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Complete Guide

The Injury Recovery Guide

Heal smarter, not just slower

Injuries are frustrating. Whether it's a nagging tendon issue, a muscle tear, or something that just won't heal—the internet is full of conflicting advice. Rest completely? Push through? Try this magic peptide? This guide cuts through the noise with evidence-based strategies, realistic timelines, and an honest look at emerging therapies that might (or might not) help.

Tendon Healing
12+ wks
Muscle Healing
4-8 wks
Full Recovery
3-12 mo
Last updated: December 2025

Why injuries are harder to heal than you think

Most people dramatically underestimate how long injuries take to heal. A "minor" tendon issue? That's 12 weeks minimum. A muscle tear? 4-8 weeks before you're back to normal. Complete tendon rupture? We're talking 6-12 months. Here's what this guide covers: • How tendons, muscles, and ligaments actually heal (the biology matters) • Evidence-based recovery protocols that actually work • Emerging therapies: peptides, PRP, and what the research really says • How to train around injuries without making them worse No miracle cures. No "just push through it." Just honest information to help you heal smarter.
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The Three Phases of Healing

Every tissue heals through the same three phases. Understanding where you are determines what you should do.

Days Since InjuryDay 7
InflammatoryDays 1-7
RepairDays 8-42
RemodelingDay 43+
🔥

Inflammatory Phase

Minimal—protect but don't immobilize

Your body rushes blood and immune cells to the injury site. Swelling, redness, and pain are signs healing has begun.

What to Do
  • Protect the injury from further damage
  • Allow relative rest (not complete immobilization)
  • Apply ice for pain relief (not to "reduce inflammation")
  • Gentle movement within pain-free range
What to Avoid
  • Complete immobilization (weakens tissue)
  • High-dose NSAIDs (may slow healing)
  • Pushing through significant pain
  • Heat application (increases swelling)

Personalize Your Recovery

Healing requires extra nutrients. Tell us about your situation for personalized protein and supplement targets.

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Your Options

There's no single right path. Choose based on your situation, and know that you can combine approaches.

The Conservative Path

First line treatment

For most soft tissue injuries, conservative treatment should be your first approach. This doesn't mean "just rest"—it means structured rehabilitation with progressive loading. This approach works best for: • Tendinopathy (tendon overuse injuries) • Muscle strains (Grade 1-2) • Ligament sprains (Grade 1-2) • Chronic pain without structural damage The research is clear: heavy slow resistance training is one of the most effective interventions for tendon injuries. But timing and progression matter.

What to do
  • Get a proper diagnosis (imaging if needed)
  • Start controlled movement early—complete rest is rarely optimal
  • Progress to heavy slow resistance training for tendons
  • Allow 48+ hours between loading sessions (tendon recovery time)
  • Commit to 12+ weeks for tendon issues—they're slow healers
Avoid
  • Complete immobilization beyond the first few days
  • Ignoring pain signals during exercise
  • Expecting results in 2-3 weeks for tendon issues
  • Loading injured tissue daily without recovery time
  • Heavy NSAID use (may impair healing)

The Regenerative Path

Emerging options

Beyond standard rehab, there's a growing world of regenerative therapies: PRP injections, stem cells, and peptides like BPC-157 and TB-500. Some are established, others are experimental. All come with trade-offs. These might be worth exploring if: • Conservative treatment has plateaued after 3-6 months • You have a significant structural injury • You're trying to accelerate return to sport • You understand you're often operating outside proven medicine Let's be honest: the evidence for many of these is limited. Promising preclinical data, but few rigorous human trials.

What to do
  • Exhaust conservative treatment first
  • Work with a knowledgeable sports medicine physician
  • Understand the evidence level for each therapy
  • Continue rehab protocols alongside any injection/peptide
  • Set realistic expectations—these aren't magic
Avoid
  • Skipping proper diagnosis to chase regenerative treatments
  • Buying peptides from unverified sources
  • Using regenerative therapies without concurrent rehab
  • Assuming more intervention = faster healing
  • Ignoring the lack of long-term safety data for some peptides

The Surgical Path

When conservative fails

Surgery becomes necessary for complete ruptures, severe structural damage, or when conservative treatment has definitively failed. It's not a shortcut—it resets the healing timeline and requires extensive rehabilitation afterward. Surgery is typically indicated for: • Complete tendon or ligament ruptures • Certain fractures requiring fixation • Failed conservative management after 6-12 months • Structural abnormalities causing impingement Post-surgical rehab is often more demanding than conservative treatment, but outcomes can be excellent with proper protocols.

