Treatment options for hypertrophied biceps tendon and chronic shoulder pain.....

[Guest guest]

Ok docs, this is for me

My right proximal biceps tendon is hypertrophied and I have chronic, recurrent

right shoulder pain due to impingement. My shoulder are pretty stable. I have

worked through some functional movement patterns over the last 3 years and have

given it a rest as I become functional. I recently started MMA and whitewater

kayaking again. I train MMA once a week for an hour and am in my kayak for a

couple of hours every other week..... So I'm not overdoing it and I have much

better mobility and stability of my upper quadrant than I have ever had. The

biceps tendon keeps getting inflamed. I can barely lift my arm today, in 3-5

days, it'll be better but I need to fix this.

I am going to try PRP first before any surgical considerations but I want to

figure out what's out there and what works. I am not going to stop MMA or

paddling or anything else that fulfills my mind/body/spirit because life is much

more than not being in pain.

I have tried cold laser, fascial manipulation (I could probably do more of

this), Graston and dry needling. These help for a bit; cold laser and other

therapies have helped to knock back the pain for 1-2 weeks at a time, dry

needling helped for 3 weeks.

Have you had patients who have has success with surgery? What other therapies

should I try? PRP will probably work well and I have thought of doing some

Shockwave therapy if it does not completely fix it. I'd like to have a solid

game plan if these ideas don't completely resolve the issue.

Thanks for the ideas

-Tim Irving DC, MS, LMT

[Guest guest]

Check your cervical curve, atlas and skull relationship. Natural anti-inflammatory like omega-3 (3-4 grams daily). You may also want to try kettlebells using the Skogg system.

   

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-- Treatment options for hypertrophied biceps tendon and chronic shoulder pain.....

Ok docs, this is for me :)My right proximal biceps tendon is hypertrophied and I have chronic, recurrent right shoulder pain due to impingement. My shoulder are pretty stable. I have worked through some functional movement patterns over the last 3 years and have given it a rest as I become functional. I recently started MMA and whitewater kayaking again. I train MMA once a week for an hour and am in my kayak for a couple of hours every other week..... So I'm not overdoing it and I have much better mobility and stability of my upper quadrant than I have ever had. The biceps tendon keeps getting inflamed. I can barely lift my arm today, in 3-5 days, it'll be better but I need to fix this. I am going to try PRP first before any surgical considerations but I want to figure out what's out there and what works. I am not going to stop MMA or paddling or anything else that fulfills my mind/body/spirit because life is much more than not being in pain. I have tried cold laser, fascial manipulation (I could probably do more of this), Graston and dry needling. These help for a bit; cold laser and other therapies have helped to knock back the pain for 1-2 weeks at a time, dry needling helped for 3 weeks. Have you had patients who have has success with surgery? What other therapies should I try? PRP will probably work well and I have thought of doing some Shockwave therapy if it does not completely fix it. I'd like to have a solid game plan if these ideas don't completely resolve the issue. Thanks for the ideas -Tim Irving DC, MS, LMT