RE: Shoulder Operation

[Guest guest]

As some that loves to lift weights and has trained for power lifting

competition; and as someone that has had major hip surgery (not a hip

replacement); and as someone who still trains the deadlift, bench press, and

squat -

and lifts heavy in the deadlift and bench press . . .

1) First you have to heal.

2) Next you have to slowly get your range of motion back - you don't want

to be the tin man.

3) Build back up slowly making sure not to re-injure anything. Do your

rehab and physical therapy right.

4) Just be patient; strength will come back in time. Surgery and recovery

is more mental than physical. People that love the gym get discouraged

when they have to take long rest periods. Patience helps.

Edwin Freeman, Jr.

San Francisco, USA

In a message dated 1/5/2010 2:46:03 A.M. Pacific Standard Time,

nick.tatalias@... writes:

I am due to have an operation on my right shoulder on Monday. The

diagnosis is a tear on the supraspinatus distal attachment to the humorous and

associated oedema, a grade 1 SLAP where the biceps tendon attaches to the

labrum and bone oedema posterior on the humerous consistent with impingement.

I have been advised that at my age 40 they will repair the supraspinatus

tear but won't fix the SLAP as there is a significant chance of loss of a

range of motion and healing is unlikely due to reduced blood supply in the

shoulder joint especially to the labrum. So they will do a clean up of the

SLAP and if the tear and the bicep is really in a bad state cut the bicep

tendon and reattach it to bone as opposed to the labrum (I think this was what

was stated).

I have been having shoulder problems for some years (4 years on and off)

and have got the shoulder better only to re-injure etc. I have done

extensive rehab and work on shoulder stability etc, but seem to re-injure the

shoulder. I did fracture my collar bone in high school and this is slightly

misshapen which may contribute to some problems in the AC joint and

inflammation?

I used to compete in weightlifting, but more recently took up power

lifting as I could no longer snatch. I'm not a marvelous lifter, but do ok. I

did represent South Africa in the IPF world Masters Bench in April 2009. I

re-injured the shoulder just prior to that comp, so didn't have my best day

ever.

I a hoping to come back after rehab from the operation to compete for SA

in a three lift competition.

What I guess I am asking is after the operation, I will have physio

therapy and this should last intensely for 12 weeks? After this I will need to

begin a slow rehab program and what members think I should focus on in

getting the rehab correct so that I can correct any problems and prevent

re-injury and so that I can bring myself back to lifting over the next two

years

etc. I will be seeing biokinetics pracitioners in that time, but I was

wondering what every one on this forum thought.

=========================

[Guest guest]

Nick,

My father had this EXACT thing done 3 years ago. He was a former military man

and amateur, yet competitive, bodybuilder in his prime. He also had an issue

with coracoid " hypertrophy " which was shaved down to increase the clearance for

his biceps tendon. Not sure if you will need this, just adding to the soup. I

helped him ALOT outside of his rehab, but, by the time he had this done he was

54 and no longer active in the sense of weightlifting (he is a shotgun and sport

shooting coach). His recovery may be more typical for " sedentary " 50 somethings

and atypical for someone like yourself BUT, his arm is not the same. He does

have normal range of motion, but it is associated with more stiffness and

weakness than I would prefer...as an ATC.

As an ATC working with college aged baseball players I can say that all things

considered you return as close to performance as you can make yourself. Again,

things aren't always quite the same. I worked with a young man once that

actually had a small (3-5 mm) bit of a surgical drill broken off inside his

humerous that added to his rehab woes.

As you might already know, your success lies largely in returning your ROM as

close to normal (pre-op) and pain free. It can take some time, in my experience

12-18 months is when shoulder pain fully begins to resolve after this type of

surgery. But this is with young, " healthy " , athletes. After that, if I were to

suggest a " big picture " approach to your rehab I would sum it up like

this...strong and balanced! Scaputholaric mechanics will need to be near

perfect and then every muscle surrounding the shoulder complex should be as

strong and balanced as possible.

Sam Brethauer, ATC, CSCS

Lees Summit, MO / Overland Park, KS USA

>

> I am due to have an operation on my right shoulder on Monday. The diagnosis

is a tear on the supraspinatus distal attachment to the humorous and associated

oedema, a grade 1 SLAP where the biceps tendon attaches to the labrum and bone

oedema posterior on the humerous consistent with impingement.

>

> I have been advised that at my age 40 they will repair the supraspinatus tear

but won't fix the SLAP as there is a significant chance of loss of a range of

motion and healing is unlikely due to reduced blood supply in the shoulder joint

especially to the labrum. So they will do a clean up of the SLAP and if the tear

and the bicep is really in a bad state cut the bicep tendon and reattach it to

bone as opposed to the labrum (I think this was what was stated).