What to do
  • Get multiple opinions for elective procedures
  • Choose a surgeon experienced in your specific injury
  • Commit to post-operative rehabilitation (this is where outcomes are made)
  • Follow weight-bearing and activity restrictions precisely
  • Be patient—surgical healing timelines are long
Avoid
  • Rushing to surgery before trying conservative care
  • Skipping post-op physical therapy
  • Returning to activity before clearance
  • Expecting surgery alone to "fix" everything
  • Neglecting the uninjured side during recovery

Your Toolkit

Understanding Healing Timelines

Muscle strains

Grade 1: 1-3 weeks. Grade 2: 4-8 weeks. Grade 3: 3-6 months (often requires surgery).

Tendon injuries

12+ weeks minimum for tendinopathy. Complete ruptures: 6-12 months. Tendons heal slowly because of limited blood supply.

Ligament sprains

Grade 1: 2-4 weeks. Grade 2: 4-8 weeks. Grade 3: 3-6 months or surgery.

The 48-hour rule

Tendons need ~48 hours to recover from loading. Training a tendon daily can lead to cumulative damage.

Evidence-Based Interventions

Emerging Therapies (Experimental)

Training Around Injuries

The Cost of Getting Better

Injury recovery costs range from nearly free (self-directed rehab) to thousands of dollars (surgery + peptides + specialized PT). Here's what to expect.

Conservative Treatment (PT + Self-Rehab)

$0-5,000

Physical therapy ($75-200/session, typically 1-2x/week for 8-12 weeks), imaging if needed ($200-3,000 for MRI), and sports medicine evaluation ($150-400).

Pros

  • Often covered by insurance
  • Evidence-based approach
  • Low risk
  • Addresses root cause through proper loading

Cons

  • Requires time and consistency (12+ weeks for tendons)
  • Insurance may limit sessions
  • May need to advocate for yourself with providers

Regenerative Therapies (PRP, Stem Cells)

$500-25,000

PRP injections ($500-2,500 per treatment), stem cell therapy ($5,000-25,000). Usually out-of-pocket and not covered by insurance.

Pros

  • May accelerate healing for some conditions
  • Minimally invasive compared to surgery
  • Growing body of research (especially for PRP)

Cons

  • Rarely covered by insurance
  • Mixed evidence—not all conditions respond
  • Quality varies significantly between providers
  • Should be combined with PT, not used alone

Peptides (BPC-157, TB-500)

$50-300/month

Research peptides typically $50-150 per vial. BPC-157: 250-500mcg 1-2x daily. TB-500: 2-2.5mg 2x weekly loading, then weekly.

Pros

  • Relatively affordable compared to other regenerative options
  • Promising preclinical research
  • Self-administered (no clinic visits)

Cons

  • Not FDA-approved
  • Extremely limited human data
  • Unregulated market—quality varies enormously
  • Banned in competitive sports (WADA)
  • You are essentially experimenting on yourself

Surgery + Rehabilitation

$5,000-50,000+

Arthroscopic procedures ($5,000-15,000), tendon/ligament repair ($10,000-40,000), plus 3-6 months of post-surgical PT ($1,500-6,000).

Pros

  • Often necessary for complete ruptures
  • Can restore full function when conservative fails
  • Usually covered by insurance for medically necessary procedures

Cons

  • Longest recovery timeline (6-12 months)
  • Surgical risks and complications
  • Requires significant commitment to post-op rehab
  • Out-of-pocket costs can still be substantial

Ways to Save Money

  • Ask about PT packages or cash-pay rates—often cheaper than insurance copays
  • Get a proper diagnosis before spending on treatments (avoid treating the wrong problem)
  • Start with conservative care—surgery and regenerative therapies should be last resorts
  • If considering peptides, prioritize third-party tested sources (quality matters more than price)
  • Check if your employer offers FSA/HSA accounts for medical expenses

Insurance Tips

  • PT is usually covered with a referral from your doctor
  • MRIs often require prior authorization—get it before the appointment
  • PRP and stem cells are almost never covered
  • Surgery coverage depends on medical necessity documentation
Read the complete costs & coverage guide

Insurance strategies, savings programs, telehealth options, and compounding explained.

Deep Dives

Take Action

Where to Go From Here

Ready to take the next step? Here are some options based on your situation.

🌿 Starting with Lifestyle Changes

Start Conservative Rehab

Most injuries respond well to progressive loading. Find a physical therapist or sports medicine physician to get started.

Find a Provider

Learn Rehab Principles

Understand the science of tissue healing so you can be an informed participant in your recovery.

Learn More

💊 Exploring Medication Options

Learn About BPC-157

Understand the evidence (and limitations) of this popular healing peptide before deciding if it's right for you.

BPC-157 Deep Dive

Explore GHK-Cu

Another peptide with wound-healing properties. Better evidence for skin than musculoskeletal, but worth understanding.

GHK-Cu Guide