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So, you are experiencing a painful tendon injury that has persisted over some time and never seems to go away.
If your doctor has diagnosed the injury to be tendonitis and does not recommend surgery, he/she will most likely recommend a course of conservative treatments for at least six weeks before even suggesting surgery. It is generally understood by doctors and surgeons, that surgery will introduce more scar tissue into the already damaged soft tissue. This added scar tissue will be problematic, requiring more physical therapy and conservative treatment options post-surgery. If not dealt with properly, your tendon injury could end up in worse condition than before the surgery - and this is typically why surgery is only performed as a last resort.
If you are unsure about whether you need surgery on your tendon, you may want to read through our "Do I Need Surgery Page, here.
Most doctors, physicians and orthopedic specialists will recommend conservative therapy for minor tendon tears & injuries before considering surgery.
Some conservative treatment methods recommended include:
- Rest - This is important for initial healing because without an appropriate amount of rest you are at risk for increased inflammation, pain and re-injury of your tendon(s) & muscle(s) in the joint.
- Avoid Activity that caused your tendon injury. - While resting your injury it's also important to avoid all activities that may have caused your symptoms, including any repetitive movement. This may include reduced activities in your job if that has caused or worsened your injury. Continuing on with regular activities can increase the severity of your injury, turning a mild to moderate case of tendonitis into serious joint damage, affecting not only the tendon(s), but other soft tissue in the joint as well. This will lead to a higher probability of surgery.
- Apply a Cold Compress or Ice Pack - Immediate cold therapy at the onset of your injury (or during flareups) will allow you to manage pain while getting rid of swelling and inflammation.
- Use DTR Therapy (T•Shellz Wrap®) - after swelling and inflammation has been reduced. Use deep heat to maximize your rehabilitation, decrease recovery time, and boost overall long-term healing. Deep Tissue Therapy is especially helpful in dealing with chronic tendon, bursa & muscle injuries or on-going pain and stiffness from a chronic soft tissue injury.
- Physical therapy and rehabilitative exercise under supervision of a physical therapist or doctor. The intent of this is to provide you with increased range of motion, pain relief and strengthening of the soft tissue surrounding the affected joint. Caution: aggressive physical therapy can be harmful, such as aggressive stretching or massage, and when dealing with limited range of motion, there is high risk of damaging muscles and tendons of the joint.
Other Conservative Treatment Methods can be Risky
Steroid injections can provide temporary relief from the pain of tendon related injuries and are very popular. However, these injections should generally be avoided if possible as they weaken the tendon and may lead to a rupture. If you do opt for an injection, doctors usually recommend that you do not participate in strenuous activities for several weeks to reduce the risk of a rupture.
"In other words, in some way, the cortisone shots impede full recovery, and compared with those adopting a wait-and-see policy, those getting the shots 'are worse off'. Those people receiving multiple injections may be at particularly high risk for continuing damage." (reference: Reynolds, G. (1288). Phys Ed: Do Cortisone Shots Actually Make Things Worse?. Well. Retrieved 17 November 2016, from website)
"Complications of cortisone shots can include:
"Risks - Cortisone Shots - Mayo Clinic". 2016. Mayoclinic.Org. Accessed November 17 2016. website
- Joint Infection
- Nerve Damage
- Thinning of skin & soft tissue around injection site
- Temporary Flare of Pain & Inflammation in the Joint
- Tendon Weakening or Rupture
- Thinning of Nearby Bone
- Death of Nearby Bone
- Temporary Increase in Blood Sugar"
Effective Conservative Treatment Options
If you are not at the surgery stage and your physician has opted to treat your injury with conservative treatment options, then you will find that many of our customers have had great success treating themselves with the powerful conservative treatment products such as the T•Shellz Wrap®. When used as directed, it is our opinion that the T•Shellz Wrap® are one of the best treatment options of healing your tendonitis or other soft tissue injury at home without the need for surgery. If surgical intervention is required, talk with your physician about using these same products for post-surgery recovery as you will find them to be highly effective for reducing post-surgery inflammation, enhancing range of motion and minimizing scar tissue growth.
Why Won't My Tendon Injury Heal?
Have you ever asked yourself this question? At AidYourTendon we have had this question asked of us for years. We have created this website to answer this any many other tendon related injury questions. Our body is designed to heal soft tissue injuries, so why does it fail in this case?
Tendons are made up of fibrous tissue; when stretched to the limit it can tear in many ways. A series of small microscopic tears occurs most often and is generally termed tendonitis - in such cases, these types of injuries can heal without surgery. These types of tears are Grade 1 or 2 type tears. In rarer cases - it may completely tear away from the bone or muscle; in such cases, surgery is required to re-attach the tissue. When a complete tear (also known as an avulsion) occurs, it is due to the tendon experiencing a load that it simply cannot handle; in an acute situation, this often occurs with sharp, fast occurring accidents - such as a fall from a bicycle or a skiing accident. The body is generally not capable of reconnecting severed tendons or muscle - they are generally always under some form of strain and when severed the ends have typically receded from each other.
If Tendon Surgery is Required...
If all conservative treatment methods have been explored and your symptoms (pain as well as limited use for daily activities) persists, then you will be considered a candidate for surgery. You and your doctor may decide to move forward and have you undergo surgery, which will trigger the next chapter of your recovery journey. Your post surgery rehabilitation efforts will have an important impact on how soon you can return to living and enjoying your normal daily life.
