Tendonitis Supplements - Do They Work?
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- Опубліковано 2 чер 2024
- Sports physio Maryke Louw digs into the research on eight supplements for tendon injuries to try and figure out whether they really work.
👉 Some of the tendon injury supplements mentioned in this video:
✅ Hydrolysed collagen: geni.us/FhqL
✅ Gelatine: geni.us/o64V
✅ Omega-3: geni.us/Kvq33M
✅ High-leucine whey protein: geni.us/7gCqN
🌟Need more help with an injury? You’re welcome to consult one of the team at SIP online via video call for an assessment of your injury and a tailored treatment plan: www.sports-injury-physio.com/
📽️ Advice about specific types of tendon injury:
▶️ Achilles tendinopathy: • Achilles Tendonitis/Te...
▶️ Patellar tendinopathy: • Get Relief from Patell...
▶️ Tennis elbow: • Tennis Elbow Treatment
▶️ High hamstring tendinopathy: • High Hamstring Tendino...
▶️ Distal/lower hamstring tendinopathy: • Three Simple Distal Ha...
▶️ Gluteal tendinopathy: • Gluteal Tendinopathy
▶️ Tibialis posterior tendinopathy: • Tibialis Posterior Ten...
▶️ Peroneal tendinopathy: • Peroneal Tendinopathy ...
📚Chapters in this video:
00:00:00 Introduction
00:00:26 Quick tendon recap
00:02:17 What supplements were tested?
00:04:23 The results
00:07:45 My recommendation
00:08:24 How we can help
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👌If you want to show your appreciation for the advice you found here, you can support my channel by making a donation via PayPal: bit.ly/SIP-channel
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References:
Praet S, Purdam C, Welvaert M, et al. (2019) “Oral Supplementation of Specific Collagen Peptides Combined with Calf-Strengthening Exercises Enhances Function and Reduces Pain in Achilles Tendinopathy Patients” Nutrients 11(1):76.
Shaw G, Lee-Barthel A, Ross ML, et al. (2016) “Vitamin C-enriched gelatin supplementation before intermittent activity augments collagen synthesis” The American Journal of Clinical Nutrition 105(1):136-43.
Arquer A, García M, Laucirica JA, et al. (2014) “Efficacy and safety of an oral treatment based on mucopolysaccharides, collagen type i and vitamin C in patients with tendinopathies” Apunts Medicina de l’Esport 48(182):31-36.
Vitali, M., Naim Rodriguez, N., Pironti, P., Drossinos, A., Di Carlo, G., Chawla, A., & Gianfranco, F. (2019) “ESWT and nutraceutical supplementation (Tendisulfur Forte) vs ESWT-only in the treatment of lateral epicondylitis, Achilles tendinopathy, and rotator cuff tendinopathy: a comparative study” Journal of Drug Assessment 8(1):77-86.
Merolla, G., Dellabiancia, F., Ingardia, A. et al. (2015) “Co-analgesic therapy for arthroscopic supraspinatus tendon repair pain using a dietary supplement containing Boswellia serrata and Curcuma longa: a prospective randomized placebo-controlled study” Musculoskelet Surg 99 (Suppl 1):43-52.
Notarnicola A, Pesce V, Vicenti G, et al. (2012) “SWAAT study: extracorporeal shock wave therapy and arginine supplementation and other nutraceuticals for insertional achilles tendinopathy” Adv Ther 29(11):992.
Søren Mavrogenis, Egil Johannessen, Pål Jensen, Christian Sindberg (2004) “The effect of essential fatty acids and antioxidants combined with physiotherapy treatment in recreational athletes with chronic tendon disorders: A randomised, double-blind, placebo-controlled study” Physical Therapy in Sport 5(4):194-199.
Farup, J., Rahbek, S.K., Vendelbo, M.H., Matzon, A., Hindhede, J., Bejder, A., Ringgard, S. and Vissing, K. (2014) “Whey protein and tissue hypertrophy” Scand J Med Sci Sports 24:788-798.
Balius R, Álvarez G, Baró F, et al. (2016) “A 3-arm randomized trial for achilles tendinopathy: eccentric training, eccentric training plus a dietary supplement containing mucopolysaccharides, or passive stretching plus a dietary supplement containing mucopolysaccharides” Curr Ther Res Clin Exp 78:1-7.
Hijlkema, A., Roozenboom, C., Mensink, M., & Zwerver, J. (2022). “The impact of nutrition on tendon health and tendinopathy: a systematic review” Journal of the International Society of Sports Nutrition, 19(1), 474-504.
