Elbow Tendonitis

[fizzisnumerouno]

My friend has elbow tendinitis that is pretty bad and is borderline crippling at the gym. His trainer recommended a cortisone shot but I told him there had to be something better out there. Any opinions? I was thinking something like ostarine because of the nutrient allocation properties.

 

[Jbranken]

Tb500 + ghrp2 + mod-grf + ostarine is a good combo

Does he cycle?

 

[fizzisnumerouno]

Tb500 + ghrp2 + mod-grf + ostarine is a good combo

Does he cycle?

I was wondering about the ghrp but I know it can cause that pins and needles feeling while running as I have felt it myself. He doesn't run anything. But he did get some finasteride for his hairline, though he hasn't used it yet. He also coaches/plays softball.

 

[RickRock13]

Ostarine can help with minor inflammation, but depending on the severity. Some things are just going to need proper rest and recovery to heal, as continuing to push them can just lead to further injury

 

[MaxxReps]

I had it pretty bad as well. I actually had it in both elbows - I let one heal naturally and the other I went to see an ART specialist who performed graston on me and while quite painful it ended up healing in half the time as the other (3 months as compared to 6).

 

[Jbranken]

Very true, Best thing I ever did for my tendonitis was resting it for some time

 

[fizzisnumerouno]

Ostarine can help with minor inflammation, but depending on the severity. Some things are just going to need proper rest and recovery to heal, as continuing to push them can just lead to further injury

I agree. But I definitely am vehemently against the cortisone shot.

 

[fizzisnumerouno]

Tb500 + ghrp2 + mod-grf + ostarine is a good combo

Does he cycle?

Did u site specify the tb500

 

[Rpgove]

Try a tennis elbow strap.

 

[stevesmi]

inflammation is the body trying to heal itself.

if he is over training he needs to back off.. any doc who recommends a cortisone shot should be hung by his balls and treated like a piñata.

 

[fizzisnumerouno]

inflammation is the body trying to heal itself.

if he is over training he needs to back off.. any doc who recommends a cortisone shot should be hung by his balls and treated like a piñata.

He's training sporadically. He used to go super hard but now just maintains. He is comfortable in his Marriage and goes half as hard as me. He was playing softball in a mens league and it's borderline excruciating ever since. I ordered him an elbow strap. I'm going to tell him to go real light at the gym.

 

[buddhabuilder]

I'm in the let it heal school of thought. That doesn't mean you have to stop training completely, in fact, going lighter, doing different exercises, and learning different approaches may enhance a physique in the long run. Form over weight every time.

 

[Jas1984]

My left elbow gets pretty bad if I do skull crushers with out properly warming up... I use blue emu, stuff is amazing for tendinitis. You can buy it at any cvs, wal greens for like 20-25 bucks.

 

[travishibachi]

Tendonitis, especially in the elbow, is most likely caused by tight muscles in the forearms and tricep. I get it really bad from doing a lot of pullups or kettlebell stuff. Try taking a lacrosse ball and rolling out your tricep I bet it will be excruciating haha I know mine hurts like a motherfucker when I do that. Also, taking your opposite knee and gently smashing your forearms will help get rid of all the little knots and adhesions in your forearms that get built up from grip-intensive exercises. Our forearms are the equivalent of our calves and I know I don't do enough mobility/recovery stuff for my calves since I always manage to get shin splints so why not help out the forearms that are constantly in use? There are these things on the roguefitness website too called voodoo bands...they are compression bands that you can use on pretty much any muscle and it will help with recovery. Not expensive at all I've been using them and they've improved my squats, kettlebell press and I don't get tendonitis anymore.

 

[Jbranken]

Did u site specify the tb500

I haven't used tb500 but you normally do when using it

 

[fizzisnumerouno]

I haven't used tb500 but you normally do when using it

That's what I heard; though others have said sub-Q works.

 

[Jbranken]

That's what I heard; though others have said sub-Q works.

I've heard site injecting can be painful. Fuck that

 

[fizzisnumerouno]

I've heard site injecting can be painful. Fuck that

I delt injected ghrp with a slin pin and it was a breeze. I haven't read up on the TB500 in awhile but I seem to recall some people saying it goes directly into the injury.