>

> I have been having shoulder problems for some years (4 years on and off) and

have got the shoulder better only to re-injure etc. I have done extensive rehab

and work on shoulder stability etc, but seem to re-injure the shoulder. I did

fracture my collar bone in high school and this is slightly misshapen which may

contribute to some problems in the AC joint and inflammation?

>

> I used to compete in weightlifting, but more recently took up power lifting as

I could no longer snatch. I'm not a marvelous lifter, but do ok. I did

represent South Africa in the IPF world Masters Bench in April 2009. I

re-injured the shoulder just prior to that comp, so didn't have my best day

ever.

>

> I a hoping to come back after rehab from the operation to compete for SA in a

three lift competition.

>

> What I guess I am asking is after the operation, I will have physio therapy

and this should last intensely for 12 weeks? After this I will need to begin a

slow rehab program and what members think I should focus on in getting the rehab

correct so that I can correct any problems and prevent re-injury and so that I

can bring myself back to lifting over the next two years etc. I will be seeing

biokinetics pracitioners in that time, but I was wondering what every one on

this forum thought.

>

> Best Regards

> Nick Tatalias

> Johannesburg

> South Africa

>

[Guest guest]

Nick,

My father had this EXACT thing done 3 years ago. He was a former military man

and amateur, yet competitive, bodybuilder in his prime. He also had an issue

with coracoid " hypertrophy " which was shaved down to increase the clearance for

his biceps tendon. Not sure if you will need this, just adding to the soup. I

helped him ALOT outside of his rehab, but, by the time he had this done he was

54 and no longer active in the sense of weightlifting (he is a shotgun and sport

shooting coach). His recovery may be more typical for " sedentary " 50 somethings

and atypical for someone like yourself BUT, his arm is not the same. He does

have normal range of motion, but it is associated with more stiffness and

weakness than I would prefer...as an ATC.

As an ATC working with college aged baseball players I can say that all things

considered you return as close to performance as you can make yourself. Again,

things aren't always quite the same. I worked with a young man once that

actually had a small (3-5 mm) bit of a surgical drill broken off inside his

humerous that added to his rehab woes.

As you might already know, your success lies largely in returning your ROM as

close to normal (pre-op) and pain free. It can take some time, in my experience

12-18 months is when shoulder pain fully begins to resolve after this type of

surgery. But this is with young, " healthy " , athletes. After that, if I were to

suggest a " big picture " approach to your rehab I would sum it up like

this...strong and balanced! Scaputholaric mechanics will need to be near

perfect and then every muscle surrounding the shoulder complex should be as

strong and balanced as possible.

Sam Brethauer, ATC, CSCS

Lees Summit, MO / Overland Park, KS USA

>

> I am due to have an operation on my right shoulder on Monday. The diagnosis

is a tear on the supraspinatus distal attachment to the humorous and associated

oedema, a grade 1 SLAP where the biceps tendon attaches to the labrum and bone

oedema posterior on the humerous consistent with impingement.

>

> I have been advised that at my age 40 they will repair the supraspinatus tear

but won't fix the SLAP as there is a significant chance of loss of a range of

motion and healing is unlikely due to reduced blood supply in the shoulder joint

especially to the labrum. So they will do a clean up of the SLAP and if the tear

and the bicep is really in a bad state cut the bicep tendon and reattach it to

bone as opposed to the labrum (I think this was what was stated).

>

> I have been having shoulder problems for some years (4 years on and off) and

have got the shoulder better only to re-injure etc. I have done extensive rehab

and work on shoulder stability etc, but seem to re-injure the shoulder. I did

fracture my collar bone in high school and this is slightly misshapen which may

contribute to some problems in the AC joint and inflammation?

>

> I used to compete in weightlifting, but more recently took up power lifting as

I could no longer snatch. I'm not a marvelous lifter, but do ok. I did

represent South Africa in the IPF world Masters Bench in April 2009. I

re-injured the shoulder just prior to that comp, so didn't have my best day

ever.

>

> I a hoping to come back after rehab from the operation to compete for SA in a

three lift competition.

>

> What I guess I am asking is after the operation, I will have physio therapy

and this should last intensely for 12 weeks? After this I will need to begin a

slow rehab program and what members think I should focus on in getting the rehab

correct so that I can correct any problems and prevent re-injury and so that I

can bring myself back to lifting over the next two years etc. I will be seeing

biokinetics pracitioners in that time, but I was wondering what every one on

this forum thought.

>

> Best Regards

> Nick Tatalias

> Johannesburg

> South Africa

>

[Guest guest]

That should read " As someone that loves to lift weights . . . "

Edwin Freeman, Jr.

San Francisco, USA

In a message dated 1/5/2010 10:56:48 A.M. Pacific Standard Time,

efreem3407@... writes:

As some that loves to lift weights and has trained for power lifting

competition; and as someone that has had major hip surgery (not a hip

replacement); and as someone who still trains the deadlift, bench press,

and squat -

and lifts heavy in the deadlift and bench press . . .

