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View Full Version : MRI Results Any Advice is appreciated



ScottYard
01-05-2010, 11:53 AM
I have a Split tear in my bicep tendon Where it anchors into my shoulder. Rotator Looks good. The Dr said it was very "Thick" but totally in tact and my labrum is in tact as well. Im told very little intervention is done for something like this but I told her I need to bench again "NOW" and they are to discuss and see what else we can do. The did put a cortizone shot in me and If Im not feeling better from the new cortizone shot in my bicep tendon in 6 weeks they will do a scope to see what else can be done.

Any one have this and what did you do to fix it.

Beverly McD.
01-05-2010, 12:04 PM
Any time you have a tear Scott you're going to have scarring.
Scar tissue grows in a jumbled mass, instead of smooth, organized strands. It has little to no pliablity which makes it susceptible to tearing again. Ultrasound will help the tissue to lay out in a straighter line. Tendons don't have a great blood supply. Healing nutrients come from the blood flow so you might want to use massage therapy to increase the blood flowing through the area. Very light stretching (no pain) to keep good range of motion.

Detard
01-05-2010, 12:12 PM
Alternating cold and warm is also a good way to increase blood flow in that area. Scar tissue in your shoulder may cause some nerve impingement, so you definitly want to try to reduce the amount that forms

str8flexed
01-05-2010, 12:46 PM
Scott,
I know as lifters we are an impatient lot by nature; but saying you need to bench NOW, is not a good idea in my opinion. I think that if you take a bit of time, give a good 8-12 weeks to let this heal and train smart you'll get it taken care of and you'll not lose that much strength. But if you push it you may end up injured very badly and out for months or even a year.

I want to see you back on the platform asap, but I also don't want to see you suffer a career changing injury

Travis Bell
01-05-2010, 02:15 PM
Scott, first of all, give the cortizone about 3 days before you'll really feel better. When they stick that huge needle in there it really disrupts the area initially and it'll feel worse for the first day, still stiff on the second and third days.

Be sure to be doing some very light light curls and light stretching to keep the muscle loose. Otherwise it's not going to feel that much better on the third day.

Don't let this get you down. Remember, if you don't let this heal, your bench isn't going to get any better. However, when it does get better and healed, it's going to greatly aid your bench. So for the time being, this is your bench training, healing your bicep tendon.

If it were me, I'd back off heavy pulls for the time being as well. Even though it doesn't hurt to pull, I'd just dial it back because of the inevitable stress that is put on the bicep when pulling.

Did the doctor say how severe the split was?

I would get used to icing your bicep post workout as soon as possible. 20min on, 20min off, repeat 2 more times. Get that inflamation down after benching. Try doing some 5x5 benching or something for a couple weeks to see how it feels.

On your non benching days, if it were me I'd go in and after your main work, do a couple sets of 50 reps curling, each arm. Light weight though. Like beverly said, you need to use the tendon, otherwise it's not going to get any better because when not in use they get barely any blood flow. When you are done, if it feels like it needs some ice, go home and ice it. Ultrasound therapy won't hurt either.

Also, double up on your ETS

Like I said earlier, don't let this get you down. Now you know what's going on and you're on the road to recovery!

joey54
01-05-2010, 04:25 PM
I read you log over at a elite and you mentioned how right now you are worried about what you can do, not what you can't. I say keep training with that attitude as the others have suggested, heal up, and come back stronger than ever on everything else when you are able. Just a minor speed bump.

ScottYard
01-05-2010, 05:32 PM
Any time you have a tear Scott you're going to have scarring.
Scar tissue grows in a jumbled mass, instead of smooth, organized strands. It has little to no pliablity which makes it susceptible to tearing again. Ultrasound will help the tissue to lay out in a straighter line. Tendons don't have a great blood supply. Healing nutrients come from the blood flow so you might want to use massage therapy to increase the blood flowing through the area. Very light stretching (no pain) to keep good range of motion.

I didnt even consider scar tissue. My Chiro can help with that. Good Tip!

ScottYard
01-05-2010, 05:33 PM
Alternating cold and warm is also a good way to increase blood flow in that area. Scar tissue in your shoulder may cause some nerve impingement, so you definitly want to try to reduce the amount that forms

Ill continue the contrast showers then. Thanks

ScottYard
01-05-2010, 05:33 PM
Scott,
I know as lifters we are an impatient lot by nature; but saying you need to bench NOW, is not a good idea in my opinion. I think that if you take a bit of time, give a good 8-12 weeks to let this heal and train smart you'll get it taken care of and you'll not lose that much strength. But if you push it you may end up injured very badly and out for months or even a year.

