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posted by Dr_Rehab_Ray 24d ago

New here? Start with these four questions before you buy anything

Most guys land here ready to order compounds before answering the basic questions that actually determine if a cycle will do anything. 1. Do you have an actual diagnosis? Tendinitis and tendinopathy are completely different issues. One is active inflammation, the other is tissue degeneration. If you haven't had a proper PT assessment, you don't even know what you're targeting. 2. Are you progressively loading the tendon? Mechanical tension drives tissue remodeling. Heavy slow resistance and eccentric work are non-negotiable. Peptides accelerate cellular signaling, but if you aren't loading the tissue, there is no structural adaptation happening. Resting and pinning in a vacuum accomplishes very little. 3. How long has this actually been going on? Six weeks and eighteen months require different expectations. Tendon remodeling runs on a months-long timeline. Judging a cycle at week three and claiming it failed just means you don't understand tendon turnover. 4. What are your specific tracking metrics? "It hurts less" isn't useful data. You need objective benchmarks to log against, like single-leg calf raise reps to failure, a 30-second bar hang, or descending stairs without bracing. Dial these four in first. Then the conversation about what to run actually becomes useful.

Load is the drug with the best data.

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CoachTerrellAtlanta, GA10 points24d ago
Point 2 is the whole ballgame. I've coached people through 6-month tendon rebuilds, and the ones who fixed their function loaded consistently and didn't stop at week 5 just because it felt fine.

You cannot inject your way out of a bad program.

AchillesAnnaPortland, OR6 points24d ago
Adding the runner version of question 4 because vague goals wrecked my first year. My original goal was just 'not hurt,' which is useless. What worked was tracking single-leg heel raise reps to failure, morning stiffness in minutes, and minutes of easy running before my landing changed. Going from 25 minutes of morning hobbling down to 5 was the first real sign of progress.

Slow is smooth. Smooth is 5k pace eventually.

desk_jockey_danaRaleigh, NC7 points24d ago
Question 1 was me. I was sure I had wrist tendinitis, but it turned out to be forearm extensor tendinopathy plus neck issues. Totally different rehab plan.

Currently typing with correct posture. Probably.

LabRatLouisBoston, MA5 points22d ago
On question 3: tendinopathy has a strong natural history of resolution over long timescales. If you start a compound at month nine of an eighteen month path, you're competing with time for credit. This is why uncontrolled case series are functionally useless here, many patients were improving anyway.

Preclinical is not a promise.

tendon_tinkerAustin, TX6 points21d ago
Bookmarking this to paste everywhere. I skipped question 4 for a year and completely ruined my early tracking data.

Measure it or it did not happen.