1) First you have to heal.

2) Next you have to slowly get your range of motion back - you don't want

to be the tin man.

3) Build back up slowly making sure not to re-injure anything. Do your

rehab and physical therapy right.

4) Just be patient; strength will come back in time. Surgery and

recovery

is more mental than physical. People that love the gym get discouraged

when they have to take long rest periods. Patience helps.

Edwin Freeman, Jr.

San Francisco, USA

[Guest guest]

Nick,

good luck with the surgery.  I too had a slap  and a Bankhardt repair about 4

years ago at age 43.  My labrum was torn completely off the scapula from about

2 o'clock to 10 o'clock with a biceps tendon tear.  Although it took pretty

much a full year to get everything back, I was, and am able to overhead press,

bench and pretty much do anything and everything to pre-surgery levels.  I

rehabbed myself, but I was the only one who knew where I wanted to get back

to.  Finding a therapist that understands that you are looking to return to

strength levels far greater than the basic ADL's is imperative, otherwise you

may be better off rehabbing yourself.

I started very slowly, not aggressive at all and by 9 months I was doing

everything in the weight room, in another 3, I was at full strength.  Take your

time so as not to have setbacks.  If you are not in a hurry, you may return to

full strength.  As all injuries are different, be prepared to modify your

activity for a while, maybe forever( I hope not).  You will find exercises that

you can do to maintain good strength and fitness levels.

Lastly, scapular stability exercises were imperative to my regaining full

strength.  I do have pain when I neglect them for several days straight.  But

it subsides almost immediately after these exercises.

Good luck

Mark , MS, ATC, CSCS

Syracuse, NY USA

 

 

From: nicktatalias <nick.tatalias@...>

Subject: Shoulder Operation

Supertraining

Date: Tuesday, January 5, 2010, 4:10 AM

 

I am due to have an operation on my right shoulder on Monday. The diagnosis is a

tear on the supraspinatus distal attachment to the humorous and associated

oedema, a grade 1 SLAP where the biceps tendon attaches to the labrum and bone

oedema posterior on the humerous consistent with impingement.

I have been advised that at my age 40 they will repair the supraspinatus tear

but won't fix the SLAP as there is a significant chance of loss of a range of

motion and healing is unlikely due to reduced blood supply in the shoulder joint

especially to the labrum. So they will do a clean up of the SLAP and if the tear

and the bicep is really in a bad state cut the bicep tendon and reattach it to

bone as opposed to the labrum (I think this was what was stated).

I have been having shoulder problems for some years (4 years on and off) and

have got the shoulder better only to re-injure etc. I have done extensive rehab

and work on shoulder stability etc, but seem to re-injure the shoulder. I did

fracture my collar bone in high school and this is slightly misshapen which may

contribute to some problems in the AC joint and inflammation?

I used to compete in weightlifting, but more recently took up power lifting as I

could no longer snatch. I'm not a marvelous lifter, but do ok. I did represent

South Africa in the IPF world Masters Bench in April 2009. I re-injured the

shoulder just prior to that comp, so didn't have my best day ever.

I a hoping to come back after rehab from the operation to compete for SA in a

three lift competition.

What I guess I am asking is after the operation, I will have physio therapy and

this should last intensely for 12 weeks? After this I will need to begin a slow

rehab program and what members think I should focus on in getting the rehab

correct so that I can correct any problems and prevent re-injury and so that I

can bring myself back to lifting over the next two years etc. I will be seeing

biokinetics pracitioners in that time, but I was wondering what every one on

this forum thought.

Best Regards

Nick Tatalias

Johannesburg

South Africa

[Guest guest]

Nick,

good luck with the surgery.  I too had a slap  and a Bankhardt repair about 4

years ago at age 43.  My labrum was torn completely off the scapula from about

2 o'clock to 10 o'clock with a biceps tendon tear.  Although it took pretty

much a full year to get everything back, I was, and am able to overhead press,

bench and pretty much do anything and everything to pre-surgery levels.  I

rehabbed myself, but I was the only one who knew where I wanted to get back

to.  Finding a therapist that understands that you are looking to return to

strength levels far greater than the basic ADL's is imperative, otherwise you

may be better off rehabbing yourself.

I started very slowly, not aggressive at all and by 9 months I was doing

everything in the weight room, in another 3, I was at full strength.  Take your

time so as not to have setbacks.  If you are not in a hurry, you may return to

full strength.  As all injuries are different, be prepared to modify your

activity for a while, maybe forever( I hope not).  You will find exercises that

you can do to maintain good strength and fitness levels.

Lastly, scapular stability exercises were imperative to my regaining full

strength.  I do have pain when I neglect them for several days straight.  But

it subsides almost immediately after these exercises.

