Physiology of tendon healing

[@alejandrobautista1605]

This is honestly one of the most valuable videos I’ve seen in KZbin. Thanks for making this video

[@sherryjellison]

Yes it is! Thank you for this!

[@VarsneyaSrinivas]

So tendon does heal but it takes a butt load of time

[@dodumichalcevski]

and bloodflow

[@dodumichalcevski]

@@TheEvilEye wow yes you can...

[@Rolexor]

I’ve been looking for this type of explanation for about two months. Now I understand what is happening with my distal tendon. Thank you for making this video.

[@juliahello6673]

It would be nice if medical research would come up with at least ONE useful drug or method for helping tendon healing. Literally nothing for the past 50 years. How about genetic research? Some people have no tendon injuries during their lives and others have a lot. Wouldn’t that be a clue maybe? How is there so much money poured into research and… nothing.

[@nobleinexile4296]

Great Video! How Does Scar Tissue play a role here?

[@jasonthomson7287]

Well said, I'm a medical student and found this very helpful.

[@martin93landp]

Great video, helps visualise all of the different stages of the healing process. thank you for putting in the time!

[@MikeKincaid79]

Wonderful! Exactly what I was looking for. Thank you!

[@renicaccamo6791]

You mentioned at the end of the video that a completely torn tendon must be surgically prepared because the ends cannot find themselves. There is a protocol that was developed in 2007 to not surgically repair a ruptured Achilles’ tendon that involves positioning the foot to bring the tendon ends closer. So do they find each other?

[@harlisonalves8094]

That’s what I was told by a doctor. I had my Achilles’ tendon fully ruptured 3 weeks ago , non surgical healing process .

[@harlisonalves8094]

But what he said at the end of the video , scared the s… out of me ☹️.

[@mrzclips]

@@harlisonalves8094 i dont know but i guess because its the biggest tendon on the body and probably not going to move a lot so it stays closer together. i got my thumb long extendor ruptured and it needed to be surgicaly sewed up, im at day 33 now after the surgery and i still have to wear a othesis so to not move the thumb upwards. its a pain in the ass because you have to be very careful or the thread will tear and i have to be cut up and do it all over again. the human body is weak and strong at the same time....having a not functional hand is one of the worst things i ever had in my life .

[@brandoncastro1998]

Did you receive any updates on this question?

[@maktiki]

The Romans used to cut the Achilles tendons of slaves who rowed their boats, so they could not run away. Every six to 9 month they had to re-cut the tendons because it healed back together. Non-op was the way to go for 1000s of years, now in 2022 we are back at the non op method.

[@Harryplasencia]

Muchas gracias por el video , tengo el tendón de aquiles muy lastimado y ahora tengo una mejor idea del tiempo y los procesos que conlleva su recuperación, gracias nuevamente!

[@mardon111]

Great video my friend! I just think you need to correct your last sentence - "it wont heal on itself if that is a full tear and you bring them together". I think Achilles Rupture community will not agree with you :)

[@thevendetta9726]

What you covered was an injury of the WHOLE tendon right? What if I only experience a little pain sometimes? Is the whole process similar but just on a smaller scale? And how would that change the duration?

[@littman84]

@Dr. D, perhaps a big ask, but would you comment on how PRP impacts the healing process explained in the video?

[@msjj000]

Hi John, fantastic explanation - thank you. Following the up to 180 day period would a distal bicep tendon for example be highly stressed even at a 85% strength recovery?

[@imogreit]

I slashed my thumb with a razor blade a year ago and it won’t stop twitching. Lost about half my rotation out of it. Do you think over time it will gain more mobility?

[@s.vafrosamurai8665]

Does this apply for tendinitis instead of a full tear

[@fitness3447]

Such a great video, brother. Thankyou for educating me and others. Very valuable.

[@dodumichalcevski]

Very helpfull for armwrestlers thank you

[@deepquake9]

Very valuable in many ways. As a post op patient it helps me understand why and how to test and move. 🤙🏽

[@ragingbox3843]

Is this video made in terms of tendon fibers of tendon structures?

[@fivefeetwishable]

Thank you! I currently have Achilles tendonitis so this really helps me to visualise the healing

[@mathews0618]

Same lol

[@JuztBillz]

How long before you returned to sport/activity?

[@thevendetta9726]

can you help a brother out? I had achilles tendonitis in my left foot first because of starting football and increasing volume too fast… Then with some simple treatment like taping and excentric stretches it managed to get better.. until it started in my right foot lol. After some months my right foot felt better.. until it started hurting again! I hoped treating it the same way like my left foot would work the same but somehow it still hurt months after. Probably because right is my strong foot and I put more stress on it unconciously. I took some weeks off until i didnt experience any pain but Im still scared to start again. How long did it take you and do you have any hints?

