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Helpful ReplyShoulder impingement surgury anyone?

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SeanR
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2015/01/29 05:27:15 (permalink)
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Shoulder impingement surgury anyone?

I was wondering if anyone as had the above op and what was the final outcome?, cured or still a pain in the ass?
 
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#1
Rasputin
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Re: Shoulder impingement surgury anyone? 2015/01/29 15:43:54 (permalink)
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Cant giver you any heads up yet but i will be having mine done shortly so will report back. I have a bad right shoulder from broken collarbones, Bicep tendon tear and shoulder blades out of place. Bloody rubbish 

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Skrewdriver
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Re: Shoulder impingement surgury anyone? 2015/01/29 17:06:58 (permalink)
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A female friend had her operation 13 months ago... it's a very slow recovery... pretty much the entire year.  The first couple of months she needed help dressing, showering, washing her hair etc etc
 
Physio was very painful
 
Everyone is different though obviously, in terms of their individual problem and recovery power... but I would prepare for a long haul.. you use your shoulders just about all the time so it's gonna be frustrating... 
 
13 months on, her shoulder has full range of motion, but it's still a weak area and she has to be very careful with it.. least now she can sleep on it etc etc... just gonna take time to build the strength up again
 
 

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SeanR
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Re: Shoulder impingement surgury anyone? 2015/01/29 18:26:15 (permalink)
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I had the op about two years ago, the surgeon said there was a very small tear and that he only needed to remove a thin slice of bone, good news i thought. Prior to surgery i did the usual routine of repeated visits to physio, ct scan and in the end 2 cortisone injections (which worked for 4 or 5 weeks each).
 
In the end i thought surgery would sort it, but alas, it as returned. I didnt rush back to training, followed all the instructions regarding physio. Training was ok for a while, pain to start with as expected, but over the year as i tried to build up strength, the niggling pain started again and hasnt gone away since. I cant help thinking that the surgeon did not remove enough bone, but what do i know.
 
I no longer do overhead lifts, even struggle with inclined bench press. Flat bench is ok, niggles a bit, so i stick to dumbells which helps. Strangely, the left shoulder is the one with the fault, but its stronger than my right doing the bench press, a mystery.
 
Not sure where to go from here, mentioned it to the doc the last time i was there and just got a vague response, he just said "do you really want another operation?", as though id had my share of NHS funding...
 
Folk ask, if your shoulders hurting, why you still training?, i suppose they just dont understand, i have to, i enjoy it:)
 
Rasputin, dont be rushing back into action..
 
post edited by SeanR - 2015/01/29 18:28:18
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jack5r
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Re: Shoulder impingement surgury anyone? 2015/01/29 18:40:43 (permalink)☄ Helpfulby phil3030 2015/01/29 18:51:32
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It's entierly individual and depends on a number of variables. Type of impingement, type of surgery, age, length of time you have had the issue, your anatomy etc..

Have a look for some journals on the success of conservative vs surgical intervention for shoulder impingement.

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#5
Skrewdriver
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Re: Shoulder impingement surgury anyone? 2015/01/29 19:01:44 (permalink)
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SeanR
I had the op about two years ago, the surgeon said there was a very small tear and that he only needed to remove a thin slice of bone, good news i thought. Prior to surgery i did the usual routine of repeated visits to physio, ct scan and in the end 2 cortisone injections (which worked for 4 or 5 weeks each).
 
In the end i thought surgery would sort it, but alas, it as returned. I didnt rush back to training, followed all the instructions regarding physio. Training was ok for a while, pain to start with as expected, but over the year as i tried to build up strength, the niggling pain started again and hasnt gone away since. I cant help thinking that the surgeon did not remove enough bone, but what do i know.
 
I no longer do overhead lifts, even struggle with inclined bench press. Flat bench is ok, niggles a bit, so i stick to dumbells which helps. Strangely, the left shoulder is the one with the fault, but its stronger than my right doing the bench press, a mystery.
 
Not sure where to go from here, mentioned it to the doc the last time i was there and just got a vague response, he just said "do you really want another operation?", as though id had my share of NHS funding...
 
Folk ask, if your shoulders hurting, why you still training?, i suppose they just dont understand, i have to, i enjoy it:)
 
Rasputin, dont be rushing back into action..
 




Have you had physio recently?  With a decent physio who has a good idea about weight training and has watched you train?
 
Ten years ago, our secretary at work had a tendon rubbing over a sharp bit of bone,... sounds straight away like a surgery job... - all she had was physio and it hasn't been a problem since.  It's amazing what a good physio can do.
 
I had a type of impingment... physio also sorted me out.. the therapist was amazing to be fair.. she could tell straight away what type of exercises I do and dont do in the gym, and told me almost instantly what the problem was.. i wont bore you, but it was something that I would never had occured to me.  She was an NHS one incidently.. I also saw a private physio at £70 an hour (through private health insurance I thought why not get a 2nd opinion), but she wasn't very good at all
 
 
 
 
 
 
 
 

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jack5r
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Re: Shoulder impingement surgury anyone? 2015/01/29 19:24:12 (permalink)☄ Helpfulby SeanR 2015/10/19 10:43:42
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As above ^^^

How long has it been painful for this time round? The length of time you have had tendinopathy will dictate the type of treatment used. Tendons can recover, but over time there is irreversable damage as the tendon becomes more vascular and innervated increasing in diameter.

