It is worth knowing the health cycle of ligaments and cartilage to understand that healing of ligaments, tendons and cartilage is a long slow process. Expectations for rapid healing should be replaced with a good long-term wellness restoration plan. Why?

woman knee injury

The turnover time (or half-life) of ligaments and cartilage is about one to two years. This means that about half of the cartilage or ligaments is regenerated about every 300 to 700 days. This is a very, very slow rate, given that most of our body recreates itself cell-by-cell within 30-90 days! Furthermore, if optimal remodeling of an injured ligament or tendon does occur, recovery is only about 80% of original! Consequently, our healing expectations need to be realistic given how our body attempts to restore itself from injury or disease.

There’s a basic reason why healing is slower for connective tissues.

Fibroblastic cells, which make the invaluable collagen, and chondrocytes that make cartilage tissue, are stable cells. This means they do not proliferate easily, unlike muscles loaded with red blood cells. The fibroblasts and chondrocytes are located at the fibro-osseous junction. This is where ligaments attach to bone or directly on the outside of the cartilage. This is an extremely nerve-rich area, and is the source of most felt pain and discomfort when injured.

In fact, most pain sensitivity at bone and joint areas is experienced via this hierarchy:

  1. The periosteum (outside of bone where ligaments attach and which is very nerve-rich — this is most likely the location where most of the pain originates)
  2. Ligaments
  3. Tendons
  4. Fascia
  5. Muscle

A theory is that the previously mentioned fibroblast and chondrocyte cells need to be stimulated to proliferate and aid in repair and remodeling. Injury to tissue stimulates them to some degree. This is the theory behind direct proliferative therapy, or Prolotherapy, where light dextrose-based injections are often given at the fibro-osseous junction. This causes a massive stimulation of fibroblastic and chondrocyte growth, with the net effect being supposed ligament and cartilage growth. For most people Prolotherapy is impractical, expensive, unapproved by the AMA or insurance companies, and the results for relief and health restoration are very mixed (often with a heavy dose of initial pain, discomfort and inflammation after the procedure).

Certain forms of exercise can stimulate cellular growth. Resistance bands, for example, are very effective at superficial and deep muscle, connective tissue, and joint levels. Water aerobics is also very beneficial.


Implications for Use of Herbal & Natural Remedies & Strategies

Movement/exercise plus a generous daily intake of water are invaluable for moving oxygen to cells and body systems, as well as to assist in flushing out cellular debris and toxins via the Lymph system. Movement and generous water are especially important as we age. This is because our tissues naturally become drier as we age. Water deficiency (actually, a significant issue with most people) is one of the major reasons for connective tissue injuries, pain, discomfort and inflammation, and slow recovery.

Conceptual human pain anatomyMovement and water must be part of anyone’s healing protocol because they importantly help transport herbal remedies (either orate or topical) to key body areas.

The nature of herbs for musculoskeletal issues is to work on the cause of a connective tissue or joint injury. They act as catalysts during the inflammation, repair and remodeling phases of an injury. This means they may help to regulate restoration of fluids (as in the synovial and bursae membranes), provide micronutrients to tissues and joints, assist in adjusting of connective tissue tensions during healing, and more. Herbs also have phytonutrients that aid in symptomatic relief, such as pain and inflammation, and can be a very safe and effective replacement for pain medications and aids.

It is important to use herbs that support musculoskeletal health, and to use them in both topical and oral ways for optimal benefits.Solomonsseal.1

For decades, we have specifically focused on a few key herbs that work very well for bone, joint, cartilage and tissue health. One herb, Solomon’s Seal, is especially prized for its diverse effectiveness. We have also added to its effectiveness by combining it with other herbs (like Horsetail, Pleurisy Root, Gravel Root, etc.) to create a synergistic (additive) effectiveness. Our most popular tincture, Formula #6: All-in-One is a very potent, high dosage combination of herbs from our other formulas with renowned effectiveness. So, consider a good oral tincture as part of your healing strategy.AllinOne6

The skin is our largest organ and its absorbent qualities allow it to be a transporting vessel for healing herbs prepared as salves, lotions or transdermal sprays. A deep penetrating topical salve is instant therapy, especially if rubbed in well and/or applying moist heat afterwards (simply a heating pad placed over a slightly damp cloth) for 45 minutes or so.

Our body almost entirely recreates itself cell-by-cell within 30-90 days (more or less!). This should be seen as a kind of “healing window” that we can partake in with a healing protocol. During this window of time there is a lot of cellular birth, death, waste and regeneration that can be greatly assisted by nutrient-rich herbs. The key is BE REGULAR!

Many people wonder why they have not healed sooner than expected. There can be a number of reasons (for example, related to diet, stress, previous injuries, disease, etc.), but a major factor is lack of consistent devotion to a healing strategy within a compressed period of time, like 30-90 days.


Please visit our website: www.solomonsseal.net for detailed information about our therapeutic line of herbal remedies geared specifically for musculoskeletal issues.


This entry was posted in Health Issues/Conditions and tagged , , , , by C. Forrest McDowell, PhD. Bookmark the permalink.

About C. Forrest McDowell, PhD

I am blessed to be a co-steward for over 30 years of the beautiful 22-acre Cortesia Sanctuary outside Eugene, Oregon, with my partner, Tricia Clark-McDowell. My lifelong interests in wellness care, psychology, nature, music composition & performance, writing, and meditation fuel my celebration for life. My form of service is founded upon the elemental practice of kindness and reverence for life. Of course, to understand the value of deep respect for life, we also have to accept irreverence as part of human nature and to know that it can be very disruptive and destructive to peace, safety, beauty, joy and love.


  1. Took me about a year to heal my frozen or damaged shoulder. I never did see an MD. I used my acupuncture skills, rest, heat, a rolling pin down the hurt area, gentle exercise, and of course herbs, including Cortesia’s Solomon’s Seal. I explain all of this to my impatient patients. Sharing this on my facebook page.


Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google+ photo

You are commenting using your Google+ account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s