- Joined
- Jul 17, 2007
- Messages
- 481
Hello all, I am asking for the more knowledgeable bros and any who have gone through similar issues with their shoulders to share their experience and what has or has not worked.
History : I injured it in 2012 while bodyslamming my son. (I won the belt for all interested. LOL). There was no discoloration or issues at the time. Just soreness. A week off the gym and everything was good. Fast forward to 2018 and there is a "pull/tightness" type feeling when I do certain movements. Overhead presses, internal/external rotation, etc. I eliminate those movements and everything is fine. But the slightly reduced range of motion worries me. I have an MRI and the doctor says my labrum is "slightly torn". But since it requires two surgeries, if I am not in pain to just put it off. Going into 2020 when all the gyms were shut down and I was inactive from heavy training, apparently the arthritis set in. In 2021 back in the gym, my range of motion was even more limited. I could not rotate my arm back far enough to hold the bar during squats. Even on Smith machine. And front squats was out of the picture because the area the bar set on in front was painful. That was the only time I had pain.
In November, my ortho suggested I start PT. So I did. 18 sessions. The range of movement greatly increased for lateral raises (40% to 90%), front raises, and my shoulder strength tests (where he has you push on his hands or try to keep him from pulling your hands away) improved. But very very little in terms of internal/external rotation. I still do the PT exercises at the gym twice a week for 60 minutes a session. And I do stretches designed to hit the rotation issue as well 3x a week. (Same days as PT and then one on it's on)
So I had an MRI. These are the results. Now keep in mind I do not have any pain. I sleep good. I have no sharp, nagging, dull, etc pain in the area. Unless I do a movement like reaching for my wallet in my back pocket. All these years, there has never really been any pain. Just a little sharpness during heavy training and limited motion.
At this point I have three options :
1 - Protein Rich Plasma
2 - Stem cells
3 - Gel shots (but have to go outside the US and get the RX filled for the hyaluronic acid.
Can anyone offer any insight or what they may have had done? Thank you so much. I really do appreciate it.
-------- FINAL REPORT --------
Technique: MR SHOULDER WO CONTRAST LEFT
Comparison: None.
Findings:There is moderate thickening and tendinosis of the distal supraspinatus and infraspinatus tendons. No evidence of a high-grade or full-thickness tendon tear.Normal teres minor muscle tendon unit.There is moderate distal subscapularis tendinosis without tear.Normal intracapsular and extracapsular segments of the long bicipital tendon.There is degeneration and degenerative tearing of both the superior and inferior glenoid labrum. Thickened high insertion of the anterior band of the inferior glenohumeral ligament. Normal axillary recess.No infiltrative marrow lesions or fractures.There is advanced degenerative osteoarthritis of the glenohumeral joint. There is near bone-on-bone joint space narrowing with extensive grade 4 full-thickness chondral loss. There is chronic osseous remodeling of the humeral head and glenoid with areas of reactive bone marrow edema and predominant inferior glenohumeral osteophytes (series 802 images 10-15).There is mild acromioclavicular joint arthrosis. Normal acromion morphology, without evidence of an os acromiale.There is a physiologic amount of joint fluid. No evidence of subacromial subdeltoid bursitis.Normal periarticular muscular signal intensity. There are no soft tissue masses.
History : I injured it in 2012 while bodyslamming my son. (I won the belt for all interested. LOL). There was no discoloration or issues at the time. Just soreness. A week off the gym and everything was good. Fast forward to 2018 and there is a "pull/tightness" type feeling when I do certain movements. Overhead presses, internal/external rotation, etc. I eliminate those movements and everything is fine. But the slightly reduced range of motion worries me. I have an MRI and the doctor says my labrum is "slightly torn". But since it requires two surgeries, if I am not in pain to just put it off. Going into 2020 when all the gyms were shut down and I was inactive from heavy training, apparently the arthritis set in. In 2021 back in the gym, my range of motion was even more limited. I could not rotate my arm back far enough to hold the bar during squats. Even on Smith machine. And front squats was out of the picture because the area the bar set on in front was painful. That was the only time I had pain.
In November, my ortho suggested I start PT. So I did. 18 sessions. The range of movement greatly increased for lateral raises (40% to 90%), front raises, and my shoulder strength tests (where he has you push on his hands or try to keep him from pulling your hands away) improved. But very very little in terms of internal/external rotation. I still do the PT exercises at the gym twice a week for 60 minutes a session. And I do stretches designed to hit the rotation issue as well 3x a week. (Same days as PT and then one on it's on)
So I had an MRI. These are the results. Now keep in mind I do not have any pain. I sleep good. I have no sharp, nagging, dull, etc pain in the area. Unless I do a movement like reaching for my wallet in my back pocket. All these years, there has never really been any pain. Just a little sharpness during heavy training and limited motion.
At this point I have three options :
1 - Protein Rich Plasma
2 - Stem cells
3 - Gel shots (but have to go outside the US and get the RX filled for the hyaluronic acid.
Can anyone offer any insight or what they may have had done? Thank you so much. I really do appreciate it.
Impression
Impression:No evidence of a high-grade or full-thickness rotator cuff tear. Advanced degenerative osteoarthritis of the glenohumeral joint secondary to near bone-on-bone joint space narrowing with diffuse grade 4 full-thickness chondral loss, chronic osseous remodeling and osteophytes. Degenerative tearing of the glenoid labrum.Mild acromioclavicular joint arthrosis-------- FINAL REPORT --------
Narrative
History: Impingement.Technique: MR SHOULDER WO CONTRAST LEFT
Comparison: None.
Findings:There is moderate thickening and tendinosis of the distal supraspinatus and infraspinatus tendons. No evidence of a high-grade or full-thickness tendon tear.Normal teres minor muscle tendon unit.There is moderate distal subscapularis tendinosis without tear.Normal intracapsular and extracapsular segments of the long bicipital tendon.There is degeneration and degenerative tearing of both the superior and inferior glenoid labrum. Thickened high insertion of the anterior band of the inferior glenohumeral ligament. Normal axillary recess.No infiltrative marrow lesions or fractures.There is advanced degenerative osteoarthritis of the glenohumeral joint. There is near bone-on-bone joint space narrowing with extensive grade 4 full-thickness chondral loss. There is chronic osseous remodeling of the humeral head and glenoid with areas of reactive bone marrow edema and predominant inferior glenohumeral osteophytes (series 802 images 10-15).There is mild acromioclavicular joint arthrosis. Normal acromion morphology, without evidence of an os acromiale.There is a physiologic amount of joint fluid. No evidence of subacromial subdeltoid bursitis.Normal periarticular muscular signal intensity. There are no soft tissue masses.
