TB-500 and tendonitis

[wastedmuscle]

hey all,

Please go easy on me!

Anyone recently try tb-500 for tendinitis? I am thinking of giving it a go using the board sponsor's tb-500 (hopefully it is good).

I can't seem to kick tendinitis even after extensive rest and pt (12-16 weeks). Mri reveals tendinitis and also in another area of my body a muscle strain grade 2.

Hoping I can get on track again, had to sit out coaching my kids this fall, major bummer but wanted to try to give full rest.

 

[T_verde77]

Where is your tendonitis located?
I just started tb500 for tendonitis in my elbow. it's really a pain to have an injury. I will keep u posted on my results.

 

[RThoads]

I am interested in running it for relief of forearm tendinitis and bicep strain -- it has been some month since I enjoyed any decent bicep workout because it bothers me to curl more than 65 lb.

As soon as funds permit I will pick up some TB4 (full seq TB500) and give it a try at maintenance dosages without a loading phase.

 

[T_verde77]

I am interested in running it for relief of forearm tendinitis and bicep strain -- it has been some month since I enjoyed any decent bicep workout because it bothers me to curl more than 65 lb.

As soon as funds permit I will pick up some TB4 (full seq TB500) and give it a try at maintenance dosages without a loading phase.

I'm in the same boat as your are. Only able to stick to the main workouts with light weights with no isolated arm exercises at all.
If u have not already. Try getting a wrist support brace from your local drug store. It really helped to get healing process going for me.

 

[Dr JIM]

Tendinitis is almost always due to excessive mechanical shear forces creating an inflammatory reaction in or around the tendon sheath.

There is NO EFFECTIVE LONGTERM THERAPY exclusive of removing the underling cause.

The latter is best accomplished by changing the ANGLE of joint motion thru the use of different exercises, the number of repetitions and or the load lifted.

Those who chose not to modify their exercise routine WILL only worsen the condition bc the bodies response to chronic inflammation is the formation of SCAR TISSUE

Once the latter has occurred the tendon outlet becomes even more NARROW which leads to the development of CHRONIC TENDONITIS. The latter becomes a "lifelong battle" for many.

Guys really, why would anyone believe some PEP would or could reverse the process I've just described?

GOOD LUCK

 

[Izk]

Best cure for me was simply lots of rest and super light weights, i had it in my tricep tendon so i stopped training triceps and removed all pushes from my chest workout, just stuck to flyes.
When i did train my triceps i would never go above 5kgs at the most for each arm. You can still get a pump with 5kgs.
Change your diet aswell, there are things your body needs in order to repair tendons, so if you have done real damage you might want to do some research into the non-drugs side of it.

 

[T_verde77]

Tendinitis is almost always due to excessive mechanical shear forces creating an inflammatory reaction in or around the tendon sheath.

There is NO EFFECTIVE LONGTERM THERAPY exclusive of removing the underling cause.

The latter is best accomplished by changing the ANGLE of joint motion thru the use of different exercises, the number of repetitions and or the load lifted.

Those who chose not to modify their exercise routine WILL only worsen the condition bc the bodies response to chronic inflammation is the formation of SCAR TISSUE

Once the latter has occurred the tendon outlet becomes even more NARROW which leads to the development of CHRONIC TENDONITIS. The latter becomes a "lifelong battle" for many.

Guys really, why would anyone believe some PEP would or could reverse the process I've just described?

GOOD LUCK

Thanks guys I really appreciate the advice. I couldn't agree with you more. I highly doubt tb500 will do much for me, but at this point id try anything, I have seen hardly any improvement in the 3 months off.

I have been out of work and the gym for 3 months now. still doing physical therapy and all the exercises the pt has me doing. unfortunately I can't just change what I do for a living, I work on power line towers. The climbing is what really was making it worse. I have changed everything..diet and I only recently just started doing light weight exercises.

I really do hope I don't have to deal with this my whole life.

But the main reason for this thread is so that others can get some info on what this stuff will do for an injury like mine if anything at all, because I really haven't seen much on this tb500.

not disagreeing with you at all..on that peptides don't do much. But I did notice a significant improvement from igflr3.

thanks again for the imput guys.

 

[T_verde77]

Tendinitis is almost always due to excessive mechanical shear forces creating an inflammatory reaction in or around the tendon sheath.

There is NO EFFECTIVE LONGTERM THERAPY exclusive of removing the underling cause.

The latter is best accomplished by changing the ANGLE of joint motion thru the use of different exercises, the number of repetitions and or the load lifted.

Those who chose not to modify their exercise routine WILL only worsen the condition bc the bodies response to chronic inflammation is the formation of SCAR TISSUE

Once the latter has occurred the tendon outlet becomes even more NARROW which leads to the development of CHRONIC TENDONITIS. The latter becomes a "lifelong battle" for many.

Guys really, why would anyone believe some PEP would or could reverse the process I've just described?

GOOD LUCK

Dr Jim, can you give any advice on what hgh would do for an injury like this?. i have it on hand but I want to see what this tb500 does first.

Thank you

 

[Dr JIM]

I don't know the particulars of your tendinitis or the extent of your evaluation.

Have you been evaluated by an orthopod ? If so what treatment was rendered?

 

[T_verde77]

I don't know the particulars of your tendinitis or the extent of your evaluation.

Have you been evaluated by an orthopod ? If so what treatment was rendered?

My apologies for not being more specific about the tendonitis.

but the doctors refer to it as "tennis elbow". Yes I have been receiving treatment and physical therapy. It is definitely better than it was but no where near 100%. The doctor wants to give me a shot of cortisone.

