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MD24 recovery log. Back from the dead

macedog24

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The the log will get better, right now it is still slow until i can actually drive..
Once this happens i will have a lot more to report and be able to do. I have therapy again monday.

Wednesday i see my ortho. Waiting to see what she says about this swelling and. How far along i am. Hopefully i will be outta this sling.

Below is some
Freshly made fried rice with egg, shrimp and chicken from kobe.
attachment.php

This will not be eaten all at one sitting.
This will be split between 2 or 3 meals.
Will be dropping total calories down starting monday. Also will change up some macros.
 

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macedog24

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Sorry everyone. Things have been getting harder. Had to deal with and keep my medical/dental/ vision insurance from being canceled. Since ive been out of work i have to pay the premiums out of pocket. Other wise im dropped and would have to pick up cobra. So had to kick out around 450 for the first month.
Saw my ortho. She said im doing ..well. Ive only been in therapy about 3 weeks. 2 times a week. She compared where i am to 10 weeks along. The sling has come off.
Since the 27th . since then dam im sore and hurting. Swelling is still there and makes things very awkward.
Firdt day out of the sling my arm felt like it was in the wrong position. Like it was sitting out of place. I was kinda worried. But i believe it is from the sleeves of my shirt and/or jacket twisting in the upper arm/ arm pit area. Feels like it pulls the arm outta socket and forward.
Now i had been released to go to work if they can accommodate my conditions. I was upset with this.
Conditions are desk work/sedentary. Able to perform basic ADL's(activities of daily living) such as feeding myself, brushing my teeth, trying to comb my hair. No repetitive reaching or extending. No reaching above chest level. No trying to reach behind me. or out to the side. No lifting above 1lb.
Driving is still an issue. I cannot use my right arm so turning right is a problem. The seatbelt is a problem.
This week i start more aggressive therapy now that im outta the sling. Im suppose to return to work on the 8th.
But we will see if they can accommodate me. Lol..
Im icing more often now that im outta the sling.
Starting isometeics. Therapy has been increased now to 3x a weeks for the next 8 weeks.
Had some other issue's we are trying to deal with. Found out everything we have had in storage for the last 3 yrs is gonna have to be trashed. (All of our belongings from when we had to move) the unit ia infested with rodents. This is very upsetting. Much of this cannot be replaced. (Personal stuff memories)This unit was holding everything for a single family home.
Update again later.
 

macedog24

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Sorry everyone. Things have been getting harder. Had to deal with and keep my medical/dental/ vision insurance from being canceled. Since ive been out of work i have to pay the premiums out of pocket. Other wise im dropped and would have to pick up cobra. So had to kick out around 450 for the first month.
Saw my ortho. She said im doing ..well. That this is the hardest surgery she does to recover from. (Rotator with labral/bicep tenodesis. Ive only been in therapy about 3 weeks. 2 times a week. She compared where i am to 10 weeks along. The sling has come off.
Since the 27th . since then dam im sore and hurting. Swelling is still there and makes things very awkward.
Firdt day out of the sling my arm felt like it was in the wrong position. Like it was sitting out of place. I was kinda worried. But i believe it is from the sleeves of my shirt and/or jacket twisting in the upper arm/ arm pit area. Feels like it pulls the arm outta socket and forward.
Now i had been released to go to work if they can accommodate my conditions. I was upset with this.
Conditions are desk work/sedentary. Able to perform basic ADL's(activities of daily living) such as feeding myself, brushing my teeth, trying to comb my hair. No repetitive reaching or extending. No reaching above chest level. No trying to reach behind me. or out to the side. No lifting above 1lb.
Driving is still an issue. I cannot use my right arm so turning right is a problem. The seatbelt is a problem.
This week i start more aggressive therapy now that im outta the sling. Im suppose to return to work on the 8th.
But we will see if they can accommodate me. Lol..
Im icing more often now that im outta the sling.
Starting isometeics. Therapy has been increased now to 3x a weeks for the next 8 weeks.