[@lin7117]

Great video! how big of a gap between the two distal ends can still be repaired?

[@fitness3447]

What a fudging well made video. Thankyou so much. To all those struggling with a tear, I believe in you and do not stop with the efforts, to heal.

[@gaurav21869]

hello john ..would it be possible to get an online consultation with you..

[@denzelgwangwadza2009]

Great video its very informative 10/10

[@NonSense-n5d]

Excellent Video John. Thank you so much. One question however - you state that on a fully severed tendon (Achilles) it will not repair itself. My understanding is that if the plantar position is maintained for several weeks so the tendon ends are pushed together it will grow back together. Can you comment please John? Thank you very much.

[@TheAce736]

Would probably still need the surgical application of a pin to fix the two ends together

[@gunarr6]

@bilal hey boss does your tendon still hurt? it's been 3 months and im wondering how your healing process has been

[@brandoncastro1998]

Great question. Were you able to get clarification on this? Also, you probably already noticed that there is a series of videos from someone named Agnes who had a complete rupture and was able to fully heal together

[@agaceri]

Generally, you said tendon will never be as strong as it was. Only may be %85 of what it had been. Is that correct ? Does that mean tendon will never handle the same loads as it did before injury?

[@pevlynkaur5931]

hi i would like to ask if there is a reason why the type 3 collagen fibers gets activated in the proliferative phase? why doesnt the body immediately lay down type 1 collagen fibers?

[@analogaudiorules1724]

Because the body is retarded with certain things, ive been dealing with tendon issues for over two years and have done everything you can imagine...

[@VarsneyaSrinivas]

@@analogaudiorules1724 lol 😂

[@ki8417]

@@analogaudiorules1724 how are you now

[@bombdiggity7196]

Thank you so much for making this clear and very informative video. So helpful !

[@davidcooltions4523]

Very interesting! I'm curious as to how you'd explain the aponeurosis as they're similar to tendons. My (direct) inguinal hernia seems to be healing slowly (it's staying in place better and better). Despite some doctors speaking in such a way implying a tear in the fascia, I suspect it's more a case of a 'stretch mark' in my aponeurosis seeing as no damage was visible on my CT/ultrasound. Drinking bone broth seems to help heaps.

[@anabeatrizalonsoosorio7753]

excellent! clear and simple, thank you!

[@matthewcreswell6099]

I wish I was educated on these matters before I got hurt... Public education is failing America. Could save thousands per person, times x people, gotta bring in the $ bill.

[@Jimdaewong16]

Great video. I'm recovering fr4om an Achilles injury and need to increase my miles for a marathon. This explains a lot.

[@Ravi123abc]

Thanks so much for making this video, currently writing an assignment for uni on Tendinopathy. This has been incredibly helpful in gaining a deeper understanding! Keep up the awesome videos

[@GangdamStyle20]

So what do you think about tendon strength? It's a big topic in armwrestling for example. Some people light weights others heavy. Some say long rest before a tournament 1-2 months. Others say couple days is enough...

[@jameslowe2979]

Often blood thinning injections are prescribed following tendon surgery, just wondering how this impacts healing process? Thanks James

[@brodyallard9011]

Guys for the first 2 months of healing I was working as a landscape construction worker and I worked through pain and stuff I sometimes had to shovel holes all day in clay areas which means I was pushing the shovel into the ground with my legs and body weight and sometimes jumping on the shovel. I then left after like a month and 20 days and now it’s been 5 months and I’m so scared it’s beginning stages healed wrong due to being so active. Please help me someone. I need information on my situation I been checked by a sports med and they said I have jumpers knee but they didn’t mri or no scans. They gave me poor info saying I need physio therapy but I’m worried it’s way worst and to late to make a full recovery.

[@starlingshan4201]

This is an awesome visualized explanation! Does the physiology of ligament healing look similar or very different?

[@jacobmalin1338]

If your tendon rips out of the bone, it would go back... I have a 50% partial distal tendon tear... Been on rehab for 2 months and next month will be assessment to see if surgery will be needed. I can't see my tendon getting strong enough not to require surgery since I need my arm to be close to a 100% for my job

[@RonaldL.MAngela.vaught17HH]

The Body is capable of healing in any place in ways most don't relize do to recent past ideals. every one has fallen down one time or another though i dis agree with the last part i think the body could reassemble the tendon without surgery but surgery is faster per say

[@dudea3378]

Instructions unclear. Just OD'ed on collagen peptides.

