Level III, therapeutic study.
pubmed.ncbi.nlm.nih.gov
Conclusion: Considering these findings, it is important for physicians to counsel patients receiving testosterone replacement therapy of the substantially increased odds of quadriceps tendon injury. Future investigations into the mechanisms of influence of exogenous anabolic steroids on tendon injury remains of interest.
Although rigorous studies linking AAS use to tendon rupture are still needed, the notion that supraphysiologic doses of AAS predispose tendon to rupture by reducing elasticity is widely reported in the literature. Two alternative (though not mutually exclusive) hypotheses are often invoked to explain AAS-associated tendon rupture.
34,
90,
102,
103 The first hypothesis posits that AAS have little-to-no deleterious effect on tendons themselves. Instead, muscular hypertrophy, without corresponding strengthening of the associated tendons, explains tendon-associated rupture. The second hypothesis is that, at high doses, particularly in conjunction with physical exertion, AAS damage the structure of the tendons and makes them more vulnerable to rupture, even in the absence of excessive stress. This review demonstrates that neither hypothesis can be confirmed or denied based on the currently available evidence. Moreover, it is unclear how factors like stacking, dosing and exercise influence tendon stiffness.
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As its pretty clear: supraphysiological doses of AAS is bad for tendon health.
250 mg test alone probably puts 99% of people into that range. Doing it 24/7 is not a great idea from this viewpoint, also add the fact that most of the people here blast. For your purpose something like 100-120 mg Test 8-100mg deca would be more suitable. I would just do real TRT for a while tho, 100-150mg weekly.
Steroids will overexaggarate any muscular imbalance as the already strong muscles will be quicker to gain strength without being shortened too much and your weaker muscles would react being even shorter and stiffer than usual, albeit maybe 'stronger' but having less endurance to do the task. Then the forces transfer more on some of the ligaments/joints instead of the muscles. and bamm, injury.
Thats why its so stupid that people rather inject insane amounts of corticosteroids/ bpc,tb500/ whatever because it postpone and possibly make shit even more serious.
Yeah, some people are almost bulletproof (or more so the effects will be more delayed onset), they can get away with lots of abuse including surpassing the top of the reference range of testosterone. Others are not so lucky. Probably these sort of people doesnt really comment on steroids boards as they drop it quickly and stick to using real trt dose.
another thing you should consider before adding more drugs is physical therapy + lots of movement of the injured part daily. If you have 20 seconds do couple wrist circles, if you wait in line you can stretch your fingers / wrist quickly etc. Tendons have limited blood supplies so the more you move with that bodypart so move it as much as you can without causing it to be inflammed more (1 or max 2 /10 on the pain scale)
