Blood Flow and Tendon Healing

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.
🌟Need more help with your injury? You’re welcome to consult one of the team at TMA online via video call for an assessment of your Achilles injury and a tailored treatment plan: www.treatmyach...
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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.

[@Daniel_WR_Hart]

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

[@TreatMyAchilles]

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

[@andrewgodly5739]

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

[@fuckinmoron3230]

I arm wrestled 3 different guys to get out of work early and my elbows were shot the entire year, serious pain.

[@Thunderwake.]

Damned weak ancestors, setting us back.

[@smdhart8301]

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

[@englishincontext4025]

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. 👍❤

[@TreatMyAchilles]

You are very welcome!

[@gibsonlespaulspecial]

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!

[@wafflesthearttoad6916]

I dunno what I did to get matching tendon pain in both hands 😭

[@tarunmittar29]

Thats very helpful and now I understand why I made my injury worse. Never overheat tendons 💪🏾

[@kizarumelon2477]

Oh shit

[@papadakusb6264]

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

[@Happiness_Key]

Good one

[@Perich29]

I have cold spot on my tendons so I just let it be and do some foot exercise and walk

[@matthewmackay3354]

That was very interesting. You are an excellent teacher.

[@TreatMyAchilles]

Thank you! 😃

[@julianrodriguez9832]

this woman just stopped me from burning my elbows

[@Mario9640]

same here, my triceps tendon is killing me oredy 1 week and not going better.... don't know what to do.

[@wilywill3238]

@@Mario9640 what's it like now??

[@Mario9640]

@@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.

[@wilywill3238]

@@Mario9640 that's a shame

[@Mario9640]

@@wilywill3238 You have the same problem?

[@yeetus1546]

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.

[@gibsonlespaulspecial]

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.

[@yeetus1546]

@@gibsonlespaulspecial to be fair I’ve heard both improve circulation.

[@trainershatehim]

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.

[@gerardt3284]

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.

[@TreatMyAchilles]

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.

[@abcde1a]

Nice wrist lift My friend I'm dealing with the same problem for 5 months 👍

[@raukawa4732]

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

[@blockbuster90seconds]

How do you heal it? I have a hamstring tendinopathy for 5 months now and I can't walk at all now.

[@David.S.]

good video, realized I've been placing more emphasis on heat and less on proper loading/exercise. thank you.

[@tylerjcranford]

This really changed my perspective on tendon health and recovery! Thank you very much.

[@kingarthurusatenniscoach1415]

You ladies are so good,, you explain, thank you

[@ervikrantsharma]

i loved hearing these things from you, helped me to relax now.

[@TreatMyAchilles]

Glad I could help!

[@hikerJohn]

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

[@imhatchmantoo]

Finally someone making sense. Thank you.

[@lillyorange3669]

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.

[@joel553009]

look up the knees over toes guy.

[@jedlimen123]

Thank you. Very good information, helps me understand what is taking place and how to treat! 🙏

[@TreatMyAchilles]

You are welcome!

[@dynamic7763]

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.

[@benchnyc]

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.

[@fj5434]

@@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.

[@benchnyc]

@@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.

[@fj5434]

@@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?

[@nepzski]

@@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

[@elementhokage]

Such a good video. Clear and concise. Thanks doc!

[@TreatMyAchilles]

You're very welcome!

[@selvavinayagam7899]

Kindly teach about tendon healing when it is used as a graft. Eg anterior or posterior cruciate ligament reconstruction.

[@deborahtaylor2179]

I have just found your video. Thank you for explaining this, . Much more than my , consult did!! 👍🙏

[@TreatMyAchilles]

You are welcome!

[@hockeymomWA]

I've had a similar experience with my surgeon.🙄

[@jonathandock8416]

Loved the video!! Thank you so much! Wish you all the best from Belgium 🙏🍀🤗💝🤗🥳

[@TreatMyAchilles]

Thank you! 😃

[@imageedwards5576]

Thank you very much! This has helped me a great deal!

[@TreatMyAchilles]

You're welcome!

[@Blades-fm6ck]

Excellent, clear explanation Maryka. Many thanks for the video. 👍

[@TreatMyAchilles]

You're very welcome!

[@rehabb.4775]

Love this approach. Thank you!

[@wolfshield2499]

YES!!! I understand better now. Thank you!

[@TreatMyAchilles]

You're welcome!

[@AkingBones1]

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 ?

[@TreatMyAchilles]

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.

[@abderrazzakchokri1904]

you're the best in the team big thank you

[@mariakasionis5895]

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.

