Biceps tenodesis

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Topic Title: Biceps tenodesis
Created On: 07/23/2010 09:58 AM

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 01/12/2011 12:53 PM

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voltson

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My wife had bicep tenodesis surgery at the beginning of December (2010), which means it has been 6 weeks. Her pain is not subsiding. She has said that her pain level is greater now than it was 2 weeks ago. We have 2 small children, and it is nearly impossible for her to not help with them. I am trying to get a feel for the range of recovery (specifically from pain) that people have had. Her surgeon lead her to believe that there wouldn't be much pain after 6 weeks, and that all that would be left was physical therapy.

So, my questions are: Is there anyone out there that had pain after 6 weeks post-op? If so, do you know why you had prolonged pain? Was it related to the quality of surgery? Was it because you weren't able to keep your arm mobilized?

Any information would be helpful.
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 11/21/2010 01:53 PM

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annetennis

Posts: 165

Agreed! This new website is worse in SOOO many way! "Talk" soon...
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 11/21/2010 10:47 AM

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JuliePC

Posts: 640

i will email you! I liked the old website better! julie
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 11/20/2010 11:33 PM

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annetennis

Posts: 165

I did not get it. I never did figure out where to send or receive pm's with the new website, and even asked, but never got an answer - sorry....
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 11/20/2010 09:06 PM

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JuliePC

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Anne, I sent you a private message - - with the new website, not sure it was sent...did you receive it? julie
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 11/17/2010 06:28 PM

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annetennis

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Julie,
Glad to hear that you're all still hanging in!
I was away, mostly working tennis tourneys (not playing) for much of the fall, so haven't been able to play enough. Ironically, I went to see a PT to try to get a new shoulder strengthening program, and was told my shoulder was frozen - I didn't buy that and found someone else.... ROM isn't perfect, but is good, and great given 5 surgeries, so go figure! Anyway, plugging away with new exercises, and seeing no evidence of freezing...
Otherwise, will be teaching again starting in January - looking forward to it!
But we still need to get together, eh? I was out your way today - played tennis in Waltham this morning. I'm pretty much around until January, so let me know if something works for you (and Carol).
In the meantime, good luck with the next round - it WILL end sometime, hopefully sooner rather than later.

And happy Turkey Day to all!

-Anne
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 11/17/2010 08:21 AM

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JuliePC

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Anne,it's been a LONG TIME!! How are you?? Laura, Leanne, Carol, and I have been staying in touch on our computers. I think we're all hanging in there......I'm still struggling with shoulders and elbows. Am having ulnar transposition on left end of December, along with work on my left thumb that has a VERY loose MP joint. Has bothered me for years, and all conservative treatments have not worked. So, both will be done at the same time. Still working on strength in PT for both shoulders. That's the short version of my story! How are your shoulders? Are you working? Playing tennis?Fill us in! Julie
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 11/15/2010 10:50 AM

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annetennis

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Y'all have been very quiet lately! How's everyone doing???
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 10/01/2010 09:32 AM

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JuliePC

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trying to figure out why left shoulder abduction even below 90 degrees is so painful. Successful DCR and biceps tenodesis back in January, although the progress has been slow. But wish my PT would acknowledge that this really hurts and maybe there's a reason beyond just weakness??sorry, not much more to post right now. Right elbow - -still trying to stretch scar tissue to give me back ROM and less ulnar symptoms. Scar tissue doesn't realize it's not supposed to wrap itself around the nerve!! Making slow progress there, but at least moving in the right direction. just taking a while.Back to LEFT shoulder though, I am afraid....IF someone would just HEAR ME! julie
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 09/29/2010 11:25 PM

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grutzal

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Hi Y'all,

Just a quick update, it is really funny how things take a back burner, when you are hurting some where else, my back has been soo bad that i completely forgot about my shoulder and wrist util two days ago when I awoke at 2am with my right shoulderhurting so bad I even forgot it could hurt that bad, havent noticed it or complaind about it for so long, it was weird, well its been a month since the herination occured and I will tel you it has been one long month in and out of the doc's office chiropractor, pt, and yesterday the injection, finally, I am about 50percent better today and they say by friday I will feel even better, I was excited to put my own sock on this morning something I could not do for two weeks. I had one painkiler in the last 36 hours doing great, two weeks and I get round two of th injections and hope fully I can expect 90 percent , the herination was very bad that it not only effected l4l5 space that it hooked down to effect the l5 and s1 nerves, . I cant wait to get this ast me, now on to pt, and strengthening every thing I guess.

