the doctors said some bones and tendons were damaged. I had a lot of pain. So, I got a cast about three weeks, now it's been one week that they've removed the cast, most of the pain is gone, but I still have some pain at the right side of my ankle that I can't walk properly. Is that because the tendon is not completely healed?
What do you suggest?
We can't make suggestions without actually assessing you and knowing your full situation - best to ask the doctors who are in charge of your care.
Do you offer any treatment for Distal Bicep tendon rehab?
Yes, we do. More details on our other website for general sports injuries: www.sports-injury-physio.com/
And here's our video about it: ruclips.net/video/WC_uB_t4a7Y/видео.html
I starter a cleaning job. All my right side of the body is burning joints and tendons are on fire
Hello, I've been exercising lightly and resting from the activities that caused me the wrist tendonitis I got, I tend to feel some mild itching, and coming from pain to that sure is a progress. I do use ice because it aliviates the mild pain I feel, is there a problem using it while resting the wrist or alright? Thanks for the information!
Hi there,
Here's our video about ice treatment for Achilles pain. The same advice would apply for using ice for wrist tendonitis. Hope you find it useful!
ruclips.net/video/E5JiBjIy7Ak/видео.html
Thanx. That's all I needed to know. First time partial lat tendon rupture. Self diagnosed. Its been almost 4 weeks no gym and I'm going crazy. I need it for my mental health. I've increased MSM, TUMERIC, CAYENNE & COLLAGEN. I did over stimulate it yesterday at home just by flexing and stretching because I was still under the impression it was a muscle tear. But I know now I was wrong. I CANT wait 6 months. And I'm afraid to train other upper body parts because I don't want to create a bigger muscle imbalance. I don't want my chest to over power my back. I predict no more than 4 months because of my advanced healing knowledge and dedication if I can't find real bpc-157. Already on TRT so it'll be easy. I guess I could return to the gym, train legs , delts & arms hard, but just do light rehab/maintenance stuff for all of back ,chest & abs. Which still would suck. Cuz chest and back are my strong points but maybe better for the long run cuz I always felt my shoulders and arms are lacking. Also my left forearm can't seem to heal. The upper part that assists in reverse curls can't remeber the name right now bracio something. So I figure It would be wise to stop training them directly for a while and start focusing more on the under meater part of the forearm only and that should help with that repetitive muscle injury. Anyway thank you for that little extra info. I got the rest from here . Someone pray for me . Thanx . Antstrength, OUT 🤙🏼
#GLORYTOGOD #HEALTHBUILDING #LID #LIFESTYLE #HEALTHYISHOLY #REPENT #KINGCHRIST #SEEKTRUTH #ANTSTRENGTH #INJURY #TENDON
How’re you doing now brother? Hopefully you’re back to it!
@@TheTameMonkeythanks for asking! Its much better but I also may have caused a muscle imbalance by avoiding things like barbell back squats & dead lifts . This imbalance i beleive is causing transient tinnitus in the left ear. I can do most exercises, lat pull row ect. Pull ups i have to be more strict. Pain is non existenent . BUT the left lat looks a little off compared to the right. Still not sure what exactly was torn. But it was obviously a small tear in a rare spot to cause a visual change. In the beginning it was real shaky , but now i feel about full strength. Also 2 weeks into strength training again. Its been like 20 years since I've done specific strength training 😅 been trying to body build. Im sure more strength with aid in that endeavor aswell. Trying to feel out the best way to train on TRT as its not exactly natural but also no where near a "cycle" which is like 4-5x what im taking weekly. Again appreciate your concern. Also started taking serrapeptase. Catapillar enzyme that helps get rid of damaged protiens and inflammation. Hoping it will assist further in healing and even varicose viens. 😊👍🏼 God bless .
@@TheTameMonkey oh yeah the BPC-157 i think would have helped alot more if I took it for 3 months instead of 28 days. A little expensive and I've been saving up to buy a vehicle to visit family in another state. About to get something soon. So maybe after ill be looking into trying the TB-500 instead for the appropriate time or even both. We'll see. Thanx again
@@AntstrengthUnlimited good to hear man thanks for the reply
Thanks lady, that was beautiful,, so I'm with Gibsonlespaul !
👍👍
This makes sense. But ice massage and ice baths seems to bring down the inflammation. Which would indicate some increased circulatory turnover?