[@REALSTREETNIGGAMUZIK]

This is exactly the kind of detailed explanation I was looking for! Thanks!!

[@Joseph-im8be]

Re the last bit of the video, for a full achilles rupture non op protocol, I guess the tendon ends somehow manage to get close enough to start reknitting together. Since it’s such a common approach to recovery. Really interesting info, thanks

[@besmart2350]

How do I know at what stage my healing process is in order to know when can I start with heavier exercises?

[@L52-r5g]

As long as it doesnt hurt I guess

[@besmart2350]

@@L52-r5g it’s been 4 months hurting after injury

[@L52-r5g]

@@besmart2350 what injury bicep or another ?

[@besmart2350]

@@L52-r5g supraspinatus (rotator cuff). Got damaged from doing risky exercises, not warming up and overtraining. Had an MRI right after injury, there was a lot of blood and inflammation of supraspinatus. Had an ultrasound recently and they say it’s good now, but still hurts. Gotta do an MRI again , so they can see better what’s going on.

[@kazuomikun]

What if for example, I had a repair and the tendon was left with a permanent reinforcement (thread). Would it be equally or even stronger than the uninjured tendon?

[@kieuwong3940]

Thank you so much for this very clear and concise video, Dr. D! I ruptured my Achilles tendon 3 weeks ago and going the nonsurgical route. Was reading up on NIH and PubMed papers on tendons, but this video provided what I was searching for in order to understand how tendons repair itself and their timeline.

[@mexicanlonewolf8308]

Hellow Kieu Wong , how is ur foot going after one month? I just got ruptured mine a few days ago , and doctor said am going for the not surgery rout , but am alil a fraid cuz they dnt Do the MRI or ultrasound exams. They just said it will heal by it self and put me on cast .How was ur experience at the moment of ur injurie. Doctors make MRI and ultrasound for you? How is the progress of ur foot right now ? Thank you in advance, and Wich you a good recovery.

[@kieuwong3940]

Hi MLW - I am sorry to hear that. It’s really a hard injury to deal with and the recovery is long but you can do it. And it will heal itself as long as you take care and follow the doctor’s and physical therapist’s protocols! You will see by weeks 6-8 that the tendon has grown back. By week 12, it’s pretty certain that the tendon has thickened enough for you to start more stretching exercises. I am in week 12 and can walk better with less of a limp, no more boot, and doing more exercises. Progress each day! Check out SJ’ channel, Evan Brown’s and Shaun Resolute’s channels. They were so helpful!! Wishing you a speedy recovery and keep positive! You got this!

[@mexicanlonewolf8308]

@@kieuwong3940 thankyou very much! Yes is very hard , I live by my self and I habe some struggles for doing the daily things at home , but I was very worried about my injury, thankyou very much for ur fast response, now I feel better and less worried. I’ll go check those videos thankyou ! I’m glad ur foot is healing well ! Thankyou again!!🖖

[@kazuomikun]

Cool explanantion. So does the tendon recover the mechanical properties of an uninjured tendon? i.e., a achilles tendon after complete rupture and repair surgery

[@charleso1262]

August 22, 2022. Agree with everyone below... great video, very informative and helpful. I'm only 2 weeks into what I think is a partial tear, MRI in 2 days time, so that will tell me exactly how much damage is done. I'm in a boot, most of the time. I have been doing some weight bearing with boot, sometimes with crutch other times no. I can move my foot fore and aft and side to side with some resistance... Having watched this video, I'm going to be even more careful how much of that sort of thing I do, and careful with the weight bearing for the first 28 days. Thanks for this video.

[@harajly23]

How are you? Any updates? I recently just had the same injury.

[@charleso1262]

@@harajly23 After I finally got an MRI, it turns out I had a complete tear (rupture). I choose not to have surgery but I was put into a cast for 3 weeks and then another 3 weeks of non weight bearing. After two months the Dr. I was going to still did not want me to do any Physical Therapy while everything I was watching here on youtube, people with similar condition were "early weight bearing" and healing fine. I became frustrated with the Dr. and changed Dr.'s. The new Dr said that the tendon was already very strong and started me on Physical Theraph - finally - in NOVEMBER. Yes, injury August 8th, nearly 3 weeks before I was in a cast for another 3 weeks, then 3 more weeks non-weight bearing. A bit too much non-weight bearing I think. OK,,, so by mid November I was doing 2-5 miles on a stationary bike, in January I got out on my regular bike 10 miles, and I have gradually imporved since then. A couple weeks ago I biked 58 miles in a bike event, and yesterday it was 22 miles at 17 MPH on my bike. Every once in a while I feel some tightness in the tendon but not bad. My calf on the injured leg has lost muscle mass - which I may never recover. So you I can confirm that non-surgical can work, and you can completely heal - or - you could choose surgical route. Try to talk to your doctor - my initial doctor while having a good reputation as a surgeon, had little people skills and didn't even want to share the MRI with me and explain things. Good news is that it will heal, but you do have to be patient.

