BPC-157 for Tennis Elbow Results

Six months, bilateral tennis elbow, here is my honest summary

Thread summary

  • Plateaus of 8 to 12 weeks followed by another step up are extremely common in tendinopathy rehab with zero compounds involved. (shared by @Dr_Rehab_Ray)
  • Respect for calling out your own confound before I had to. (shared by @CoachTerrell)
  • I really needed to read that plateau section. (shared by @slow_healer_sam)
  • Saving this thread. (shared by @desk_jockey_dana)

Top answer from @Dr_Rehab_Ray. Jump to reply

20

posted by tendon_tinker OP 2mo ago

Six month writeup. Bilateral lateral epicondyle tendinopathy, four years total history, right worse than left. Prescribed and reviewed through a telehealth clinician, compounded pharmacy. No numbers here, per the rules. What I tracked weekly: pain free grip strength on a hand dynamometer both sides, worst pain in a day 0 to 10, whether I could carry groceries in the right hand, and hours of computer work before symptoms. What happened: - Weeks 1 to 4: nothing I would defend. Slightly less morning ache maybe. Could be noise, could be that I finally started doing wrist extensor eccentrics properly the same month, which is a confound I created myself and cannot undo. - Weeks 5 to 10: right side pain free grip improved noticeably and steadily. This was the first change that showed up in numbers rather than in vibes. - Weeks 11 to 20: the plateau. Nothing much moved. This is where I nearly quit and where I think most people do quit. - Weeks 21 to 26: second improvement, mostly in duration tolerance. Computer hours before symptoms roughly doubled from where I started. Where I actually am: grocery bags in the right hand, yes. Full unrestricted pull ups, no, and I have stopped assuming that is coming back this year. The caveat that matters: I changed two things at once. I will never know the split between the peptide and finally being consistent with loading. If you take one thing from this, it should be to change one variable at a time, which I failed to do.

Measure it or it did not happen.

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CoachTerrellAtlanta, GA8 points2mo ago
Respect for calling out your own confound before I had to. That week 5 to 10 grip bump is standard once you actually fix your wrist extensor loading after four years. I am not saying the peptide did zero, but the loading tweak alone accounts for most of that curve.

You cannot inject your way out of a bad program.

tendon_tinkerOPAustin, TX7 points2mo ago
Fair point. The only part loading alone doesn't cleanly explain to me is that week 21 jump after ten flat weeks with zero program changes. But uneven tendon remodeling over long timelines could easily explain it too, so I am not making strong claims.

Measure it or it did not happen.

Dr_Rehab_Ray Top answerCleveland, OH9 points2mo ago
Plateaus of 8 to 12 weeks followed by another step up are extremely common in tendinopathy rehab with zero compounds involved. I see it constantly. Your weeks 11 to 20 stretch is the most normal part of this log. The best takeaway here is that you actually kept going through it.

Load is the drug with the best data.

slow_healer_samBoise, ID3 points2mo ago
I really needed to read that plateau section. I am at week 13 and completely flat, so I assumed it was over. Super helpful to know ten flat weeks is normal.

Still here. Still slow.

LabRatLouisBoston, MA2 points2mo ago
Good log. Using the dynamometer gives you actual data instead of just memory competing against hope.

Preclinical is not a promise.

desk_jockey_danaRaleigh, NC1 points2mo ago
Saving this thread. Tracking computer hours before symptoms start is such a smart idea, I need to start writing that down.

Currently typing with correct posture. Probably.