So it depends on what situation you're referring to. If it is a bursitis or very acute tendon injury, then there is a bit of inflammation but ice reduces the inflammation via the cooling process, not increasing circulation. If you have an ongoing tendinopathy (been there for several weeks) then the research has shown that there really isn't inflammation present - ice is however still useful because it can temporarily reduce your pain by numbing the nerve endings.
Thank you very much!
You're welcome!
Very helpful information and explanation to tendinopathy concepts. Was wondering if collagen supplements would help in the healing process for a case of PHT? I doubt if collagen consumed oral route would have any significant positive change on the development/renewal of tendons but I am not sure.
There is some evidence that it may be useful but the effect is quite small and not a lot of studies have looked at this yet. It is not something that I would rush to get. ruclips.net/video/HMpcNOUhS14/видео.html
If nutrition is the limiting factor, it can actually help. In this case, putting into your body the amino acids he needs to produce collagen isn't a bad idea. But It won't solve your problem alone.
Hi there, i hurt my calf muscle a month ago and it was feeling quite stiff yesterday so i used a plastic roller on the sore area "cold". I hadn't warmed up or exercised. I thought it would help but afterwards and today it feels more painful than before and prickly. I'm worried I've made it worse and i don't know if i should do RICE and just rehabilitate it from the begining?🙏🙏🙏
Sounds like you should first get it diagnosed and understand why your calf is hurting. Foam rolling vary rarely helps for injuries - it often just irritate them. So I would get it assessed by a physio who can then provide tailored advice. If you want help with your rehab and an exercise plan, this is something that our team of physios can assess and help you with via video call. You can read more about how the online consultations work here: www.sports-injury-physio.com
Dr. I have patellar tendonitis from 7 months, it dosent pain while running or walking, but it does while jumping or squatting more than like 70°.
But sometimes it actually pains.
Please tell me if it can still be healed
Hi Karanveer,
We cannot provide individual treatment advice without doing an in-depth assessment of your injury and your personal circumstances, as the advice might not be appropriate for you. You're welcome to book a video consultation with one of our physios if you would like an assessment and a personalised treatment plan: www.treatmyachilles.com/
Heat actually made my tendon worse. Ice, rest and cold shower helped me heal.
So a tendon can heal without surgery with time
Yes - in most cases they don't require surgery.
Do you suggest not using hot footbaths or alternating cold & hot when healing Insertional Achilles in ankle?
It depends - insertional achilles injuries often has some inflammation going on during the early stages and it is though that applying heat may make it worse. But if yours is more chronic and not inflamed then you can apply it if you like - it doesn't really speed up healing so no need to do it unless it makes you feel more comfortable. Rehab is more important.
Does Morning Stiffness in post traumatic arthritis of Wrist and 1st CMC (Normal Xray) improves with time if proper physiotherapy is taken or does it remains with u for lifelong?
It is usually a temporary issue and improves as you recover - it can take several months to feel significantly better.
thanks for the info! How long after a tendonitis flare-up should you wait before starting light strength training?
Usually only a few days
Thanks for that different point of view. Can I ask, will a supraspinatus tear actually heal? I'm getting conflicting stories from health professionals such as physios. I've had someone tell me that my supraspinatus tear will heal if I avoid activities such as boxing, swimming, but strength training is ok if the pain is 2 out of 10. He claims that scar tissue forms on the tears, and that is how it heals. But I've heard others say it won't heal, but you can still use it if it's not in inflamed, and that is what physio exercises are designed to do.... take the load off the tendon so it is not inflamed. Can I hear which of the argument sounds right to you? Will it ever heal?
Good luck on your expected reply. Sadly I'm not the qualified one.
Thanks, at least I know there is 2 view now, are you still in pain?
I have a supraspinatus tear and I find that with consistent and deep physio it permanently improves. I couldn’t lift a shopping bag when I first got the injury, then I started weight lifting, now I’m doing bench press which I couldn’t do before. Physios gave me a lot of useless exercises. What helped me was pulling a cable machine in all different directions, trying to improve my range of motion. Pulling overhead behind my back especially helped.
@@skyguy871 good to know about this👍
What about collagen and vitamin C supplement before stressing?
