The Best Testimonial I’ve Received Yet

Dear Alex,

Thanks for checking in. I’m sorry I haven’t kept you updated, especially considering your very conscientious and generous communication. Since my last email we’ve been traveling. You’re entitled to some much deserved kudos!!

I feel I made tremendous progress, despite the “pep talk” (not!) the ortho gave me when I told him I was going to follow your protocol. I started with virtually no range of motion and tremendous pain in the elbow & shoulder to full range of motion and completely pain free for normal day to day activity in two weeks. I haven’t started working out yet. When we get home I’ll test it out on some light weights. Of course, I’m a bit nervous. I am a little confused to what my new regime will be. I do enjoy cross fit and wish my gym environment and trainer would be more supportive of what I need to do to modify.

Now, that I understand the idea of healing and maintaining tendon health, I’m excited to work on other areas (knees, back). Although, I am confused about how to target the back…

When we get home, there are many people I’m looking forward to recommending your book. I’ve seen a couple of msg boards out their full of people who could use your help. It’s quite sad to realize how many people have really been suffering for a long time. I won’t give away the secret but will definitely send them in your direction.

Thanks so much! Besides the healing, you’ve also provided me w/a tremendous amount of empowerment.

Sincerely,
Bobbi Casellas

Bobbi is a 42-year-old weight trainer, crossfitter and generally very active. A testimonial like this speaks for itself. I have nothing to add, except to say congratulations to Bobbi for taking matters into her own hands and deciding to try something new–despite the advice of her orthopedist!

Introducing: The Tendon Test

If you’ve been wondering whether Target Tendonitis is the right solution for your tendon pain (and the 60-day, 100% money-back guarantee for some reason hasn’t swayed you), I am proud to announce that now, for the first time in the history of the Internet, this website is hosting the one and only Tendon Test. That’s right: a one-minute test that you can take with the click of a button is now available here, and it will tell you with a great deal of certainty whether or not the techniques described in Target Tendonitis are a good bet to help you to get rid of your tendon pain.

So what are you waiting for? It’s free, it’s quick, and it just might save you months of frustration and pain (not to mention some money).

How to tell the difference between arthritis and tendonitis

The initial symptoms of arthritis and tendonitis can feel very similar, so here’s an easy home-diagnosis way to tell the difference: try taking glucosamine for two weeks. If it helps, you likely have osteoarthritis. If not, it’s more likely a tendon problem.

What’s the reasoning here? Glucosamine (often packaged with MSM and/or chondroitin) has been shown in quite a few scientific studies to help with cartilage formation. Cartilage is what your joints are made of, and what arthritis attacks, so upping the rate of production in turn helps your joints. End result: you feel better…if you have arthritis.

On the other hand, glucosamine will not help with collagen formation, and tendons are made of collagen. So it stands to reason that if you feel like you have “joint pain”, take glucosamine, and don’t experience any relief, one very likely culprit could be your tendons. (Tendon insertion points are often very close to joints and it can be difficult to tell exactly where the pain is coming from.)

Taking NSAIDs, using ice and so on can provide temporary relief for either condition, but since both arthritis and tendonitis are both the result of inflammation, using these treatments won’t help you distinguish between the two. And knowing which one you have is of course very important if you intend to treat the condition yourself.

If you do decide that you have a tendon problem, however, and you’ve had your pain for more than a couple of weeks, I caution you against assuming that the issue is tendonitis. More likely it’s tendonosis, which is an actual degeneration of the tendon. (This is especially true if you take NSAIDs and they don’t help.) If you think that this might be your problem, have a look at my tendon test. It’ll only take a minute, is completely free, will tell you whether you have tendonitis or tendonosis, and give you some options about what to do about it.

A success story

I’d like to share a success story with you today. Jonathan, a 30-year-old football player, bought a copy of Target Tendonitis last month. Here is his email to me:

Hi, I bought your book today [Feb. 15th] and had a quick read on my kindle.

I have been having post tibial tendonitis for 7 months.. From what your book says it might not be the case and is probably tendonisis. I did an MRI back in January and it showed that my deltoid ligaments were still inflamed. I stopped exercising (running or football) for about 6 months although I did the elliptical once in a while but things got worse when I had to walk a lot for 1 week going up and down the stairs.

That made my ankle inflamed again . My doctor finally gave me a cortisone injection. It has been 4 days now and the pain has gone down a bit. I definitely have less pain although it is not 100% as i can feel that my tendon is somehow weak. I wanted to ask you if I can start [your recommended] exercises to start strengthening my tendons and also what kind of exercise I can do to treat Post tibial tendonisis. The book doesn’t show any examples for that.

Since working with Jonathan, I have received so many complaints about PTT, plantar fasciitis and achilles tendon pain that I created a new website specifically to talk about these problems. If you have any of these issues, I recommend that you check it out because it has a LOT more information about them than Target Tendonitis does. But at the time I gave Jonathan some specific movement patterns and asked him to try them for a couple of weeks.