[@TreatMyAchilles]

Thanks for sharing

[@mohamedsamymahmoud669]

Awesome❤. I've learned great information. Excellent explanation 👏👏

[@TreatMyAchilles]

So glad!

[@alexskillaz2544]

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!

[@mcmerry2846]

Rice protocol is obsolet, aim the “PEACE&LOVE“ protocol from 2019.

[@mcmerry2846]

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.

[@jeremyjackson5861]

Prolotherapy fixed my ligaments might be able to help your tendon check it out

[@mariamarino138]

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🙏🏻

[@MrPissexcellence]

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.

[@matthewdieter3003]

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.

[@gcwilson1]

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!

[@TreatMyAchilles]

Glad it helped!

[@johngault8688]

Outstanding information!!!

[@TreatMyAchilles]

Thanks for watching!

[@eusuntaceleusunt]

This is so sensible...

[@kju5020]

I starter a cleaning job. All my right side of the body is burning joints and tendons are on fire

[@simonndala2069]

Very helpful video,good teaching straight to the point..

[@ChristianMuslimTalib]

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!

[@TreatMyAchilles]

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! kzbin.info/aero/PL1sDnegMCeASVkEkkQVimA2OsHdPJzAuy

[@drchrisfrykman7573]

I appreciate your thoughtful education

[@bikepacker9850]

One of the problems with a snapped tendon is people have lots of time on their hand to think about the injury and what can go wrong.... 😁

[@airanmilian]

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 :)

[@TreatMyAchilles]

You're welcome!

[@AntstrengthUnlimited]

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

[@hanzo52]

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

[@jtrain3113]

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?

[@TreatMyAchilles]

Yes, this information applies to all tendons.

[@jimbo1261]

Thank you very well explained.

[@TreatMyAchilles]

You are welcome!

[@escx1613]

Thank you very much!

[@TreatMyAchilles]

You're welcome!

[@elizabethpeterson455]

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😊

[@TreatMyAchilles]

You are welcome!

[@van_elseingmejse3807]

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

[@denverhouston6746]

I just woke up in Jan this year out the blue I can’t load or put any weight on my Achilles

[@devrikalacos4440]

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.

[@TreatMyAchilles]

Hi Devri, Thanks for your question. You may find this video of ours helpful: kzbin.info/www/bejne/jYm1k59tjb96a5I

[@kboy128]

So do i Ice bath or Epsom salt bath?!?!

[@TreatMyAchilles]

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.

[@user-zh2pb4fz8w]

Heat actually made my tendon worse. Ice, rest and cold shower helped me heal.

[@BeeDingaling]

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?

[@podme]

Good luck on your expected reply. Sadly I'm not the qualified one.

[@carrotauntie]

Thanks, at least I know there is 2 view now, are you still in pain?

[@skyguy871]

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.

[@carrotauntie]

@@skyguy871 good to know about this👍

[@sushilashukla1289]

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

[@Miracle_Okonkwo.]

So a tendon can heal without surgery with time

[@TreatMyAchilles]

Yes - in most cases they don't require surgery.

[@carrotauntie]

Thank you for your sharing.

[@TreatMyAchilles]

My pleasure!

[@dm8127]

How helpful is growth hormone for long term tendon damage from sports?

[@maureenbrophy7852]

Thank you

[@TreatMyAchilles]

Welcome!

[@johngiovanni6045]

This makes sense. But ice massage and ice baths seems to bring down the inflammation. Which would indicate some increased circulatory turnover?

[@TreatMyAchilles]

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.

[@adriancampbell8310]

Great video! Thx. Should I be taking collegan or any other supplement/s also to help it along? Icing or heat?

[@TreatMyAchilles]

Collagen can help. Here's our video on that: kzbin.info/www/bejne/fn7TlIGFis2GZ5Y Ice or heat: kzbin.info/www/bejne/jYm1k59tjb96a5I

[@adriancampbell8310]

@@TreatMyAchilles great thx

[@JaxTeIIer]

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?

[@TreatMyAchilles]

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/

[@jhnnytyler]

Thanks lady, that was beautiful,, so I'm with Gibsonlespaul ! 👍👍

[@okbustaman]

Thank you...

[@TreatMyAchilles]

Welcome

[@oliviabastin937]

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?🙏🙏🙏

[@TreatMyAchilles]

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

[@alirezastrange3132]

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?

[@TreatMyAchilles]

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.

[@user_1abc]

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.

