An anatomical joint support and subchondral bone support system for providing structural and dampening support to damaged subchondral bone adjacent to a body joint, comprising: at least one bearing strut element having a longitudinal body with an inner edge at a first end and an outer edge at an opposite second end, the at least one bearing strut element being suitable for insertion within the subchondral bone, wherein, in use, the inner edge penetrates the subchondral bone adjacent to a body joint during insertion of the system; wherein the at least one bearing strut element includes a concentric taper from the outer edge to the inner edge around the entirety of the at least one bearing strut element; wherein the degree of the concentric taper is between about 3 to 10 degrees; wherein the at least one bearing strut element comprises a thickness taper; wherein the thickness taper comprises the outer edge having a first thickness and the inner edge having a second thickness and wherein the thickness of the at least one bearing strut element tapers from the first thickness of the outer edge to the second thickness of the inner edge; the longitudinal body having a porosity to allow vascularity, bridging bone, and other biological elements to pass through; the inner edge having scalloping to penetrate the subchondral bone during insertion; the outer edge having a plurality of grooves, wherein the plurality of grooves is formed on the outer edge along an inner surface of the longitudinal body and contoured to fit the subchondral bone at the treatment site, wherein the plurality of grooves are configured to slidably receive an insertion holder such that the insertion holder extends beyond the inner edge. at least one bearing strut element having a longitudinal body with an inner edge at a first end and an outer edge at an opposite second end, the at least one bearing strut element being suitable for insertion within the subchondral bone, wherein, in use, the inner edge penetrates the subchondral bone adjacent to a body joint during insertion of the system; wherein the at least one bearing strut element includes a concentric taper from the outer edge to the inner edge around the entirety of the at least one bearing strut element; wherein the degree of the concentric taper is between about 3 to 10 degrees; wherein the at least one bearing strut element comprises a thickness taper; wherein the thickness taper comprises the outer edge having a first thickness and the inner edge having a second thickness and wherein the thickness of the at least one bearing strut element tapers from the first thickness of the outer edge to the second thickness of the inner edge; the longitudinal body having a porosity to allow vascularity, bridging bone, and other biological elements to pass through; the inner edge having scalloping to penetrate the subchondral bone during insertion; the outer edge having a plurality of grooves, wherein the plurality of grooves is formed on the outer edge along an inner surface of the longitudinal body and contoured to fit the subchondral bone at the treatment site, wherein the plurality of grooves are configured to slidably receive an insertion holder such that the insertion holder extends beyond the inner edge.