On March 3rd, I followed up to ask how he was feeling. This was the unedited response:

Hi Alex, much better! I get no pain when sitting and almost no pain when walking, just some stiffness. I went to do some deep tissue massage last week… Boy did it hurt 🙂 I am still doing my exercises but i do them every 2 days and now I don’t feel any pain doing them but only some stiffness the next day which I usually tackle by stretching a little.

Congratulations to Jonathan for taking the time to try something new and on his speedy recovery. If you’ve been suffering from tendon pain in your feet/ankles for more than a couple of weeks and would like to experience similar results, Target Plantar Fasciitis and Posterior Tibial Tendonitis has information that can help you out.

Doctors are starting to catch up with the research

A reader sent this link in to me a few days ago. (Thanks, James!) It’s from a fairly hard-core weightlifting gym that has a website and forum attached. There’s a pretty good discussion of tendon pain, but the part that I wanted to show you is the following. It’s a summary of what a doctor said when he visited the gym to do a presentation on tendonopathy:

The common view of tendon injuries was once that the majority of the time a patient comes in with a tendon problem, it must be a tendonitis. Tendonitis implies that there is an inflammation of the tendon which needs to be decreased, and then the problem will go away. A typical true tendonitis will resolve in 2-4 weeks if it is a new onset, and if it is a longer standing tendonitis it should be better in 4-6 weeks – recovery rate from a “true” tendonitis is 99%. The common tendonitis treatment is anti-inflammatories, rest, and ice. Typically people who have had long term problem and go in for treatment with this protocol will not respond very well and will become quite frustrated…

…New research has lead medical professionals to realize that in the majority of patients (about 90%) who come in with “tendonitis” the problem is no longer tendonitis, but tendonosis which is a degenerative condition of the tendon.

There you have it; as good a summary as I’ve seen. (For the entire thread, click here.) If you’ve been diagnosed with tendonitis but it hasn’t gone away after a few weeks of aggressive icing and so on, chances are about 99% that it isn’t tendonitis at all.

If your doctor doesn’t understand this distinction, or if he pays lip-service to the idea of “tendonosis” but still insists on treating you with ice, NSAIDs and the rest of the usual prescription, you owe it to yourself to get better information. Trying to treat a tendon degeneration problem with protocols designed to combat inflammation is just asking for failure.

The most important thing

The new year is here and since this month also marks the one-year anniversary of this blog, I thought I’d start things off by reiterating the most important single thing I can tell you about tendonitis. So here it is: if you’ve had tendon pain for more than a couple of weeks and have been faithfully applying the usual doctor’s prescription of rest, icing and NSAIDs, without much effect…you probably don’t have tendonitis.

Any kind of “itis” is inflammation. If you really do have inflammation, chances are excellent that it will get better with the above treatment. So it stands to reason that if you’ve tried the treatment for a while and your pain doesn’t get better, you didn’t actually have inflammation in the first place.

Estimates range anywhere from 50% to over 90% that most diagnosed cases of “tendonitis” are actually tendonosis. This means that whatever problem you have with your tendons, it has gone beyond inflammation and now involves actual degeneration of the tendon itself. If this is the case, you’re not going to experience much relief with rest, ice and aspirin, because none of that is designed to repair your tendon.

To get better, you’re going to need a fresh approach. One part is good nutrition; either clean up your diet or else get some supplements that will give your body the building blocks it needs to heal. The other part is a set of exercises that will signal your body to start repairing itself. Particularly in regular exercisers and older people, the usual repair mechanisms often need an extra boost to get the upper hand against tendonopathy.

Target Tendonitis gives advice on both of these topics. It spells out the types of exercises you need to fix your tendons, and also gives specific recommendations about the sort of food and supplements that you need to help your tendons function free of pain. At less than thirty bucks (still!), it’s the best tendon-healing value on the market today.

Blackberry Thumb, iPhone Thumb…

I ran across an interesting (and slightly horrifying) article in the Calgary Herald a couple of days ago (text and link are below). People usually think of tendon pain as something that happens in the larger joints, the elbows, knees, ankles and so on. But it can happen anywhere that there is a repetitive stress and pattern overload. Here’s an extreme case:

Banker undergoes ‘BlackBerry thumb’ surgery because she used her iPhone too much

By Katya Wachtel, Business Insider August 29, 2010

A mortgage banker just had to have surgery on her thumb because she was using her iPhone too much, according to WTSP.

The hospital says her condition is best known as “Blackberry thumb.” However, since she was using an iPhone, “iPhone thumb” is obviously more appropriate in her case.

Symptoms of Blackberry thumb include pain, inflammation, numbness and tingling.

The Philly woman might have realized she felt some of the symptoms had she not spent up to 12 hours a day in communication with clients on her iPhone.

The tendons in her thumb became so severely inflamed, they required removal.

Her need for surgery would (almost?) be funny, but apparently surgery on the hand is very serious and it’s going to be a long time before she can use her phone again. Recovery time for tendon surgery can be up to two months or longer.

