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How Do You Strengthen a Torn Tendon?

Published in Tendon Rehabilitation 3 mins read

Strengthening a torn tendon involves a carefully structured approach, with the type of exercise depending on the severity and pain level of the injury.

Understanding Tendon Strengthening Exercises

The process of strengthening a torn tendon is not a one-size-fits-all solution. The key is to progressively load the tendon with exercises that encourage healing and build strength without causing further damage. Here's a breakdown:

Initial Stages: Isometric Exercises

  • For very painful or acute tendon injuries, the best approach is to begin with isometric exercises.
    • What are isometric exercises? These exercises involve muscle contraction without movement.
    • How do they help? They help to build strength in the tendon and surrounding muscles by engaging them without putting the tendon under excessive stress. For example, pushing against a wall with your hand to engage your forearm tendon muscles but without allowing any movement, this is an isometric contraction.

Later Stages: Eccentric and Concentric Exercises

  • As the pain subsides and the tendon begins to heal, a combination of eccentric and concentric exercises can be added.
    • What are concentric exercises? These occur when a muscle shortens as it contracts. For example, lifting a weight.
    • What are eccentric exercises? These occur when a muscle lengthens while contracting. For example, lowering a weight.
    • How do they help? Both of these exercises work to rebuild the strength of the tendon, with a special focus on eccentric contractions. Eccentric exercises have been shown to be particularly effective in rebuilding tendon strength and structure.

Summary Table of Exercise Types

Injury Severity Exercise Type Explanation Example
Very Painful / Acute Isometric Muscle contraction without movement Pushing against a wall, holding a weight in place
Less Painful Eccentric and Concentric Muscle lengthening while contracting and muscle shortening while contracting Lifting and lowering a weight, squatting (lowering is eccentric, and rising is concentric)

Practical Tips for Tendon Strengthening

  • Consult with a professional: Always consult with a physical therapist or healthcare professional before beginning any exercise program for a torn tendon. They can evaluate your injury and create a personalized rehabilitation plan.
  • Start slow and be consistent: Start with low-intensity exercises and gradually increase the intensity, duration, and repetitions as the tendon heals. Consistency is important for long-term tendon health.
  • Pay attention to pain: It's normal to experience some mild discomfort during exercise, but sharp or increasing pain signals that you may be overdoing it. Rest and reduce the intensity if pain increases.
  • Rest and recovery are key: Allow adequate time for your tendon to recover between workouts. Overtraining can hinder progress and increase the risk of re-injury.
  • Proper form is essential: Focus on proper form during exercises to prevent further injury and maximize the benefits of the exercises.

By following a structured approach of isometric exercises first, followed by a combination of eccentric and concentric exercises as the tendon heals, you can effectively strengthen a torn tendon. Remember to consult with a healthcare professional for guidance and to adhere to a consistent exercise plan.

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