Good morning.

I had an acute injury (fall) of my dominant shoulder at the end of June.

It took a while to get imaging. In the meantime, my company had an online PT program, where I had some positive results, but also some setbacks, especially when adding weight (2-3lb dumbbells).

Imaging results are as follows:

Rotator Cuff Tears

• Supraspinatus and Infraspinatus Tendons:
  
  • Full-thickness, full-width tear at their insertion points (where they attach to the bone).
  • Most of the torn tendon has retracted (pulled back) toward the shoulder socket (glenoid).
  • No significant muscle atrophy, which is a good signit means the muscles haven't wasted away yet.
• Subscapularis Tendon:
  
  • Shows moderate tendinosis (degeneration).
  • Has a high-grade partial tear in the upper part of the tendon near its insertion.
• Teres Minor Tendon:
  
  • Intact (no tear).

2. Biceps Tendon

• Shows tendinosis (wear and tear).
• Mild subluxation (slight displacement) at the groove where it normally sits.
• No tear detected.

3. Labrum

• Degeneration in the posterior superior labrum (part of the cartilage ring around the socket).
• No focal tear.

I am going to see another PT face to face soon. My goal is to avoid surgery, if at all possible.

Suggestions?

Thanks!

I'm going to be honest with you based on that imaging report surgery might very well be in your future. Give it the best you can with the conservative route but that looks surgical to me.

Thanks for the feedback!

It's just a tad scary since I don't have much use (read: any of note ) of the non-dominant hand.

Any suggestions for dealing with/trying to eliminate sciatica discomfort? I am pretty consistent with stretching and while it gets better I can't seem to eliminate it.

What are you doing from a strengthening standpoint?

aggiederelict said:

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What are you doing from a strengthening standpoint?

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I am 59. 5'11", 175lbs. I used to run quite a bit but I have osteoarthritis in my left ankle so I'm now a "rucker." My ruck day is Monday. I use a 40lb vest. I do 3 miles with 20 pushups and 10 deep squats each half mile. I lift weights 3-4 times per week. Usually lower body (RDLs, hamstring and squats) 2X/week. My upper body days (3X/week) consist of a mixed routine of pullups (usually 30 per session), dips (30-40 per session) and pushups (80-100 per session), as well as core exercises (20 leg lifts, 75 second plank and 20 incline situps). All that is followed by bench press, curls and one chest exercise. I follow all my lifting sessions with a 30-45 minute ride on the stationary bike at a moderate pace.

I use the Morpheus heart rate monitor which sets my heart rate range training goals for the week (usually 150-170 minutes in the easy zone <145, 20-25 minutes in the moderate zone 146-162, and intense zone 10-12 minutes >162).

right patellar tendon is pretty pissed off at me. I did a race (31ish miles and almost 30K of elevation change) two weeks ago. started hurting during the race, but that stuff pops up sometimes in ultras so figured it would work itself out. Been pretty light on mileage since the race, including taking 3 of the last 4 days completely off. Still fairly sore. My shoes are old, so I'm sure that's contributing. I'll probably hit airrosti since I can still go for free, but will hit you up if that doesn't help.

In the meantime, other than rest, any thoughts on exercises/stretches. I have a race I want to do next month if I can shake this, but its also not a race that I NEED to do so I can skip it if need be.

Dont aggressively stretch it right now. Roll the quads out. Isometrics to begin with and get after it with some tissue work and needling. Glad to help in any way.

After a 100 mile flat race on mostly hard top surfaces, the top inner quadrant of my right knee cap hurts to the touch. It's not swollen and although quite in the realm of possibility given my history, no, I did not fall on it. Doing some internet searching, I guess it could be bursitis. Anything I should roll or scrape, or just rest?

Appreciate it.

Try this for me. Massage the area and if it gets better it is the MCL and if it gets worse it is bursitis. MCL responds well to tissue work and the bursae responds well to ice.

Doesn't seem like it gets better. I'll try some ice.

Hello, had an MRI completed on my shoulder with these results. Is this something that can heal on its own? Definitely don't want to do surgery. Thanks!

Odd. It says complete tear up top then it didnt below. Partial tears can for sure heal. How is it limiting you currently?

It does not affect my day to day much at all. I can raise up my arm straight just fine….only feel discomfort if I raise it at odd angles such as crossing my elbow and then lifting arm up. I think I tore it weight lifting and have stopped weight lifting all together. I'm just being careful with it and not trying to over stress the shoulder (not picking up real heavy stuff with one arm or reaching really high for things, etc). I would like to swim and haven't tried for fear of making it worse.

I would ease back into exercises and consider looking into prolotherapy or PRP.

Thanks!

Anyone dealt with Posterior Tibial Tendinitis?

Feel like that's what I'm going through with my arches at the moment

I've got a lingering issue that I cannot figure out what it is and maybe you can help….

Anytime I squat or leg press, I get a pretty noticeable pain on the side of my hip, almost below the hip socket. It varies on the degree of pain from slightly inconvenient that can go away all the way to - I cannot continue squatting/pressing.

