Upon further research, I have begun to change up my healing protocol a little bit. As mentioned by Grunt and in the literature for tendonosis, it is non-inflammatory in nature, caused by repetitive microtrauma which happens in excess of the bodies ability to repair the damage induced. Over time this leads to the degeneration of the tendon in question. Due to this non-inflammatory nature, I've decided to discontinue the devil's claw extract for the time being, and go with a slightly different approach.
I'll be utilizing something similar to friction massage at the points of injury. I'll be leaning against a tennis ball, moving the injured tendon(s) across it, in order to work at breaking up tissue adhesions and create a slight inflammatory response, in order to stimulate new collagen formation. After the friction massage, I'll be performing very light shoulder/rotator cuff exercises, first with no resistance, and moving up to light resistance bands over time. This will be immediately followed up by icing the injured areas to promote blood flow and control and induced inflammation.
The tough part of this will be differentiating between what is pain from the tendonosis, and what is pain from inflammation. I'm hoping that a very careful regiment of rehabilitation exercises will stimulate healing, while avoiding further damaging the tendons.
I'll be utilizing something similar to friction massage at the points of injury. I'll be leaning against a tennis ball, moving the injured tendon(s) across it, in order to work at breaking up tissue adhesions and create a slight inflammatory response, in order to stimulate new collagen formation. After the friction massage, I'll be performing very light shoulder/rotator cuff exercises, first with no resistance, and moving up to light resistance bands over time. This will be immediately followed up by icing the injured areas to promote blood flow and control and induced inflammation.
The tough part of this will be differentiating between what is pain from the tendonosis, and what is pain from inflammation. I'm hoping that a very careful regiment of rehabilitation exercises will stimulate healing, while avoiding further damaging the tendons.