 

[stevesmi]

nah TB you can inject subQ into your belly fat just like you would hcg.

but again taking something to reduce inflammation isn't the first course of action.. rest is. ice might feel good but again it will slow down healing. you want to apply heat to the area and reduce your exercise

 

[gatemoney]

My friend has elbow tendinitis that is pretty bad and is borderline crippling at the gym. His trainer recommended a cortisone shot but I told him there had to be something better out there. Any opinions? I was thinking something like ostarine because of the nutrient allocation properties.

Cured my crippling tendonitis with physical therapy.
Find a better doctor you don't need drugs.

 

[fizzisnumerouno]

nah tb you can inject subq into your belly fat just like you would hcg.

But again taking something to reduce inflammation isn't the first course of action.. Rest is. Ice might feel good but again it will slow down healing. You want to apply heat to the area and reduce your exercise

+1

 

[travishibachi]

+1

^^Heat and compression are your best friends concerning muscular ailments.

 

[Zyglamail]

inflammation is a necessary step for healing, remove it remove healing. Sure cortisone will get rid of a lot of the pain which means he will train hard and continue to cause damage. The pain and inflammation is a symptom of damage. Dont adress the symptoms, address the problem..ie damage.

give the body what it needs to fix the damage! avoid ice, nsaids and exercise that causes pain.

Take a lot of vitamin C, lysine and chondroiton. They are the basis for collagen synthesis. Failrue to give the body essential buidling blocks has been scientifically linked to poor tissue quality. In other words without adequate building blocks for collagen it MAY heal but will be a suboptimal repair.

 

[Elrock]

inflammation is a necessary step for healing, remove it remove healing. Sure cortisone will get rid of a lot of the pain which means he will train hard and continue to cause damage. The pain and inflammation is a symptom of damage. Dont adress the symptoms, address the problem..ie damage.

give the body what it needs to fix the damage! avoid ice, nsaids and exercise that causes pain.

Take a lot of vitamin C, lysine and chondroiton. They are the basis for collagen synthesis. Failrue to give the body essential buidling blocks has been scientifically linked to poor tissue quality. In other words without adequate building blocks for collagen it MAY heal but will be a suboptimal repair.

Yes, high doses of vitamin C, Lysine, Proline & Chondroiton are essential for collagen synthesis. This combo will repair tendon & cartilage injuries. Add adequate rest and heat compressions to muscle, tendon, ligament & cartilage injuries.

 

[youcandoit]

the same thing has happened to me.
i was doing a cycle of just test prop alone.. its a slow process but it gave me solid gains..
the problem was near the end of my cycle i think i could handle more than i could, i started a dead lift of 220kg. on the third lift the bar was slipping and fell out of my hand. the day after i could hardly lift a cup or even move my fingers.

thats two months ago and my elbow is still in bits and i want to start a new cycle soon of anavar 100mg a day and test prop 150ml eod for 8 to ten weeks..

my question is will your doc just give you an injection if you ask for it or what else can i take to heal this tendon...


my stats , 27years old. 219pounds and 6ft2

 

[fizzisnumerouno]

the same thing has happened to me.
i was doing a cycle of just test prop alone.. its a slow process but it gave me solid gains..
the problem was near the end of my cycle i think i could handle more than i could, i started a dead lift of 220kg. on the third lift the bar was slipping and fell out of my hand. the day after i could hardly lift a cup or even move my fingers.

thats two months ago and my elbow is still in bits and i want to start a new cycle soon of anavar 100mg a day and test prop 150ml eod for 8 to ten weeks..

my question is will your doc just give you an injection if you ask for it or what else can i take to heal this tendon...


my stats , 27years old. 219pounds and 6ft2

Read this whole thread. Tons of solutions

 

[stevesmi]

the same thing has happened to me.
i was doing a cycle of just test prop alone.. its a slow process but it gave me solid gains..
the problem was near the end of my cycle i think i could handle more than i could, i started a dead lift of 220kg. on the third lift the bar was slipping and fell out of my hand. the day after i could hardly lift a cup or even move my fingers.

thats two months ago and my elbow is still in bits and i want to start a new cycle soon of anavar 100mg a day and test prop 150ml eod for 8 to ten weeks..

my question is will your doc just give you an injection if you ask for it or what else can i take to heal this tendon...


my stats , 27years old. 219pounds and 6ft2

you have a lot to learn about what tendons are. they are not the same as muscles.