Had some other issue's we are trying to deal with. Found out everything we have had in storage for the last 3 yrs is gonna have to be trashed. (All of our belongings from when we had to move) the unit ia infested with rodents. This is very upsetting. Much of this cannot be replaced. (Personal stuff memories)This unit was holding everything for a single family home.
Update again later.
 

macedog24

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Electric stimulation. Upper shoulder/clavical.
Created a shrugging motion/retraction. Lasted for 15 minutes.
Band pulldowns changed from yellow to red band(heavier)
Hands were in front about 45-60degrees and pull downward so each hand come down to my side allowing the tension to pull my arms back to a forward position allowing a nice stretch (hold for 5 seconds)

Lying on my back using my left arm,i hold this 2-3 foot 1" pvc pipe. At the top it is in The shape of a T. This ianwhat it looks like actually. The letter. (T.) So with my right hand i hold the top cross section. Now i use my right hand to push the T in an upward position across my body into the air while hold the top with my right hand.
This exercise has been modified. I perform this for 30 reps
First Extending above the head. When done i extend up above the delt and hold for 3 seconds or so.

scapular retractions
Repeat 10x for 5 sec.

Upper trap stretch
Both sides Repeat 3x hold 30 sec

Pendulum circles
3 sets each direction about 20 sec each time

Gripmaster hand exercise. Pic below
Repeat 20x , hold 10 sec, 7lbs

Wrist supination stretch
Repeat 3x. Hold 20-30sec

Wrist flexor stretch /both ways
hold 30 sec ,5 sets

Layed on my left side. Arm extended on my right side.
Shrug up 2reps ,shrug down 2reps.
Repeat 20x

Move/shrug forward 2reps/ shrug backward
2reps. Repeat 20x

Then i had to do these clockwise 20x and counterclockwise 20x

Wrist curls 3 lbs
2 sets x 30reps

Reverse wrist curls 3 lbs
2 sets x 30 reps

Reverse curls
3 sets x 8 reps

Isometrics
Hand/palm Against a wall for resistance all exercises.
Forward delt raise
Side delt raise
Rear delt raises

Added no weights /body weight only

Standing
Forward delt raises to chest/ shoulder area
Side delt raises as high as i could go. (Half way between shoulder and waist)
Delt raises between forward and side. Kinda on an angle.
Thumb upward.


Cryo ice therapy.
This completed my therapy today

Sorry all. Post have been down. Will be back to normal this week.
 

macedog24

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This isnt exactly what was done . i had some other stuff done to the rotator and socket ,But this will show you how they attach my bicep back down to the humerus bone and applied sutures. I dont believe this one shows how they pull out the tendon through the incision outside of the body and cut off what is being removed and attaching the stitching into the end of the tendon.


- - - Updated - - -

Here is another surgery except they make a fourth incision in the under pec to re connect it.
This is a better picture and more detail.
Hope you guys like them.


- - - Updated - - -

I was questioning why they had to do this bicep tenodesis?
This is nothing like what i remember from yrs ago when i had surgery on my left shoulder.
Come to find out. The reason is due to the tear being greater than 50%. I feel as if my arm is being twisted at the front of the shoulder/pec area. My bicep(right arm) seems to have disappeared. Everything feels awkwardly. Supposedly this is normal. Doing wrist curls and reverse wrist curls i feel it in my shoulder. (WHO KNEW?) I will begin posting daily again. Im a bit depressed. Having to go back to work monday really has my mind blown. Ive been out of the immobilizer+sling for about a week. I find myself still not sleeping. Sitting up seems to be the best position still.
According to therapy i am 3 weeks ahead of schedule.
Flexability and range of motion is great, which they say is the hardest part. But this is when im laying on my back with the therapist stretching me out. But when im done therapy for the day my arm is normally more swollen again.
I was originally upset i havent been cleared to jog yet. 3 months is when i will be able to do cardio!!! But now im more concerned my arm is healing properly and is in the proper place.
Sorry again everyone. Kinda been feeling down and didnt wanna unload my depressing bull on everyone.
Im in a constant aching pain and sore most of the time. At times it really feels outta place.
 
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macedog24

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so things are moving along. Im very sore. Seems that this recovery is gonna take longer than anticipated to heal to the point i regain normal mobility. Been kinda agitated.
On a positive note. Had bloodwork done today for trt/hrt. Here is what was tested.

Will post results when i get them.
I drove for the first time today. Took myself to get my bloodwork.
These means i will begin hitting the gym for some legs and cardio. Still no jogging or bouncing.
This reattachment is so awkard. I have constant pain/soreness in the side of the delt. Throughout the day i have these shooting pains that kinda stop me in my tracks. I just close my eyes for a few moments and rub my shoulder. It comes in bunches. Then i continue on with whatever i am doing.
Here is some equipment from where i have therapy. This is called an anti gravity treadmill.. Cost 40k.

