Built from Broken Quotes

“Once you reach this phase, you have dead sections of tendon that do not remodel normally, even with rehabilitative efforts.”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“Cross-sections of the tendon become mechanically silent—unable to sense loads and respond to them.84 Risk of tendon rupture is high.”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“Parts of the tendon die off, leaving “holes” in the tendon that are essentially beyond repair.”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“Finally, the degenerative phase completes the downward cycle by signaling for large-scale tendon cell apoptosis (death) with permanent damage, characterized by intratendinous calcification (calcium deposits within the tendon).”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“Phase 3: Degenerative tendinopathy”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“To prevent slipping into degenerative tendinopathy, you need to increase load tolerance and stimulate healing without aggravating the damaged tendon.”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“Additional tendon thickening occurs, disruption in the collagen matrix architecture becomes apparent (starts to resemble scar tissue), and nerve ingrowth can develop, leading to chronic pain and irritation.84”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“This is when the first significant changes in tendon structure happen.”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“After a few weeks of continued tendon overload, the second stage, the disrepair phase, ensues and the tendon’s collagen matrix starts to breakdown.”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“Phase 2: Tendon disrepair”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“In the case of hard-training athletes, it occurs when training programs are not periodized properly to allow connective tissue to heal.87 If training loads are reduced, pain and swelling from reactive tendinopathy can resolve in one or two weeks.”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“It often shows up when you go from sedentary to active without a ramp-up period.”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“Reactive tendinopathy occurs after an acute injury and during the initial phases of an overuse injury.”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“Your tendon responds to rapid increases in load by increasing intratendinous swelling. The tendon becomes stiffer to hold its integrity. Overall, the tendon remains structurally intact with minimal changes to the collagen matrix. At this phase, the tendinopathy is reversible.”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“The first stage of tendinopathy is the reactive phase.”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“Phase 1: Reactive tendinopathy”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

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

“It seems to come out of nowhere, but it usually doesn’t. It is almost always preceded by degenerative changes from inadequate adaptations to daily stressors, bad movement habits, and age.”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“This is the traumatic injury type that requires surgery or immobilization in a cast.”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“When the load is extremely far past your tendon’s load tolerance (especially if it is already weakened by degenerative changes), the tendon ruptures.”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“Finally, when you stress your tendons beyond your load tolerance set point, especially when it happens repeatedly, the adaptations can’t keep up with the stress and your tendon degenerates.”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“When you fail to stress your tendons enough to reach this setpoint, your tendons adapt by reducing their load tolerance.”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“When you exercise and move at your setpoint, or just slightly beyond it, you experience fitness improvements.”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“Everyone has their own individualized load threshold for tendon adaptation, called the load tolerance set point.”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“Examples of the “loads” I’m referring to could include your weekly weight training routine, the number of times you bend over to pick up objects off the floor during the day, or how much of a beating your knees take from a long-distance running session.”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“An optimized load consists of training and stressors that create a healthy amount of adaptation without excessive degeneration.”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“Tendinopathy develops (or not) in relation to your tendon load capacity and the corresponding training load applied to your tendons”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“However, when recovery is not adequate, or the tendon damage is too severe, the tendinopathy injury process begins.”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“When the tendon can effectively recover from one training session to the next (or from one stressor to the next), tendon strength and resilience increases.”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body

“Every time you exercise, pick up something heavy, or otherwise stress your joints beyond their normal load volumes, your tendons experience microscopic damage.”
― Scott H Hogan, Built from Broken: A Science-Based Guide to Healing Painful Joints, Preventing Injuries, and Rebuilding Your Body