 

[burnthiscorpse]

Cured my crippling tendonitis with physical therapy.
Find a better doctor you don't need drugs.

I do agree with you about drugs. They are more of a hinderance. Maybe useful with ice right after an injury to get your immediate swelling under control.
IMHO PT is crap. I say that because 95% of PT's don't know their ass from a hole in the ground. My PT comes from our world so he "gets it". He also does ART therapy which works very well. I consider myself lucky.
Most therapists are over conservative and out for money.

If you develop a light case of tendonitis then rest and healing with some proper strengthening exercises will work. then changing how you train so as not to re aggravate it works.
If its chronic then its more like tendonosis. I could not train for a few years because of rotator cuff tendonosis in both shoulders and the tricep insertion at the back of both elbows. I couldn't even hold my hand on top of my steering wheel for more than a minute without a shoulder and elbow burning like hell.
Prolotherapy (google it) is the only real fix for those of us who have tendon issues and want to keep beating on them. In short its water based test suspension, lidocaine, and dextrose mixed in a syringe. The solution is shot directly into the tendon with issues in large volume. It causes severe inflammation and forces the body to go into 911 mode and repair the tendon. Tendons have shit for blood flow. Taking anti inflammatories and icing decreases blood flow even more. I underwent 6 treatments once a month before I could lift again. After that I went every 3 months for a while then kept spacing it out more and more. Now I go like twice a year. three times tops. I have to take 8-10 days off after treatment but there is nothing else that works.
I have tried PT, ice, Nsaids, deep tissue massage, rest, heat, electro stim, even cortisone (which did nothing). TB500 does help if the situation is already under control. I used to love TB but I now question its effects on the big "C" word. Do your own research and form your own conclusions.
I would use Ipamorelin over GHRP. GHRP will effect your blood glucose negatively. Ipam will not. It is a superior peptide to GHRP 2 or 6.

Only downside to prolo is insurance wont cover it so its out of pocket$$. But it works.

 

[burnthiscorpse]

^^Heat and compression are your best friends concerning muscular ailments.

Yes. with muscular issues.

BUT...for the OP, remember.....if you fuck up a tendon or injure one somehow at the gym DO NOT heat. This is when you want to take that ibuprofen(if you wish) and ice. Just for now to get the initial inflammation under control. Remember Ice will never hurt. Heat can sometimes do more harm than good. Depends on the injury. Once the initial injury/trauma inflammation is handled and calmed down then you can heat to increase blood flow to the area.

 

[travishibachi]

Yes. with muscular issues.

BUT...for the OP, remember.....if you fuck up a tendon or injure one somehow at the gym DO NOT heat. This is when you want to take that ibuprofen(if you wish) and ice. Just for now to get the initial inflammation under control. Remember Ice will never hurt. Heat can sometimes do more harm than good. Depends on the injury. Once the initial injury/trauma inflammation is handled and calmed down then you can heat to increase blood flow to the area.

True, but you should not take NSAIDs period. Ibuprofen will mask the pain but that is it and has been proven to actually interfere with the body's healing process because all it does is block pain receptors and does nothing for the inflammatory process. If you can't tell how bad something hurts then you're not getting any biofeedback which is not good. Obviously immediately after an injury you want to ice to cut off the blood supply by shrinking the blood vessels and then as you said use heat (moist heat is optimal) to increase circulation once the initial trauma has lessened.

However, it is important to note that ice is no longer necessary or prudent after the first 24-28 hours following an injury. Ice will impede your body's lymphatic system as it tries to take out waste products and build/repair new healthy tissue(s) in the area. Personally, if I had a tendon/muscular injury I would definitely add ostarine to my rehab cycle. It can be run up to 12 weeks which is a good chunk of time.

 

[Zyglamail]

You do really need to chose your PT carefully, I went to a few for some issues and the 3rd time was a charm. I dont think I would have progressed without him. That being said has I stuck with the first two I was I would have wasted a lot of money.

Prolotherapy (google it) is the only real fix for those of us who have tendon issues and want to keep beating on them.