Never seen one until going here.
Therapy has increased and starting monday i will begin using bicep and tricep exercises.
Will see if i can get a printout of what is done. Actually let me go through some papers i may what we are going to focus on.
7c3afab3dbc9ada8c671df436b045cf2-1.jpg
8a2666a28e69668f9a1d39b342d0b4cf-1.jpg
 

macedog24

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So here is where i am. Week 9.

This process has been slow. And surprisingly painful. I only say this because i handle pain very well. Although i question myself now.

Also, not sure if i just nit pickat every little thing i feel or experience, But i pay attention to every click, popping, or snapping sound.

Ive also had cupping done a session before last. The therapist believes im having certain issues because of the right scapula/shoulder blade and lack of use. So she has been doing a massage/release in and around the right scapula/ shoulder blade.

Afterwards i am able to Almost fully do the above the head stretch/arm extention above head from laying on my back on the table without pain. Yesterday i was out for a bit witht the kids just walking in the park and allowing the kids to ride their scooters and skateboards was having some pains around the right scapula/shoulder blade. I will ask about this monday when i see the therapist.

It Was different. Never had this pain before.

My arm fatigues very quickly. Shakes often when im trying tonl use it for basic things. Feels heavy. Im very uncomfortable most of the day and especially when trying to sleep.

My rehab/therapist says im progressing very well although at times i question this.
So lets stay positive and keep progressing in the right direction til im back to me.
454c89d7dd57537b1f62fb494c153898-1.jpg
 

macedog24

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I have two links if interested to understand the different methods of performing bicep tenodesis. Depending on injury. How active you are , age, how soon the injury is taken care of.

After reading these if anyone hs any questions i can go over what was done to me. And go over my initial evaluation/mri and then the actual surgery.

Sleeping sucks. Im very sore and in a different pain than during the day. Seems like my hand swells up at night trying to lay on my left side and i have alot more sharp pain/ splintering feeling. Compared to Like when breaking a chicken bone. My shoulder feels like it is always being pulled forward and inward to my pec. Seems like it just isnt sitting properly or in the right spot.

I experience popping or rubber band snapping noises often throughout the day.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5127942/

https://www.medicalnewstoday.com/articles/322000.php
 

macedog24

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Today therapy was split between 2 people. My normal therapist and an assistant.
Always start off with stim .
Followed by stretching out the shoulder and bicep, laying on th3 table while the therapist manipulates the arm.
Next she does a scapula massage/ work.
Then restretches out the shoulder.
Next. Laying on my side do shrugs.
In a circular motion clockwise then counter. Clock wise 2 top
2 back 2 bottom 2 forward equals 1. Rotation. So we do 30 in both directions.
Laying on my back t bar extensions above the head and then out to the shoulder. 30 reps both exercises. Hold 5 sec.

Laying on my side. Elbow on my side 90%.
Side laying external rotation. (Forgot the name of exercise...lmao)1lb weight
Wrist curls. 5lbs(very light)
Bicep curls 3lbs and 5lbs sets of 20 x2
Reverse curls 3lbs and 5lbs 20reps x 2
Hand Grip (blackcolor)
30 squeezes hold each for 5 seconds.

Isometrics using the wall 2 sets of each 30sec hold each.
Delt raises
Forward, top -of palm against the wall,
side -top of palm against the wall
rear -palm pressing against the wall
Standing palm against the wall elbow bent at the side 90% press inward with palm
Back of palm against the wall bent at elbow 90% angle press outward against the wall

Delt raises. 2 sets 20 reps hold 5 sec thumb upward
1.Forward
2.Between forward and side about 2 oclock position
3. Side raises. Raise the arm. Just under half way.

Low rows with blue bands. 2 sets x 20reps hold 5 sec

Tricep pushdowns with blue bands
2 sets 20 reps slow controlled for a 3 sec hold
2 sets 20 reps hold 5 sec standing lat pull downs with blue bands
Standing wall reach/extentions. W/towel. Trying to reach up the wall with my hand on the towel. 1 set 20 reps
Side: Cannot do these. My arm cannot turn to the side with my hand up(like when you wave to someone).

Cryo ice therapy for the shoulder 15 minutes. Done
 

macedog24

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This is very different than having what i call normal rotator cuff or labrum surgery.

Put both your hands up in front of you. Like your gonna smack hands with someone or play patty cake.

With your palms facing outward i can rotate the left hand/arm to the left side of my body.

Cant do that at all on the right side. I Can move my right hand/arm to the right about 3-4"from patty cake position in front of my body... 3-4" inches.... Wtf. There is no rotating to the side at all.. This is the first time trying these today.. This sucks and is very painful. Its like there is no longer a socket for the arm to rotate freely in. Like being in a cast from the upper bicep around the shoulder and there is no way it will bend or rotate or move to the right because the cast is holding it in that spot.

