DR. RUSSELL SCHIERLING
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SYSTEMIC TENDINOSIS -vs- LOCAL TENDINOSIS

6/28/2013

9 Comments

 

IS YOUR TENDINOSIS SYSTEMIC OR LOCAL?

Tendinosis

UNDERSTANDING THE DIFFERENCE IS CRITICAL!

Not too long ago I wrote a BLOG POST on the difference between local health problems and systemic health problems.  For those of you dealing with TENDINOSIS, understanding the difference between the two is critical.  In fact, in many ways, Systemic Tendinosis and Local Tendinosis are two totally different problems that require two totally different approaches to treatment.  This blog post is in response to this email that I got just a couple of days ago.  Since I get a lot of similar emails, this post will allow me to simply send people a link in response to similar questions.
Dear Dr. Schierling,

My name is XXX XXXXXX and I'm from Nevada.  I found your website on tendinosis and want to know who in my area treats like you do?  I am struggling with severe tendinitis (tendinosis) in my shoulders, elbows, wrists, hips, knees, and ankles.  This problem is ruining my life.  Who could you recommend in my area that does Tissue Remodeling?

Please help me.  I am desperate.
Thank you

The problem is that this person is looking for a simple / mechanical / local solution (TISSUE REMODELING) to a complex systemic problem.  When a person has multiple-site Tendinosis (or MULTIPLE-SITE FASCIAL ADHESIONS for that matter) found on both sides of the body at several different locations, their problem is almost 100% certain to be systemic.  This means that there is undoubtedly an underlying problem that is affecting the whole body (as opposed to several local overuse or sprain / strain type of situations).  In my experience, these are usually caused by a drug reaction (ANTIBIOTICS and STATINS seem to be the biggest culprits) or an AUTOIMMUNE REACTION to one's own Connective Tissues.  Typically, you'll find that GLUTEN and LEAKY GUT SYNDROME are involved in the equation in some form or fashion.  The first thing that is critical to understand with Systemic Tendinosis is that Tissue Remodeling is not going to help.  In fact, it may make your problem worse.

Yeah; we help tons of people with local Tendinosis with a very minimal amount of treatment and expense (see HERE, or HERE).  But trying to break down tendinous adhesions that are the result of a systemic problem will simply result in more pain and dysfunction.  The key to solving Systemic Tendinosis is to figure out what is the underlying cause of the INFLAMMATION that is driving the problem.  I get it; Tendinosis is not an "Inflammatory" problem.  But if you have Systemic Inflammation coursing through your system, you are much more likely to have a wide variety of health problems, including bilateral, multiple-site Tendinosis. 

Some of the things that I recommend for dealing with Systemic Tendinosis (as well as most SYSTEMIC HEALTH PROBLEMS) are simple, common-sense sorts of interventions that will be the foundation for just about any customized treatment protocol.  Here is a short list.

  • Do a Gluten Free Elimination Diet:   The GLUTEN-FREE ELIMINATION DIET is a big deal because GLUTEN and GLUTEN CROSS REACTORS are a huge driver of Systemic, Inflammatory, and Autoimmune processes.  There is a reason that you are hearing about Gluten every time you turn on the TV or open a magazine.
 
  • Control your Blood Sugar and Eliminate Potentially Reactive Foods in the Process:  One of the biggest reasons that I promote a PALEO DIET for most of my patients has to do with the fact that the diet is extremely non-reactive.  The great side effect of this way of eating is that it will totally control your blood sugar levels in the process.  UNCONTROLLED BLOOD SUGAR --- even in individuals who have 'normal' blood sugar readings (HERE) ---- is a leading cause of sickness and disease here in America.
 
  • Drink Water and only Water:  This goes without saying.  I don't mind someone having some green tea, but if you are drinking SODA or other SUGARED drinks and trying to overcome Systemic Tendinosis, you are probably fighting a losing battle.  And on top of this, the average American is dehydrated to at least some degree.
 
  • Fix your Gut:  GUT HEALTH is a critical part of healing any chronic problem.  There is an old axiom in natural medicine that says, "Heal the Gut; Heal the Body".  On many different levels and for many different problems, this statement is 100% accurate.
 
  • Cold Laser Therapy:  I have a lot of different modalities (ultrasound, Russian stim, electrical stimulators, TENS, etc, etc) that sit in the basement of my office gathering dust.  The one and only modality I regularly use these days (for the past several years) is COLD LASER THERAPY.
 
  • Take the Proper Supplements:  Although there are several supplements that could go here, I will mention a couple; LIGAPLEX.  Ligaplex by Standard Process has been around for a very long time, and actually provides people with the raw materials to heal and regenerate injured Connective Tissues.  Despite tendinosis itself not being considered to be "Inflammatory, the body is often in an inflammatory state.  Take PFGO.  Bear in mind that in the case of Autoimmune-driven Tendinosis, there might be several nutritional supplements to take.