Prolotherapy is the bomb, been having it done for 10+ years myself. Its starting to become a little more popular and even with prolo I think its vitally important to take the supplements I mentioned above. you will heal much faster and have a much stronger repair.

 

[stevesmi]

the bottom line here is you should never let inflammation become chronic in the first place. its a lose/lose situation.

I've been yelling at people on here since I joined to not make the same mistakes I made which ruined an otherwise amazing endurance career I had.. I was headed to the ironman's, instead I went from the penthouse to the outhouse because I listened to the wrong people who gave me shit advice (including doctors). there was one guy who kept telling me REST REST REST REST, you don't want it to become chronic.. yada yada yada.. same shit I say on here. I blew him off because I had 10 other people telling me to run through it and to take anti-inflammatories before a race.

its not all bad because I got back into lifting but now I see people making the same mistakes in the weight room, and on these boards, and I shake my head at how stubborn they are. I think movies like Rocky or Rudy where people get their head beat in and end up champions at the end have tricked people into thinking you are TOUGH if you fight through pain, that's not tough that's STUPID! didn't Muhammad Ali end up with significant brain damage from his fighting and can barely speak or walk? how come Hollywood and the media doesn't glorify that? every wrestler I know that are in their 40's today are on PK's and can't even workout anymore. whether you are hurt or not you better get in that ring or else the show can't go on.

 

[travishibachi]

the bottom line here is you should never let inflammation become chronic in the first place. its a lose/lose situation.

I've been yelling at people on here since I joined to not make the same mistakes I made which ruined an otherwise amazing endurance career I had.. I was headed to the ironman's, instead I went from the penthouse to the outhouse because I listened to the wrong people who gave me shit advice (including doctors). there was one guy who kept telling me REST REST REST REST, you don't want it to become chronic.. yada yada yada.. same shit I say on here. I blew him off because I had 10 other people telling me to run through it and to take anti-inflammatories before a race.

its not all bad because I got back into lifting but now I see people making the same mistakes in the weight room, and on these boards, and I shake my head at how stubborn they are. I think movies like Rocky or Rudy where people get their head beat in and end up champions at the end have tricked people into thinking you are TOUGH if you fight through pain, that's not tough that's STUPID! didn't Muhammad Ali end up with significant brain damage from his fighting and can barely speak or walk? how come Hollywood and the media doesn't glorify that? every wrestler I know that are in their 40's today are on PK's and can't even workout anymore. whether you are hurt or not you better get in that ring or else the show can't go on.

^^Good post, sir. I have a very tough time keeping myself in check because I always want to go all out 100% of the time. But the body needs to be able to rest and recover so that you can repair damaged tissues and build new muscle. There's a study that shows how bad training is for you if you're still really sore from a previous workout. Your cortisol levels spike, your body goes into emergency mode and the first thing that breaks down is muscle into aminos so the body can try to fix itself. I know I'm not going to PR every day that I lift and that there are going to be some really shitty days. Days where I can't even hit numbers that I should have no problem with at all. And that's part of the grind because I'm that much more pumped when I do break through a plateau. Training is a very delicate balance of knowing when to go balls deep and when to take it easy and I'm so much more disciplined now than I was even 2 years ago. All part of the learning process.

 

[stevesmi]

^^^ you can train while sore but that's where having an effective split comes into play.

if your legs are sore then train your upper body and vice versa. I have been using the push, pull, leg split and its worked well for me.

now inflammation is a different story.. If you start noticing inflammation you have to listen to your body on that and allow it to heal.

worst comes to worst go into major de-load and drop your weights down 50-60%.. I promise you the guys who go heavy every workout are the ones who deal with inflammation. lifting with your tendons and ligaments vs. lifting with your muscles is huge

 

[MaxxReps]

lifting with your tendons and ligaments vs. lifting with your muscles is huge

This.

I've heard everyone say that injuries are common on juice because you are so much stronger and even though your muscles are stronger your connective tissues aren't. While I believe this is true other than slightly aggravating existing conditions all of my injuries have been before I started using steroids and I believe it is exactly what Steve said. I pushed past where my muscles were fatigued and think that because of that my tendons and ligaments took a beating.