I hope this new bicep tendon placement isnt the cause. If so, i hope this will not be a problem now. This is the Beginning of 5 weeks into therapy.

To be accurate today is the 13th therapy visit
 
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macedog24

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Labs are in. Said i would share results.
Here we go. This explains alot.
09fe8b1c44331f2d0f2c2c6afb0119ac.jpg
 
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macedog24

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Its official Approved trt.
200mg cyp a week
Through titan medical
Even if your having a hard time getting bloodwork done. Id recommend giving titan a try. Tell em i sent ya: they should take care of you. Call/text/ online. Your choice
https://titanmedicalcenter.com
Nothing like getting bloodwork done close to home and not having to jump through hoops.
 

macedog24

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It's been 11-12 weeks since surgery
Below is where we are and what we are working on.
32fa98f3709b165400d70d16e9b4fe3c-1.jpg
 

macedog24

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Been doing hills the last few days.

About 45 minutes to an hr. Shins are dam killing me. See the ortho Wednesday. Cant wait. Need approval to start real cardio. Running/jogging etc. Gonna see if im able to do any body weight exercises.

Ive been going over some things.

Restrictions after 20 weeks are Kinda upsetting. So i am gonna have to see what kind of alternatives i have.
3f0a96290b1f4163ffba30ff3d674549-1.jpg
 

macedog24

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Therapy is dam killing me. I feel like a total newb. I push myself so hard by the time therapy/rehab is over. My arm is shaking so bad.. Lol.

So we have added many more exercises.

Everything is 3-5sec hold x2sets

Side lying external rotation with 3lb weight.

Hold for 5 sec repeat 20 reps x 2sets

Low rows with bands

Hold a band between both hands palm up in front of me , elbows at my sides. Pull outward to the sides with both hands Keeping elbows down at my side. 20 x 2sets

Standing with bands.

Elbows down to the side , hand in front of me i perform and external rotation 20 reps x2

Followed by internal rotation with band.

20rep x 2

Tricep extension 2 sets black bands

5 sec down , hold for 3 sec,...slowly retract 5 sec to starting position

Wall presses w/ towel. Forward and side.

These kill me.im so spent when doing these.

It takes everything i have to push up the wall.

I can get about 3/4 with elbow in front of my body. I cannot yet rotate my arm enough to do a proper pressing motion. Cannot get the elbow/ arm to the side of my body and hand upward as if im doing a press. It will take some time.

Bench press (lol)

Laying on my back i have a pvc 1"pipe with an ankle weight wrapped around it.

I do 25 or more presses...very slowly down and up count to about 7 each way.

Laying on my stomach on the table with my right arm hanging off the side i do a

one arm row

Reverse fly /Read delt raise

Then keeping my arm in a straightened position hanging off the table i raise my arm to my butt.. Behind me without causing pain.

Plus all my normal exercises and stim. Finish with ice.. Done in about 2 hrs

See the ortho Wednesday.

More physical and strenuous Stretching should be in the works. Also, im pushing for my cardio jogging/running and see about pushups. Evennif she will allow them from my knees i will take it.. Better than nothing.

Will update after my app.
 

macedog24

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Been a long day with the dr.

Saw the ortho today. She said im very tight. (Tendons).

She said the tear was pretty severe she is not surprised.

Gonna add in overhead pulleys. To help with range of motion and stretching the tendons.

Work Restrictions are the same. Nothing has changed for now.

So dont know what work will do or how they will react. Had to send everything to my lawyer and work. I am to continue therapy 2x a week. See her again in 8 weeks.

She said closer to 6 month range for better range of motion better flexability.. /

Im able to jog /run. Do cardio. I was told do not push the arm past the point of exhaustion.

Even discussed my trt and referred me to a dr. In house.
 

macedog24

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So as i said, all restrictions are to remain the same.

Today i was told work cannot accomadate my restrictions. So as of now im out for another 8 weeks...see ortho again in july!! Getting real rough not making money!! Been out since the beginning of feb!
 

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So as i said, all restrictions are to remain the same.

Today i was told work cannot accomadate my restrictions. So as of now im out for another 8 weeks...see ortho again in july!! Getting real rough not making money!! Been out since the beginning of feb!
That sucks brother. You've been through worse though my friend. You will get through. I'm glad you are here.
 
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