 

[Dr JIM]

The cortisone injection can make a remarkable difference in the inflammatory process especially if two weeks of immobilization are also complied with.

Thereafter certain exercises must be omitted for and some included, WHY?

Bc TE is A MECHANICAL PROBLEM with FOUR "COMPARTMENTS" the tendon itself travels bt two of those compartments!

What's in those compartment is primarily MUSCLE and when a muscle is used less extensively the compartment narrows allowing more room for the TENDON to move!

Probably the most important exercise is wrist extension exercises.

Suffice it to say if it hurts CHANGE THE DIRECTION OF MOTION, the weight or repetition number.

For more info Google "ten exercises you must use OR avoid for tennis elbow"

 

[T_verde77]

I really appreciate the info. I will go with the shot of cortisone than. My only worry was that it would just mask the pain. I have been doing the wrist exercises. thank you for your imput I really appreciate it.

 

[T_verde77]

The cortisone injection can make a remarkable difference in the inflammatory process especially if two weeks of immobilization are also complied with.

Thereafter certain exercises must be omitted for and some included, WHY?

Bc TE is A MECHANICAL PROBLEM with FOUR "COMPARTMENTS" the tendon itself travels bt two of those compartments!

What's in those compartment is primarily MUSCLE and when a muscle is used less extensively the compartment narrows allowing more room for the TENDON to move!

Probably the most important exercise is wrist extension exercises.

Suffice it to say if it hurts CHANGE THE DIRECTION OF MOTION, the weight or repetition number.

For more info Google "ten exercises you must use OR avoid for tennis elbow"

Can you expand on this info at all? I am just worried that it will be worse after the inectio wears off

Overall it is clear that the local administration of glucocorticoid has significant negative effects on tendon cells in vitro, including reduced cell viability, cell proliferation and collagen synthesis. There is increased collagen disorganisation and necrosis as shown by in vivo studies. The mechanical properties of tendon are also significantly reduced. This review supports the emerging clinical evidence that shows significant long-term harms to tendon tissue and cells associated with glucocorticoid injections.

This is the link for the info
Tennis Elbow and (avoiding) Cortisone Injections - Howard J. Luks, MD

 

[Dr JIM]

It's understandable why many would conclude the risk of "tendon injections" exceeds the benefit based on this citation alone and yep there are more that come to similar conclusions.

So what gives?

-- First and foremost the TENDON is NOT what is being injected but the surrounding compartments! As a result "studies" that use "tendon injection" models simply do NOT apply.

---- SECOND although studies have shown CCS can have a softening effect on hyaline cartilage when administered in an intra-articular fashion, such comparisons do NOT apply as the tendons of TE are EXTRA-ARTICULAR and regeneration occurs thru fibroblastic rather than chondrocytic mechanisms.

---- THIRD although the appropriate use of CCS injections ameliorates the symptoms of TE a double sword lies in the fact many patients resume their baseline activity far to early and wo a change in those mechanical forces originally responsible.

 

[Dr JIM]

---- FOURTH
CCS injections are NOT to be used on a scheduled basis bc their repetitive use probably DOES inhibit the release of those inflammatory mediators (chemicals) necessary for fibroblastic healing.

Thus like many MS conditions, therapeutic moderation is a critical component an effective outcome .

Finally I've used CCS injections on MANY patients, albeit in a highly selective manner, and they often provide marked symptomatic relief.

However I am always straight up and inform patients these injections are a TEMPORIZING measure only and the underlying condition MUST be remedied for long term relief.

To that end one , with few exceptions, MUST absolutely avoid the use of CCS injections as a bridge to a more prompt return to the gym!

 

[T_verde77]

that makes more sense than. I will go with the cortisone and see what happens. thank you for explaining that for me. let me know if you ever need anything.
Thanks again.

 

[T_verde77]

---- FOURTH
CCS injections are NOT to be used on a scheduled basis bc their repetitive use probably DOES inhibit the release of those inflammatory mediators (chemicals) necessary for fibroblastic healing.

Thus like many MS conditions, therapeutic moderation is a critical component an effective outcome .

Finally I've used CCS injections on MANY patients, albeit in a highly selective manner, and they often provide marked symptomatic relief.

However I am always straight up and inform patients these injections are a TEMPORIZING measure only and the underlying condition MUST be remedied for long term relief.

To that end one , with few exceptions, MUST absolutely avoid the use of CCS injections as a bridge to a more prompt return to the gym!

Thank you so much for all this info!!. Way more than my doctor has ever given me.

 

[T_verde77]

For anyone who is reading this. I will finish the 6 weeks of tb500 than log my experience. Than most likely go with the ccs

 

[GrandChamp]

For what it's worth. A few years back I had golfers elbow (never golfed in my life), it was to the point I couldn't turn the key in the ignition of my truck due to the pain. I went to multiple docs and got a handful of (mostly useless) recommendations. In the end I started getting deep tissue/pressure point massage on my forearm once a week to relax the muscles in the arm and ran a low dose of prop and npp. I had been suffering for almost a year and within a month never had an issue again. Again, just for what it's worth.

 

[T_verde77]

Thank you for your imput. Massage definitely helps. I have seen a lot about low dose test and npp to improve collagen. that might be something I will try later down the road if the problem continues. I'm just trying to do one thing at a time right now to see what works the best because I'm sure this won't be the only serious flare up I have with my line of work.
thanks again