The type of surgery you will have depends on the type of injury you are faced with. The longer you have waited to have surgery will also be a factor that determines what type of surgery is needed.
With acute (recent) tearing the separation in your tendon is likely to be very minimal. If you have an acute tear you may qualify for less invasive surgery (such as a arthroscopic, open surgery or an mini-open procedure). Surgeons will always choose a shorter, less invasive procedure if it is possible to do so. Most surgeons know that a less complicated procedure will have less trauma to the soft tissue and a much quicker rate of recovery after the surgery.
For most soft tissue injuries, arthroscopic surgery is the preferred procedure as it is minimally invasive and patients usually recover at a much faster rate. This type of surgery will provide the surgeon with first hand insight into the nature of the injury and possibly limit the amount of damage from surgery, helping promote a more effective recovery.
If you have suffered a complete rupture of the tendon from the bone it is important to have the tissue reattached. One week after a tendon has ruptured the ends of the tendon begin to fill in with scar tissue as part of the healing process. As we mentioned before - the added scar tissue increases the natural length of the tendon and negatively affects your ability to do normal activities. If scar tissue is present then a more complicated procedure may be needed to clean out the presence of any scar tissue for optimal healing after the surgery.
If scar tissue is present then a more complicated procedure may be needed to clean out the presence of any scar tissue for optimal healing after the surgery. The tissue that has ruptured may need to be retrieved from inside your other tissue back to the original attachment point. This may require your surgeon may have to make a large incision in your skin to retrieve the tissue.
An injury that is 4 to 6 weeks old is considered a chronic rupture. When you have a chronic rupture the tendon tears continue to separate further from their ends increasing the gap between the severed ends of the tendon. A chronic rupture requires a difficult, drastic surgery - often times there may be a tendon transfer needed to complete the surgery and a lengthy recovery period.
As with any surgery there are risks to every procedure depending on a lot of factors, including your age, the severity of your injury and your level of health going into the procedure. It is always best to discuss all possible risks and complications with your doctor, orthopaedic specialist and/or surgeon before the procedure. It's important to be aware of the risks you may face with any procedure intended to fix or relieve pain from your tendon injury.
Click here to read more about the types of tendon surgery
What Happens After Tendon Surgery?
During the first 24 to 72 hours after the surgery you will be tender, swollen and very painful. You may be weak and unstable; maybe you have been outfitted for a cast, crutches, brace or support aid. When you are relying on a this support aid and less likely to be as active as it once was. This is usually why atrophy (loss) of your muscles and soft tissue happens.
The use of conservative home treatments such as stretching, cold therapy and deep heat therapy on a daily basis will lessen the chance and/or severity of joint degeneration and muscular atrophy during your rehabilitation process. Talk to your doctor or surgeon to determine when you can begin home conservative treatments in coordination with your physical therapy.
It is important to understand that surgery may not give you 100% functionality of your injured tendon, but you should be able to return to most if not all of your pre-injury activities. These surgical procedures are often performed with very successful results. What truly makes a difference is your commitment to a doctor recommended rehabilitation program after surgery as there is always a possibility of re-injuring your tendon even after a surgical procedure.
How Long To Recover From Tendon Surgery?
You will experience some pain after surgery and your physician will probably prescribe medicine for this. Sutures and splints/casts are typically removed after 1 to 2 weeks, though you may have to wear a smaller splint for longer. Until splints/casts are removed, you will not be able to use the arm and will require help for any tasks that require the use of both of your hands.
You will be assigned a rehab program that involves exercises and stretches - this will help retain and increase your range of motion as well as help strengthen your weakened joint. Initially you will most likely have guided training but eventually be left to continue stretches and exercises on your own.
Pain will gradually reduce and most likely be gone within 3 to 6 months after surgery. You will not likely be advised to undertake sport activities until 4 to 6 months after surgery, depending on how your recovery goes. Further to this, a brace may be strongly advised during work or sporting activities.
Getting Started with Your Post-Operative Rehabilitation
After your surgery is done, you will probably receive a tailored rehabilitation plan directly from your surgeon or physical therapist. This rehabilitation plan will combine rest, exercise, and conservative therapies, to aid in your recovery. All rehabilitation efforts will be explored under the guidance of a doctor or physical therapist, but you will also be expected to continue your exercise, stretching and treatment at home. The success of your rehabilitation will depend on a variety of factors including (but not limited to):
- your age, overall health and activity level
- the state of your injury before surgery (severe injuries like a tendon rupture, open wound, bone damage or fracture will require more intense surgery)
- the type of surgery you have undergone
- how soon you must return to normal activity
No two rehabilitation plans are alike - The less invasive your surgery is,
the quicker your road to recovery will be.
The goal of a rehabilitation plan is to manage pain and swelling while improving function, strength, and range of motion. Ultimately, you will regain strength and return to full activity. You will most likely spend a lot of time with a physical therapist after your surgery, but as your healing progresses, emphasis will be placed on your personal at home treatment. The success of your rehabilitation will depend on your dedication to working with your doctor and physical therapist while also managing your recovery on a daily basis at home.
Regardless of what type of surgery you've had (or even if you don't need surgery) your home therapy routine can be improved by controlling initial and ongoing pain/swelling, and increasing blood flow to heal your tendon so that you can achieve long-term, positive results. This can be done by incorporating conservative home treatment options into your rehabilitation routine such as stretching, the use of cold and heat therapy. Regular treatment with conservative treatment options will decrease your time spent in recovery.