Hope you all are doing well? Lets catch up
Happy Fall
Laura


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God's Blessings,
Laura
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 09/17/2010 09:01 AM

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JuliePC

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Leanne, I hope the high dose of B12 and iron help. Shots are NO fun! Good info to know though when you go in for your next surgery!!
Did you get the report on your skin biopsy?? I assume it was FINE!!
PT did not go so well yesterday. It's kind of funny (though not really) that I've been saying I have more discomfort in my left shoulder than normal....tightening up.....stretching irritates it more.......over and over again.......joint seems to be ok, but pain is still there. So yesterday was supposed to be an "elbow day"....but even so, my PT checks my left shoulder anyway, just because. So, yesterday was "different". Shoulder obviously tighter. So now there's the concern! Finally! I've been saying this all along, but NO ONE would listen. When I stretch, I am SO sore afterwards, like there is a tear in the cuff. BUT I brought this to the attention of my OS at my last visit, and he just said shoulder is weak, but he didn't see a tear when he was in there. But that was months and months ago! Looks like I won't win this one! Yesterday, I finally gave in to taking some pain meds....only advil, since i had to drive, but could have used more. Well, today I'm back at PT again, so I'm going to bring it up again. Why does an OS assume that there is no problem NOW since there wasn't one 8 months prior? So what it comes down to is...my elbow is symptomatic in a big way. PT thinks ok - - tight shoulder (muscle), using upper traps too much, weak cuff in several places - - taking it out on the nerve, so it's traveling to my elbow. OK - - so now what?? I'm already thinking my ulnar nerve will have to be moved and medial epicondyle cleaned up (luckily both are accessible in one surgery!) So, back to PT 3X week (2 elbow, 1 shoulder).
Have a good weekend everyone! Enjoy the cooler fall weather we are having. Julie


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 09/17/2010 12:13 AM

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leanne13304

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currently I am on high doses of B12 and iron supplements and I'll have blood levels check again on sept. 27th when i see the hematologist again.we're hoping that just taking the supplements will bring it back up again, otherwise, B12 shots for a while. from what i understand, all anesthesiologists use nitrous oxide as part of the anesthetic but the concentrations are different depending on the person. i guess this time i got too much. i'm not sure at which point they use the nitrous, i'm guessing at the beginning? i remember the same as you. i always wonder how many times they say your name before waking up after.

glad the biceps is no longer an issue, but keep working at stabilizing that shoulder. last thing you want is to start dislocating. it's so tedious and annoying at the same time. seems never ending.

cool here too, leaves are also changing. feels very much like fall and i love it, ready for summer to be over. looking forward to winter and getting back on the ski hill. anyways, off to bed, update more soon.


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Leanne
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 09/16/2010 09:14 AM

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JuliePC

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Leanne, This is ALL very interesting!! What are you doing to overcome this deficiency? I assume this can all be fixed easily?? I wasn't even aware they use nitrous oxide as part of the general. I've had 10 general anesthesias and 1 nerve block in 3.5 years. I only remember a couple of times getting the mask before going out. typically they've put "stuff" in my IV and I really remember very little after that. It relaxed me to the point of not really caring what has happening....and then the next thing i remember is waking up in recovery. Even when I had the mask, it knocked me out in seconds. Do they only use nitrous oxide in the mask? And it sounds like maybe you got too much?Hmmm......interesting, indeed! Well, I am hanging in there. Me and my scar tissue, that is! Have quite a bit in my elbow now. PT trying to stretch it all out. VERY painful. The ulnar nerve is being "strangled" by the scar tissue, thus when my PT tries to work it free, the symptoms in my pinky finger and ring finger are unbelievably painful. He's working it slowly (or so he says). If that's slowly, I'd hate to think what aggressive would be. Can't go too far too fast or there could be damage to the ulnar. Wasn't the whole purpose of the ulnar transposition to move the nerve out of the way so it won't bother me? Well, once we release the scar tissue, that should be the case. Still quite numb at the surface of the elbow - - will take quite a while to get that feeling back, I am told. Left shoulder is still not great - - NO biceps problems anymore , but the ball/socket are rather loose and therefore still clunk around alot.My lower traps really won't contribute anything much, so upper traps do the work, thus causing more muscle tension. Trying to strengthen cuff muscles big time. That's the only way the ball will move in the socket CORRECTLY. Some muscles are strong, others weak, thus there's an imbalance of the way the ball moves. I'm still better off than before my surgery (biceps tenodesis and DCR). Just gotta work on the strength aspect......and hopefully there will be less of an aggravated shoulder! Problem is - - -incorrect usage of my shoulder is causing elbow symptoms - - mainly medial side - - and I can't seem to get ahead on this. I will discuss this with my elbow surgeon when i follow up with him in November...meanwhile, I am trying so hard to relieve those symptoms and avoid another surgery!! As long as it doesn't become chronic, then I can overcome it. Once it becomes chronic, then there is no turning back, I am afraid. I am staying on top of it the best I can!So enough "old age" complaints today! Laura, I am thinking really really good thoughts about the spinal injections. You'll be sore initially, but after a few days, I am betting you see good results! I hope the surgery is not needed, but if it is, I think the results are almost immediate.Keep us posted!!So, it was down in the low 40's this morning.....feeling more and more like fall! Leaves are changing color. Ah, Fall - - my favorite season!I'll update again after PT. Julie
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 09/13/2010 12:51 AM