[@TreatMyAchilles]

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. kzbin.info/www/bejne/fn7TlIGFis2GZ5Y

[@AllisterCaine]

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.

[@gpeonies1585]

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 ?

[@TreatMyAchilles]

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/

[@mariakasionis5895]

Check your vitamin D levels. I was deficient and got muscle strains and tendon strains.

[@mariakasionis5895]

Check your vitamin D levels. I was deficient and kept getting muscle strains, tendon and ligament strains.

[@iliasmetalworks]

Do you offer any treatment for Distal Bicep tendon rehab?

[@TreatMyAchilles]

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: kzbin.info/www/bejne/jXTCpnWVqZmUbbs

[@libertine5606]

What about collagen and vitamin C supplement before stressing?

[@tbasxpower7555]

Yes also d3 arginine zinc glucosamine glutamine hmb l-lysine omega 3s want to get serious peptide tb-500 bpc-157 and HGH

[@karanveersingh1139]

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

[@TreatMyAchilles]

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/

[@martincuri6295]

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.

[@TreatMyAchilles]

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: kzbin.info/www/bejne/m5bKdpqXqtdgqMU Biceps tendonitis: kzbin.info/www/bejne/eZTJhnmahqereaM

[@Modernstoic1]

Very informative 🙏🏻

[@TreatMyAchilles]

Glad you think so!

[@carinacullen3815]

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.

[@TreatMyAchilles]

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: kzbin.info/www/bejne/g6PSdYCdeaaagM0 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/

[@carinacullen3815]

@@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.

[@HG-xv8eg]

How r u feeling now

[@ahmadchaudhry]

Use almonds to heal tendon also

[@blueskythinking8312]

How?

[@ahmadchaudhry]

@@blueskythinking8312 u can also use jelly fish, bone broth, chicken and fish skin

[@ianwinter100]

Thanks for this video :) I guess this is the same for MCL & ACL injuries?

[@TreatMyAchilles]

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 kzbin.info/www/bejne/pn7XkpirhLxqgKc

[@ianwinter100]

@@TreatMyAchilles thank you 🙂

[@HumanMechanism]

Is contrast therapy of any use or is it just pointless due to the cap of bloodflow needed already being satisfied under normal conditions?

[@TreatMyAchilles]

You’ve answered it. The blood flow is exactly right for tendons and contrast therapy won’t make much difference to that.

[@terryblais9128]

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?

[@stevengalentine-mv1ut]

Same approach with ligaments ??

[@TreatMyAchilles]

Yes, they are similar - you just also need to provide stability for the ligament in the early days of healing - how much will depend on the grade of the injury.

[@grovestreetmember2648]

great video thx

[@bobomonkey702]

Armwrestlers won’t agree on all of what you’re saying. Armwrestling is all about tendons being strong and not so much about muscles being strong. Getting blood flow to tendons does help. Yes muscles heal much faster but many times when your tendons are sore from training the next armwrestling workout you start to feel better as long as you don’t over do it but put the work in so you get the blood flow.

[@TreatMyAchilles]

What you describe is correct - exercise do cause a temporary increase in blood flow which in turn makes the discomfort feel better because it gets rid of the chemicals that is causing some of the pain. And this is why rehab exercises play such an important role in rehab of tendon injuries. The problem is that a lot of people read on the internet that the blood flow to tendons are bad and therefor the heal slowly - this then make them very worried and they start doing lots of not so useful things to try and improve the blood flow e.g. warm it up for hours on end etc., when in fact they should just do their exercises and it will all recover. I've made this video to help people understand that the blood flow is not something that they have to focus on changing - it will get sorted as long as they follow the correct exercise regime.

[@landphilspecter]

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?

[@TreatMyAchilles]

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.

[@landphilspecter]

@@TreatMyAchilles Thank you for the reply and information.

[@ericsplittgerber5154]

thanks for the info! How long after a tendonitis flare-up should you wait before starting light strength training?

[@TreatMyAchilles]

Usually only a few days

[@icecreamladydriver1606]

I have a 4 pelvic floor prolapse. Is there anything that can be done to heal that? Thanks.

[@TreatMyAchilles]

That is not our line of specialty - best to ask a physiotherapist who specializes in women's health.

[@icecreamladydriver1606]

@@TreatMyAchilles Thanks.

[@tmac4343]

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?

[@TreatMyAchilles]

Hi Tom, that is a question best answered by the clinician in charge of your care as they can assess it for you.

[@R0kushi]

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!