Post-OP Phase 1: Protect your Surgery Site
Rehabilitation after surgery on your damaged tendon will first focus on protecting your tissue from further damage and starting simple movement. The level of protection needed for your injury will depend on the type of surgery you have had. In some cases, such as in a Rotator Cuff tendinitis surgery repair, the arm/shoulder is immobilized for daily activities to protect against re-injury. At your physical therapy appointment they will start with controlled range of motion exercises to regain joint mobility of the arm and shoulder.
Generally, for arthroscopic and open release surgeries, you will need to wear a sling, brace or cast for at least a week after surgery, or until your first follow-up appointment with the surgeon. For surgeries in the arm or shoulder (and maybe foot) you will be advised by your physician not to drive or operate a motorized vehicle for at least a week after your surgery. This is because restriction of movement will directly affect your ability to steer your vehicle (or brake), particularly in an emergency situation which may require rapid, deliberate movements of the troubled joint.
In order to reduce pain, swelling and inflammation your doctor will prescribe an anti-inflammatory drug to be taken during the first 4 weeks after your surgery, or for however long it is needed, depending on your pain level. Your surgeon will also recommend elevation and cold compression therapy for reduction of post surgery swelling and inflammation.
Rest is also vital to your rehabilitation plan, depending on the surgery you have undergone. When it comes to tendon repair surgery recovery, your surgeon or physical therapist will expect you to rest as needed to prepare for physical therapy and exercise to come. Depending on your type of surgery, rehabilitation with a physical therapist will begin 2-10 weeks after surgery.
Directly after your surgery has been completed, you will undergo Step 1 of the healing process by stopping the bleeding that has started because of the incisions and work done on your body. Depending on the type of procedure you have just had, your tissue may be sutured together, reconstructed or removed to fix your underlying condition. In any case, as with any injury to your tissue, soft tissue in the immediate area will be bleeding again. Depending on the type of injury you have, your surgeon may even stimulate bleeding during your surgery to trigger the healing process.
Each injury/condition will have different challenges for you after surgery. Your surgeon and/or doctor will provide you with clear direction on how to protect your wound and dealing with pain and your comfort level.
Typically your body will have begun to stop the bleeding as soon as your surgeon has completed your surgery. This means that the veins carrying your blood will close off, and your blood will coagulate (condense to seal the bleeding off) in order to reduce the amount of blood loss in your body. Your body knows to do this automatically because blood is so vital to the healing process. Blood is basically the vehicle for oxygen, nutrients, white blood cells and anti-bodies that travel directly to the injury deep down in the body - where these things are needed most.
In order to reduce pain, swelling and inflammation your doctor will prescribe an anti-inflammatory drug to be taken during the first week after your surgery, or for however long it is needed, depending on your pain level. Your surgeon will also recommend the use of a Cold Compress or Ice Pack on a frequent basis - multiple times per day - to control your inflammation and reduce your pain.
If you have undergone an arthroscopic surgery, you may have less blood loss and your doctor or surgeon will check before you leave the hospital to make sure your bleeding at the incisions has stopped. If you have undergone open tendon surgery, your doctor and/or surgeon will check your incisions periodically over the next few days of your hospital-stay to ensure that your body has stopped the bleeding on its own and also make sure that your incisions are starting to heal.
Movements to Watch Out For After Surgery
Depending on the joint that was operated on, you may be advised by your physician NOT to drive or operate a motorized vehicle for at least a week after your surgery. This is because you will have still have limited range of motion. However, for elbow or shoulder surgery, you are probably finding it difficult - if not impossible - to drive anyway... so this shouldn't surprise you.
Right after surgery, avoid straining the joint that was just operated on.
Do not lift heavy objects and try not put any strain on the joint for four to six weeks following surgery - this may include using a keyboard / mouse, cellphone, climbing stairs, and even dressing.
Sleeping may provide a challenge for quite a few people. For elbow or shoulder surgery, try putting a towel roll under your elbow to support your arm. Adding an incline wedge to your bed may be more comfortable than lying flat.
For sleeping after knee surgery, it is recommended to:*
- Sleep on your back (not your stomach)
- When sleeping on memory foam, use a pillow or foam wedge under your knee
- Don't sleep on your stomach
- If you sleep on your side, sleep on the side that was not operated on with a pillow or two between your legs to keep your recovering knee stable
- A recliner or zero gravity chair will provide good knee support & promote good blood circulation while keeping your knee stable.
(*Ellis, N., Ellis, S., Ellis, Nicky et al. "The 3 Best Sleeping Positions After Knee Arthroscopy." We Sleep Well. N. p., 2018. Web. 19 Oct. 2018.)
For sleeping after hip surgery, it is recommended to:*
- Sleep on a firm bed or mattress.
- Use a pillow between your knees
- Don't sleep on your stomach
- Don't sleep with pillows beneath your knees
(*"Sleeping After Hip Surgery | Cleveland Clinic." Cleveland Clinic. N. p., 2018. Web. 19 Oct. 2018.)
Your surgeon may instruct you to wear a sling/cast/brace/walker at all times for 4 to 6 weeks. The length of time needed will depend on the type of surgery you have had. You may remove the sling/brace/cast for exercise as prescribed by the surgeon or therapist, icing, dressing and showering. Normal daily activities around the house and/or work activity may be considered acceptable as long as you wear the sling/brace/cast.
