Category: Injury and Recovery
Treating people whose problem began with an event: the trajectory after an injury, the terrain it heals in, and where a biologic fits.
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The same collision at thirty and at fifty-eight: what actually diverges
The same event produces very different recoveries at thirty and at fifty-eight. What actually differs is reserve, and reserve is measurable and partly modifiable.
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Load is the treatment: the biological signal an injection cannot supply
Remodeling collagen aligns to mechanical load. Without that signal there is nothing telling the new tissue which way to point, and no injection substitutes for it.
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When the tissue has healed and the pain has not: whiplash and a sensitized system
Four things measured early predicted poor outcome two to three years after a whiplash injury, and two of them were not orthopedic. What that changes about treatment.
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The first twelve weeks decide the ceiling, and almost nobody spends them well
Provisional tissue consolidates in whatever configuration the limb is held in. What the first twelve weeks after an injury are actually for, and what they are not.
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Why some injuries never finish healing, and what a stalled repair actually is
Most injuries resolve. A minority stall in the remodeling phase and become a different problem. What a stalled repair is biologically, and what restarts one.
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The clock starts on the day of the injury, not on the day of the diagnosis
About 12% of symptomatic hip, knee and ankle osteoarthritis in the US is post-traumatic. What starts on the day of the event, and what stays modifiable after.
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Your body creates the healing: what a regenerative practice actually contributes after an injury
Repair is performed by your own cells on your own metabolic budget. What a regenerative practice can honestly offer someone whose problem began with an event.