I've since dropped the ego and weights and have seen very steady progress and while it may not be as sexy to shoulder press 50's as it is 70's its not sexy at all to not do any upper body work for 6 months or more due a shoulder injury.

 

[travishibachi]

^^^ you can train while sore but that's where having an effective split comes into play.

if your legs are sore then train your upper body and vice versa. I have been using the push, pull, leg split and its worked well for me.

now inflammation is a different story.. If you start noticing inflammation you have to listen to your body on that and allow it to heal.

worst comes to worst go into major de-load and drop your weights down 50-60%.. I promise you the guys who go heavy every workout are the ones who deal with inflammation. lifting with your tendons and ligaments vs. lifting with your muscles is huge

^^True. I usually break down my workouts into a push/pull/posterior chain split so I don't overdo it. Usually I just deload every 4th week because my third week is when I work up to heavy singles after doing doubles and triples the previous weeks. You're pretty wise, steve! Haha thanks for all of your wisdom, bro.

 

[burnthiscorpse]

You do really need to chose your PT carefully, I went to a few for some issues and the 3rd time was a charm. I dont think I would have progressed without him. That being said has I stuck with the first two I was I would have wasted a lot of money.



Prolotherapy is the bomb, been having it done for 10+ years myself. Its starting to become a little more popular and even with prolo I think its vitally important to take the supplements I mentioned above. you will heal much faster and have a much stronger repair.

Exactly with the PT. Case in point....my PT (who is also my chiro and ART guy) is also handling my current ACL rehab (9 weeks post op). He is very aggressive. He also likes to see results. He sees me once a week to check progress and we discuss next steps. I do my own PT in the gym on my own. He doesn't gouge me for cash like 90% of PT's. My wife has a client who's nephew is seeing a local PT for ACL also and is 6-7 months into PT and is at the same progress point I was at after 6 weeks. Fucking sad... and he goes 3 days a week!!!!!

Zyg, you are the one that made me pull the trigger on prolo back in 08' or 09'. I actually just got home from a treatment like 90 minutes ago. Had both infraspinatus tendons/muscles done, my right brachialis, triceps insertion at the back of the elbow on the left and right arm and the forearm flexor anconus(sp?) on the right arm. 6 spots. Next time I will be getting 5cc's of ozone gas injected into my brachialis.

 

[Zyglamail]

Exactly with the PT. Case in point....my PT (who is also my chiro and ART guy) is also handling my current ACL rehab (9 weeks post op). He is very aggressive. He also likes to see results. He sees me once a week to check progress and we discuss next steps. I do my own PT in the gym on my own. He doesn't gouge me for cash like 90% of PT's. My wife has a client who's nephew is seeing a local PT for ACL also and is 6-7 months into PT and is at the same progress point I was at after 6 weeks. Fucking sad... and he goes 3 days a week!!!!!

Zyg, you are the one that made me pull the trigger on prolo back in 08' or 09'. I actually just got home from a treatment like 90 minutes ago. Had both infraspinatus tendons/muscles done, my right brachialis, triceps insertion at the back of the elbow on the left and right arm and the forearm flexor anconus(sp?) on the right arm. 6 spots. Next time I will be getting 5cc's of ozone gas injected into my brachialis.

Funny you mention it, my PT does chiro and massage as well . Those seem to be the best, the ones that dont just rely on one aspect.

Your one of the few who actually listed to my prolo preaching, most just ignored me but the shit works wonders. I know my prolo doc has some supps he recommends but they were spendy and I think missed the boat on the importance of vit C and lysine.

If one were to take vit C to bowel tolerance along with lysine chondroitin while getting prolo it would work so much faster and collagen produced would be significantly stronger. Woth I had known about that myself back when I was getting a lot of prolo done. Luckily, knock on wood, I havent needed prolo in a couple years, which I contribute to my laundry list of supplements.

 

[burnthiscorpse]

Funny you mention it, my PT does chiro and massage as well . Those seem to be the best, the ones that dont just rely on one aspect.

Your one of the few who actually listed to my prolo preaching, most just ignored me but the shit works wonders. I know my prolo doc has some supps he recommends but they were spendy and I think missed the boat on the importance of vit C and lysine.