To pair with that or perhaps another symptom, is really tight hip flexor on one side and now a little lower back pain. It feels like my psoas or hip flexor is super tight and stretching hips has helped a little but I'm still not 100%.

Any idea what I could be dealing with? I was looking into hip bursitis but not sure if I have all the symptoms or not.

TIA

Maybe an inflamed piriformis, pushing on your sciatic nerve?

I'd be curious if laying off the heavy leg lifts for a few days would clear it up. That, or an anti-inflammatory an hour before the gym?

Or you can go a wee bit more nuclear and try a steroid, like medrol dose-pak.

I had something similar going on with me. One day I went to urgent care for an unrelated issue (bronchitis) and was given a steroid shot in the butt -- 24 hours later ALL of that inflammation was gone and has mostly stayed that way.

I've had off and on pain on the outside of my elbow, non dominate side.

I did the therabars, seemed to help overall but it never really went away. Started doing weights again and it has flared up. Did some sessions of laser/shockwave therapy. But again, helped, it never subsided completely.

Any other exercises that I can try? I have been bad about keeping up with the therabars

So yesterday was actually leg day #1 (quad/squat focused) and it was the first time in probably 2 months I have had zero pain. All of this started after hitting a glute press machine (essentially a seated leg press where you push out away from you and parallel from the floor). It jacked up the side of my hips and I basically stopped doing it after 2-3 times of pain.

The pain continued and started trying to do a bunch of self diagnosis on it. I also went back to the last lower body issue I had which was Patella Tendonitis which when evaluated by a PT, weak medial glutes were determined to be a big contributor. So taking that into consideration, along with the fact I haven't been isolated glutes in the last 4-5 months. I decided to target them a little more frequently...

Maybe targeted glute stuff plus more frequent adductor/abductor work is helping? Not really sure just not complaining and hope I don't have to deal with it again...

I don't see a lot of true bursitis in my clinic but it does happen. I do see gluteus medius tendonitis which could be what you have. Where are you located?

West Houston

Dealing with what I think is a pinched nerve lower right side of back for past 3 weeks or so. My right leg is weak/numb, specifically the quad muscles. Trying to just do light squats at gym is a struggle with balance and feel like right leg isnt getting 'message' to push the weight. Even at rest at home just a constant numb/asleep leg like feel. Background is I had a laminectomy about 15 years ago for spinal stenosis in lower lumbar so scared my next step is a fusion. Would a chiropractor be able to help? I am 47,healthy weight, and got to the gym a lot, go on runs, etc

Sorry i dont know any PTs in that area.

Chiro is a risk/reward situation. Could really flare you up more because this does sounds nervy. Have you tried any traction for your back? Hanging upside down on a inversion table?

I have not, but really willing to try anything at this point other than surgery. Have an appt this Thursday with non-surgical orthopedic MD. Other than buying one of those traction that flip you upside down contraptions is that something a physical therapist would normally have?

You can find one at a Academy or Dick's Sporting Goods. But that won't be enough. Going to a good PT who will focus on where you are weak at as well as give you complete exercise program will give you the best chance to recover.

If that doesn't work, then get an MRI and get an injection.

If all else fails, consult with a neurosurgeon as a last resort.

Upate,went to Dr yesterday did Xrays of back, gave these results "2 view lumbar spine reveals no evidence of acute fracture. There is
evidence of moderate to severe disc base narrowing at L5/1 with more mild
to space narrowing at L3-4 and L4-5. No significant listhesis is noted.
Moderate facet arthropathy is noted in the lower lumbar region."


He ordered an MRI, he did somw physical test toconfirm weakness in my affected leg in office, gave me an Rx for a week of 4mg of Dexamethasone in the meanwhile.

So last Monday I was doing a 10K base run and about 5 miles in I started getting sharp pain on the inside of my left knee, just below the joint. I stopped to walk and that helped some before finishing the run. My initial self diagnosis was tendinitis of some sort. I stopped running and have been doing ice, NSAID, and massaging muscles above and below the knee. I'm still having some twinges when walking but some short jogs (less than half a mile) have been ok. I then started to think it might be a bursitis since the twinges have moved around some and there's no pain when just casually sitting.

I have a 10K race coming this Saturday which I would still like to do. I'm thinking of starting back some training run/walks tomorrow (1 mile walk, 1 mile jog, 1 mile walk). If the pain stays low or intermittent is that reasonable? Or should I just keep resting until the race? Use a knee compression sleeve maybe?

Some easy runs leading up to the race shouldnt be a big problem. You can take some NSAIDS prior to the race if you want to be safe. Doesnt sound too serious.

do you believe in Peptides??

I went to the Ortho for rotator cuff pain. He determined I didnt need surgery based on some tests and he didnt even do an MRI.

been going to PT for a month now. After two weeks I was actually feeling better. I had dry needling done once and it seemed to help. Then they did it again and I feel like the needle went right into my injury and I have regressed since that day.

do you think BC-157 helps speed these things up?