Built from Broken Quotes

“You shouldn’t stretch an injured tendon in the reactive tendinopathy phase.”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“But do so gradually—only increase resistance 10%–20% from week to week.”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“Strength training should commence shortly after the injury or when symptoms occur. Conversely, passive rest will further reduce load-bearing potential of the injured tendon and inhibit repair mechanisms.”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“Early implementation of load management is critical to initiate repair mechanisms.”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“It’s not just about inflammation.”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“Tendinopathy recovery requires patience and discipline. You will likely experience some setbacks on your road to full recovery. During these times, take a step back and use the EdUReP model to correct course and prevent the injury from degrading further.”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“Tendinopathy can take months or longer to fully resolve.”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“How long does it take tendinopathy to heal?”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“EdURep”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“Prevention:”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“Reloading:”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“Unloading:”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“Education:”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“A useful framework for thinking about tendinopathy recovery is the EdUReP model.90 EdUReP stands for Education, Unloading, Reloading, Prevention:”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“The only way to get past tendinopathy is to exercise for load capacity and tissue remodeling, using pain as your guide.89”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“And only load-bearing exercise has the benefit of cellular changes via mechanotransduction.”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“This is a key reason why proactive therapists and trainers start working with postinjury clients as soon as possible to gain back range of motion and strength.”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“It’s responsible for structural healing, cleaning up scar tissue, and realigning collagen fibers into more optimal patterns that prevent future injuries.”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“The reason exercise is the only logical treatment for restoring tendon function is because tendon injuries follow the law of mechanotransduction.”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“Studies show this can be accomplished with slow resistance training and gradual reintroduction of sports or lifestyle-specific movements that triggered the injury.”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“The primary focus should be on restoring function with progressive load training to trigger cellular healing responses.”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“Tendinopathy treatment shouldn’t focus exclusively on controlling inflammation.”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“Not only does intelligent load training reduce pain, it’s the only clear path forward to normal tendon function.”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“adjusting exercise habits and building load tolerance in the injured tendon. While your tendon’s load tolerance is governed by dozens of variables, including genetics”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“How to Resolve Tendinopathy”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“Now that you have a model for understanding tendinopathy, what can we do about it? According to most forward-thinking physios, there’s only one treatment option: progressive load training.”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“Reactive on disrepair/degeneration (RDD) describes what happens when the healthy tissue beginning to form around the dead holes becomes aggravated.”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“Phase 4: Reactive on disrepair/degeneration”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“This is where the phrase “treat the doughnut, not the hole” came from in physical therapy. It means you should focus on the healthy tissue that is being formed around the dead stuff.”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“The good news is that sections of tendon can and will build around the dead areas, allowing you to achieve virtually full preinjury function.”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body