After your incisions and repaired/removed soft tissue have stopped bleeding, the area will probably be tender, swollen, red and hot to the touch - these are all symptoms of inflammation. Step 2 of the healing process is inflammation reduction. At this point you will be home if you have had arthroscopic surgery, or you may still be in the hospital if you have had open surgery. In order to reduce pain, swelling and inflammation your doctor will prescribe an anti-inflammatory drug to be taken during the first week or 2 after your surgery. Your surgeon will also recommend a cooling therapy, like R.I.C.E. (Rest, Ice, Compression, Elevation).
Rest at this point is vital to your rehabilitation plan depending on the surgery you have undergone. If you have had arthroscopic surgery with minimal internal wounding from your surgeon, you may be encouraged to start movement early or as soon as possible. Limited movements of the joint will be required in most cases after the surgery. If you have had an invasive open surgery, then you may be encouraged to rest longer at first before starting movement.
Your doctor or surgeon will advance you to the next Phase of rehabilitation when there is no evidence of inflammation or swelling in the joint. If you have had arthroscopic surgery, your doctor may expect that you are able to move your joint around pain free before moving onto the next Phase of rehabilitation.
Post-OP Phase 2: Gain Back Range of Motion (ROM) and Stability
After the initial healing from your surgery, your soft tissue will be in a weakened state and will not be as strong as healthy tissue for some time. This is why you need to be on "re-injury watch" and make the most of your home therapies and physical therapy appointments during your rehabilitation. It would be devastating if overdoing it at any point during the first few weeks or months of rehabilitation, would send you right back into the operating room.
When Step 1 and 2 of the healing process is done (phase 1 complete), temporary tissue will start to grow around soft tissue that was damaged during your injury or the surgery. Step 3 is the Growth of Temporary Tissue.
Once your new tissue has begun to grow you will be encouraged to gain back some of your range of motion (ROM) and increase the stability of your joint. Your doctor or surgeon may also introduce regular physical therapy appointments. You may still be expected to wear a sling/cast/brace to reduce the amount of stress you are placing on your joint during movement (reducing your risk of re-injury).
You will start gradual movement of your joint in a free (non-forced) way with very low impact exercises, normally with very few repetitions of activity. Your joint may be stiff at first, and you should expect simple and easy movement to be a bit more difficult for you to master and painful. Exercise of any kind is a method of increasing blood-flow in your joint to increase the amount of oxygen, nutrients, white blood cells and anti-bodies that travel to your injured tissue.
You might start with gentle active limb extensions and flexion exercises with a hard brace/cast on at 0 - 14 days. In weeks 2 & 3, when you're out of a hard brace, pain is the guiding factor with tolerance of weight-bearing for any exercises.
Strengthening exercises will slowly increase in difficulty (with more resistance) around 3 - 8 weeks after your surgery.
If your surgery involved tendon repair, at about 6 to 12 weeks (depending on your type of surgery) you still need to allow for healing from the surgery. Although you may be feeling much better and your pain is reducing, your joint at 4 weeks will typically be healed less than %30. At 8 weeks it will be about 40% strong and after 12 weeks the tendon is 60% as strong as normal tendon. The point where the pain decreases yet the tendons are still weak is a critical point. This is the stage where you need to be very careful about re-injury.
Your surgeon will recommend regular physical therapy appointments in the first 6 weeks after surgery. The type of surgery and the degree of damage to your joint will also make a difference in how soon you start physical therapy.
Your physical therapy appointments will be 1-3 times per week, and your progression of movement in your joint will be the guide. At your appointments you will be encouraged to gain back some of your range of motion and increase the stability of your injured joint. You will start with the gradual movement of your joint in a free (non-forced) way with little weight or resistance, normally with very few repetitions of activity. Your joint will be stiff and painful at first, and simple movements may seem challenging in the beginning. Don't be discouraged, your hard work will payoff in the end!
At Home Stretching/Exercise - Your therapist will encourage you, telling you just how important it is to commit to regular exercise at home as well as in the clinic. You should be doing homes exercises up to 3 times per day. They will give you the exercises and guidance based on your overall soreness level and your morning discomfort.
We advise that you apply a T•Shellz Wrap® treatment to help increase your blood flow before stretching (or exercise). Apply a T•Shellz Wrap® treatment for approximately 15 minutes (finishing 15 minutes before exercise) to help increase elasticity and flexibility of your tendons, ligaments and muscles. The increased elasticity will help minimize tissue tears and scar tissue growth (increase ROM and decrease re-injury risk.
Controlling post-exercise swelling and inflammation is crucial during this Phase. Any sign of swelling or inflammation after exercise may be an indication of minor re-injury to soft tissue in the joint. Control your inflammation immediately after exercise with a 15 to 20 minute cold treatment. If you are not careful to treat your swelling or inflammation immediately after exercise you may experience a set-back in your recovery.
Your doctor, surgeon or physical therapist will advance you to the next Phase of rehabilitation when you show measured improvement of range of motion (ROM), strength, stability and flexibility of your joint. The level of improvement will depend on the severity of your injury and the type of surgery you have had. For example, if you have had a relatively simple arthroscopic repair of tissue, you may be expected to move the joint around before moving to Phase 3 of your rehabilitation.