If one were to take vit C to bowel tolerance along with lysine chondroitin while getting prolo it would work so much faster and collagen produced would be significantly stronger. Woth I had known about that myself back when I was getting a lot of prolo done. Luckily, knock on wood, I havent needed prolo in a couple years, which I contribute to my laundry list of supplements.

Well on that note I will start mega dosing vitamin c today. My Prolo doc doesn't care about supps ect. He was actually expressing his frustration today that he wants to use HGH in prolo but the gov't would be constantly looking over his shoulder wondering WTF he was using it for. Thus the hassle vs reward ratio wasn't worth it at this point. I am extremely fortunate to have one of the premiere prolo docs in the US though that is constantly trying the newest shit out there.
Zyg, look into prolozone or ozone therapy injections for joints/connective tissue. Amazing shit.

Most of the guys stop listening when they realize they will have to pay for it and get their medical records sent to the new doc ect...its a bit of work to get set up. Its all about a quick fix bandaid so they can get back to their cycle.

 

[musclemom]

I take it PRP or prolotherapy hasn't been mentioned.

PRP healed a full thickness tear of my supraspinatus tendon. Took a while, had to have a couple of fat grafts, will never be perfect, but it was a full thickness tear that healed without surgery. You jump on tendon problems early, before they get as severe as mine was, you can totally repair them -- with the right doc.

 

[burnthiscorpse]

I take it PRP or prolotherapy hasn't been mentioned.

PRP healed a full thickness tear of my supraspinatus tendon. Took a while, had to have a couple of fat grafts, will never be perfect, but it was a full thickness tear that healed without surgery. You jump on tendon problems early, before they get as severe as mine was, you can totally repair them -- with the right doc.

Read posts 28,37,38,39.

PRP (which I have had) for tendonosis (not a tear) is pretty much a waste of money. Meaning for double the money for a treatment it takes up to 6 weeks to really reap its benefits. And for tendonosis, regular prolo with a dextrose/water based test suspension/lido mix is far superior in results. I have had prolo in the forms of PRP, Dextrose, Sodium morrhuate, Dextrose/test suspension mix. Nothing comes close to the last one in regards to results when it does not involve a tear.
For any sort of tear PRP is the obvious choice. But I doubt it would benefit the OP as much as other prolo methods.

 

[Zyglamail]

I take it PRP or prolotherapy hasn't been mentioned.

Ive been peddling it here for many years but as burnthiscorpse (one guy who actually took my advice years ago) mentioned most dont want to pay out of pocket, they would rather get "free" cortisone paid for by insurance and ruin their joints.

 

[musclemom]

Read posts 28,37,38,39.

PRP (which I have had) for tendonosis (not a tear) is pretty much a waste of money. Meaning for double the money for a treatment it takes up to 6 weeks to really reap its benefits. And for tendonosis, regular prolo with a dextrose/water based test suspension/lido mix is far superior in results. I have had prolo in the forms of PRP, Dextrose, Sodium morrhuate, Dextrose/test suspension mix. Nothing comes close to the last one in regards to results when it does not involve a tear.
For any sort of tear PRP is the obvious choice. But I doubt it would benefit the OP as much as other prolo methods.

PRP is operator dependent. You have a good doc, you get good results. I'm lucky, the guy I go to is one of the best in the country (seriously, people come across the country to see him). He also does stem cell therapy, it's a process called Regenexx. Wish I could afford that but not at near $10k a pop ... but damn, if I hit the lottery ...

I've had prolo, it it's place particularly for minor injuries and tendon thinning, but too a lot of this comes down to the doctor's insight and ability to diagnose and do the work. Some docs take a weekend seminar and call themselves experts. You have to look at the doctor's training and board certifications to begin with and then try to get feedback on success of his treatment record.

It's like Chiropractic. You get a good chiropractor, you swear by the stuff. You get a bad one, you'll swear they all suck (kind of the way some men feel about women, I guess).

 

[musclemom]

Ive been peddling it here for many years but as burnthiscorpse (one guy who actually took my advice years ago) mentioned most dont want to pay out of pocket, they would rather get "free" cortisone paid for by insurance and ruin their joints.