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leanne13304

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hi all,

laura, well it's good that at least the surgical option is not as invasive as expecting. i have read from other people who have had discectomies and have had positive results. hopefully, you won't have to get to that point tho.

i got my stitches out in my back on friday and boy do i ever feel better now that they're gone. they kept pulling and getting caught on my clothes. incision doesn't look to bad, it healed pretty well, it's about 3 inches long, still pretty long. a bit sore still, and as always, tons of scar tissue has built up underneath, so now i have to get that worked out. story of my life lol. i'm back to physio in the morning for the first time since the end of june, so it should be interesting.

also, in finally got some answers recently to a health issue i'd been having. After my last shoulder surgery, I never really felt like I recovered. I was always exhausted, bruising easily, getting pins and needle feelings in all my extremities, cold limbs, poor balance/tripping over my feet, decreased appetite, heart palpitations/arrhythmia. Finally, in October, I decided to go to my GP to see what was going on. Blood tests showed I was B12 deficient and had low ferritin/hemoglobin (anemic).

I finally got in to see a hematologist recently, my B12/iron had been monitored regularly since oct and it continued to drop. He went through all my blood tests and a history. I had a full workup 3 weeks before I had my last surgery and everything was normal. It turns out, the nitrous oxide used as part of the general anesthetic can neutralize B12 if too much is used. To compound the issue, having had so many surgeries the few years before would have already started to knock out my levels of B12, and anytime my levels would get a chance to come up, i would need another surgery, which would knock it down, the last surgery was the last straw.

B12 deficiency causes peripheral neuropathy, one of which is decreased joint proprioception. He says he's now not surprised that since that surgery, I have managed to tear the cartilage/ligaments in my wrist, sprain my ankle 3 times and last but not least, start dislocating my shoulder again (which in turn caused some serious damage to the labrum/cuff/capsule). so i thought i would fill you in on that to keep your B12 monitored just in case because you guys have also had multiple surgeries. who knows, might be an explanation why more and more keeps happening, like in my case.

julie, how have you been?

I'll update again after PT tomorrow.


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Leanne
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 09/12/2010 10:29 PM

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grutzal

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Ok So here is the rest of the back story, Seen the neurological surgeon on Friday, I have a herniated disc L4-L5 and 4 other disc buldges, we are trying a spinal injection and a pain managenment specialist , pt and chiropractor treatments , and seeing neuro guy in six weeks if not better thena discectomy done by scope, quick recovery from surgery should help with nerve stuff in leg and foot, so hoping for injection etc to work, So is neur guy, he thinks it should because I already have some releif from chiro treatments , so my chances are good, been a rough two weeks Shoulder remains the same, not too painful mstly at night about 80 oercent range and holding, and wrist is still hanging in there, so surgery will be in January giving the back gets better, because would have to do that first if it is needed, hope not.