A closer look at your lifting mechanics may be very helpful if you haven't had them looked at before. How old are you btw?

I would stop anything that aggrovates for now and see a sports physio.

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#7
SeanR
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Re: Shoulder impingement surgury anyone? 2015/01/29 19:25:09 (permalink)
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Jack5r, its funny you should mention anatomy, i inherited slightly rounded shoulders from my folks, then pulled what i had in all directions with weights, sometimes assways in my early days. I remember seeing the NHS physio for the first visit, he looked at me and said "do you weight train?", i replied "yes i do". He then said "hmm, your a mess". Lol, i thought i was looking pretty good actually at the time, funny he was.
 
Anyways, ive tried NHS physios, did all the exercises and stretches, seems what ever happens, my shape doesnt like change. Since then ive been a bit skeptical. Ive learned of a specialist in the NW, a body builder turned physio, heard good things about him, maybe i should give him a go.
 
Apart from that, osteopath maybe?, but the last time i saw one was when i had sciatica, ended up limping like an hunch back through the town centre, funny looking back, but not at the time.
 
Apologies to sound like an old git, still a sprightly 44 year old.
 
Appreciate your help guys, thanks
 
 
#8
jack5r
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Re: Shoulder impingement surgury anyone? 2015/01/29 19:33:40 (permalink)☄ Helpfulby SeanR 2015/10/19 10:46:24
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Hmm yeah you sound like a classic impingement case ha. If you have had dodgy posture and mechanics for many years then is unlikely any amount of manual therapy, stretching or exercise will totally fix your issues.

With aggressive treatment you may get some postural benefits though, which in turn will allow for better movement of your shoulder.

As for your tendon. You have three stages of fecked, reactive (early stages, requires rest, recovery likely), disrepair (somewhere in the middle) and degenerative (longer term, responds best to lots of specific strengthening. Tendon will never be the same though).
post edited by jack5r - 2015/01/29 19:34:48

Body Weight - 83kg 
Bench - 145kg
Squat - 190kg
Clean & Jerk - 129kg
Snatch - 98kg  
 
#9
SeanR
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Re: Shoulder impingement surgury anyone? 2015/01/29 19:58:43 (permalink)
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I reckon im somewhere in the middle, as long as i stay away from certain lifts, im ok, which i now accept. About time i started to do something about it again, thanks for your help guys, appreciated.
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Bloke
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Re: Shoulder impingement surgury anyone? 2015/01/29 22:32:57 (permalink)
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I had mine done about 4 years ago, full recovery, stronger than ever now, no limitations on things like military press or incline bench. Age 46 now, I'm sure having a good level of fitness before certainly helped in my recovery bearing in mind I'm not exactly young.
 
 
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midnight*dragon
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Re: Shoulder impingement surgury anyone? 2015/02/09 13:38:38 (permalink)
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 can anyone make sense of this? it's what I got on my mri report I had privately last year,
"distended subacromial subdeltoid bursa impinging on the supraspinatus tendon"
#12
SeanR
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Re: Shoulder impingement surgury anyone? 2015/02/10 19:59:35 (permalink)
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Been reading up a bit, some helpful tips.
https://www.youtube.com/watch?v=QKbAkFqRaBU
https://www.youtube.com/watch?v=vARsKXb7wNc
https://www.youtube.com/watch?v=l2VQ_WZ8Bto
 
Theres a lot more on tinternet, seems as a youngster i spent too much time bench pressing, and not enough time on the rear deltoids=imbalance= future aggravation......be aware young folks.
 
 
 
 
 
 
 
#13
jack5r
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Re: Shoulder impingement surgury anyone? 2015/02/10 20:42:49 (permalink)
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"distended subacromial subdeltoid bursa impinging on the supraspinatus tendon"

Distended = bloated
Subacromial = between acromion and head of humerus (arm bone)
Bursa = A lubricatice soft tissue which protects tendons from wear.
Supraspinatus = rotator cuff muscle responsible for abduction which runs directly under the subarcromion.

Inflammed bursa + swollen tendon = less space = impingement.

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Bench - 145kg
Squat - 190kg
Clean & Jerk - 129kg
Snatch - 98kg  
 
#14
SeanR
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Re: Shoulder impingement surgury anyone? 2015/10/19 10:31:46 (permalink)
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An update that may be of help to some folk.
 
Following Jacks advice I got stuck into a bit of reading as regarding mechanics, looking into how I had trained in the past, what I left out of training, form etc. I cant remember exactly what I read (8 months ago), but it led me to concentrate on my rear delts. I found a video on youtube, a guy demonstrating face pulls, something id never bothered with before. I had done flys, but usually a case of lifting as much as possible without concentrating on the muscles I should have been concentrating on......................it makes all the difference, I suppose when your young you just get carried away with just going heavy:(
 
Anyways, I started light with face pulls with the same grip as the guy in the video, sets of 15x3, concentrating just on form. Over the last 8 months ive increased weight to a medium weight, and added flys done with perfect form.
 
8 months on I am now overhead pressing with medium weight dumbells without any pain or aggravation. A bit wary of going heavy, but feel I don't really need to, just happy to be doing those lifts.
 
Whilst I cant prove that doing face pulls as cured the problem, I'm 90% sure they have:), a problem that I thought had turned super chronic and would never see the back of, even after surgery and umpteen visits to specialists.
 
I'm hoping its gone for good, only time will tell, had no hassle with it for a good while now .
 
 
 
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