Yes also d3 arginine zinc glucosamine glutamine hmb l-lysine omega 3s want to get serious peptide tb-500 bpc-157 and HGH
I have a snapped Achilles an there's a lump in my where it snapped, I fractured my foot, I can't pneumonia and ended up in ICU when I came out I couldn't walk because I had muscle but when I started to walk an noticed it I'm now in a vacoped boot. Will my Achilles repair with the lump being there
Yes, it is normal to have a lump after that type of injury. Make sure that the doctor refers you for physiotherapy once you are ready - it is important to rebuild the Achilles' strength once it comes out of the boot.
I have some tendinitis in my inner bicep and around my elbow from playing tennis, will sauna help this along with collagen and turmeric ?
None of those treatments have so far been shown to be effective for any type of tendinitis. You will be better off giving it some rest and then slowly introducing some exercises. You may find this video about distal biceps tendonitis useful ruclips.net/video/WC_uB_t4a7Y/видео.html
I'm a professional Ballroom dancer and was diagnosed with Focal peroneus longus tendinosis after having had an MRI. I've been in a moon boot for over two months already as the orthopedic surgeon told me to keep it immobile but it is not getting better at all - in fact I'm pretty sure it is getting worse. (He gave me a cortisone injection before I got the MRI scan which didn't help...) This is so frustrating as my entire dance company is affected by this. Do you have any advice please? It is becoming unbearable to sit around like this all day.
It is usually not advised to rest an injured tendon for that long when you have tendinosis because it causes it to lose more strength. Cortisone is unfortunately also not advised because it further affects the tendon's ability to recover. The best way to treat any type of tendinosis is through a combination of relative rest (where you provide support to the tendon so it can recover but remain active within limits of pain, cutting out only activities that cause pain above 3/10) + a graded strength training plan - in your case because of being in a boot this will have to start with very easy exercises. It can often also help during the early stages to wear orthotics or shoes that stop your foot rolling out too much (supination) to help to initially reduce the load on the tendon. I discuss it in more detail in this video but I think the exercises I demo there may be a bit too much for your tendon at this stage so be careful with them: ruclips.net/video/MroDMgDAgJk/видео.html
If you wanted help with your rehab and an exercise plan, this is something that our team of physios can assess and help you with via video call. You can read more about how the online consultations work here: www.sports-injury-physio.com/
@@TreatMyAchilles thank you so much for all your advice. I'll look into all of this. Yes, that cortisone is largly to blame. I was getting better and then he gave me a shot, I had no idea even what it was as I never had cortisone. I read about all the horrifying effects later on. I can only hope that I will make a full recovery now.
How r u feeling now
Will tendons become the way they were before by long course of time ...can it be as it was before slowly ? Are there some restrictions in activities in the upcoming future ?? Or after a long period of 2 to 3 years will it be normal as it was before ??
Hi Rahul,
This will really depend on your specific case, but most of our patients get back to doing all their activities without any restrictions. So as long as you follow a structured rehab programme that slowly rebuilds their strength (this can take 6 to 18 months) then they can recover. This is also something that our team of physios can help you with via video call. You can read more about how the online consultations work here: www.treatmyachilles.com/
I hope im not commenting too late to get a reply, I've recently started going to the gym, slightly more than 2 months, and I started feeling my left elbow hurt on the outer part of it on exercises that involve weight pushing my elbow back(bench press while weight is going down for example) is that a tenden issue that I can fix by heating it more in the shower or something else, only left elbow hurts
Hi there,
We only treat Achilles tendon injuries here. However, our other service, Sports Injury Physio, deals with general sports injuries. You are welcome to book a video consultation with one of our physios there: www.sports-injury-physio.com/
Thank you for the video. I have a question. Recently I did a partial tendon repair (about 20%) and after that sometimes I feel that it is heated inside. Could you please tell me whether it is okay or not?
Hi there,
We cannot provide individual treatment advice without doing an in-depth assessment of your injury and your personal circumstances, as the advice might not be appropriate for you. You're welcome to book a video consultation with one of our physios if you would like an assessment and a personalised treatment plan: www.treatmyachilles.com/
I got rod removal on my femur bone ... But the doctor said I need to surgery for the second time to repair the tendon. But I'm just let the time pass. Are my tendon are broken? I'm walking well.. it just I'm not strong as my youth.. please advise.. do the knee have 3 joint of tendon on the knee?