Good luck

Mark , MS, ATC, CSCS

Syracuse, NY USA

 

 

From: nicktatalias <nick.tatalias@...>

Subject: Shoulder Operation

Supertraining

Date: Tuesday, January 5, 2010, 4:10 AM

 

I am due to have an operation on my right shoulder on Monday. The diagnosis is a

tear on the supraspinatus distal attachment to the humorous and associated

oedema, a grade 1 SLAP where the biceps tendon attaches to the labrum and bone

oedema posterior on the humerous consistent with impingement.

I have been advised that at my age 40 they will repair the supraspinatus tear

but won't fix the SLAP as there is a significant chance of loss of a range of

motion and healing is unlikely due to reduced blood supply in the shoulder joint

especially to the labrum. So they will do a clean up of the SLAP and if the tear

and the bicep is really in a bad state cut the bicep tendon and reattach it to

bone as opposed to the labrum (I think this was what was stated).

I have been having shoulder problems for some years (4 years on and off) and

have got the shoulder better only to re-injure etc. I have done extensive rehab

and work on shoulder stability etc, but seem to re-injure the shoulder. I did

fracture my collar bone in high school and this is slightly misshapen which may

contribute to some problems in the AC joint and inflammation?

I used to compete in weightlifting, but more recently took up power lifting as I

could no longer snatch. I'm not a marvelous lifter, but do ok. I did represent

South Africa in the IPF world Masters Bench in April 2009. I re-injured the

shoulder just prior to that comp, so didn't have my best day ever.

I a hoping to come back after rehab from the operation to compete for SA in a

three lift competition.

What I guess I am asking is after the operation, I will have physio therapy and

this should last intensely for 12 weeks? After this I will need to begin a slow

rehab program and what members think I should focus on in getting the rehab

correct so that I can correct any problems and prevent re-injury and so that I

can bring myself back to lifting over the next two years etc. I will be seeing

biokinetics pracitioners in that time, but I was wondering what every one on

this forum thought.

Best Regards

Nick Tatalias

Johannesburg

South Africa

[Guest guest]

Hello Mark,

Would you please elaborate on what specific exercises you included to enhance

and maintain scapular stability?

Thanks.

Dr. Jim Klostergaard

Houston, TX

On 1/5/10 1:26 PM, " Mark " <boogatc02@...> wrote:

Nick,

good luck with the surgery. I too had a slap and a Bankhardt repair about 4

years ago at age 43. My labrum was torn completely off the scapula from about 2

o'clock to 10 o'clock with a biceps tendon tear. Although it took pretty much a

full year to get everything back, I was, and am able to overhead press, bench

and pretty much do anything and everything to pre-surgery levels. I rehabbed

myself, but I was the only one who knew where I wanted to get back to. Finding

a therapist that understands that you are looking to return to strength levels

far greater than the basic ADL's is imperative, otherwise you may be better off

rehabbing yourself.

I started very slowly, not aggressive at all and by 9 months I was doing

everything in the weight room, in another 3, I was at full strength. Take your

time so as not to have setbacks. If you are not in a hurry, you may return to

full strength. As all injuries are different, be prepared to modify your

activity for a while, maybe forever( I hope not). You will find exercises that

you can do to maintain good strength and fitness levels.

Lastly, scapular stability exercises were imperative to my regaining full

strength. I do have pain when I neglect them for several days straight. But it

subsides almost immediately after these exercises.

Good luck

Mark , MS, ATC, CSCS

Syracuse, NY USA

From: nicktatalias <nick.tatalias@...

<mailto:nick.tatalias%40gmail.com><mailto:nick.tatalias%40gmail.com> >

Subject: Shoulder Operation

Supertraining

<mailto:Supertraining%40><mailto:Supertraining%40>

Date: Tuesday, January 5, 2010, 4:10 AM

I am due to have an operation on my right shoulder on Monday. The diagnosis is a

tear on the supraspinatus distal attachment to the humorous and associated

oedema, a grade 1 SLAP where the biceps tendon attaches to the labrum and bone

oedema posterior on the humerous consistent with impingement.

I have been advised that at my age 40 they will repair the supraspinatus tear

but won't fix the SLAP as there is a significant chance of loss of a range of

motion and healing is unlikely due to reduced blood supply in the shoulder joint

especially to the labrum. So they will do a clean up of the SLAP and if the tear

and the bicep is really in a bad state cut the bicep tendon and reattach it to

bone as opposed to the labrum (I think this was what was stated).

I have been having shoulder problems for some years (4 years on and off) and

have got the shoulder better only to re-injure etc. I have done extensive rehab

and work on shoulder stability etc, but seem to re-injure the shoulder. I did

fracture my collar bone in high school and this is slightly misshapen which may

contribute to some problems in the AC joint and inflammation?

I used to compete in weightlifting, but more recently took up power lifting as I

could no longer snatch. I'm not a marvelous lifter, but do ok. I did represent

South Africa in the IPF world Masters Bench in April 2009. I re-injured the

shoulder just prior to that comp, so didn't have my best day ever.

