Mechanisms of Hypertrophy: How Muscles Actually Grow

We lift things up and put them down. But what happens in between? Hypertrophy is not magic; it is a biological adaptation to stress. Dr. Brad Schoenfeld, the "Hypertrophy Specialist," identified three primary mechanisms of muscle growth.
1. Mechanical Tension: The Primary Driver
Mechanical tension is the force generated by muscle fibers to overcome resistance. It is widely considered the most important factor for growth. But it is not just about weight on the bar. It is about tension on the fiber.
Tension is maximized when you move a heavy load through a full range of motion. This tension is sensed by mechanosensors on the cellular membrane, which trigger the mTOR pathway—the key regulator of protein synthesis. If you cheat the rep, use momentum, or cut the range of motion, you are reducing mechanical tension on the target muscle.
2. Metabolic Stress: The "Pump"
You know the feeling. The swelling, the burning, the tightness. That is metabolic stress. It occurs during moderate to high-rep training (8-15+ reps) where constant tension prevents blood from escaping the muscle (vein occlusion), while blood continues to pump in.
This accumulates metabolites like lactate, hydrogen ions, and inorganic phosphate. This hypoxic (low oxygen) environment causes a hormonal surge (Growth Hormone, IGF-1) and cell swelling. The cell, sensing it is swollen, reinforces its structure to prevent bursting—a survival mechanism that results in larger muscle cells.
Muscle Damage (EIMD)

This is the soreness you feel 24-48 hours after a workout (DOMS). Micro-tears occur in the sarcomeres and the surrounding connective tissue (endomysium).sks of the sarcomere. The body repairs these micro-tears to be stronger/thicker than before. Damage is highest during the eccentric (lowering) portion of a lift.
Note: Should you chase soreness? No. While damage contributes to growth, excessive damage actually hurts gains because your body spends all its resources repairing tissue just to get back to baseline, rather than building new tissue (supercompensation).
4. Volume or Intensity?
The age-old debate. The current scientific consensus points to Volume Load (Sets x Reps x Weight) as the main determinant of hypertrophy, provided the sets are taken close to failure.
- Effective Reps Model: Only the reps that require high motor unit recruitment count.
- In a set of 10, the first 5 are just warm-ups. The last 5 (where the bar slows down involuntarily) are the "effective reps."
- This is why stopping 5 reps short of failure (RPE 5) provides almost zero growth stimulus, regardless of volume.
5. Nutrition: The Building Blocks
You can stimulate growth in the gym, but you grow in the kitchen.Muscle Protein Synthesis (MPS) must exceed Muscle Protein Breakdown (MPB) for net growth to occur.
- Leucine Threshold: You need about 2.5-3g of Leucine (an amino acid) per meal to trigger MPS.
- Total Protein: 1.6g to 2.2g per kg of bodyweight is the evidentiary sweet spot.
- Surplus Calories: While you can build muscle at maintenance (recomp), a slight caloric surplus is biologically optimal.
Conclusion
Hypertrophy is simple in theory, difficult in practice. Create tension. Accumulate stress. Recover. Eat. Repeat for 10 years. There are no shortcuts, only consistency.