So I had the MRI done on Saturday I do it at NYULANGONE and you can log into Mychart and read your results so this is what I read, but have no idea what any of this means.
CUT AND PASTE FROM MYCHART.
Technique: Multiplanar, multisequential images were obtained on a 1.5T scanner according to standard protocol.
Prior studies: None
Findings:
Bones: No evidence of acute fracture or dislocation.
Rotator cuff: There is mild/moderate supraspinatus and infraspinatus tendinosis with superimposed partial-thickness articular surface tearing of the supraspinatus tendon that involves approximately 50-60% of the tendon thickness (series 4 image 13). There is mild subscapularis tendinosis. The teres minor tendon is unremarkable. There is no significant fatty degeneration of the musculature. The subacromial/subdeltoid bursa is unremarkable.
Biceps tendon: Mild tendinosis.
Rotator Interval: Unremarkable.
Glenohumeral joint: There is moderate glenohumeral osteoarthritis with broad regions of full-thickness/near full-thickness cartilage loss, subchondral cyst formation, and marginal osteophyte formation. There is mild/moderate posterior subluxation of the humeral head without significant posterior glenoid wear. There is no high riding of the humeral head. There is diffuse degenerative fraying of the labrum. There is a small joint effusion with synovitis.
Acromioclavicular joint: There is moderate arthrosis of the acromioclavicular joint. There is no subacromial enthesophyte.
Deltoid: Unremarkable.
Subcutaneous tissues: Unremarkable.
Impression:
Moderate glenohumeral osteoarthritis. Partial-thickness tearing of the supraspinatus tendon.
I personally reviewed the images and agree with this report. Final Report: Dictated by and Signed by Attending Soterios Gyftopoulos MD 5/19/2017 12:42 PM
I am waiting on the surgeon to call me and tell me what are the next steps if any.
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05-22-2018, 06:54 AM #1
- Join Date: Dec 2005
- Location: Bronx, New York, United States
- Age: 59
- Posts: 43,418
- Rep Power: 199066
My shoulder MRI findings - Have no idea what any of it means
On the list for Bannukah
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05-22-2018, 07:01 AM #2
It's actually no bad news at all. Lots of degeneration which isn't good but normal for a lifter our age. Partial tears are fixable without surgery too. Jmo, I'd google search rehab for full rotator tears and do that rehab for a while. Limit benching unless you can use Hammer strength machines that don't go all the way back. Rotators don't like the very bottom position on benching. Definitely don't see a need to give up lifting.
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05-22-2018, 07:18 AM #3
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05-22-2018, 07:35 AM #4
That seems to have less issues than I did when I began PT (if i can pull my report ill post it from last Aug), Not sure how bad your day to day is currently, but I was to the point of not being able to even lift my arm without discomfort and couldn't bench the bar. So far PT served me well. 7 months off most upper body weighted work was the worst part. Hope they get a solid workable solution for you that corrects the issue.
My journal, not detailed, but heck I never keep track of much anyhow. http://forum.bodybuilding.com/showthread.php?t=121196291&p=863931421#post863931421
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05-22-2018, 08:12 AM #5
- Join Date: Dec 2005
- Location: Bronx, New York, United States
- Age: 59
- Posts: 43,418
- Rep Power: 199066
This is both confusing and concerning. if what the MRI states (according to you guys) there really isn't anything really damaging to my shoulder, then where is the pain on my Tricep/lat/bicep coming from?
Last night the pain was so bad (shoulder/bicep/tricep/lat) I had to drop from 80lbs DB to 50lb DB because, not only was it painful, but my whole left arm lost strength mid point through the set.On the list for Bannukah
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05-22-2018, 08:17 AM #6
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05-22-2018, 08:17 AM #7
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05-22-2018, 08:52 AM #8
- Join Date: Dec 2005
- Location: Bronx, New York, United States
- Age: 59
- Posts: 43,418
- Rep Power: 199066
I had the injection on April 12th and the pain is already back, I also take Aleve (2 of them) roughly an hour before I go to the gym.
Yes I seemed to lose strength the more reps I did, the weight wasn't heavy at all, but like a numbness/weird feeling started coming in (aside from the pain) and I lost strength and the weight (50lbs felt heavy) I don't do the ice but I definitely take Aleves prior to hitting the gym.On the list for Bannukah
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05-22-2018, 09:58 AM #9
I had an issue with TOS ~Thoracic outlet syndrome~ years back that caused numbness and pain in shoulder and arms. Not sure if my lat was effected but traps were. Not sure how to explain it but the best thing i did for it and still do is making like upside down cat/owl eyes where you hold your index finger to thumb tip and flip your remaining fingers towards you putting the circle over your eye. And if you understand ill even be surprised
My journal, not detailed, but heck I never keep track of much anyhow. http://forum.bodybuilding.com/showthread.php?t=121196291&p=863931421#post863931421
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05-22-2018, 10:00 AM #10
at the 2minute mark is what i am trying to say, also iirc mine was caused by a top rib that had moved
Last edited by polishedball; 05-22-2018 at 10:11 AM.
My journal, not detailed, but heck I never keep track of much anyhow. http://forum.bodybuilding.com/showthread.php?t=121196291&p=863931421#post863931421
leader in trailing technology
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05-22-2018, 10:25 AM #11
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05-22-2018, 10:36 AM #12
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05-22-2018, 10:42 AM #13
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05-22-2018, 02:06 PM #14
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05-22-2018, 02:09 PM #15
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05-22-2018, 02:40 PM #16
This is both confusing and concerning. if what the MRI states (according to you guys) there really isn't anything really damaging to my shoulder, then where is the pain on my Tricep/lat/bicep coming from?
