dzuljas said:
i got tendonitis in my right knee and it has been a fuckin pain for the last 4 weeks. I have been icing like crazy and I am not able to squat seems like it flares up from deads and my track workouts. Im taking glucosamine chondroitin, i heard that msm is also good as an anti-inflammatory......anything else i could take??karma for all
First off, inflamation IS NOT your enemy!! Yes it does cause pain, but it also speeds the healing process. Glucosomine and MSM are NOT anti-inflamatories, they are some of the building blocks of tendon/ligament tissue.
Inflamation is paramount in triggering the healing cascade that will cause these types of tissues, primarily fibroblasts and chrondrocytes that primarily have very low levels of replication, to expidite the healing process.
For example, if fibroblasts were not encouraged to replicate they can take a year to a year and a half to heal on their own every time they are injured. Unfortunatly far to many people(specifically doctors) view pain and inflamation as the enemy when in essence inflamation is the key to faster recovery.
Look at the injury above, assume it is a subluxation and tendons/ligaments are stretched and joint laxity is present. Cells in the tendons/ligaments are damaged, cell walls ruptur and in turn the arachidonic acid within is released. This combined with other factors like glycosylated protiens attract granulocytes and fibroblasts to the injured area. Granulocytes include macrophages and nuetrophiles which clean up damaged debris. The healing cascade continues(beyond what I elaborated to above) and the normal 300-500 day half life of the cells in tendons/ligaments is drastically reduced. What happens when you load up on anti-inflamatories is you interfere with the normal healing process and sacrifice healing for comfort leaving yourself in a weakened state and more prone to future injury. Many docs proclaime that anti-inflamatory agents are the key to recovery, they claim long term detrimental effects and this simply is not true. The reality of the matter is it is not inflamation which causes long term joint damage like arthritis, but long term joint laxity. When the body can not heal injured tendons/ligaments it resorts to other means to try and bolster the sloppy joint, often times by building up additional calcium to take up the slack from not only the stretched tendons/ligaments but from the eventual cartiledge damage that follows.
The ideal way to handle tendon/ligament injuries is to allow inflamantion to do its job. If its not happening fast enough then such things as ART or prolotherapy can be used to help speed the healing process. Ice, anti-inflamatories, cortizone etc are all pouring fuel on the fire.
One thing about athletes in general is that they are so quick to put down the medical community for their lack of knowledge when it comes to exercise, diet and AAS use yet when they have an injury the blindly follow their advice to load up on anti-inflamatories.