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New to the Distal Biceps Tendon Rupture Forum? / Re: My Nightmare and current questions
« Last post by bdubin on November 04, 2017, 02:03:40 PM »
So I literally just had my surgery redone on November 1st. I spent 5 months in rehab trying to get back to my job as a firefighter and just couldn’t improve from the start. Finally got a second opinion and surgery was done again a week later and now I’m starting 100% over. I’m very interested if anyone else has had this done as well in such a short time frame. I feel for you and understand the frustration having to start over. Still not sure of the cause of the failure but should get some answers at my first follow up next week.
New to the Distal Biceps Tendon Rupture Forum? / Re: My Nightmare and current questions
« Last post by Cory on November 02, 2017, 11:31:53 AM »
I guess my question is has anyone had their surgery removed and redone?  Or has anyone else gotten a serious infection like this?
New to the Distal Biceps Tendon Rupture Forum? / My Nightmare and current questions
« Last post by Cory on November 02, 2017, 11:29:16 AM »
Hey guys,
I was building a new house last year and while trying to move the house to make an HVAC duct fit I felt a serious spasm in my bicep a lot of pain then heard a loud pop and the pain was gone but on further inspection my bicep was now in my shoulder so long story short I was in for surgery the next week.  The surgery went fine and was 6 weeks into my recovery had almost my full range of motion back and was extremely happy with the results I was having.  Then things went extremely downhill!!  At mt last PT appointment we noticed the surgery site felt lumpy and I was told to just watch it probably just scar tissue breaking loose the next day the site was red and my arm felt like it was on fire.  The next morning the site had swollen and gotten really red.  I went into my doctor who immediately sent my back up to the surgical center where I was told they would have to have my arm cut back open and inspected I woke up to the news I had MRSA and they had to remove everything done during the surgery and spent a week in the hospital followed by six weeks of extreme antibiotic treatments.  I was later told by the surgeon I would have to have the surgery redone at a later time.  It's now a year later and the arm is doing pretty.  The tendon is somehow still attached across my arm and feels good and is keeping my bicep stretched. It seems my arm has miraculously healed itself and the surgeon says he doesn't know what I should do.  Guess I need another opinion and hope to get another MRI and be told exactly what is happening in my arm.
Still have the brace for sale?
Still have the elbow brace?
Distal Biceps Surgery Recovery Progress Updates / Re: For the cyclists among us...
« Last post by jdcowboy on November 01, 2017, 03:48:08 PM »
I tore my distal biceps tendon in a bike accident 10/7/17.  Surgery 10/19/17.   In a splint and wrap now (11/1/17) until 4th week (11/17/17).  Not sure what happens then.  I am used to significant exercise every day so two weeks of nothing just about killed me.  So, yesterday, I started back at spin classes.  I just let the arm dangle while I ride the spin bike.  Feels good.  Only problem is that I sweat all over and my wife is afraid the splint will smell really bad by the next doctor appointment (Yes, we are washing the elastic bandages).
Distal Biceps Surgery Recovery Progress Updates / Arm Looks Funny
« Last post by jdcowboy on November 01, 2017, 03:24:08 PM »
I had distal biceps tendon surgery on 10/19/17 on left elbow.  Had a nerve block which was great.  Never took any pain meds at home.  So far so goo.  Doc took the wraps off my splint one week post op.  I was surprised that I still had the little indent in my biceps muscle that I had before the surgery.  Made me afraid the surgery did not work.  I am sure the tendon is reattached because of the limited ROM when I do my ROM exercises.  But it still made me worry that the biceps muscle had the indent.  is that the way your arms looked too?
New to the Distal Biceps Tendon Rupture Forum? / Re: Is this normal??
« Last post by Bedger on October 29, 2017, 11:28:01 PM »
You are one week post.  You should be in all sorts of pain and strange feelings.  It could be residual swelling pressuring the nerves, it could be anything.  You need to go back and ask your professional physician, anybody who gives you advice on what it is without careful diagnosis and examination is guessing....
Was just moving some heavy stones for a large rockery and thought about my bicep repair and thought I should drop a line on this great forum for all those poor blokes feeling they are facing adversity.  Even now 5 years later I do not do things like that without some thought to the bicep, even though it is strong enough to regularly curl 10KG and more concentrically.  I always said I would stop at 10KG and 12.5 eccentric drops (ample weight to train the bicep for anything that comes it way) and for the most the bicep is finally good and copes with all I throw at it - I never returned to boxing, the original injury environment, which I lament, but hey, I ruptured my bicep and am grateful to be able to golf and surf at least.

I had an endo-button repair and an awful time post surgery, unable to do even drive a car properly for 2 years (fortunately I had an automatic and drove left handed) for example.  Like many on here I now know (after years of research and conflicting opinions) as well as a poorly attached tendon 6 months post-op (as a result of poor surgery in my opinion, but certainly not helped by eagerness in rehab), I had problems with the interosseous nerve with the bicep pronated - that has all but dissipated, only cropping up when I am not careful in the gym loading under pronation or I use a screw driver excessively.