I want to see you back on the platform asap, but I also don't want to see you suffer a career changing injury

Very true. Good insight.

ScottYard
01-05-2010, 05:35 PM
Scott, first of all, give the cortizone about 3 days before you'll really feel better. When they stick that huge needle in there it really disrupts the area initially and it'll feel worse for the first day, still stiff on the second and third days.

Be sure to be doing some very light light curls and light stretching to keep the muscle loose. Otherwise it's not going to feel that much better on the third day.

Don't let this get you down. Remember, if you don't let this heal, your bench isn't going to get any better. However, when it does get better and healed, it's going to greatly aid your bench. So for the time being, this is your bench training, healing your bicep tendon.

If it were me, I'd back off heavy pulls for the time being as well. Even though it doesn't hurt to pull, I'd just dial it back because of the inevitable stress that is put on the bicep when pulling.

Did the doctor say how severe the split was?

I would get used to icing your bicep post workout as soon as possible. 20min on, 20min off, repeat 2 more times. Get that inflamation down after benching. Try doing some 5x5 benching or something for a couple weeks to see how it feels.

On your non benching days, if it were me I'd go in and after your main work, do a couple sets of 50 reps curling, each arm. Light weight though. Like beverly said, you need to use the tendon, otherwise it's not going to get any better because when not in use they get barely any blood flow. When you are done, if it feels like it needs some ice, go home and ice it. Ultrasound therapy won't hurt either.

Also, double up on your ETS

Like I said earlier, don't let this get you down. Now you know what's going on and you're on the road to recovery!

If I had known it was a Bicep tendon injury I def would have stopped pulling. Its funny the things you dont even think of. I just pulled 708 for a triple this week. Im lucky I didnt tear the thing off. Def gonna bump the ETS. As for the size of the tear she didnt really comment just said it was there and that it was a split tear

I curled heavy today with out noticing anything. I makes sense as the tear is right at the humerus bone where it connects.

ScottYard
01-05-2010, 05:36 PM
I read you log over at a elite and you mentioned how right now you are worried about what you can do, not what you can't. I say keep training with that attitude as the others have suggested, heal up, and come back stronger than ever on everything else when you are able. Just a minor speed bump.

You are right. Just a minor speed bump.

Fuzzy
01-05-2010, 06:53 PM
Any time you have a tear Scott you're going to have scarring.
Scar tissue grows in a jumbled mass, instead of smooth, organized strands. It has little to no pliablity which makes it susceptible to tearing again. Ultrasound will help the tissue to lay out in a straighter line. Tendons don't have a great blood supply. Healing nutrients come from the blood flow so you might want to use massage therapy to increase the blood flowing through the area. Very light stretching (no pain) to keep good range of motion.

Excellent post. Scott, the biggest thing I can advocate is deep massage to dig away some scar tissue. Find an Active Release Therapist with fingers of steel who can really dig in there and work out all the knots that have no doubt built up over the years.


Alternating cold and warm is also a good way to increase blood flow in that area. Scar tissue in your shoulder may cause some nerve impingement, so you definitly want to try to reduce the amount that forms

From what I know, heat/cold work does not remove scar tissue, neither does simply stretching or resting. Scar tissue is an actual buildup on a muscle, and can only be removed through friction pressing and possibly using needles. Scott, i can't stress enough that you need to get really hard deep massage on the area.

Good luck!

vdizenzo
01-05-2010, 07:35 PM
Rub some dirt on it. Seriously, you got some good advice here. Take your time and get well.

Travis Bell
01-05-2010, 07:36 PM
Deep tissue massage would not be a good idea until the tendon has healed somewhat. If the tear is still there, unhealed, a deep massage (the friction) is just going to really aggrivate the issue.

It needs to be stimulated for sure, but leave the heavy duty stuff for later when some scar tissue has developed

h.t.hall
01-05-2010, 10:13 PM
My opinion will be a bit different,i hope i won't confuse you.

first,it's good that you said you wanted to bench now.You have to put pressure on the doctors to find the best solution,otherwise they just give you a pat on the back and say you'll be fine.They have to know you have a demanding attitude and the will to be back 100%.
Then,why don't you just have it surgically reattached ?
After all is said and done all this effort you're about to put right now and for the forthcoming 2-3 months will not assure you the tendon will have sufficiently reattached.
After you have known this for sure,put this effort for a sure 100% recovery without second guessing.

Otherwise you'll always be cautious.

