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> the solution to having a hurt joint is to make that joint significantly stronger This may seem like nit-picking, but I think it's important for people with j

> the solution to having a hurt joint is to make that joint significantly stronger This may seem like nit-picking, but I think it's important for people with joint damage to understand: you aren't actually making the joint itself stronger. The cartilage and ligaments, bones are not strengthening. Injuries to those tissues are more or less forever. What you are doing through therapeutic exercise is strengthening the musculature around the joint. The muscles provide most of the support and restraint to keep the joint intact relieving pain and preventing (further) injury. The right muscles, strengthened in balanced form, are what make joints strong.

SketchySeaBeast 7y ago
To nitpick your nitpick, strength training will increase bone density as well as tendon and ligament strength, but not nearly as quickly as muscular strength.
fourseventy 7y ago
Ligaments and bone density get stronger with strength training dude.. why even make a comment like this with information that is completely wrong
- jhayward 7y ago
  "Dude", we are speaking of injured tissue. A 50% torn ACL does not "get stronger" through exercise. The muscles supporting the joint get stronger. The ACL will always be 50% torn.
  - SketchySeaBeast 7y ago
    Apparently there's some evidence for the ACL regenerating itself. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3293953/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3293953/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3293953/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3293953/
    - jhayward 7y ago
      Those are interesting links, thanks. ACL/MCL injuries, and knee/shoulder/elbow injuries in general, are a subject where medical understanding is evolving and a lot of what used to pass as standard care and generally accepted practice is not standing up to more rigorous evidence-based studies. So I'm glad these are being done, but remain very skeptical at this point. My wife tore her ACL this winter so I had to read up / talk to folks about the current state of care and my conclusion is as I said above: you can improve the support of the joint muscularly, for certain. In fact everyone involved in high-strain activities should probably be screened for joint muscle strength before they get injured - including folks like military recruits, who have an abysmal knee injury rate that they then suffer from for the rest of their lives. Anything beyond muscle support improvement is an open question at the very least, as far as my recent dive informed me.

SketchySeaBeast 7y ago

To nitpick your nitpick, strength training will increase bone density as well as tendon and ligament strength, but not nearly as quickly as muscular strength.

fourseventy 7y ago

Ligaments and bone density get stronger with strength training dude.. why even make a comment like this with information that is completely wrong

jhayward 7y ago
"Dude", we are speaking of injured tissue. A 50% torn ACL does not "get stronger" through exercise. The muscles supporting the joint get stronger. The ACL will always be 50% torn.
- SketchySeaBeast 7y ago
  Apparently there's some evidence for the ACL regenerating itself. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3293953/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3293953/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3293953/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3293953/
  - jhayward 7y ago
    Those are interesting links, thanks. ACL/MCL injuries, and knee/shoulder/elbow injuries in general, are a subject where medical understanding is evolving and a lot of what used to pass as standard care and generally accepted practice is not standing up to more rigorous evidence-based studies. So I'm glad these are being done, but remain very skeptical at this point. My wife tore her ACL this winter so I had to read up / talk to folks about the current state of care and my conclusion is as I said above: you can improve the support of the joint muscularly, for certain. In fact everyone involved in high-strain activities should probably be screened for joint muscle strength before they get injured - including folks like military recruits, who have an abysmal knee injury rate that they then suffer from for the rest of their lives. Anything beyond muscle support improvement is an open question at the very least, as far as my recent dive informed me.