[@harajly23]

@@charleso1262 awesome. I’ve been in a cast for 17 days they’re going to do an MRI on Monday finally got the approval from my insurance Medicaid, Blue Cross, Michigan, and I hope the next step would be a boot I’m on crutches it’s my left tendon. Thank God I can still drive so I also drive for a living which is good. I also choose the non surgical route.

[@anaghakulkarni778]

Excellent content and presentation! Thank you so much for making this video, it has been very informative and useful 🙏

[@priyankasinha7330]

Does intraarticular hyaluronic acid injection or corticosteroid injection can be helpful or should be left alone to heal naturally.. debilitating pain though since recent shoulder injury ! Light exercises too are difficult..

[@programinc7581]

I injured my flexor and branchiales, I let it healing naturally I can't still flex mu muscle correctly but it's better than before

[@lascarro87]

Great vid , easy to understand. - Would it be normal to feel some sort of sensation in the remodeling phase ? Until the tissues has gained strength for the daily activity acquired for work . ?

[@Rifroker]

KZbin through up this fascinating summary which I think applies to my shoulder AC Joint injury - I may have started moving it too early (now at day 16) but as an advanced yoga practicioner, I think I’ve got away with it. Clinically would you say as much range of movement and loading by increments without significant pain is the road forward. thanks

[@mrslinajackson7775]

This is very informative. Thank you.

[@VarsneyaSrinivas]

Okay now I am more hopeful. 🥺

[@msgme8083]

Hi how r u ? Did u have injury

[@froggo7215]

This helped me to understand my injury better and made me going pursuing treatment and not thinking it's nothing. Because it was.

[@OverDriveDriven]

So you said if it’s a complete rupture then the tendons won’t find each other again but people are doing non op Achilles’ tendon recovery. How is this possible ??

[@analogaudiorules1724]

no matter how gradual my workload is to try to build it up, my petellar tendon continues to get inflamed two years later, anti inflammatories do nothing, massaging does nothing, pt does nothing, ice or even heat does nothing, supplements do nothing, eating healthy has little effect, isometric contractions do nothing, passive movements do nothing, cant even use a indoor exercise bike.... i wonder if it is even remodeling at this point... i can't do any eccentric loading exercises, water exercise doesn't work, hot tubes dont work, even squatting as an example does nothing, it gets irritated no matter what i do or take, the amount of rest does nothing , it seems like a no win situation no matter what, it's like my lifes over at 22.... i just wish they would approve 3d printed tendon grafts already to fill in the parts that are damaged as the treatments they have today are pretty much useless, surgery is absolutely useless, and often causes more harm, they already have the technology to lay tendons fibers microscopically in the correct orientation with your own cells, for the past several years, they already have repared tendons in mice with this technology, this is bullcrap that it isn't approved for humans after 7 to 10 years... how long before actual treatments, that actually work are approved? I can't work, i can't exercise, i can't walk far, i can't use both legs to walk up or down the steps, i can't carry anything, i can't ride my bike, i can't run, i can't live my life AT ALL, ive been home bound for what feels like forever... this injury is like a death sentence... especially for a young person...

[@jtomasone7430]

Hey I feel your pain, I am on a full year of Achilles tendonitis with no sign of improvement. I am trying to find new information to help me finally recover. Best of luck

[@kelseycollins8397]

Hi there, I just wanted to reach out and say I empathize with both of your situations (people who commented). I tore my groin & adductor muscle 2 months ago and it’s been a huge battle trying to get it to heal. Have looked into / started to try all the modalities you mentioned and nothing has worked or given me hope it will work in the future. I’m housebound, on crutches, etc. Keep up the good fight and hit me up if you want to talk.

[@analogaudiorules1724]

@@jtomasone7430 Thanks dude, I'd suggest we chat once in a while to rant about this shit, just because nobody who doesn't have this understands and they think you're either being a hypochondriac or are over estimating what your dealing with, you get called lazy, and that it is an excuse, when certainly isnt, you try to explain why tendonitius and tendonosis/tendinopathy is such a pain in the ass, but it doesnt matter, people start judging you, shit ain't fun my dood, anyway, you try to take care as well, it isn't easy, especially when it happens to weight bearing tendons...