Hope you alll are doing well, talk to you soon


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God's Blessings,
Laura
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 09/05/2010 08:07 PM

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JuliePC

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Laura, I am really sorry about your LS. I'm in the same boat as you. Avoid surgery if at all possible!! Shoulders, wrists, elbows are one thing...backs are another! I sent you a private message. I'd do ANYTHING before surgery!! Try cortisone injections guided by xray and PT to strengthen core. I'm resisting surgery big time, even though I have bulging discs from cervical spine down to lumbar, plus herniated thoracic disc (T7/8).Good luck!! But please think NO SURGERY!! Consider a spine center? I am going to one - - but the soonest I could get in is end of November. Maybe you could try something like that? A neuro surgeon is gonna want to operate. NO NO NO!!
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 09/04/2010 04:31 PM

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grutzal

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Well aren't we the interesting bunch. we can never get a break no matter what. I received the MRI report back on my ls spine yesterday. not good, two bulging dics and one minamul one for a total of three, now need to see a neurlogial surgeon, for what ever is next, in my life of fun. any way shoulders are the same. chiropractor works on the right side to keep it from stiffening up any further. wrist is still the same old thing , cant wait until the surgery (not) . Leanne good luck on the biopsy, husband had that done a few years back, same symptoms.
Julie hang in there hopefully you can get things going again.



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God's Blessings,
Laura
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 09/04/2010 01:26 PM

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JuliePC

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Thanks Leanne for your input. Right now, I kind of have to let it rest a good bit. I feel the irritation/pain in there..and I'm afraid if I continue, I'll cause more inflammation...and we know how that loves scar tissue! The joint is REALLY loose so doubt it would freeze....but boy is it sore! One day at a time. Working on scar tissue on right elbow - - biggest issue presently. As the scar tissue is surrounding the ulnar nerve....so when my PT tries to release it, it flares the ulnar and sends signal down to my fingers....and I mean THROBBING pain in fingers - -not just tingling. So, he has to take it slow. Not sure how he calls this "slow" anyway as the pain goes from 0 to 10 in no time when he starts to dig in there! I probably make more scar tissue than anyone else in the world. NO matter what surgery I have...it always shows its ugly face. I hope I can succeed at releasing this. So Hurricane Earl made yesterday pretty interesting. Glad it's gone. Beautiful COOL day today. Just windy.Have a good Labor Day weekend! Julie
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 09/02/2010 11:27 PM

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leanne13304

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I had something similar to a birth mark that started changing colour and got really itchy so they wanted to remove it and test it just to make sure, not to mention the fact that it was always so itchy and with my lack of range of motion, was unable to scratch it lol. it was not fun to endure at all, but needed to be done to put my mind at ease. it's feeling a bit better today, movement still hurts but it's getting a bit better, tomorrow i'm sure will be better as well. stitches will come out after 12 days.in terms of the elbow, after i had the tenodesis, i had elbow symptoms and then once my trainer started doing myofascial release on my biceps and forearm, it improved it a lot. everything was getting inflamed from compensating for the biceps. maybe you should see about myofascial release? no doubt there is a lot of compensation going on thereI see my OS on the 13th and will see if he will refer me up to kingston or even ottawa, the city i live in has really long wait times. some of the longest in the province, or maybe even see about going to toronto, i'm will to travel to get the opinion if it means getting in sooner. although i would rather not have to drive 5 hours to kingston or almost 7 hours to ottawa lol


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Leanne
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 09/02/2010 10:22 PM

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JuliePC

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Leanne,WHY did you have to have a skin biopsy??? That sounds SO painful!! You have been through enough torture to last a life time (or 2 or 3). I just don't understand!So, maybe you can shed some light on this situation. I worked on my left shoulder at PT today. 7 months post op DCR and biceps tenodesis, plus decompression. Still very weak cuff. Strong in some places, weak in others. But this creates an uneven cuff that causes the ball to clunk around - - more lately than previously. So, in the process of strengthening, I irritate it...so it's so hard to get ahead. My PT is frustrated, AS AM I!! I am having elbow symptoms as a result. coming from weak/strong muscles in shoulder, creating lack of balance and symptoms go right down to my elbow. Tried stim and I was able to move my shoulder straight up with no elbow involvement. As soon as stim was off, I tried to move shoulder up again and elbow pain returned right away. I left, feeling like a total failure. One more visit this week tomorrow for my right elbow (ulnar transposition). Just wish I knew where I was going with my left shoulder/elbow. Am I a fatalist if I think my elbow will ultimately require surgery (at this point, lateral and medial epi). one step at a time!So, you have to drive 5 hours to Kingston?? Yikes! How long will you have to wait for that appointment? I hope you can get in soon!!So, feel better - - - you need a break!!! Julie
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