If you have questions, call our office at 1-866-237-9608 (toll free continental US).
Post-OP Phase 3:
Gain Back Full Capability of Your Joint
After temporary tissue has grown (Step 3 of the healing process), this temporary tissue will go through different stages of conversion into healthy, normal, flexible tissue. This is Step 4 of the healing process (Complete Tissue Re-Growth). Before converting into healthy tissue, temporary tissue will often become tough, dense, fibrous scar tissue. Scar tissue has an unorganized, inflexible tissue structure, which makes it brittle. Scar tissue will provide your injury with more long term fusing power, but will also stick to surrounding healthy tissue. The growth of this scar tissue is what stiffens your joint, restricting movement and flexibility.
This phase of your rehabilitation will focus on an increase in activity level in order to regain full range of motion (ROM) and muscle strength in your arm. Your doctor or physical therapist will increase your activity by introducing the regular use of a rowing machine, weight press or pull-down machines.
Use a T•Shellz Wrap® (Deep Tissue Therapy) BEFORE workouts and a Cold Compress or Ice Pack after work-outs. This protocol will go a long way to maintaining overall tissue stretchability, reduce re-injury risk, and treat any pain, swelling or inflammation due to overexertion of the joint.
Your doctor or physical therapist will advance you to the next Phase of rehabilitation when you have regained full ROM (range of motion) without pain in your joint. You may also have to pass clinical exams or tests of your muscle strength, balance, stability and flexibility in order to be cleared for Phase 4.
Post-OP Phase 4: Return to Regular Use & Activity
Depending on your job (and whether your occupation has contributed to causing your condition), you may be able to return back to work from within 6 to 12 weeks after the surgery. Overall healing of the joint after surgery may take upwards of 6 to 12 months, which means you may not be able to return to sports or do heavy, forceful activities until a year has passed after your surgery.
In many cases, your doctor or surgeon may recommend that you continue muscle strengthening and stretching instructed during your rehabilitation in order to maintain healthy ROM. Additional cardiovascular exercise will also be encouraged. If you are an athlete or have a job that requires extensive physical capability, your doctor or physical therapist will likely advise a very gradual return to previous activity. They also may encourage continued rehabilitation and/or maintenance of your joint through physical therapy or conservative treatment methods, to prevent re-injury.
Scar tissue may plague you for weeks, months and maybe even years after your surgery depending on your level of activity and the amount of conservative therapy you have undergone during your rehabilitation. Scar tissue will be a major problem as scar tissue can easily build up quickly and its hard to get rid of.
Even if you have been cleared to get back to activity, you still must be careful with the activity you take on. You need to keep in mind that your joint won't be back to 100% for some time (if at all) and so continued stretching with exercises and stretches and treatment with T•Shellz and cold therapy will maintain good health of the joint and significantly reduce your risk of re-injury.
Your success to recovering from tendon surgery is up to you:
- listen well to your physician and if conservative treatments are recommended. Stick all the treatments daily often to ensure you maximize the opportunity to heal
- Frequent use of a Cold Compress or Ice Pack after your surgery will get the swelling down. Much of the pain you feel will be from the swelling, and you will be surprised how quick the pain drops off once the swelling is down.
- The T•Shellz Wrap® is a safe, electromagnetic energy device that will help reduce scar tissue and increase blood flow to the area (and thereby accelerate the body's own healing process).
- when applied before stretching, deep heat provided via the T•Shellz Wrap® will help the connective tissue in your joint elongate, and stay elongated for some time after treatment. It will also temporarily increase the flexibility of soft tissue, meaning that it helps improve range of motion while simultaneously reducing your risk of re-injury which is exactly what you want when trying to recover from soft tissue injuries.
Dealing with Scar Tissue After Surgery
How Scar Tissue Affects Your Rehabilitation
Tendons, ligaments, muscle and other soft tissue in the joint are all meant to be soft and flexible, ready to work and move small to extreme forces in everyday activities. When I say extreme force, I mean try to imagine the amount of tension that is put on your ankles, hips and knees when running or climbing stairs - even when you are just walking even, let alone running. Shoulders and elbows often deal with heavy or repetitive forces at work if you are a tradesman, garden or work in an assembly line. Try to imagine the amount of force that your arm puts on your elbow and shoulder when you are just trying to throw a football or lift something heavy.
Scar tissue grows in damaged tissue when it tries to heal; little tiny band-aids that overlap each other to bind tiny tissue tears together. With this added scar tissue, muscles & tendons & ligaments become rigid, less flexible and unable to handle the forces that it once could. If scar tissue is found in a tendon or muscle, this can impede joint movement and/or cause pressure points - increasing the risk of further soft tissue injuries and inflammation. If you're suffering with scar tissue now you may feel the effects with stiffness, tightness, weakness and tiredness in your joint and muscles.
Scar tissue can form fast to bring together the edges of a tear, but working fast doesn't mean that the job's done right. When scar tissue forms it doesn't come together as neatly as regular (healthy) tissue would. Scar tissue fibers will lay down over top of your tear in a cluttered, messy and jumbled up way.
On-going issues with scar tissue can result in soft tissue tears and increase chances of strain to nearby tendons or ligaments (as they are now handling higher forces due to overcompensation).
Scar tissue is one of the MAIN reasons why a chronic soft tissue injury has not healed and your Range of Motion (ROM) is reduced from what it once was.