I a hoping to come back after rehab from the operation to compete for SA in a

three lift competition.

What I guess I am asking is after the operation, I will have physio therapy and

this should last intensely for 12 weeks? After this I will need to begin a slow

rehab program and what members think I should focus on in getting the rehab

correct so that I can correct any problems and prevent re-injury and so that I

can bring myself back to lifting over the next two years etc. I will be seeing

biokinetics pracitioners in that time, but I was wondering what every one on

this forum thought.

Best Regards

Nick Tatalias

Johannesburg

South Africa

[Guest guest]

Hello Mark,

Would you please elaborate on what specific exercises you included to enhance

and maintain scapular stability?

Thanks.

Dr. Jim Klostergaard

Houston, TX

On 1/5/10 1:26 PM, " Mark " <boogatc02@...> wrote:

Nick,

good luck with the surgery. I too had a slap and a Bankhardt repair about 4

years ago at age 43. My labrum was torn completely off the scapula from about 2

o'clock to 10 o'clock with a biceps tendon tear. Although it took pretty much a

full year to get everything back, I was, and am able to overhead press, bench

and pretty much do anything and everything to pre-surgery levels. I rehabbed

myself, but I was the only one who knew where I wanted to get back to. Finding

a therapist that understands that you are looking to return to strength levels

far greater than the basic ADL's is imperative, otherwise you may be better off

rehabbing yourself.

I started very slowly, not aggressive at all and by 9 months I was doing

everything in the weight room, in another 3, I was at full strength. Take your

time so as not to have setbacks. If you are not in a hurry, you may return to

full strength. As all injuries are different, be prepared to modify your

activity for a while, maybe forever( I hope not). You will find exercises that

you can do to maintain good strength and fitness levels.

Lastly, scapular stability exercises were imperative to my regaining full

strength. I do have pain when I neglect them for several days straight. But it

subsides almost immediately after these exercises.

Good luck

Mark , MS, ATC, CSCS

Syracuse, NY USA

From: nicktatalias <nick.tatalias@...

<mailto:nick.tatalias%40gmail.com><mailto:nick.tatalias%40gmail.com> >

Subject: Shoulder Operation

Supertraining

<mailto:Supertraining%40><mailto:Supertraining%40>

Date: Tuesday, January 5, 2010, 4:10 AM

I am due to have an operation on my right shoulder on Monday. The diagnosis is a

tear on the supraspinatus distal attachment to the humorous and associated

oedema, a grade 1 SLAP where the biceps tendon attaches to the labrum and bone

oedema posterior on the humerous consistent with impingement.

I have been advised that at my age 40 they will repair the supraspinatus tear

but won't fix the SLAP as there is a significant chance of loss of a range of

motion and healing is unlikely due to reduced blood supply in the shoulder joint

especially to the labrum. So they will do a clean up of the SLAP and if the tear

and the bicep is really in a bad state cut the bicep tendon and reattach it to

bone as opposed to the labrum (I think this was what was stated).

I have been having shoulder problems for some years (4 years on and off) and

have got the shoulder better only to re-injure etc. I have done extensive rehab

and work on shoulder stability etc, but seem to re-injure the shoulder. I did

fracture my collar bone in high school and this is slightly misshapen which may

contribute to some problems in the AC joint and inflammation?

I used to compete in weightlifting, but more recently took up power lifting as I

could no longer snatch. I'm not a marvelous lifter, but do ok. I did represent

South Africa in the IPF world Masters Bench in April 2009. I re-injured the

shoulder just prior to that comp, so didn't have my best day ever.

I a hoping to come back after rehab from the operation to compete for SA in a

three lift competition.

What I guess I am asking is after the operation, I will have physio therapy and

this should last intensely for 12 weeks? After this I will need to begin a slow

rehab program and what members think I should focus on in getting the rehab

correct so that I can correct any problems and prevent re-injury and so that I

can bring myself back to lifting over the next two years etc. I will be seeing

biokinetics pracitioners in that time, but I was wondering what every one on

this forum thought.

Best Regards

Nick Tatalias

Johannesburg

South Africa

[Guest guest]

Hi Rick

Thanks for your response. I will have this conversation again with the

surgeon, but if I recall he explained that it was the simultaneous repair of

the superspinatus and the SLAP that was problematic to range of motion.

Regards

Nick Tatalias

Johannesburg

South Africa

2010/1/5 Rick Huse <rick.huse@...>

>

>

> Nick,

>

> I had a SLAP repair 2 years ago after 5 years of serious shoulder

> issues. Every case is unique but I'm surprised that your doc is not

> going to repair the SLAP. My doc was one of the best shoulder scope guys

> in the country and my repair went fine. In fact, I'm back overhead again

> in Kettlebell competition (one arm snatches, jerks and long cycle) after

> 2 years at age 62.