They aren’t saying everything is OK, it’s not... they are saying it’s not unfixable. Essentially you have cartilage loss, are beginning to get some arthritis and have a partial tear of an important tendon.
I’d wait until you hear from the doc to start anything new or any therapies you look up on the internet, there’s a reason the guy has “Doctor” in front of his name, and you might want to lay off any lifts involving shoulder movements until then too. If it hurts it’s probably bad.
However, from what I know based on my own experience and that of others I know, you’re probably going to have to lay off most upper body lifting for a few months, put in some time with a PT and maybe some minor surgery to repair things if rest and PT doesn’t get it done.
My father had a partial tear of the same tendon, ignored the docs advice and ended up tearing it completely, resulting in a much more serious surgery when surgery might have been avoided altogether.
Take it easy for a bit, get the docs advice and follow it then get the PTs advice on how to modify your workout once you’re back to lifting.
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05-22-2018, 03:07 PM #17
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05-22-2018, 03:42 PM #18
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05-22-2018, 03:50 PM #19
The tendinosis is what is causing your pain.
Take a break from all pushing exercises for a month and do lots of stretching.
Buy a pair of 1 lb (yes 1 lb) indian clubs and swing them. Just do mills.
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05-22-2018, 04:01 PM #20
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05-22-2018, 07:42 PM #21
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05-23-2018, 04:32 AM #22
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I can go along with the tendinosis angle. I was in PT and they stretched mine out, had this wicked painful knot that was stubborn. Heat me up, range the arm... go after the knot. It got better and I was okay to go back to the gym, but no overhead work! My shoulder is a lot worse than yours.
The good news is that I don't see anything mentioning bone spurs and significant calcification. Those are the things that will shred a RC if you keep working out against them. How much do you ice the shoulder up after the gym? I would do 20 minutes out of an hour for at least 1 cycle, maybe 2 if the pain is that bad. I would fill a baggie with ice and clothespin it to my shirt and watch TV.In space, nobody can smell Uranus....
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05-23-2018, 07:10 AM #23
- Join Date: Dec 2005
- Location: Bronx, New York, United States
- Age: 59
- Posts: 43,418
- Rep Power: 199066
I did the exercises on the video and holy fck they were extremely painful my left arm just doesn't have that range of motion at all.
I have no idea how my shoulder is affecting my Tricep/lat/Bicep to the extent that it is, I am going to have a thourough discussion with my surgeon on exactly what/where the pain is (aside from my shoulder pain) as this is becoming more and more confusing for me.
Last night I did back/biceps and while my shoulder was hurting it was tolerable. My Tricep was hurting during BOR and Cable rows and my lat felt like it wanted to rip in two when doing pull-ups. My bicep ironically was not hurting while doing curls but it is painful while doing bench.On the list for Bannukah
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05-23-2018, 07:31 AM #24
I'd avoid it then, when I did it even though I slowly had to work on getting there, I would feel a release of pain, not more pain.
The nerves are odd and when the problem is in one area it is often perceived in another, so even though it doesn't make sense it is somewhat common.
Hope the doc has a solid plan of action for you.My journal, not detailed, but heck I never keep track of much anyhow. http://forum.bodybuilding.com/showthread.php?t=121196291&p=863931421#post863931421
leader in trailing technology
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05-23-2018, 08:47 AM #25
BH, i googled 4 key phrases from your mri findings and tried to understand the search results. That was a no go, and i am usually pretty good at interpreting complex things. I would just wait for your consultation and not FK around with this stuff. I recall DBX describing degenerative joints and it isn't something to tinker with.
There is an unspoken thing, we are iron brothers and sisters, we are to support each other and...It is our duty to support our brothers and sisters in the iron game!
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05-23-2018, 03:35 PM #26
I had my right shoulder operated on when I was 65. Worked out great. Next month I'm getting the left shoulder operated on. Then I'll have a matched set. Neither injury had anything to do with the decades of weight lifting. Left was caused by a OCD of wandering thru the woods with a machete for 45 years behind my cutting things. Eventually created a calcium deposit underneath the acromium where the humorous kept rubbing. The right one was from a Hoist v5 tipping over on me and me catching it at the last second. It still pinned me to the floor and I had to get out from under it myself since nobody else was around to help. My stupidity when taking the machine apart. My rehab took about 2 months on the first one. Guess it'll be about the same this time. Your MRI is pretty close to what mine is on the right shoulder.
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05-23-2018, 03:43 PM #27
Nah, that's a pu**y move. Clearly the best course of action is to listen to all the forum MD's and their limited sample size anecdotal evidence.
I'll add my own input (of which I hope I'm wrong); I'm an MRI Tech and can envision what the images looked like based on the report- if I was scanning it, I would have said to myself "that sucks, he's going to be recovering from surgery most of the summer".~Cobra Kai Crew~
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05-23-2018, 03:43 PM #28
Shoulder pain refers everywhere so it's hard to isolate the painful spot.
Just an FYI. Avoid all pulling movements (like curls) before pressing movements. Ideally, you want a day of rest between pulling and pushing. The biceps tendon has a very narrow path through the shoulder. Inflaming the biceps tendon from pulling movements can cause pain when pressing.
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