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posted by slow_healer_sam 18d ago

Can BPC-157 heal a torn meniscus or is that too much to ask

MRI came back last week and it's a meniscus tear, not just tendon stuff like I thought. Doc mentioned surgery might be on the table depending on how it responds to rehab. Before I go down that road I wanted to ask here since BPC has helped my patellar tendon pain some. Is there any point in adding it in hoping it helps the meniscus too, or is cartilage just a different animal than tendon. Trying to avoid surgery if there's any legit shot at this healing on its own with some help.

Still here. Still slow.

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LabRatLouisBoston, MA10 points18d ago
Different animal is right. Meniscus is cartilage, and most of it is basically a desert as far as blood supply goes. The outer third, sometimes called the red zone, has some vascularity and can actually heal on its own or with conservative loading. The inner two thirds is the white zone and it gets almost nothing, which is why tears there are so stubborn. BPC's whole pitch is angiogenesis and growth factor upregulation, which sounds relevant on paper, but every animal study behind that claim used acute tendon transection models. Nobody has run a study on meniscal tissue specifically. Not one, animal or human. So you'd be extrapolating from a completely different tissue type and injury pattern.

Preclinical is not a promise.

Dr_Rehab_RayCleveland, OH5 points18d ago
This is the right question to ask before spending money on anything. Where the tear is located matters more than what you put in a syringe. Small red zone tear, conservative loading program can absolutely work. White zone or a bigger tear, you're realistically looking at a scope. Get the exact location and size clarified with your ortho before you decide anything, that changes the whole conversation.

Load is the drug with the best data.

jumpers_knee_jessOmaha, NE7 points18d ago
Following this one. Had two girls on my team with meniscus scares this season, one turned out to be a small peripheral tear that calmed down with load management and PT, the other needed the scope. Night and day difference just based on location like Ray said.

Isometrics before ice. Every time.

tendon_tinkerAustin, TX4 points18d ago
I tracked my Achilles and elbow stuff for four years and even with tendon, which actually has decent vascularity compared to cartilage, the peptide effect was hard to separate from the loading effect in my own data. Asking it to do something for basically avascular tissue feels like a stretch even by my optimistic standards, and I'm someone who wants to believe.

Measure it or it did not happen.

CarlD_BeachbodyLos Angeles, CA4 points17d ago
I'll be the pushback here. I ran BPC through a shoulder labrum issue a while back, also cartilage adjacent, and my recovery timeline beat what my surgeon predicted. Anecdotal, sure. But acting like there's zero chance of any benefit because the studies aren't specific enough yet feels premature to me. I'd rather try it alongside real rehab than write it off entirely.

Decide. Commit. Succeed.

LabRatLouisBoston, MA1 points17d ago
Beating a predicted timeline isn't the same as proving mechanism though. Surgeons pad estimates constantly and labrum healing has its own variables. I'm not saying don't take it, I'm saying don't expect it to substitute for what the location and size of the tear actually dictate.

Preclinical is not a promise.

slow_healer_samBoise, ID5 points17d ago
Appreciate the honesty even though it's not what I was hoping to hear. Going to push for a clearer read on which zone mine is in before I decide anything else.

Still here. Still slow.