>

> You might ask your doc about using Platelet Rich Plasma (PRP) to speed

> the healing and the Passive Motion Chair post-op for 2 weeks to help

> regain range of motion prior to starting rehab. The skill and knowledge

> of your physical therapist will go a long way to get you back up and

> lifting. Also Active Release Therapy after your formal rehab will also

> help regain your range of motion.

>

> The pain is a great teacher if we can just turn down the volume of the

> ego. You can get back to some form of strength training again if you're

> patient but it may not be the heavy level you were doing before surgery.

>

> Good luck!

> Rick Huse

> Indianapolis, IN

> CSCS, NSCA-CPT, RKC, CK-FMS & WKC

> www.myintelligentfitness.com <http://www.myintelligentfitness.com/>

>

>

>

[Guest guest]

Hi Edwin

Thanks for responding, I think patience and dedication to rehab is the key.

My training partner who is in his 60's is good at keeping me real and

patient.

Regards

Nick Tatalias

Johanesburg

South Africa

2010/1/5 <efreem3407@...>

>

>

> As some that loves to lift weights and has trained for power lifting

> competition; and as someone that has had major hip surgery (not a hip

> replacement); and as someone who still trains the deadlift, bench press,

> and squat -

> and lifts heavy in the deadlift and bench press . . .

>

> 1) First you have to heal.

> 2) Next you have to slowly get your range of motion back - you don't want

> to be the tin man.

> 3) Build back up slowly making sure not to re-injure anything. Do your

> rehab and physical therapy right.

> 4) Just be patient; strength will come back in time. Surgery and recovery

> is more mental than physical. People that love the gym get discouraged

> when they have to take long rest periods. Patience helps.

>

> Edwin Freeman, Jr.

> San Francisco, USA

>

>

> In a message dated 1/5/2010 2:46:03 A.M. Pacific Standard Time,

> nick.tatalias@... <nick.tatalias%40gmail.com> writes:

>

> I am due to have an operation on my right shoulder on Monday. The

> diagnosis is a tear on the supraspinatus distal attachment to the humorous

> and

> associated oedema, a grade 1 SLAP where the biceps tendon attaches to the

> labrum and bone oedema posterior on the humerous consistent with

> impingement.

>

> I have been advised that at my age 40 they will repair the supraspinatus

> tear but won't fix the SLAP as there is a significant chance of loss of a

> range of motion and healing is unlikely due to reduced blood supply in the

> shoulder joint especially to the labrum. So they will do a clean up of the

> SLAP and if the tear and the bicep is really in a bad state cut the bicep

> tendon and reattach it to bone as opposed to the labrum (I think this was

> what

> was stated).

>

> I have been having shoulder problems for some years (4 years on and off)

> and have got the shoulder better only to re-injure etc. I have done

> extensive rehab and work on shoulder stability etc, but seem to re-injure

> the

> shoulder. I did fracture my collar bone in high school and this is slightly

>

> misshapen which may contribute to some problems in the AC joint and

> inflammation?

>

> I used to compete in weightlifting, but more recently took up power

> lifting as I could no longer snatch. I'm not a marvelous lifter, but do ok.

> I

> did represent South Africa in the IPF world Masters Bench in April 2009. I

> re-injured the shoulder just prior to that comp, so didn't have my best day

>

> ever.

>

> I a hoping to come back after rehab from the operation to compete for SA

> in a three lift competition.

>

> What I guess I am asking is after the operation, I will have physio

> therapy and this should last intensely for 12 weeks? After this I will need

> to

> begin a slow rehab program and what members think I should focus on in

> getting the rehab correct so that I can correct any problems and prevent

> re-injury and so that I can bring myself back to lifting over the next two

> years

> etc. I will be seeing biokinetics pracitioners in that time, but I was

> wondering what every one on this forum thought.

>

> =========================

>

>

>

[Guest guest]

Hi Jim,

2 exercises that literally put me over the top on getting back to full

weightlifting activities were Band Pull Aparts (thanks to EliteFTS and Westside

Barbell) and push up plus(a straight arm push up)

I felt pretty good before I started doing those 2 exercises, within 2 weeks of

starting them, any residual pain or feeling of instability was gone.  I have

prescribed these exercises with my professional hockey players with shoulder

instabilities, almost every one benefitted greatly from them. 

Another note- I did very little to no " rotatator cuff " work in my rehab.

These 2 exercises are part of my lifting routine almost daily, and my shoulder

lets me know if I neglect these exercises.

Mark , MS, ATC, CSCS

Syracuse, NY USA

From: Klostergaard,Jim <jkloster@...>

Subject: Re: Shoulder Operation

" Supertraining " <Supertraining >

Date: Tuesday, January 5, 2010, 2:47 PM

Hello Mark,

Would you please elaborate on what specific exercises you included to enhance

and maintain scapular stability?