There are certainly other things that could be put on the list, but this will provide people with a starting point.  If you have questions or concerns, be sure to read THIS POST.
9 Comments
Kathy
6/29/2013 09:43:04 pm

Thank you for all the information you have on your website. Your passion for your work is wonderful!. It gives me hope that I will be pain free! Thank you.

Reply
Dr. Russ
6/30/2013 09:15:17 am

Thank you Kathy,

Hopefully this provides a starting point for you and thousands of others in similar situations. I am not tooting my own horn when I say that it is far better advice than the typical medical fare ---- another MRI, more pain meds, and another corticosteroid injection. Good luck on your journey to health!

Reply
Rafee
9/22/2014 12:46:23 am

Thanks a lot DR.
Currantly living overseas I've had my share of inflamation effecting my running and push-ups. I have been wondering for the past year if in fact it could be related to my intake of gluten (bread, pasta, sauces, and even COFFEE for leaky gut!!! I do believe that what we put into our bodies do effect us. I will try becoming much more diciplined and see what happens. Thanks again.

Reply
Dr. Russ
9/24/2014 10:03:10 pm

Hello Rafee,

You are doing well to read the material on "Gluten Cross-Reactors". These are the foods whose molecular shape is close enough to Gluten that some people's bodies recognize it as such. Good luck in your endeavors.

Dr. Russ

Reply
Monica
11/29/2015 08:58:18 am

In 10 years, I had 12 major surgeries, all abdominal. As a result, I have dealt with abdominal adhesions since 1989. My last surgery was in 1996. About 18 months ago, I broke my right Ankle and tore a bunch of connective tissue, meanwhile I wore "boot" for months (for the ankle), which messed up my hip. Now, it feels as though that ankle injury has triggered systemic fascial adhesions. I know of no test that will show me all stuck together inside, but I surely feel it, every single day, and it is only getting worse. I have previously dealt with autoimmune issues (diagnosis of autoimmune hepatitis in 2904, treated holistically), and it seems like what you have to say about inflammation triggering this fascia freak-out is right on the money. I am not a doctor, but just going by how I feel in relation to what you wrote... Thank you. I have something new (gluten-free) to try. I think I've tried everything else so far. I can't eat much meat though (sends me into extreme pain, too difficult to digest), so I'll figure something out... tried Paleo years ago and my body can't handle it. Too much protein. Anyway, I drink about a gallon of water per day, eat as organically and healthfully as my budget allows, practice yoga within my limited capabilities, and try to not stress my inner or outer bits too much. Just wanted mainly to thank you. You're the first person on the planet thst I've found, who understands the idea of systemic fascial adhesions, and how incredibly painful this can be.

Reply
Dr. Russ
11/30/2015 04:44:02 am

Hello Monica,

Sounds like you have been through the wringer with this. Not eating meat is OK if you can't tolerate it --- some people cannot. Best guess, however, is that this is related to what's going on in your Gut. Make sure to read my Blog Category on "Gut Health". Also, make sure to read my post called, "Systemic Adhesions of the Fascia".

Reply
Laura
6/28/2016 05:33:54 pm

Hello, I have been diagnosed with tendinosis in both elbows (flexor tendons), and although other tendons haven't been tested, I believe I have it in multiple sites. I was wondering which Ligaplex I should take (I or II), or both?

Reply
Dr. Russ
6/30/2016 04:13:26 pm

Hello Laura,

Which Ligaplex you take is not nearly as important as the other bullet points on this post --- particularly those that have to do with diet.

Sincerely,
Dr. Russ

Reply
April
2/14/2018 11:07:33 am

Could you hear my scream from up here in NY when I read this? 30+ years ago I went to the doctor and asked if there was something wrong with me because I had so many instances of tendonitis (their diagnosis, but really tendonosis). Nope, not systemic they said. Achilles, knee, golf and tennis elbow, biceps tendonosis, fingers...

Went on a low carb diet about 4 years ago that resulted in massive improvements to my digestive system, reduction in a lot of pain, improved moods, and a good chunk of weight lost. Maybe a few more tweaks to my diet and some other adjustments would help the tendonosis.

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    Russell Schierling

    Dr. Schierling completed four years of Kansas State University's five-year Nutrition / Exercise Physiology Program before deciding on a career in Chiropractic.  He graduated from Logan Chiropractic College in 1991, and has run a busy clinic in Mountain View, Missouri ever since.  He and his wife Amy have four children (three daughters and a son).

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