Scar tissue will form fast to deal with a soft tissue injury, and this scar tissue will attach to EVERYTHING in the area, including the surrounding healthy tissue as well. This can result in a fusing together of soft tissue that shouldn't be fused together (muscles,tendons,ligaments), and this will cause extreme pain when you move your leg - it is literally ripping scar tissue. This is why physical therapy is often painful - the therapist stretches the joint, forcing the scar tissue bonds to break so you can regain your range of motion.
Scar tissue can become a major problem and cause your injury to become chronic - taking months or even YEARS to completely heal!
Scar tissue is something that will be present in and around your tendons and muscles before and after your surgery. The growth of scar tissue is ultimately what causes stiffening in the joint, restricting movement and flexibility. Scar Tissue is something that cannot be avoided during surgery. Your surgeon will determine if the anticipated outcome from surgery will be successful, despite the buildup of scar tissue that you will develop as a result of the surgery. Overall, the surgeon may be able to remove a lot of the initial buildup of scar tissue around the injury and in doing so, view a positive outcome from the surgery.
You can quickly minimize scar tissue growth and reduce risk of re-injury to your hamstring and leg muscles/tendons/ligaments by increasing blood flow to that area and increasing the elasticity of soft tissue in the area. Treating yourself with the T•Shellz Wrap® is the easiest and most effective way to help accelerate your recovery at home by increasing soft tissue elasticity which helps reduce the risk of more scar tissue growth.
Unfortunately, scar tissue may plague you for weeks, months and maybe even years after your surgery, depending on your level of activity and the amount of conservative treatments you have done during your rehabilitation. Scar tissue is a major problem, especially when it comes to re-injury risk. When dealing with scar tissue it is always important to:
- listen well to your physician, and remember to stick to your conservative treatment plan. Using these therapies every single day will help minimize the amount of scar tissue that will grow in the wound.
- know that frequent use of a
Cold Compress or Ice Pack after surgery will help reduce the swelling very quickly. Most of the pain you usually feel will be from the swelling, and you'll be surprised how fast pain drops once the swelling is down. Scar tissue growth is further inhibited by a reduction in inflammation (swollen tissue prevents blood flow - cells die without blood and scar tissue grows in its place)
- know that the
T•Shellz Wrap® will help reduce scar tissue and increase deep heat in the treatment area. As we have shown, deep heat will increase blood flow to the area (thereby accelerating the body's own healing process). Treating your joint with this device after surgery is probably the easiest and most effective way to accelerate your recovery. Do not use if there is a lot of swelling or the incision site has not healed yet.
- use the
T•Shellz Wrap® before physical activity.
Deep Tissue Therapy treatments increase flexibility and elasticity of soft tissue, improve range of motion (ROM), reduce stiffness and tightness and reduce the chance of tissue strain during activity.
When applied before activity or work, the T•Shellz Wrap® will relax and lengthen your soft tissue to help improve your range of motion and prevent atrophy (tissue wasting & shortening) of your injured hamstring.
Overall, continued treatment with the T•Shellz Wraps and a Cold Compress or Ice Pack will maintain good health in your joint and significantly reduce your risk of re-injury.
Scar Tissue & The Tendon
Even when you're injured and in pain you need to keep moving to break up scar tissue that's forming around your tendons and surrounding muscle. Moving when you're injured is hard. Since moving while injured can be painful - most people think it's better to stop moving, rest their body and hope that their tendon will heal all on its' own after surgery. Even though rest is important to recovery too much rest during the recovery process will increase the amount of scar tissue in your joint.
During the healing process your body will fill in tears in your soft tissue with dense, brittle tissue called "scar tissue". This process is no different after you've had surgery to reattach a tendon. The human body will use scar tissue as a temporary solution and will try to build the scar tissue as fast as possible to heal the area. Scar tissue can form fast to bind everything together in your joint, but working fast doesn't mean that the job's done right. When scar tissue forms it doesn't come together as neatly as regular (healthy) soft tissue would. Scar tissue fibers will lay down over top of the damage in and around your tendon in a cluttered, messy and jumbled up way.
The scar tissue that forms on your tendon will be unorganized and won't line up properly with the healthy tissue surrounding your joint. This scar tissue will also attach to everything in and around your tendon, including the surrounding healthy tissue as well. This can result in a long-term fusing together of your tissue that stiffens up your entire joint, reducing your mobility and making your tendonitis injury even more painful!
This is why scar tissue is weak and only a temporary solution to heal your tendonitis injury. Scar tissue is something that needs to be dealt with fast. If you try to get back into your regular daily activities after surgery with a mound of scar tissue in your joint you'll have a higher risk of re-injury and also overcompensation injuries. Scar tissue is just not built to withstand the pressures of regular activity.
If you have an injured tendon with a lot of scar tissue and re-injure that tissue, even more scar tissue will grow to fill in those tears. If you keep falling into the dangerous cycle of re-injuring your tendon without proper treatment you could end up with massive amounts of scar tissue in your joint. Your ability to move your affected joint in a normal way will be impaired as the amount of scar tissue increases.
The only solution to truly recover from invasive surgery for good is to break up scar tissue and avoid re-injury.
This can be achieved through regular use of the T•Shellz Wrap® accompanied with a stretching/exercise plan assigned by your physical therapist. A light consistent stretch regimen will help break down scar tissue and improve flexibility during your post-op recovery.
