I'm at the hotel gym in Bangkok contemplating what is the missing factor in people recovering from joint intendant and ligament injuries. Waded previous videos on BPC one, five seven, the injectable peptide, that localized effect of healing a joint tenant or ligament. And then my favorite TB five hundred, which is systemic. I can inject it anywhere in my body to help recover my joints, tendons, ligaments and then, of course, combined with a growth hormone glucosamine Quran droid M S. M. To give the raw ingredients to rebuild joints, tendons, ligaments. Here's what I think is the missing factor, though. Blood flow so your muscles khun recover so much faster because there's so much blood flow to your muscles. There's not very much blood flow to a joint, a tenant or ligament. There is blood flow. That's how your body delivers the nutrients. That's how the TV five hundred, the growth hormone, the BBC, one five seven Any other healing factors that the body produces in the raw materials get into the joint tenant ligament, but it's so little blood flow. So the question to the expert, Dan Sines, is is increasing the blood flow to the joint tenant are ligament a critical part of the healing and recovery of a joint ten ligament. And what can we do to increase the blood flow? I propose that doing very lightweight on the injured joint ten alignment Very light, not cause more damage or terror it anymore, but lightweight just to get the blood flow high, rep get the blood flow in that region increased the the pressure of the blood in the area. I'm also wondering if if things like aspirin can help thin the blood so that could have better access on get transport the blood because the blood being thinner into those areas. And also, if topical things like icy hot or things that bring blood flow into that area actually work. I think you're absolutely right when it comes to blood flow being a factor and why some injuries don't heal as fast as others. Ligaments and tendons are poorly vascular eyes when compared to other structures. And so because of that, they rely heavily on synovial fluid diffusion toe. Push those nutrients to the cells. I think part of this is why I p r p injections or platelet rich plasma injections have been growing in popularity. What they basically do for this procedure is they draw your blood and then they centrifuge to separate the plasma and platelets, and plasma is then injected into the damaged tissue. What this does is it triggers the release of growth factors in those basically recruit the proliferation of some of those cells for that recovery process. Injuries to muscles, ligaments, tended bone cartilage. A lot of those things are related to weakness in the extra cellular matrix, so the CM is essentially like rebar or steel reinforcement for country where it strengthens the whole structure. So if we can strengthen this, E. C M. People believe that, you know, we could reduce the number of sports injuries think the key to recovery from soft tissue injury is more about load management. Finding that entry point to reintroduce movement without overloading tissues and irritating some of those damaged structures. One of the things that a lot of rehab particles focus on for tenderness, injuries is eccentric exercises. What eccentrics are good for is with slow controlled, eccentric movement. What you're doing is you're increasing blood flow to those those tissues, and it also removes the waist of those byproducts. In addition, those long, slow, eccentric movements are really good for helping realign those collagen fibers, which is super important for attendant health. But another aspect of rehab for soft tissue injuries, for example, like a ligament is stability. When you damage or injure some sort of structure, the first thing that usually goes a stability. For example, if you sprain your ankle a lot of times, what will happen is you damaged those ligaments, and then the ankle itself will become unstable and loose. And then you just keep reading irritated. Which is why people have these chronic ankle sprains that never get better is because you keep reinjuring part of the rehab process when you're going through. Trying to correct some of these problems is stabilizing structures. You can't strengthen a ligament necessarily, but you can strengthen the structures around it. And so that's kind of what the rehab game plan is. You spread an ankle, you want to strengthen all the things around it, all the muscles that control that ankle, not necessarily focusing on strengthening the ligament itself, because a lot of times you can't really do much to the actual structure that's damaged because of the location, like an a. C L. U can't get to that deep structure, but by strengthening the need and everything surrounding it by that, stabilization of the knee will often times help those types of injuries. Topical is like rock sauce in bio freeze. They're really good for pain relief. But as faras initiating the healing response, there's not a lot of evidence that suggests that it has any sort of effect on blood flow, any sort of healing properties whatsoever. They're excellent. You know, if you're having pain and you know you're having trouble, get through, work out, then you throw some on there. It's gonna benefit you in some way with pain. But I think as far as relying on it for some sort of healing response, I just don't think there's a whole lot of indications that show that it has any benefit whatsoever to touch on your aspirin question. I'm not familiar with a lot of people using aspirin for that reason, using aspirin to thin the blood and acute injuries Probably not a great idea, and the reason is if you have a structure that's bleeding, you don't want to increase that bleeding. It's the same reason why you don't heat new injuries. You know, as time goes on in, that inflammatory process subsides. Yes, you know, using things like he could be beneficial. But I'm not sure that fitting the blood, even in a situation like that is going to have much of an effect on nutrient delivery to structures that are poorly vascular. But anyways, he's great ideas. Let's do another video where we talk about supplementation to strengthen the CM in some training protocols, where we can also strengthen these here. 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