JJ33
01-06-2010, 09:38 AM
Same thing happened to me.Started off with phys. therapy(ultra sound,cold compress, and strecth with bands)just aggravated it.Then found a very good Ortho.Started off with cortizone injects into it right where it passes inbetween the bones in the shoulder.After 3 seperate times still wouldn t heal up.Now all of this is a course of 4 months.The only thing that finally helped was Voltrin.Now a days to bench with a bar i have to warm up with db to moderate weight (100)to strecth out the area.Like everybody has said don t rush it.I tore mine a 1/4 of the way benching heavy on a narrow bench that i wasn t use to.Another thing i will never do barbell curls.I stick with db's to not put so much stress on that area.

StLRPh
01-06-2010, 09:52 AM
The only thing that finally helped was Voltrin.

Voltrin = Voltaren(diclofenac)? If it's Voltaren did you use the topical or the pill?

ScottYard
01-06-2010, 10:15 AM
Same thing happened to me.Started off with phys. therapy(ultra sound,cold compress, and strecth with bands)just aggravated it.Then found a very good Ortho.Started off with cortizone injects into it right where it passes inbetween the bones in the shoulder.After 3 seperate times still wouldn t heal up.Now all of this is a course of 4 months.The only thing that finally helped was Voltrin.Now a days to bench with a bar i have to warm up with db to moderate weight (100)to strecth out the area.Like everybody has said don t rush it.I tore mine a 1/4 of the way benching heavy on a narrow bench that i wasn t use to.Another thing i will never do barbell curls.I stick with db's to not put so much stress on that area.

Thats how i tore mine. benching on a 9 inch wide pad. Ill look into the voltrin

Preston129
01-06-2010, 02:41 PM
If you don't mind me asking, where do you feel pain in your ROM? I'm trying to self-diagnose some shoulder pain of my own before I get it properly looked at.

ScottYard
01-06-2010, 03:59 PM
In my front delt when I bench and on the top of my shoulder during normal activities.

no regrets
01-06-2010, 05:04 PM
I too am curious if you are talking about Voltaren. I am using the gel at the moment on a shoulder issue and it seems to be helping. I have been on oral anti-inflammatories before and the side effects seemed to outweigh the benefits for me if taken for a period of time. Does anyone else have experience with this stuff?

JJ33
01-06-2010, 05:12 PM
Pill. Diclofenac sodium(generic)that was the only thing that worked for me.Yes it was a process of elimination to find what anti-inflamatory would work.Within 2 days all my issues disappear.Another thing i had to do is not do biceps after any back exercises.Have to do them after chest.

StLRPh
01-06-2010, 05:29 PM
I too am curious if you are talking about Voltaren. I am using the gel at the moment on a shoulder issue and it seems to be helping. I have been on oral anti-inflammatories before and the side effects seemed to outweigh the benefits for me if taken for a period of time. Does anyone else have experience with this stuff?


Pill. Diclofenac sodium(generic)that was the only thing that worked for me.Yes it was a process of elimination to find what anti-inflamatory would work.Within 2 days all my issues disappear.Another thing i had to do is not do biceps after any back exercises.Have to do them after chest.

I'm a pharmacist and I've used the topical before (I also had my dad use some of mine). We both thought it worked pretty well. The added benefit is that it the side effects are pretty much nothing. For the pill I found ibuprofen (4 of the OTC ones) to be pretty effective but my brother did great with the diclofenac pill and couldn't tolerate any other NSAID.

I think that its definitely a good idea to try the topical out. I'd try to score some samples from the doc and if you have to get a script ask him to write it for the largest size so you don't have to pay as many copays.

Good luck

1400total
01-06-2010, 07:45 PM
I can only speak to my own experiance. My tear was only in the muscle. The tendon remained intact, and it was a slight tear. I still have a divit in my delt, probably always will.
If you can get to an ortho or sports medicine specialist, like the kind proffessional athletes use (aka football, baseball, hockey etc) that would be good. I was fortunate to see people at the same complex that the pittsburgh steelers use.
they understood the needs of an athlete.

I was able to just take it easy and use light weights to heal.

mosley1990
01-07-2010, 06:54 PM
I hope everything heals well! this is making me rethink some pain ive been having on my front delt and the top of my shoulder. Now I'm paranoid...

robchris
01-07-2010, 10:22 PM
Scott,

Very sorry to hear about the injury bro... We've all been there at some point in time dealing w/pain & injuries. Take time and heal-up so you can be 100% on the platform next time! Good luck!
RC