Expectations for Long-term Recovery
Rehabilitation after tendon surgery is just the beginning of your recovery process. Even after you've had surgery to fix the problem and deal with the build-up of scar tissue, it is improbable that your soft tissue will heal 100%. From this point forward, it is more important than ever to be careful with the joint that was recently operated on. The joint is probably weaker now, and your risk of re-injury is much higher.
Manage your symptoms on a daily basis to prevent re-injury.
It's simple to manage long-term healing from surgery with conservative treatment methods that can be used in the comfort of your own home. If you're looking for an all-natural form of pain management and long-term healing solution for long-lasting relief, seriously consider the benefits of incorporating the T•Shellz Wrap® into your treatment plan.
Cold Therapy can help you to decrease post-operative pain and swelling while also managing any pain from occasional inflammatory flare-ups (re-injury).
During your last few stages of rehabilitation, while you're undergoing physical therapy and focusing on improvements to your range of motion, it's important to maintain healthy blood flow in the area. Strong and healthy soft tissue need a solid local circulatory system, and this is exactly what our T•Shellz Wraps can do for you.
Reduced blood flow slows down your recovery process. If your tissue remains in this condition, you'll always be at risk of re-injury that will severely set back your healing progress.
Use T•Shellz Wraps regularly to prevent re-injury and keep your muscles, tendons and ligaments elastic and flexible. Healthy blood flow is vital to the healing process after surgery. Your blood flow is what brings oxygen, nutrients, anti-bodies and energy (things needed to heal) into damaged soft tissue. Blood flow promotes tissue re-growth, strengthening the delicate work your surgeon has done.
Regular treatments with Deep Tissue Therapy via the T•Shellz Wrap® will help you increase blood flow for up to 4 hours with just one application! There simply isn't a better home use product on the market to promote deep heat in soft tissue. Deep heat (1) incites an increased blood flow response deep down in soft tissue, accelerating the body's natural healing process, and (2) increases the length and elasticity of soft tissue. Both of these qualities together provide long-term healing benefits while reducing the risk of re-injury and overcompensation injuries.
Deep Tissue Regeneration Therapy for Fast Tracking Post Surgery Recovery
Improve Circulation & Reduce Re-Injury Risk with the T•Shellz Wrap®
If you want to heal quickly, you need to keep your blood moving and that's where
DTR Therapy, comes in.
What is DTR Therapy? It's a substantial increase in the flow of blood to soft tissue without the need to exercise your already damaged tissue.
Have you seen what happens when you add water to a flower wilted from drought? In essence, injured soft tissue is much like a "wilted" flower; your body wants to heal this, but needs lots of nutrients to do it. Blood brings new life to your cells by delivering healing nutrients and oxygen that are vital to your tissue. In addition, the blood carries away toxins and cellular waste cleaning the area and healing it faster. Without a good supply of blood, your injury simply won't heal properly.
With DTR Therapy, electromagnetic energy waves pass through the surface of the body where it is eventually absorbed by deep soft tissue. When absorbed, much of this energy is released a heat - deep down where it is needed most. The body responds to heat by increasing blood flow in the area, attempting to "cool" the area down - this is exactly what we want, as an increase in blood flow means the warm soft tissue is constantly being fed with healing, nutritious, oxygen and energy filled blood. This is exactly what your body needs to heal more quickly.
In order to get maximum blood flow to your injury area, you need to help your body stimulate blood flow. To stimulate blood flow easily, you need deep heat. DTR Therapy is the fast, easy and pain-free way to apply deep heat - exactly where you want it. It's the key to dealing post surgery recovery properly.
- When treating any soft tissue injury, an effective therapy will increase blood flow to the injury while the joint is immobile.
- This increase in blood flow will accelerate the body's own ability to heal itself.
- The T•Shellz Wrap® is a highly effective deep heat medical device registered with the FDA and available for use at home.
T•Shellz Wrap® =
The Perfect Deep Tissue Therapy Delivery Tool
Electromagnetic energy is the only way to get your blood flow moving on a deep tissue level for these reasons:
- Electromagnetic energy waves are not heat waves.
- When emitted from the T•Shellz Wrap®, electromagnetic energy waves penetrate right through your skin and fat layers until they get to your damaged tissue.
- Once these energy waves reach your injured tendon, they're absorbed and quickly converted into heat energy right at the location of your injury
- The idea of electromagnetic energy ways is slowly catching on in North American, but the truth is, it's a technology that's been used for decades
Many people just don't know that over the past 30 years, researchers in Japan and China have completed extensive studies on the use of electromagnetic energy for healing and their findings have been impressive. Success has been reported in studies from countries like Sweden and Germany. Research is continuing and soon, much of North American will know what the Far East and Europe has known for a long time...
Electromagnetic energy provides a wide range of health benefits for those not only suffering from tendonitis, but for many other soft tissue injuries as well.
Regular treatment with the electromagnetic energy in our T•Shellz Wraps will ensure:
- Your pain will be reduced.
- Your injured tendon will heal at an accelerated rate with reduced potential for re-injury.
