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Health & Medical UnderGround >> Bicep Tenodesis


2/13/12 3:21 AM
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DaveM
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Does anyone have any experience with bicep tenodesis?

This is a method of dealing with chronic tendonitis in the long head of the bicep where the tendon is permanently severed from the labrum and anchored to the head of the humerus instead.

I'm probably going to have it done soon and was wondering if anyone else has had it done and what their recovery & training experiences were like.

Thanks
4/30/12 2:59 PM
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oldnslow
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My physical therapist who is rehabbing my shoulder for a labral tear just told me about a conference he attended where the presenter was discussing this very thing. I'll ask him on Friday if there was any info on recovery times.

I developed bicep tendon issues while rehabbing from surgery to replace a torn postereur labrum.
4/30/12 10:42 PM
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turducken
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i would make this an absolutely LAST resort. its bad news anytime you go under the knife. i would suggest going to a serious sports therapist who has at a minimum a DPT degree and works with professional athletes. there is a good chance you can rehab yourself without surgery if you work with someone like that. but you have to find a real educated and qualified physical therapist, not just some jackass who has a shitty therapist certificate from some trade school.

you have no control over what happens when you have surgery and there are ALWAYS risks and possible side effects...dont do it unless you absolutely have no other choice.
5/4/12 9:06 AM
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martinburke
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^^^Listen to this man. Surgery is the LAST resort. Soft tissue is mysterious to the vast majority of surgeons. They don't understand it, and they don't seem inclined to learn anything about it.

Something you can try yourself: dig in and pinch your fingers into brachioradialis. Try to touch your fingers together and sift the tissues through your fingers, feeling for knots and adhesions. When you find one, squeeze for 5 seconds, let go for two, and repeat until the knot shrinks and fades.

Clean brachioradialis up a little, and it'll stop pulling on biceps and allow it to heal up.

Now, about those trigger points in pectoralis minor...:)

Deep Front Arm Line

http://healingartsce.com/images/mm_deep-front-arm-line.jpg

http://ittcs.files.wordpress.com/2010/11/img_0356.jpg


It's the one on the left in this illustration:

http://www.anatomytrains.com/uploads/galleries/6970cd1ce5cb77c5c0b8af300c6fe7a2.jpg
5/7/12 2:54 PM
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DaveM
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Well, I've been through 3 rounds of PT for this shoulder over the last 4 years and the last 2 rounds were with a well known DPT who is awesome. I've been to 4 shoulder drs, had 2 cortisone shots, saw 2 neurologists and had an EMG to rule out and neck involvement and worked with a joint mobility specialist.

My last attempt at PT, I went for 2 months straight, did EVERYTHING by the book and my shoulder got worse.

I finally got in to see the top shoulder dr in New England (also the Red Sox shoulder dr) and he spent a lot of time with me going over my shoulder history.

Over the years, I've broken that clavicle, subluxed the shoulder, had a partial tear of the supraspinatus, crushed the brachial plexus (worst pain ever) and then in November I separated it and it stayed that way for 6 days until I accidentally popped it back in place.

He's conservative but said that I had tried everything else so he was willing to operate.

I had a subacromial decompression, distal clavicle excisation and bicep tenodesis done on 3/29.

Aside from having a major allergic reaction to the pain killers after the first day and then having to go without them (which REALLY sucked) I'm doing great. I'm ~ 6 weeks out and PT is going well. No strength back yet but about 97% normal range of motion (couldn't lift my arm above my shoulder before) and ht DR & DPT think my prognosis is excellent.

My biggest problem right now is that my forearm is killing me (it was fine before).
6/7/13 7:09 AM
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YPO
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Just had this done on June 3 2013. Just checking how your rehab went and if you had any complications.
6/20/13 4:42 AM
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DaveM
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The surgery went well although I had a pretty rough time due to some complications afterwards...

Within 24 hours, I had a massive allergic reaction to the pain killers and ended up in the hospital when they pulled me off of everything except tylenol. I was NOT planning on going through that without anything for pain and that SUCKED!

While in the hospital, I picked up a skin infection that spread all over my shoulder, chest and back.

As an added bonus, at my 1 week follow-up, they thought I might have a blood clot in my elbow and I had to go for an emergency ultrasound which came back negative.

Rehab was TOUGH in the beginning. Getting back to full ROM was the most painful part but once I got there (which only took a few weeks), I started improving very rapidly. Let me tell you, going from the kind of shape I was in prior to getting hurt to just barely being able to finish 1 VERY painful pushup was a humbling experience!

I'm now just shy of 1 year & 3 months out from surgery.

My shoulder is doing great. I have 99% ROM and I'm at ~85-90% of my normal strength in all my lifts. My shoulder clicks & pops sometimes but the only time I have any actual pain is at the high end of upright row type movements.

Aside from following my PT program to the letter, I think the thing that helped the most in regaining strength, mobility and especially stability, was taking TRX classes. I really got a lot out of those and would still be doing them once a week if they didn't cancel the class.

I'm still having trouble with some instability in the c4-c5 facet and that is my main issue now.
6/20/13 8:43 PM
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oldnslow
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What's a TRX class? Phone Post
6/25/13 7:43 AM
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Barbartha
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DO NOT DO IT!

Had mine done (because it was partially torn). The surgeon convinced me it is a normal practice. Well the Biceps tendon never anchored in and popped out which cause more issues (exposing an impingment) which I had to get another surgery on from a different Orthopod who then fixed my shoulder. Recovery from the first shoulder was at least 2 months and painful.

If the long-head biceps is already torn and hanging there , you dont have an option however my only advice is do not do it. Seek other options.


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