[@TreatMyAchilles]

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! kzbin.info/www/bejne/e2atmnWgft5qd80

[@breakingboredom3060]

What exercises should i be doing, i have pain in my top half of my elbow, i have been Tolled by my physio person that i need to exercise the area affected bit tjey haven't worked, he said that a cortisone injection would help but damages the joints, they will do it if it is the last reort, this is now my only option, i do smoke amd drink which i know slowes down recover, i am trying to stop both of these afflictions, also i am 39 and i loke to train using calisthenics but this pain makes this hurt amd i can not..what should i do?

[@TreatMyAchilles]

I'm not really sure what injury you are talking about because it could be tennis elbow, biceps tenonitis or triceps tendonitis or golfers elbow - they all produce pain around the elbow. You can find videos about all those conditions on our other KZbin channel: www.youtube.com/@SportsInjuryPhysio/videos 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/services

[@markopolo594]

i dont have an injury, but id like to know how to keep my tendon healthy, and maybe increase its strengh

[@TreatMyAchilles]

Hi there, Here's our article on strength increase to prevent Achilles injuries: www.treatmyachilles.com/post/key-muscles-a-runner-can-strengthen-to-reduce-the-risk-of-achilles-pain

[@calesticall128]

The regulate down blood flow resistent in syndrome unsually be have on proces at train hurt or sometimes heart breaker??

[@TreatMyAchilles]

I don't understand what you're asking.

[@thilinithushari4951]

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?

[@TreatMyAchilles]

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/

[@rlake349]

Every physical therapist I’ve ever been to for tendinitis in my elbows apply heat for 15 minutes before they do anything.

[@petr7856]

Baie dankie!

[@QB1ofFitZ]

My tendons hurt so much because I run a lot but my I could barely walk from my heal

[@victoryang2094]

i did a split between my big toe and my pointer toe when i was walking sideways the pointer toe got caught and it did a spread that shouldnt occur has been a week and it still hurts alot

[@navylaks2]

I actually need help with the recovery of my Tendon in my Rotator cuff in my left shoulder

[@TreatMyAchilles]

This is something that we may be able to help you with via our video consultation service. You can read more about it here: www.sports-injury-physio.com/ My colleague Dominic has good experience in treating this type of injury: www.sports-injury-physio.com/sports-physio-dominic-briggs

[@Shubhamsingh-qw4cl]

Amazing information mam I appreciate 🙏🏻 thanks ✅️

[@TreatMyAchilles]

So nice of you

[@rahulbose2781]

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 ??

[@TreatMyAchilles]

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/

[@petecosby]

Do you suggest not using hot footbaths or alternating cold & hot when healing Insertional Achilles in ankle?

[@TreatMyAchilles]

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.

[@fcrossface7875]

Love that accent!...Sounds like South African/Dutch?

[@philam1973]

My injured foot side is red compared to the other foot. I’m in the tropics and wear short socks. My red foot is almost the same color as my tanned leg. I don’t see it as serious. My therapist attributes it to “still healing” which I interpret THAT to “ longer PT”. Thoughts?

[@TreatMyAchilles]

You haven't given me enough context to really give a useful or safe answer because I don't know what injury you have or how it started. However, if you have a scar, then it can be normal for it to be a bit red around it but in most cases redness is indication of acute inflammatory reaction and not a tendon injury, especially if you've not had surgery etc. - so I would suspect gout or something else - best to get it checked by a doctor because what you describe does not sound normal to me.

[@philam1973]

@@TreatMyAchilles fully torn with surgery. My left foot is white as my bottom due to no sun. My legs are highly tanned but losing color due to being indoors the last 3 months. Surgery almost 7 weeks ago. Wearing a boot almost 5 weeks, just putting 1/3 weight on boot. The foot iself is red, not around the scar. Touching any area whitens the area indicating blood near the skin on the whole foot. Seems whiter upon awakening.

[@TreatMyAchilles]

Get it checked by a doctor immediately and do not get any massage done on your leg until then - it sounds as if you may have a blood clot - hopefully I am overreacting but it is best to play it safe

[@philam1973]

@@TreatMyAchilles Doctor saw this and said it is part of the swelling issue. I wake up with no swelling and normal color (without elastic bandages, boot, or splint). Once My foot goes to the floor it changes color and gradually swells. Doctor says swelling will gradually stop as the foot/ankle muscles start working a lit more. People don’t mention this in their recovery videos.

[@YondaimeApproved]

Do you treat hand tendons??

[@TreatMyAchilles]

This is not one of our specialities. I would recommend that you see a therapist specializing in hands.