I ended up having stem cells via a company called Orthocell, such was my desperation 18 months later with a poorly functioning arm and very poorly attached tendon under MRI.  It was so hard to, and only luck, that I found out about it (from a decent surgeon who given his concerns on nerve damage etc, was strongly dissuading me to not follow the advice of another who wanted to perform a second allo-graft repair despite the dangers).  It, along with very careful strength training, solved a desperate and depressing situation for me that drove me to despair that I suspect would see me still effectively mildly disabled today without. The difference under MRI in 6 months was blatant and the anecdotal evidence of my improved strength and function undeniable.  The procedure involves taking tenocyte cells from an existing tendon (patella), cultivating millions of cells and injecting into the injured tendon.  I would thoroughly recommend for anyone with a partial tear wishing to avoid injury or those with a poorly attached tendon post (MRI recommended to ascertain this as well as decent professional advice).  I bought shares in the (Australian) company as I believe the procedure is that brilliant and in my experience the only thing that brought me out of a vicious tendinosis cycle, alas the company is not doing a good job of marketing it and it remains unknown to physicians and patients who might benefit (and the procedure is not legal in the US despite using autologous cells).

More general things I would recommend to all sufferers/op-patients is reading up on Sharpie fibres, tendinosis, tenocytes and the like.  Don't just listen to professional advice, go and make sure you understand the processes, science and theories involved.  Whilst early range of motion exercises and gentle stretches are fine, aggressive ignorant physios coercing the tendon, or any load in the first 12-16 weeks are likely to cause damage.  Thereafter careful and very slowly progressive loading will likely be beneficial - as long as it is cautiously pursued.  Isometric loading is generally good for reducing pain and eccentric loading is great for strengthening for chronic tendon pain sufferers and pursued very lightly, can certainly aid rehab (but certainly not before 12-16 weeks people and if then only starting with as little as 1 KG!).  Tendons respond to loads, but it has to be very light to begin and only increasing very slowly - I have had further tendon injuries elsewhere (labrum and soleous tears) and this, light stretching, myofascial release and range of motion are the benchmarks of modern physiotherapy.  Don't just go and listen to physio's (amongst which the standards vary hugely) understand the theory behind what they are telling you.  And learn what muscles are involved in pronation, supination and flexion.

If you don't know what any of these things I mentioned above are, your hours spent looking for answers on the net are poorly spent.  Stop listening to arm chair experts and start researching the physiology of tendons, the theories behind modern physiotherapy approaches, etc.  If you are not reading medical papers you should be heeding the advice of medical professionals as your knowledge will be inferior, but that is not to say the latter is always correct - but if you are not well versed then you have no right/grounds to challenge.  You might think peptides are a dirty word, but they hold merit.  Insulin growth factor, proline, lysine, vitamin-C are all worthy supplements to helping collagen repair - glucosomine does not, but its anecdotal benefit in aiding cartilage issues are undeniable.  Understand the process of collagen repair in tendons, get familiar with type 1 and type 3 collagen tissue....  If you do not, or cannot be bothered, then at least make sure your physician/physiotherapist does.

Avoid, avoid, avoid, steroids and corticosteroids.  Any Physician who prescribes them is practicing 19th century medicine.  Go careful on the long term use of NSAID's (liver/kidneys) and if you do not even know the basics of RICE (rest, ice, compression and elevation) then you have no right to feel sorry for yourself....

Good luck people.  There is light at the end of the tunnel.

(Because this is probably read by mostly Americans, I am not a physician.  This does not constitute medical advice.  I am a past sufferer trying to pass on some helpful advice from my experience.  Do not try this at home....blah, blah, blah).

Hey man, sorry to hear about the injury. I to have had the same reflections on specific physical activities. Since my first post here on the forum, I've had shoulder surgery and two hernia repairs. I'm still active, working and playing martial arts. Although I no longer have as much muscle or hair as I did in my kungfusifu pic.

I think as all of us veteran warriors age, we reassess the inherent dangers of our chosen sport or hobby. Its all about RISK MANAGEMENT. When I was in my 20's, 30's, 40's and even early 50's, I took my strong joints for granted in fairly reckless activities. Now i'm doing everything possible to protect my knees, shoulders and ALL tendons from further injury. If you are taking a high risk as a result of your work, your employer had better provide full coverage up to and including full disability. Which is what most emergency responders and professional athletes have...or should have depending on the city, town, state or country they live in.

My post today is coming off the heals of a coworker who at 31yrs old slid off his bike, hit a rock and died from internal injuries. This type of impact and momentum is equivalent of jumping off a building. To each his own and no judgment here. "He died doing what he loved". I love speed just as much as the next guy but on a motorcycle you are riding with no exoskeleton such as an automobile provides. So, as cool as bikes are, some may conclude that the risk outweighs the benefit. Just saying. Other cool stuff: football, rugby, skydiving and just about any high velocity contact sport comes with a high risk of "A singular traumatic event", bringing you here or to some other forum.

I even upgraded my 2017 Camaro SS from a manual transmission, to a 2017 SS with an automatic transmission. Not just because now a standard shift is an anachronism and slows the car down but because just ONE orthopedic surgery makes driving that car difficult or impossible. Another little tweak I've made along the way.

So my advice to all: Think ahead, do the math and choose wisely. Fortify the strengths and strengthen the weaknesses.

God speed, fellow warrior in your recovery!

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