His remedy for elbow tendonitis basically involves a few sessions of doing chin ups until your elbow pain is unbearable. And then keep going. Many low-rep sets over and over. The idea is that this will increase inflammation, causing your body to heal the original injury along with the inflammation.
He claims this healed his own elbow tendonitis and has worked for countless others.
I follow Rip's strength training program. However I can't say I'd ever give this a try and I'm not sure there's any scientific evidence that it works.
Just thought it was pretty interesting, even if it's just bogus. I have no idea!
https://startingstrength.com/training/elbow-tendonitis-how-i... https://en.wikipedia.org/wiki/Pin_firing (an article on his website)
https://www.youtube.com/watch?v=c1frSvu8KyE (he talks about it in this podcast)
I haven't heard anyone else describe it that way but it makes sense to me. Wonder if this would be better than applying repetitive stress injuries to an existing problem.
I experienced elbow pain after doing a lot of deadlifts and I assume my tendons couldn't bear the weight, since they take longer to strengthen than muscle tissue.
Fixed it after ~2 weeks of use. Highly recommend.
amazon.com/TheraBand-Tendonitis-Resistance-Tendinitis-Intermediate/dp/B00066D6K4/ref=asc_df_B00066D6K4/?tag=hyprod-20&linkCode=df0&hvadid=198109692418&hvpos=&hvnetw=g&hvrand=6240534091611235770&hvpone=&hvptwo=&hvqmt=&hvdev=c&hvdvcmdl=&hvlocint=&hvlocphy=9031499&hvtargid=pla-404191336687&th=1
A couple of years ago, I got golfer's elbow from doing high volume chin-ups (supinated pull-ups). I'm at an age where this kind of thing is common (I've heard of it referred to as "middle age pull-up syndrome").
I tried to ignore it and work through it, but it got worse, and I eventually went to therapy where they recommended the Flex bar. It took more than a few weeks, but eventually it completely resolved the pain. For me at least, it did the job, and it's a lot cheaper than a single visit to the therapist (even if you end up buying multiple "levels" of it).
Nowadays I do my pull-ups on gymnast rings, so these creaky old elbow joints can move freely rather than being stressed by a fixed hand position.
Conversely, my wife's debilitating ankle injury was going nowhere with physical therapy and after a single trip to a local acupuncturist she could walk pain free.
"The concept of creating irritation or injury to stimulate healing has been recorded as early as Roman times when hot needles were poked into the shoulders of injured gladiators"
Nowadays they (thankfully!) use a mix of Lidocaine/Dextrose but the key is to NOT take ANY anti-inflammatories to allow the body to react & repair itself.
Hot PokerStars potentially kill infection. Heat is a well known means to help kill infection.
Exercise increases the rate at which lymph is returned to the circulatory system from the tissues. That's how the body takes out the trash.
Inflammation is poorly understood and I don't like these hand wavy hypotheses.
I had a similar surgery 14 years ago (part of the heel bone was sawed off and the tendon was "scarred"), followed by 2 weeks on crutches. I was coming from more than 2 years of terrible pain in my right Achilles. Three months after the surgery, performed arthroscopically, I ran a 10K. I never had any problems or pain after surgery.
Intriguingly, being an eternal explorer of alternative methods, I had tried using a number of remedies/procedures to heal my Achilles (acupuncture, "shock waves," electrostimulation). I was an athlete and it was all under medical supervision. Virtually nothing worked except cortisone injections, which only mask the pain for a few weeks. But what did work, albeit for a few hours, was Alpha-stim ("an electrotherapy device that relieves post-traumatic, acute and chronic pain through painless electrical stimulation"). I applied the microcurrents with the stick and pads provided (Alpha-stim is mostly used transcranially) and I remember the pain that was torturing me disappeared for a few hours. I went out for a run and felt nothing, it felt miraculous. I feel that electro-medicine has been understudied and under applied.
Now that I think about it I wonder if it still works if the area is numbed first.
We don't have poison ivy in Australia, but apparently this works for things like rashes, mosquito bites, etc. I'd never heard of it before.
I can't wait to get a rash or something so I can try this. Thanks!
The long-term solution was to change some basic behaviors (never wear a backback while bicycling, use saddlebags instead, and always warmup before exercise), and I also started a very slow recovery program (i.e. about a year-long very steady-and-slow increase in exercise levels). I'm pretty sure a key component was the use of supplements for connective tissue development (glucosamine, chondroitin, MSM, vitamin C) and bone development (calcium-hydroxyapatite and magnesium sources). However, thinking back, I also quit the NSAIDs (which were unnecessary as I always backed off the exercise whenever I felt the slightest twinge during the recovery period).
Nowadays, I just do continual light resistance training for back strength (basically frequent hiking with a well-balanced backpack), some relatively light gym workouts, and I've felt zero back pain for several years, and the tendonitis has also vanished, and I almost never take any NSAIDs (which I used to eat rather like candy). I still take that supplement mix (and I've tried going off it for a few months and had a notable increase in sore joints etc.) but now I wonder if quitting the ibuprofen was equally important.
I'll second this anecdata for back pain/tendonitis. NSAIDs become unnecessary, or even as the parent suggests, harmful. My broccoli and fruit intake obviated calcium and vitamin C supplements respectively, and I never heard about the necessity of MSM.
Regular light exercise is the only thing kind of working for me right now, but every now and then the pain gets bad and I fall out or exercise.
https://www.healthline.com/health/fitness/superman-exercise
https://m.youtube.com/watch?v=CfiJ4qfaUbM
And get a foam roller for a easy low back massage.
I used to have low back pain for a long time from too much desk work. Although I do a lot of different exercises now, I think those 3 things are the easiest and most impactful way you can keep yourself pain free. They're simple, 5 or 10 min a day will really help.