[@analogaudiorules1724]

@@kelseycollins8397 I appreciate that, wish youtube didn't get rid of that personal message stuff so we could start a personal chat or something. This stuff isn't easy, and most people like i said to that other dude above, just don't get it.

[@jtomasone7430]

@@analogaudiorules1724 I appreciate the reply, yes I would love to chat and rant on this lol cause I feel that way, like you said above. Like I can walk normal but I can't do much more so people think I am a baby and that's just what they see on the outside

[@mokpatevado8279]

A foot surgeon told me that after cutting the transverse ligament during a Morton's Neuroma surgery, that ligament will recover the same way as a tendon heals after a rupture

[@camerongheith9442]

what do you meannnnn you got vessels running through the tendons? Tendons and Ligaments are Avascular

[@georginamoritz5658]

Really valuable content explained in a clear and concise way. Thanks so much from a MSc physio student.

[@adrianemeeus1056]

Found this while researching horse tendon injuries. I'm sure there are differences, but this was still so well done for us visual learners.

[@hussainjasem6281]

Very helpful!

[@jcerby03]

Well done. I couldn't find a video about this anywhere except here

[@jameslowe2979]

Really useful and interesting video thanks for taking the time to put it together. In week 4 recovering from a ruptured quadricep tendon.

[@mrwoody6634]

Nice vid john, i had a accident 2 months ago, im 100% sure i have torn my tendon or tendons waiting on a hospital appointment at the min, after 2months passed i have started working out with weights that arent too heavy, is this okay? only done a few sessions so far.

[@ALT_RIGHT]

Do ALL the PT you can handle. I didn't and I'm paying for it dearly

[@mrwoody6634]

@@ALT_RIGHT i will do still yet to see someone because of stupid covid.

[@ALT_RIGHT]

@@mrwoody6634 get marbles and pick up with your toes.

[@mrwoody6634]

@@ALT_RIGHT its my shoulder mate.

[@gunarr6]

@@mrwoody6634 tore a tendon in my shoulder and im worried just as you were a year ago... how has your healing process been? has your shoulder fully healed? i would love to know.

[@patela5224]

Appreciate you sharing this video.

[@Livefullydotnet]

Thank you!

Great class!

[@ALT_RIGHT]

I fully ruptured my Achilles tendon ander me tell you something... It is NO joke My hips back etc are still fucked up 4 years later

[@mrstratau6513]

You could try Hydrolyzed Collagen Peptides. Type 1&3. Also look into proline and lysine. & they say take 1000mg of vitamin C each day. Keep researching.

[@mrstratau6513]

Investigate BP-157 & TB-500. Professional football players use these products to get back into the game, quickly after an injury.

[@markharnet2660]

Awesome. Thanks!!

[@emiliaarif]

very helpful thank you!

[@kiwicoproductions2828]

So what's going on if you have Tendontis? Has the tendon healed but the Collagen fibres are still weak?

[@medicalpust9933]

great Thanks

[@marklippert341]

What about a complete rupture? Is the process the same?

[@Johndarlington91]

Usually it will require surgical manipulation first to oppose the two ends. The healing process is then slightly different to the above

[@jamesj7401]

Bravo!

[@ejejej9200]

Thank you

[@bassbeetz]

I have had two total Achilles’ tendon ruptures in 18 months playing the marvelous game of squash. Both left and right. I’m 50 and have been playing for 35 years. The left one last week. Surgery on both, with FHL transfer from the big toe muscle to promote and enhance blood flow. This video is the most informative I’ve seen on tendon science. I plan and hope to play again when I’ve healed, but am wondering what can I do nutritionally to promote that essential type1 remodeling and directional cross linking? Any scientifically-based tips? I’m trying to eat 100g protein a day. What about supplements? Colostrum? I want maximum repair. :-)My surgeon is an expert in this field, and he feels very confident that my chances or re-rupture are less than 2%, even with hard use. I want to attain that goal. Ideas?

[@analogaudiorules1724]

It'll never be the same dude, it would be in your best interest to not be aggressive on it anymore, because if it happens again, it'll be even worse still, good luck man..,

[@mrstratau6513]

You could try Hydrolyzed Collagen Peptides. Type 1&3. Also look into proline and lysine. & they say take 1000mg of vitamin C each day. Keep researching.

[@mrstratau6513]

Investigate BP-157 & TB-500. Professional football players use these products to get back into the game, quickly after an injury.

[@sandrissd3634]

Having exact same question regarding nutrition to heal tendon

[@ALIFOUAD71]

can tendon heal back to the bone without surgery?

[@analogaudiorules1724]

No

[@priestmike]

Yes