Hi Roy,
We cannot provide individual treatment advice without doing an in-depth assessment of your injury and your personal circumstances, as the advice might not be appropriate for you. You're welcome to book a video consultation with one of our physios if you would like an assessment and a personalised treatment plan: www.sports-injury-physio.com/
I’ve been doing various exercises from you tube and arm seems to be worse this morning after. Is this normal to start with.
No, it means that the exercises you are doing are not pitched at the right level for your injury or they may be the wrong type. Every person is different and what works for one often doesn't work for the other person - the is why a bespoke programme that is tailored to your specific situation is best. So, rather than get things off the internet, get advice from a physio who can assess it and create a plan for you.
If you wanted more specific rehab advice and help with getting back to your normal activities, this is something that our team of physios can help you with via video call. You can read more about how the online consultations work here: www.treatmyachilles.com/treatment-packages
So do i Ice bath or Epsom salt bath?!?!
Bathing in salts really does not have an impact on injuries (I know people swear by it) - it is the warm water that soothes and decreases pain. Having a bath without salt works just as well for pain reduction. Neither ice or heat will speed up your healing but they can both help to reduce pain in the short term and that can help you be more comfortable. My advice would be to test them and see what works best for you.
Great Videos. I have been suffering with chronic Insertional Achilles tendonitis for 2 years and recently gone throught ESWT treatments. Would it be okay to cross train doing light workouts with a stationary bike? I hate the thought of not being able to do cardio for a while.
Yes and no
I wonder the same. They explain in another video “the load management”, look for it. They say that if you do activities without flare ups or pain worsening for the next 24 hours (perceived during the day or morning stiffness)it means that activity is okay for you to keep, otherwise you should reduce.
My patella tendon is often quite cold, even during exercise and I’ve had some patella tendonopathy for at least a couple months. Why would that be?
Hi Tom, that is a question best answered by the clinician in charge of your care as they can assess it for you.
I have wrist click problem but no pain....is it possible fix withour sugery?
Wrist clicking can often be improved by doing grip strength and forearm muscle strengthening exercises.
So would it be safe to assume that diet isn’t a significant part of tendon repair?
Yes, most people will get everything they need from regular food. A very bad diet that lacks nutrients can be an issue but most people will get everything they need as long as they eat a balanced meal.
Love that accent!...Sounds like South African/Dutch?
I got question I have bicep tendonitis in my shoulder and bit of pain near the elbow and my bicep tightens up all the time my shoulder clicks too. I did take 3 weeks off the gym and I can do my exercises pain free, however after the workout my tendon in my shoulder ache little once I've cooled down. And the clicking gets worse but after few hours the ache goes again and the clicking does become unnoticeable again. My question is that little ache after my workout is it fine? Or am I making it worse?. My bicep gets tight alot wile doing any movements so I gotta stretch it out I'm no longer training my biceps directly
The rule with rehab and exercise is usually that it is OK to do as long as:
1. It only causes a slight discomfort while doing it, AND
2. It does not cause an increase in your pain and swelling that lasts for more than 24 hours
You may also find some useful info about biceps tendonitis here: ruclips.net/video/CcfUFdQBxCA/видео.html
Does ultrasound theropy works in pattelor tensonitis? What pulse we should set for that?
The current research has shown that ultrasound does not really help for any tendon injuries.
I have a 4 pelvic floor prolapse. Is there anything that can be done to heal that? Thanks.
That is not our line of specialty - best to ask a physiotherapist who specializes in women's health.
@@TreatMyAchilles Thanks.
I am suffering with a hip flexor tendonitis for about 6months now. My question is Dr and my PT said stop doing anything if it’s hurt but it always hurts without doing anything. There is not a pain free moment. (FYI I already got steroid shot) Should I just keep resting or do PT with pain? Long time ago, I had a shoulder tendonitis and ended up surgery six months after PT. So I don’t want to do PT with pain and ending up surgery again but I don’t know how long I should just sit and rest. Is this pain ever going away ?