==============================

[Guest guest]

A lot of people neglect the rear shoulder and smaller upper back muscles

don't they? I visited my sports medicine physician about 8 years ago with

shoulder pain. He told me to do scapular and rear delt strengthening

movements such as bent over rear delt laterals, low pulley rowing - really

squeezing the shoulder blades together. Since then I have had little to no

shoulder pain. If those muscles in my rear shoulder, smaller upper back

muscles

get weak then I have shoulder pain.

Edwin Freeman, Jr.

San Francisco, USA

In a message dated 1/6/2010 4:50:59 A.M. Pacific Standard Time,

boogatc02@... writes:

Hi Jim,

2 exercises that literally put me over the top on getting back to full

weightlifting activities were Band Pull Aparts (thanks to EliteFTS and

Westside Barbell) and push up plus(a straight arm push up)

I felt pretty good before I started doing those 2 exercises, within 2

weeks of starting them, any residual pain or feeling of instability was gone.

I have prescribed these exercises with my professional hockey players with

shoulder instabilities, almost every one benefitted greatly from them.

Another note- I did very little to no " rotatator cuff " work in my rehab.

These 2 exercises are part of my lifting routine almost daily, and my

shoulder lets me know if I neglect these exercises.

Mark , MS, ATC, CSCS

Syracuse, NY USA

[Guest guest]

Mark what is a straight arm push-up and what size band for the pull-aparts?

Beckwith

CSCS,USAW club,Crossfit

City? Country?

Re: Shoulder Operation

Hi Jim,

2 exercises that literally put me over the top on getting back to full

weightlifting activities were Band Pull Aparts (thanks to EliteFTS and Westside

Barbell) and push up plus(a straight arm push up)

I felt pretty good before I started doing those 2 exercises, within 2 weeks of

starting them, any residual pain or feeling of instability was gone.  I have

prescribed these exercises with my professional hockey players with shoulder

instabilities, almost every one benefitted greatly from them. 

Another note- I did very little to no " rotatator cuff " work in my rehab.

These 2 exercises are part of my lifting routine almost daily, and my shoulder

lets me know if I neglect these exercises.

============================

[Guest guest]

,

The straight arm push up- it's often referred to as a " push up plus "  

basically, keep arms straight and let the chest sink towards the floor.  You

get a feeling of the shoulder blades pulling and trying to touch each other. 

As far as band tension, not super strong, the arms should remain straight, palms

face each other(thumbs up)  I use a JumpStretch mini band, but a micro mini

would be good.  Perform Better also has smaller loop bands w/ rubber handles

which work real well.

As Edwin points out- rear delt work, rows and other upper back/ posterior

shoulder work are of great benefit.  The two I described are my go to

exercises, but there are many others that will achieve the desired result. 

T's, Y's, W's with a light dumbell or weight plate are also very effective for

developing scapular stability.

Mark , MS, ATC, CSCS

Syracuse, NY

From: paul beckwith <pbeck53@...>

Subject: Re: Shoulder Operation

Supertraining

Date: Wednesday, January 6, 2010, 8:08 AM

Mark what is a straight arm push-up and what size band for the

pull-aparts?

Beckwith

CSCS,USAW club,Crossfit

City? Country?

Re: Shoulder Operation

Hi Jim,

2 exercises that literally put me over the top on getting back to full

weightlifting activities were Band Pull Aparts (thanks to EliteFTS and Westside

Barbell) and push up plus(a straight arm push up)

I felt pretty good before I started doing those 2 exercises, within 2 weeks of

starting them, any residual pain or feeling of instability was gone.  I have

prescribed these exercises with my professional hockey players with shoulder

instabilities, almost every one benefitted greatly from them. 

Another note- I did very little to no " rotatator cuff " work in my rehab.

These 2 exercises are part of my lifting routine almost daily, and my shoulder

lets me know if I neglect these exercises.

============ ========= =======

[Guest guest]

Apropos the recent discussions concerning shoulder rehab, and assuming we are

permitted to cite YouTube, here is a very helpful, albeit a tad long,

presentation that includes the straight-arm pushup and band pull-aparts.

http://www.youtube.com/watch?v=A0ONHZmsFec & feature=fvw

Dr. Jim Klostergaard

Houston, TX

[Guest guest]

Todd Ellenbecker has done a lot of great stuff on shoulder rehab including

RTC strengthening, Scapular stabilization and trunk strengthening.

Phil Caraher DPT, MS, CSCS

City? Country?

_____

From: Supertraining [mailto:Supertraining ]

On Behalf Of Mark

Sent: Thursday, January 07, 2010 10:04 AM

Supertraining

Subject: Re: Shoulder Operation

,

The straight arm push up- it's often referred to as a " push up plus "

basically, keep arms straight and let the chest sink towards the floor. You

get a feeling of the shoulder blades pulling and trying to touch each other.

As far as band tension, not super strong, the arms should remain straight,

palms face each other(thumbs up) I use a JumpStretch mini band, but a micro

mini would be good. Perform Better also has smaller loop bands w/ rubber

handles which work real well.