“Most hand tendon injuries take longer to recover than most other operations elsewhere in the body,” according to the American Society for Surgery of the Hand

Read more: http://www.calgaryherald.com/technol…#ixzz0y2Lt9Vag

I have complete confidence that the techniques I explain in my book will cure most people, but in this case I wouldn’t be completely positive. I’m fairly sure that with the amount of stress this lady placed on her tendons she’s gone beyond tendonitis (simple inflammation) and well into tendonosis (actual damage to the tendon itself). But if you’ve got tingling and numbness you’re probably experiencing some nerve damage along with the tendon problem, and that’s frankly beyond my expertise. Still, I think that if it were me I’d invest twenty bucks and see what happened before I opted for surgery.

For those who are experiencing some pain (but not as severe as the lady in the article), there is a quick and accurate tendon test on this page that will tell you what sort of pain you have, and what you can do about it.

More testimonials

A couple more testimonials for Target Tendonitis:

The first is from Robert, a fellow I actually met in person a year or so ago and gave a free, pre-production copy of the book to. I asked him for feedback in exchange and he finally got back to me (a year later!).

Thanks Alex! Spending all day using a mouse and keyboard had taken a major toll on my wrist. I tried for months to relieve the pain, but nothing seemed to work. After trying the techniques in your book, my wrist pain was gone within a week! It’s been nearly a year now, and the pain hasn’t returned.

The second is from Michael Dorfman, a 68-year-old gym-goer who was forced to lay off for a few months because of shoulder pain. He wrote in with a question (you can see his full message if you click here) and a thank-you:

I´d like to thank you for helping me with my shoulder tendonosis which I´ve had for several months. I took NSAIDs for 2 weeks, had a cortisone injection 3 weeks of physical therapy and nothing helped. After two weeks of your therapy I feel about a 40% improvement. I´m able to tie my shoes and dress myself with a minimum of pain.

I’d like to take this opportunity to say that, young or old, if you have a question about tendon pain, feel free to write in and ask. It’s what I’m here for. And if you’re suffering from tendon pain and the usual anti-inflammation protocols haven’t worked, what are you waiting for? Target Tendonitis is the cheapest and most effective thing going, and if for whatever reason it doesn’t work, you get your money back in full. (Only one person has asked for a refund so far, though… So I think I’ve got a pretty good track record!) Just click on the red link at the top-right corner of the page and you’ll be on your way to relief from your pain.

Reader questions

I’m going to start answering some of the questions I’ve been getting from readers here. This one’s from Lena, who thinks she has tendonitis:

About six months ago I was diagnosed with tendonitis. When I was diagnosed, I was given a brace to wear for two weeks. During that time, the pain was fine, until I took the brace off to shower. When I did, the pain came back worse than ever.

After the two weeks, my hand was better for about a week, and then the pain was back daily. Usually it’s fine, but occasionally I’ll bang it against something, or someone will grab my wrist, and I’m hit with very dibilitating pain.

My options are physical therapy, doing nothing and trying to be careful, or getting a cast. The cast would force me to rest the tendon for several weeks.

Does anyone have experience to share? I’d like some advice for which option is the best. This is worrying me a lot and I’d love some feedback.

Thanks!

Lena, you very likely do not have tendonitis (which is inflammation) but tendonosis (which is actual degeneration of the tendon). The brace helps with the pain because it keeps you from using the tendons, but – as you’ve seen – when you take it off you’re back to square one. Simple cases of inflammation will generally go away within two weeks, especially if you’ve immobilized the area, but obviously that hasn’t happened with you.

NSAIDs, ice and the other usual anti-tendonitis treatments aren’t going to work for you because you don’t have inflammation. For tendon degeneration you need a different approach, one that involves actually rebuilding the tendon collagen via specific exercises and nutrition. Unfortunately, most doctors don’t have time to keep up with the latest research in this area, so the best they can do is cortisone shots and (in severe cases) surgery. But there are better alternatives out there. I can’t give away the farm here, but I will say that my book has a long section that gives you instruction on how to design and execute these types of exercises, as well as a complete section on the types of foods and supplements that you should be putting into your body.

De Quervain’s Syndrome

I’ve been getting some questions about De Quervain’s Syndrome lately, so I thought I’d answer a few of them here.

First, De Quervain’s Syndrome is neither tendonitis nor tendonosis. That’s right: there are still more kinds of tendon pain. In this case, what you’re looking at is something called paratenonitis.

Tendons are covered with sheaths, called the peritendon, and when you have problems with the peritendon, you get paratenonitis. Paratenonitis can occur by itself, or in conjunction with problems with the tendon inside, which makes things complicated when you try to diagnose it and/or cure it.

Since paratenonitis usually has a large component of inflammation, if you suffer from De Quervain’s Syndrome my first line of defense would be NSAIDs, ice, stretches and rest. If that doesn’t get rid of the pain within a week or two, then it’s likely that you’ve also got some tendonosis going on, and perhaps some actual degeneration of the peritendon as well. In that case, you might want to give the techniques in my book a try.