It's about financial perspective, seriously. Either you pay the money up front or you pay it in the back end. I think grand total, for treatment of six joints (PRP once a year for O/A both knees -- I can't do Synvisc any more, had a reaction -- multiple PRP and fat grafts in both shoulders for multiple injuries and serious tears, PRP in both elbows for epicondylosis) I've maybe laid out a total of $10k over three years. My damned deductible for my health insurance is $4k a year. I would have paid more for surgery (don't forget to add in the cost of months of PT at $35 a pop) and been in an immobilizer to boot ... hell, I never once lost total use of any of my extremities. If I'd gone surgical I would have had two years where my arms would have been completely out of commission for several months. And if it wasn't for PRP I'd be looking at knee replacement surgery in a decade or two, they were going bad fast. I think I'm going to get to keep my knees until I take the final big dirt nap, they feel the best they have in years (also found a new supplement, I was skeptical but Solgar No. 7 seems to be living up to its claims).

 

[burnthiscorpse]

PRP is operator dependent. You have a good doc, you get good results. I'm lucky, the guy I go to is one of the best in the country (seriously, people come across the country to see him). He also does stem cell therapy, it's a process called Regenexx. Wish I could afford that but not at near $10k a pop ... but damn, if I hit the lottery ...

I've had prolo, it it's place particularly for minor injuries and tendon thinning, but too a lot of this comes down to the doctor's insight and ability to diagnose and do the work. Some docs take a weekend seminar and call themselves experts. You have to look at the doctor's training and board certifications to begin with and then try to get feedback on success of his treatment record.

It's like Chiropractic. You get a good chiropractor, you swear by the stuff. You get a bad one, you'll swear they all suck (kind of the way some men feel about women, I guess).

My prolo doc is one of the best in the business. He has been doing prolo for 20+ years. He has studied under some of the biggest prolo innovators and continues to do so. PRP again... doesn't give instant gratification (in a week or two) like other forms do. It doesn't give the level of irritation of test suspension. But then its more about growth factors also. Of all the prolo I have had done PRP was the least effective for chronic tendonosis. My PT/chiro who is a competitive powerlifter on the national level and also a client/friend of the same prolo doc has had PRP done for tendonitis and also for triceps and brachialis tears. The PRP was much more effective for the tears. (obviously).
Whereas no where near as effective on simple rotator tendonitis as other forms of prolo.
My doc charges me what the insurance would pay for an office visit(doesn't take my insurance). He knows I pay cash so he doesn't gouge me. 6 areas of prolo yesterday were $210. 20 cc's of painful goodness. Yeah...pretty fucking crazy reasonable. PRP is $520. Plus 60ml of blood only makes so much plasma. So I have to choose one or two small areas. With something this expensive he would want to use the Doppler ultrasound to see exactly where each pin was going. As opposed to going on feel with regular prolo which is cheap and easy to mix up multiple syringes full should he run out. My only try PRP was very disappointing. I just didn't need it as opposed to regular prolo.
Its great...don't get me wrong. But just not financially worth it unless there is a muscle/tendon tear involved.

 

[Shrine1]

Ive been peddling it here for many years but as burnthiscorpse (one guy who actually took my advice years ago) mentioned most dont want to pay out of pocket, they would rather get "free" cortisone paid for by insurance and ruin their joints.

This is a little off topic Z, but what point does your body just excrete vit c through urination? Would you say over 3g just gets pissed away?

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[MaxxReps]

I'm curious about this too. I take between 6-8 grams a day but only a gram at a time


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[Zyglamail]

This is a little off topic Z, but what point does your body just excrete vit c through urination? Would you say over 3g just gets pissed away?

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only about 20 oral vit C gets absorbed and when it does it has like a 30 minute half life.

With the above in you want to figure out how much you can take at one time without causing diarrhea. And then take that much every 3-4 hours throughout the day.

That way you have a constant stream of it running through your system.

Moral of the story is yes, you will always be pissing out about 80% of what you ingest but there are literally like 10,000 papers written on vit C and they all show a positive benefit of one form or another. and at about 10cents a gram for ascorbic acid crystals 20g a day runs about a buck a day, cheap insurance against many maladies including heart disease.

 

[Zyglamail]

I'm curious about this too. I take between 6-8 grams a day but only a gram at a time

Multiple frequent dosing is your best bet due to short half life, that way you have it always coming in.