- Your joints will have a larger range of motion and increased extensibility of collagen tissue in your joint and around your tendon. (Chapter 9 of "Therapeutic Heat and Cold", 4th edition. (amazon.com link - Ed. Justus F. Lehmann, M.D., Williams, and Wilkin)
Electromagnetic Energy = Increased Blood Flow = More Oxygen, More Nutrients and Less Toxins = Faster Healing
When to use a T•Shellz Wrap®:
- Once the swelling is gone (usually after applying cold compression to the injury over 24 to 72 hr period).
- BEFORE getting out of bed in the morning. BEFORE going to bed at night.
- BEFORE exercise, workouts or activity of any kind to increase elasticity of tendons, ligaments and muscles and decrease the chance of re-injury.
- AFTER surgery (once the skin wound has healed over) to increase post-surgery healing rate and minimize scar tissue growth (due to re-injury) at the surgery location.
- Anytime BEFORE you feel you might undertake activity that will put significant strain on the injury area.
When to use a Cold Compress or Ice Pack:
- 24 to 72 hours after your initial injury or when you first notice pain and swelling to stop cellular damage, relieve pain, and decrease swelling.
- After exercise, workouts or activity of any kind to prevent re-injury.
- Before and after surgery during rehabilitation to control pre and post-surgery pain and swelling.
- Anytime you feel your joint has been over-extended, over-worked, twisted, strained or sprained causing pain and swelling.
- Anytime you have swelling, sharp throbbing pain or inflammation.
- Any other situation where you need to draw the pain and inflammation out of the area.
Are You Dealing with Rehabilitation After Tendon Surgery?
We Have Answers that can Help...
Most cases of chronic tendon injuries will respond quite well to dedicated, conservative treatment protocols, however, surgery will be needed in some cases. Undergoing tendon surgery can be a scary and challenging time for most.
The Internet and any medical professionals available to you (your surgeon, orthopaedic specialist and/or physical therapist) will provide a wealth of information and details on the surgery itself, but it can be a challenge to fully understand the medical terminology used, how your body reacts to the surgery and what comprehensive rehabilitation plan will get your body healed as soon as possible.
Surgery in itself is not the end of the journey, it is merely
the beginning of a new chapter. Your rehabilitation efforts will have an important impact on how soon you can return to living and enjoying your normal daily life.
It truly takes a cohesive rehab plan after surgery - incorporating conservative therapy, rest and physical therapy/exercise - to ensure a complete recovery takes hold. There is no single answer and each individual experience in rehabilitation is different.
We here at AidYourTendon provide suggestions and options for people to help get them through this life changing event. We assist many people in shaping an individual course of action to help them heal after surgery.
Click HERE to Go To Our Online Store If you have questions, call our office at 1-866-237-9608 (toll free continental US).
The Next Step Is Up To You!
Living with pain is never easy as it affects your entire lifestyle. Living with pain during or after intensive surgery with a lengthy rehabilitation period can be even harder! Nothing is more important than making the proper decision when it comes to treating your tendon and joint pain after surgery.
Doctors and Surgeons are always improving the technologies used in surgery, and results from surgery now are much more positive than they were in the past. However, all surgeries introduce scar tissue, and full recovery from surgery is often less successful than you might expect. If you do wind up getting surgery, know that rehabilitation at-home while attending regular physical therapy or doctor appointments is vital for your overall recovery. It is especially vital to joints that consistently handle extreme forces. Consistent exercise and conservative treatment on a daily basis during your rehabilitation while working with your doctor, surgeon or physical therapist is key - and this is why you should seriously consider maximizing your recovery at home by using the T•Shellz Wrap® once you are approved for physical therapy.
AidYourTendon stands out in this regard as our goal is to help you recover 100% for the long term during your post-operative rehabilitation and beyond.
We strongly believe that we can help you, and we have thousands of happy clients to back this claim. You are welcome to try our products for a 60 day period.. If you are committed to following the treatments outlined in the product instructions we are very confident that our TShellz Wraps will aid you immensely. If you do not receive the benefits that countless of our other customers have experienced from our products, call us, mail the product back to us and we will provide you with a full product refund.
Our online shop accepts Visa & Mastercard as well as a Paypal Payment option.
We also encourage your to Call Our Office at 1-866-237-9608 (toll free continental NA) where we can answer any questions you have and/or take your order via phone.
Our customer service lines are open 5 days a week helping people understand their injuries and how to treat them. Simply call toll free 1-866-237-9608 to talk or place an order with one of our knowledgeable Product Advisers. They have the ability to answer questions and even put together a treatment plan for you.
The bottom line is, you are welcome to try our products for a full 2 months. If you do not receive the benefits that others have experienced, simply return your purchase back to us and we will issue a prompt & full refund. There will be no hassle and no hard feelings.
Product Advisors are available 9:00 am to 10:00 pm Eastern Standard Time Monday, Tuesday and between 9:00 am and 5:00pm on Wednesday to Friday.
Learn More About Tendon Injuries & Treatments
I want to learn more about Post-Surgery Recovery
I want to learn more about T•Shellz Wrap® Deep Tissue Therapy
I want to learn more about Ice & Heat: Which Is Better For Treatment?
I want to learn more about Tendonitis Treatments
I want to learn more about Tendonitis Surgery
During your recovery, you will probably have to modify and/or eliminate any activities that cause pain or discomfort at the location of your soft tissue injury until the pain and inflammation settle. Always consult your doctor and/or Physical Therapist before using any of our outstanding products, to make sure they are right for you and your condition. The more diligent you are with your treatment and rehabilitation, the faster you will see successful results!