With regards to pain and tendon rehab, the research actually suggests that it is OK to exercise with some pain as long as the exercise or rehab that you do doesn't push your baseline pain(that daily pain you have even when doing nothing) above a specific level. The rule with rehab and exercise is usually that it is OK to do as long as:
1. It only causes a slight increase in discomfort (above your normal pain) while doing it, AND
2. It does not cause a significant increase in your normal pain and swelling that lasts for more than 24 hours.
So if you normally experience 4/10 pain regardless of what you do. Then you exercise and it increases it to perhaps a 5/10 but then it calms back down to your norma within 24 hours = OK
But if it increases it to 8/10 then it needs to be lighter exercise next time.
If you wanted help with your rehab and an exercise plan, this is something that our team of physios can assess and help you with via video call. You can read more about how the online consultations work here: www.sports-injury-physio.com/
Check your vitamin D levels. I was deficient and got muscle strains and tendon strains.
Check your vitamin D levels. I was deficient and kept getting muscle strains, tendon and ligament strains.
Hie I had a tendon rupture a ago ,and had surgery it reruptured again in a month's time due to a fall and I had surgery again ,fast forward to now I got an infection and it's not healing my question is do I need to go through another surgery ?? Problem now is funding for another surgery
I can't really answer that - only the doctor in charge of your care who knows your full situation can give a reliable opinion - I would suggest that you're direct and open with your doctor and explain that you really can't afford more surgery so they please need to help you to avoid it if possible.
The regulate down blood flow resistent in syndrome unsually be have on proces at train hurt or sometimes heart breaker??
I don't understand what you're asking.
I have a fairly severe anterior tendon injury, and I had frostbite a long time ago. I've found that since my injury my foot gets extremely cold and feels worse if I'm not actively keeping it warm. Shouldn't I keep it warm in this case?
I would still guard against excessive heat because if your circulation is poor, your blood vessels won't be as good at regulating your temperature there, meaning it can easily overheat the tissue. So keeping warm may be OK but not heating excessively. Exercise will still provide longer term increase in blood flow than any other means of heating.
@@TreatMyAchilles Thank you for the reply and information.
I used anabolic. After leaving that. I feel my body soft,my skin dry and soft, lost glowing, biggest problem is that muscle always detached from bones
That is very unfortunate and sad.
Remember, stay positive no matter what, negative thoughts produce stress hormones which further damages body immensely, telling you from personal experience. Stay positive, busy and eat healthy, give your body a little time to heal, the body knows how to repair itself.
Wish you a speedy recovery.
You've heard of myostatin inhibitors to grow muscle correct? If you ever used myostatin inhibitors to build muscles you have also weakened your tendons as the need myostatin to grow and get stronger. Look into getting more myostatin up take
@@fusionxtras wouldn’t you have to use a lot of myostatin inhibitors to achieve such a side effect? They are not available I think to produce such a big effect.
@@mimilili99 depends on the country. I dont think our boy isnt from a European or American country so he probably has access to them
Is it okay to put castor oil on the posterior ankle and a heating pad over that? If so, how long is too long to do that?
Castor oil has no scientific backing so I would not waste my time with it.
@@TreatMyAchilles Thank you for responding. I have one last question that I cannot seem to find my answer for over the internet at all. My main symptom is the grinding sensation in my ankle. I can feel it anytime I get onto my toes or try to do any Achilles tendonopathy exercises (since they involve that “tippy toes” position). Even reading through comment sections, I don’t see anyone else complaining about this symptom. After I stopped going for long walks over the last week or two, my pain has gone away. I only have this grinding sensation that I can even feel if I place my hand over my ankle while flexing and extending the joint. I don’t know what to do about this and if Achilles PT therapy exercises are not the proper route.
@@TreatMyAchilles could you please respond to my question above?
I can't really tell from your comment what is going on there - it may just still be linked to overuse or something that is still recovering but not sure without having an in depth conversation
Marenka, can u tell me if a severed/ torn tendon regrows? I injured my thumb reflexor tendon, won’t bend backwards. Have to see hand specialist and possible surgery. Any suggestions. Any advice greatly appreciated. It’s been 3 +weeks....might have waited too long. :( thx u.
Yes it does regrow on its own, how are you doing now?
@@AlanTrades No they don’t grow back on their own. It was a tiny cut and only partially severed the tendon. I had to have surgery to have it re attached. I waited and even used dmso religiously. Thx for asking. It was a long healing process.
yeah once cut it won’t regrow. thank you tho, now i know i only have partial damage cuz i can move my fingers but with limited motion