Qiu, F.; Li, J.; Legerlotz, K. (2022) “Does Additional Dietary Supplementation Improve Physiotherapeutic Treatment Outcome in Tendinopathy? A Systematic Review and Meta-Analysis” J Clin Med 11:1666.
👉Some links here are to places where you can buy something relevant to this video. If you do, we may get a small commission at no extra cost to you. - Навчання та стиль
👉 Some of the tendon injury supplements mentioned in this video:
✅ Hydrolysed collagen: geni.us/FhqL
✅ Gelatine: geni.us/o64V
✅ Omega-3: geni.us/Kvq33M
✅ High-leucine whey protein: geni.us/7gCqN
If you buy anything via these links, we may get a small commission at no extra cost to you.
Thank you. I appreciate your candid and thorough comments.
You are welcome!
I can confirm many tendon supplements do actually work through a little known secondary side effect of making you spend so much time on the toilet you give your tendons extra time to heal while you sit around doing nothing in the bathrrom all day.
Otherwise you would be out, active, and irritating the injury so it can't heal.
🙈😂
another great video!!🙌🏼💯
Appreciate it!!
It would in theory only possibly help someone with an actual injury (tear or degeneration or short term tendonitis caused by micro tears) and there has to be some healing process going on. So, someone with a degenerated tendon will see no result from using supplement unless 1) they are somehow able to trigger a process where the degenerated tendon changes shape to become more like normal tendon fibers or 2) the supplement helps pain or inflammation (so there's no healing but it provides pain relief). If adhesions are the cause of your pain - and therefore there is no healing process going on - no supplement will help the painful tissue to '' heal '', but enzymes who help with excess fibrin in the body can help remove some of that. Supplements to help inflammation can help people with adhesions for their pain, but you'll never get rid of the pain by not treating the adhesions themselves.
Good video btw!
Actually it may help degenerated tendons because some of the supplements were shown to enhance the effects of the rehab exercises and tendon growth - so you get more bang for your buck - however, those were the studies with super small sample sizes and funding from drug companies, so not trusting it 100% at this point.
@@SportsInjuryPhysio I agree but only if strength training can trigger changes in the structure of degenerated tendons. It's not a fact that has been established, at least not for every case of degenerated tendons
You're right but if it helps to strengthen the rest of the tendon, then that is also useful since the one theory is that it is due to the rest getting stronger that function improves despite the degenerated part being present.
@@SportsInjuryPhysio this is a question I wonder about : does the tendon actually get stronger or does it just become less sensitive (from a nervous system perspective essentially)? Because I feel like tendons are already so strong naturally that even if you do slow heavy resistance training, I'm not so sure about how much you can change the '' strength '' of a tendon. I'm aware though that some people get hypertrophied tendons from climbing for years for example. So I'm willing to believe that a degenerated tendon could change its shape when you train it, but I can't with confidence say that it does happen since we don't have much evidence in that regard. Again, on the other hand, the healthy part of the tendon, I feel like it could change shape but only in specific cases (the climbers example I gave earlier). I also wonder if the people who get hypertrophied tendons have extra tendon cells BECAUSE they degenerated part of their tendons and that was the body's response to tendons being overused.
@@DonaldGaron Excellent analysis. Millions of people every year fall for this kind of huckstering snake oil where shady podiatrists, chiropractors, etc are telling people with severe degenerative tendinosis that supplements, injections of dextrose (sugar water - WTF!), creams, orthotics, or a freaking red light will help them. It's all nonsense. The tissue is necrotic. Meaning dead. And you need a more aggressive, radical intervention of some sort that is going to stimulate the tendon to change shape, as you said. So there is of course physical therapy, but it is a long and painful process. And many people are in so much pain (even at rest) they don't even want to walk to the bathroom.) There is decent (though not great) evidence for something like shockwave for achilles tendonitis or plantar fasciitis, whereby the machine introduces micro trauma, thereby making a chronic injury acute again and giving you a second chance to heal. And then unfortunately for more severe tendinopathies that do not respond within 6-12 months (depending on your patience), surgery is usually a good choice. They have gotten much less invasive over the years, with severe injuries treated by Tenex/Tenjet and seeing a full recovery in 6-8 weeks instead of 6-8 months. If those are not possible, grafting or donor tissue can give you virtually a brand new tendon that you can strengthen to 80-90% of original tensile strength. Arthroscopic procedures have gotten much better with tools like Arthrex for joint/cartilage issues, where the incision used to be the size of a pencil eraser and now is the size of a pencil tip. Some of these things can actually be done in office although rare. I hate seeing people struggling with tendon or ligament injuries for years and still begging for answers while falling for every scam in the book.
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I THEN FOLLOWED THE MONEY, THAT'S WHERE I FOUND THE SCIENCE”