As Edwin points out- rear delt work, rows and other upper back/ posterior

shoulder work are of great benefit. The two I described are my go to

exercises, but there are many others that will achieve the desired result.

T's, Y's, W's with a light dumbell or weight plate are also very effective

for developing scapular stability.

Mark , MS, ATC, CSCS

Syracuse, NY

From: paul beckwith <pbeck53 (DOT) <mailto:pbeck53%40> com>

Subject: Re: Shoulder Operation

Supertraining@ <mailto:Supertraining%40>

Date: Wednesday, January 6, 2010, 8:08 AM

Mark what is a straight arm push-up and what size band for the pull-aparts?

Beckwith

CSCS,USAW club,Crossfit

City? Country?

Re: Shoulder Operation

Hi Jim,

2 exercises that literally put me over the top on getting back to full

weightlifting activities were Band Pull Aparts (thanks to EliteFTS and

Westside Barbell) and push up plus(a straight arm push up)

I felt pretty good before I started doing those 2 exercises, within 2 weeks

of starting them, any residual pain or feeling of instability was gone. I

have prescribed these exercises with my professional hockey players with

shoulder instabilities, almost every one benefitted greatly from them.

Another note- I did very little to no " rotatator cuff " work in my rehab.

These 2 exercises are part of my lifting routine almost daily, and my

shoulder lets me know if I neglect these exercises.

============ ========= =======

[Guest guest]

This link is to a good article on SLAP lesions and rehabilitation of the

S.I.C.K scapula.

http://orthodoc.aaos.org/sonMD/SLAPiii.pdf

My take-away for the exercise and rehab community from the article and one

of the author's (Ben Kibler) other work is find the biomechanical breakdown

for that individual. The SICK acronym refers to S - scapular malposition, I

- prominence of the inferior medial angle of the scapulae, C - coracoid

process pain and malposition, and K - scapular dyskinesis. Most SLAPs

involve a loss of internal glenohumeral rotation as well, so as we must

improve scapular mechanics while stretching the posterior capsule and/or

external rotators.

Callister DC CSCS

San Francisco CA

On Sun, Jan 10, 2010 at 6:50 PM, Phil Caraher <pcaraher1@...> wrote:

>

>

> Todd Ellenbecker has done a lot of great stuff on shoulder rehab including

> RTC strengthening, Scapular stabilization and trunk strengthening.

>

> Phil Caraher DPT, MS, CSCS

> City? Country?

>

> _____

>

> From: Supertraining <Supertraining%40>[mailto:

> Supertraining <Supertraining%40>]

> On Behalf Of Mark

> Sent: Thursday, January 07, 2010 10:04 AM

>

> Supertraining <Supertraining%40>

> Subject: Re: Shoulder Operation

>

> ,

> The straight arm push up- it's often referred to as a " push up plus "

> basically, keep arms straight and let the chest sink towards the floor. You

> get a feeling of the shoulder blades pulling and trying to touch each

> other.

> As far as band tension, not super strong, the arms should remain straight,

> palms face each other(thumbs up) I use a JumpStretch mini band, but a micro

> mini would be good. Perform Better also has smaller loop bands w/ rubber

> handles which work real well.

> As Edwin points out- rear delt work, rows and other upper back/ posterior

> shoulder work are of great benefit. The two I described are my go to

> exercises, but there are many others that will achieve the desired result.

> T's, Y's, W's with a light dumbell or weight plate are also very effective

> for developing scapular stability.

>

> Mark , MS, ATC, CSCS

> Syracuse, NY

>

>

>

> From: paul beckwith <pbeck53 (DOT)

<mailto:pbeck53%40<pbeck53%2540>>

> com>

>

> Subject: Re: Shoulder Operation

> Supertraining@

<mailto:Supertraining%40<Supertraining%2540>>

>

>

> Date: Wednesday, January 6, 2010, 8:08 AM

>

> Mark what is a straight arm push-up and what size band for the pull-aparts?

>

> Beckwith

>

> CSCS,USAW club,Crossfit

>

> City? Country?

>

> Re: Shoulder Operation

>

> Hi Jim,

>

> 2 exercises that literally put me over the top on getting back to full

> weightlifting activities were Band Pull Aparts (thanks to EliteFTS and

> Westside Barbell) and push up plus(a straight arm push up)

>

> I felt pretty good before I started doing those 2 exercises, within 2 weeks

> of starting them, any residual pain or feeling of instability was gone. I

> have prescribed these exercises with my professional hockey players with

> shoulder instabilities, almost every one benefitted greatly from them.

>

> Another note- I did very little to no " rotatator cuff " work in my rehab.

>

> These 2 exercises are part of my lifting routine almost daily, and my

> shoulder lets me know if I neglect these exercises.

>

> ============ ========= =======

>

>

>