Torn bicep - advice needed!

[T40ORA]

996 sps said:

I personally would just wait for the MRI, that'll be your gold standard diagnosis, then they'll plan your treatment accordingly.

Do you mean physiotherapy treatments, or consider surgery? I only ask as my Consultant seems to have dismissed the knife out of hand. He said that he could be argued into it, but sees absolutely no point.

[Liokault]

T40ORA said:

996 sps said:

I personally would just wait for the MRI, that'll be your gold standard diagnosis, then they'll plan your treatment accordingly.

Do you mean physiotherapy treatments, or consider surgery? I only ask as my Consultant seems to have dismissed the knife out of hand. He said that he could be argued into it, but sees absolutely no point.

I think thats what they do now. I saw 3 doctors because I really thought I would see a huge lose of utility in my arm, all three really resisted my insistance that I have the tendon reattached.

What swung it for me in the end was talking to the surgeon who would do the op. He said he would do it if I really wanted it done, but that there was a huge risk of it lettibg go again, getting infected (aparently about 10% get infected (or some such, it was a while ago now)) and the huge recovery time with the arm totally imobile.

He also quoted lots of cases where similar injurys went un rectified and the guys carried on as normal. Some of the cases he quoted were of active firemen etc etc.


Over all I'm glad I didnt have the op to reatatch, it really dosent detract from life, strength loss is unnoticable.

[T40ORA]

Liokault said:

I think thats what they do now. I saw 3 doctors because I really thought I would see a huge lose of utility in my arm, all three really resisted my insistance that I have the tendon reattached.

What swung it for me in the end was talking to the surgeon who would do the op. He said he would do it if I really wanted it done, but that there was a huge risk of it lettibg go again, getting infected (aparently about 10% get infected (or some such, it was a while ago now)) and the huge recovery time with the arm totally imobile.

He also quoted lots of cases where similar injurys went un rectified and the guys carried on as normal. Some of the cases he quoted were of active firemen etc etc.


Over all I'm glad I didnt have the op to reatatch, it really dosent detract from life, strength loss is unnoticable.

Well, I think I am coming to terms with living with it as-is. I have seen a chiropractor who can't add much value to this part of the proceedings but has banned me from any upper body work until (a) he sees the results of the ultrasound, and (b) he has started work on me.

Apparently my shoulder movements are FUBAR, making my scapula wobble all over the place. I'm sure there is a technical term but that is the gist of it. So I have to work on fixing the scapulas in place. I'm engaging all the wrong muscles, so buggering with the position of the rotator cuff. Again technical terms apply!

Anyhow, looks like I will remain as Mr. Monocep and have a fair bit of corrective work to do to prevent continued damage to rotator cuffs and tendons.

Note to self: a gung ho attitude to working through pain is not necessarily the best thing to do..... Bit late, but there it is. I wonder if I would have listeneed to that advice 30, or even 20, years ago?

[LordGrover]

Did you contact Bill?
Clearly, he can't work miracles nor instantaneously fix what's broke from afar, but he's a decent chap that likes beer and a good curry.

[996 sps]

T40ORA said:

Well, I think I am coming to terms with living with it as-is. I have seen a chiropractor who can't add much value to this part of the proceedings but has banned me from any upper body work until (a) he sees the results of the ultrasound, and (b) he has started work on me.

Apparently my shoulder movements are FUBAR, making my scapula wobble all over the place. I'm sure there is a technical term but that is the gist of it. So I have to work on fixing the scapulas in place. I'm engaging all the wrong muscles, so buggering with the position of the rotator cuff. Again technical terms apply!

Anyhow, looks like I will remain as Mr. Monocep and have a fair bit of corrective work to do to prevent continued damage to rotator cuffs and tendons.

Note to self: a gung ho attitude to working through pain is not necessarily the best thing to do..... Bit late, but there it is. I wonder if I would have listeneed to that advice 30, or even 20, years ago?

Why are you seeing a chriopractor and not a sports physio? He would have told you that you lack scapula control need to do basic scapula setting exercises and there is also some scapula winging going on, sound about right?

Its par for the course and I've no doubt you do but see a sports physio who's good, no offence to anyone on these forums but a decent assessement comes from someone who able to see whats going on.

See a physio, going back to your question about Service personnel and regards treatment it would just be an assessment of their function after an MRI scan (once they decided no surgery), then they'd a 3 week intensive rehab course, scapula setting, hydro, indivdual programme etc.

[T40ORA]

Lordgrover; I haven't yet. I just tried to though, from the phone, and think that I may have managed to send just an empty email! I will try when at a laptop.

996, that is a good question. To be honest I am not 100% aware of the difference. I did see a physio when I first had my shoulder operations back in 2010 and she did get me doing the scapula setting exercises - but, she didn't stress how important they were and how long I should do them for. The guy I have just visited is part of a practice that looks after Bournemouth FC and he works alongside a physiotherapist, also looking after the footballers.

I am assuming professional integrity here, I know, but I would think that the chiro will hand me on to the physio, his partner, if appropriate.

What do you think? What would be the main benefit of a physio compared to a chiro in fixing the scapula and correcting shoulder movement?

[LordGrover]

A physiotherapist is a recognised profession which requires certification.
I could open a surgery or clinic tomorrow and call myself a chiropractor or osteopath. A bit like a dietician vs nutritionist.

ETA. Got that wrong. It is regulated but a physio is still the 'more' qualified and regulated.

Edited by LordGrover on Wednesday 17th October 08:14

[996 sps]

T40ORA said:

Lordgrover; I haven't yet. I just tried to though, from the phone, and think that I may have managed to send just an empty email! I will try when at a laptop.

996, that is a good question. To be honest I am not 100% aware of the difference. I did see a physio when I first had my shoulder operations back in 2010 and she did get me doing the scapula setting exercises - but, she didn't stress how important they were and how long I should do them for. The guy I have just visited is part of a practice that looks after Bournemouth FC and he works alongside a physiotherapist, also looking after the footballers.

I am assuming professional integrity here, I know, but I would think that the chiro will hand me on to the physio, his partner, if appropriate.

What do you think? What would be the main benefit of a physio compared to a chiro in fixing the scapula and correcting shoulder movement?

Landgrover's right the range of qualification is very different, don't presume professional integrity its all about the monies with these people, i'll admit he could still be outstanding at his job but hey you sound like your into your phys, then in my opinion see a subject matter expert, for me that would be a top notch sports physio or sports therapist, with the sports therapist i'd want him BaSRAT approved as well.

[T40ORA]

Interesting replies, thanks. These guys come highly recommended and as I say deal with professional footballers; Bournemouth FC and one is ex Millwall). The physio is also well qualified according to their website, but I see what you mean about the level of chiro qualification.

I have an appointment on Monday, and I will consider what to do before then. I think that maybe I am a very trusting soul, although with my body perhaps I should be less so!

[Bill]

LordGrover said:

but he's a decent chap that likes beer and a good curry.

It'd be nice to be known for my professionalism and ability, but I'll settle for this

T40ORA said:

Lordgrover; I haven't yet. I just tried to though, from the phone, and think that I may have managed to send just an empty email! I will try when at a laptop.

I wondered what that was about Just seen your other email so I'll reply later when i've got a moment.

[T40ORA]

Make it a GOOD beer, and a good curry and that beats professionalism hands down.....

[Bill]

Just trying to reply now.