The source of my issue is mechanical, reducing my back's thresholds for stress and inflammation and greatly extending the required time for recovery if exceeded. I do a range of stretches and strength training exercises that don't give immediate relief but can definitely be felt if I slack off for a week, and I use some implements to promote lordosis when I have to sit. It's not solved, but I'm sleeping all night and have reduced incidents of disabling pain.
The duloxetine showed me that I had multiple types of pain that were related but not the same, allowing me to address each one individually. Eventually I'll go off it, but that's probably another year or two away.
https://www.cancertherapyadvisor.com/home/news/conference-co...
CAR T-cell therapy is for refractory or relapsed lymphomas. One of its side-effects is cytokine release syndrome (CRS), an inflammatory response which, in its most severe grade, is fatal. Anakinra, used for rheumatoid arthritis among other things, greatly reduces the severity of CRS in poor yahoos like me receiving CAR T-cell therapy, turning what could be a rocketship ride to Hell into what will more likely be a rather uncomfortable United flight to Newark.
> in its most severe grade
I will hazard a guess that most inflammation is not severe but our tolerance for it has diminished due, in part, to the prevalence of anti-inflammatory drugs.
Ice to numb things, sure. ICE to reduce inflammation by inhibiting blood flow … ?
[0] https://physoc.onlinelibrary.wiley.com/doi/10.1113/JP278996
No, it really isn't. If you cut your finger, you are going to have inflammation around the wound. This is completely normal and desirable: It helps the wound close and heal. Same if you get injured: swelling near a broken elbow means you are less likely to move the joint for a few days, at least (pain will keep me from moving it afterwards). These are all temporary maladies and no amount of getting your nutrients checked is going to fix these.
And steroids certainly won't help you in those situations. Steroids can make healing slower, depending on what is wrong. Not to mention that they aren't safe for everyone and can have serious side effects. slow healing, bad sleep, brittle bones, and so on.
I'm not saying steroids are never the answer. I have MS and have had high dose steroids to help with nerve inflammation (hopefully to minimize damage). High dose meaning... it was administered through an IV and I hallucinated every few hours for 3 days. And I've had steriods for an allergic reaction that simply wasn't calming down.
But the situations aren't in your favor: Steroids aren't a cure-all for inflammation, which isn't always bad.
What? Inflammation happens for a number of reasons. Some nebulous "balance" that your body is "out of" isn't it.
I've done so in this case.
HN's long-standing policy in the case of clickbaity or vague article titles is to replace them with one from the text itself if possible. See:
https://news.ycombinator.com/item?id=9695092
The last sentence of the abstract here seems to offer a couple of options.
In my own submissions, I'll note where I'm making such substitutions and why. Usually for length:
https://hn.algolia.com/?dateRange=all&page=0&prefix=true&que...
If you go to the supermarket and get yourself some cbd topical solution for like sore muscles.. you are just getting generic sore muscle lotion that basically treats inflammation, and it has had cbd waved near it for an upcharge.
The only potential like thing here are high cbd transdermal patches but the dose is high and the efficacy is still pretty low.
If your pain is in fact chronic, then ... you might wish to revisit. Your specific instance and circumstances will, of course, vary from others. And I'm well aware that those suffering from chronic conditions face all manner of denial and unhelpful contributions from others, both healthcare professionals and not. (I'm of the latter class.)
Having been through some serious injuries myself, I can attest that 1) short-term relief, over days and weeks, from quite powerful anti-inflammetories was immense, and 2) that the long-term issue would likely best be treated by other means, particular to my circumstances.
TL;DR: shor-term and long-term benefits may in fact be in opposite directions. As any alcoholic or junkie is aware.
We know lots of supplements and food that seems to be universally considered healthy to have anti-inflammatory effects: olive oil, boswellia, pretty much all fruit and especially vegetables (and an infinite amount of other substance(s) (classes)). Is too much or even just a bit of those bad in some cases?
Or are only the "heavy hitters" NSAID and corticosteroids bad? If so, why? Are they so much stronger?
A little anecdote in regards to chronic pain: A combination of high dosage Loratadine (3x10mg) and Ambroxol (2x75mg) a day helped the chronic nerve pain in my face a lot, when NSAID didn't.
What does that mean for the therapy of humans? How can we administer neutrophils in humans to fight chronic pain?
One of the interesting topics was that during recovery from exercise or an acute injury, your body's natural response to repair is through inflammation (not surprisingly). But that reducing or trying to block inflammation inhibits your body's ability to repair and build itself, leading to much slower recovery.
All in all, it seems there is a balance between reducing inflammation to prevent it from either killing you or causing pain vs reducing it to the point that it prevents your body's natural build and repair processes.
Stay off your sugar and do a bit of intermittent fasting. Herbert Shelton might have been onto something you know.
https://en.wikipedia.org/wiki/Neutrophil#Structure "In 1973, Sanchez et al. found that the capacity of neutrophils to engulf bacteria is reduced when simple sugars like glucose, fructose as well as sucrose, honey and orange juice were ingested, while the ingestion of starches had no effect. Fasting, on the other hand, strengthened the neutrophils' phagocytic capacity to engulf bacteria. It was concluded that the function, and not the number, of phagocytes in engulfing bacteria was altered by the ingestion of sugars."
Could someone kindly translate this to layman's terms?
Neutrophils are white blood cells. The rest is gibberish to me.
Edit: To be clear, I am trying to understand this piece of the statement:
Transient neutrophil-driven up-regulation of inflammatory responses...
Edit: I'm wondering if that means "Temporary white blood cell driven increase in inflammation was protective..."
