The tendon takes twelve weeks. Plan for twelve weeks.
Soft tissue does not run on your calendar. What repair actually looks like week by week, and when to worry.
Connective tissue remodels slowly because it's poorly vascularised. That's biology, not motivation. A repair block is twelve weeks and I don't shorten it for anybody.
Weeks one to three: load reduction, not rest. Complete rest de-conditions the tissue you're trying to rebuild. We keep isometrics in, heavy dynamic work out.
Weeks four to seven: this is where people quit the protocol, because pain drops and they read that as healed. It isn't. Pain resolves before tensile strength returns, and this is the exact window where re-injury happens.
Weeks eight to twelve: progressive loading, slow eccentrics, and we start putting speed back last. If you're still symptomatic under load at week ten, that's a message for Erika and possibly imaging — not a reason to add another vial.
Cycle off at the end. A repair protocol has a finish line by design.
Week four feeling better is not week four being better.
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