Recovery

Two journeys at once.

Recovery from a dissection is two journeys at once: the artery healing, and you deciding who you are with respect to the mats. This page is about what other grapplers have lived through. It is not a map for your body — nobody can give you that except your own care team.

What recovery often involves

Details differ enormously from person to person, but survivors commonly describe a period of blood-thinning medication (antiplatelet drugs like aspirin, or anticoagulants), follow-up imaging to watch the artery heal, and restrictions on contact and exertion while that happens. Some arteries heal fully. Some heal with a lasting bulge (pseudoaneurysm). Some stay narrowed or closed, and the brain adapts its plumbing around them.

The part nobody warns you about

Almost every survivor story mentions the same thing: the fear. Fear of sleeping on the wrong side, of sneezing, of the gym, of the next scan. If your mind is doing this, you are not weak and you are not alone — you’re having a normal response to an injury that touched something primal. Many survivors say talking to a professional about the anxiety helped as much as anything physical.

The return-to-training question

This site will never tell you it’s safe to go back. Not because we’re covering ourselves, but because it genuinely cannot be known from the outside. The honest version is: this is a decision you make with your physicians, with your own imaging in front of you, knowing what you now know about the sport and your body.

What we can share is the questions survivors say they brought to their doctors:

  • Has my artery healed, and how confident are we in what the imaging shows?
  • What does neck loading — chokes, cranks, stacking, inversions — mean for my specific injury?
  • If I never go back to full contact, what levels of activity are we comfortable with — drilling, positional sparring without submissions, coaching, judo-free grappling?
  • What symptoms should send me straight back to the emergency department?

What other grapplers chose

The registry’s published cases include each person’s outcome — full recovery, still recovering, returned to training, retired from contact, ongoing deficits — and, where people shared it, how long their road was. These are lived experiences, not recommendations. Read them as company, not as a protocol.

You’ve been through it too? Your case can help the next grappler.