Community Research Pyrocarbon Hemiarthroplasty

[Jingajinga]

Hi guys, not sure if this is in the right section but i can't seem to find an injury forum to post in so i will just post it here.
Has anyone here gone through partial or full shoulder replacement and went back to bodybuilding, lifting moderate to semi heavy amount of weight? I have been lifting close to 25 years this year and have no more joints left(severe arthritis), only option i have left is an shoulder replacement. I hold on as long as i could due to horrible results for people in their 40s and wants to be active. But recently the surgeon suggested an procedure called pyrocarbon hermiarthroplasty which hold premising results for younger patients. But when i ask the surgeon if i will be able to bodybuild again all he said was to take it easy and couldn't give me anymore details regarding weight limit or things i can do or can't. I spoke to and did research to see what peoples experiences were and most of them were happy with the procedure and regained their ROM and pain free. But non of those people lifts and i cant seem to find anything online regarding if i'm able to lift moderate to heavy amount of weights or not. Anyone here that done this surgery or knows someone that went thru this can share some experiences?

 

[LevButlerov]

Hi guys, not sure if this is in the right section but i can't seem to find an injury forum to post in so i will just post it here.
Has anyone here gone through partial or full shoulder replacement and went back to bodybuilding, lifting moderate to semi heavy amount of weight? I have been lifting close to 25 years this year and have no more joints left(severe arthritis), only option i have left is an shoulder replacement. I hold on as long as i could due to horrible results for people in their 40s and wants to be active. But recently the surgeon suggested an procedure called pyrocarbon hermiarthroplasty which hold premising results for younger patients. But when i ask the surgeon if i will be able to bodybuild again all he said was to take it easy and couldn't give me anymore details regarding weight limit or things i can do or can't. I spoke to and did research to see what peoples experiences were and most of them were happy with the procedure and regained their ROM and pain free. But non of those people lifts and i cant seem to find anything online regarding if i'm able to lift moderate to heavy amount of weights or not. Anyone here that done this surgery or knows someone that went thru this can share some experiences?

I’ve had clients use it and do well, but they had to train smart after and not go back to ego lifting. Moderate bodybuilding style training can be realistic, but heavy overhead pressing, max benching, sloppy reps, and grinding weight is where guys get into trouble.
Best way is machines, cables, controlled dumbbells, higher reps, rear delts, traps, and upper back work are the way to build around it. Main thing is listen to do the PT on timeline because the implant and joint damage decide how far you can push it. @Jingajinga

if you check @rayray01 log he trained when he shouldn't have and had to redo his surgery
https://www.evolutionary.org/forums...y-diagnosis-surgery-and-rehab-journal.108243/


@HarleyGuy @Allupfromhere @Pigsy @waggat @Trenhead3cc @Kopite67
@Grumpy @LH5515 @Yuri @Doctakay @catdadironman @bss

 

[stevesmi]

Hi guys, not sure if this is in the right section but i can't seem to find an injury forum to post in so i will just post it here.
Has anyone here gone through partial or full shoulder replacement and went back to bodybuilding, lifting moderate to semi heavy amount of weight? I have been lifting close to 25 years this year and have no more joints left(severe arthritis), only option i have left is an shoulder replacement. I hold on as long as i could due to horrible results for people in their 40s and wants to be active. But recently the surgeon suggested an procedure called pyrocarbon hermiarthroplasty which hold premising results for younger patients. But when i ask the surgeon if i will be able to bodybuild again all he said was to take it easy and couldn't give me anymore details regarding weight limit or things i can do or can't. I spoke to and did research to see what peoples experiences were and most of them were happy with the procedure and regained their ROM and pain free. But non of those people lifts and i cant seem to find anything online regarding if i'm able to lift moderate to heavy amount of weights or not. Anyone here that done this surgery or knows someone that went thru this can share some experiences?

Never heard of that but I've dealt with shoulder issues for years. BPC has gone a long way to helping with it, especially when I have flare-ups. I also avoid things that really hurt the shoulders, like overhead pressing.

 

[bss]

Hi guys, not sure if this is in the right section but i can't seem to find an injury forum to post in so i will just post it here.
Has anyone here gone through partial or full shoulder replacement and went back to bodybuilding, lifting moderate to semi heavy amount of weight? I have been lifting close to 25 years this year and have no more joints left(severe arthritis), only option i have left is an shoulder replacement. I hold on as long as i could due to horrible results for people in their 40s and wants to be active. But recently the surgeon suggested an procedure called pyrocarbon hermiarthroplasty which hold premising results for younger patients. But when i ask the surgeon if i will be able to bodybuild again all he said was to take it easy and couldn't give me anymore details regarding weight limit or things i can do or can't. I spoke to and did research to see what peoples experiences were and most of them were happy with the procedure and regained their ROM and pain free. But non of those people lifts and i cant seem to find anything online regarding if i'm able to lift moderate to heavy amount of weights or not. Anyone here that done this surgery or knows someone that went thru this can share some experiences?

BPC-157 and TB-500 through rehab are worth the spend, ran them for ankle and wrist injuries and the soft tissue response was a clear difference, might be worth it exploring this option.

 

[rayray01]

Yea man gove yourself ample of time.... not worth it although my redo was due to a fall which caused a rupture and when instsrted training back up i could not make any progress which led to second mri and the 2nd surgery, but still listen to @LevButlerov he will guide you right.

 

[ceo]

Hi guys, not sure if this is in the right section but i can't seem to find an injury forum to post in so i will just post it here.
Has anyone here gone through partial or full shoulder replacement and went back to bodybuilding, lifting moderate to semi heavy amount of weight? I have been lifting close to 25 years this year and have no more joints left(severe arthritis), only option i have left is an shoulder replacement. I hold on as long as i could due to horrible results for people in their 40s and wants to be active. But recently the surgeon suggested an procedure called pyrocarbon hermiarthroplasty which hold premising results for younger patients. But when i ask the surgeon if i will be able to bodybuild again all he said was to take it easy and couldn't give me anymore details regarding weight limit or things i can do or can't. I spoke to and did research to see what peoples experiences were and most of them were happy with the procedure and regained their ROM and pain free. But non of those people lifts and i cant seem to find anything online regarding if i'm able to lift moderate to heavy amount of weights or not. Anyone here that done this surgery or knows someone that went thru this can share some experiences?

Bros, I know you love weight training but shoulders are no joke. Even professional athletes who mess around with their shoulders too much get permanent damage.

 

[ROIDDERS]

Hi guys, not sure if this is in the right section but i can't seem to find an injury forum to post in so i will just post it here.
Has anyone here gone through partial or full shoulder replacement and went back to bodybuilding, lifting moderate to semi heavy amount of weight? I have been lifting close to 25 years this year and have no more joints left(severe arthritis), only option i have left is an shoulder replacement. I hold on as long as i could due to horrible results for people in their 40s and wants to be active. But recently the surgeon suggested an procedure called pyrocarbon hermiarthroplasty which hold premising results for younger patients. But when i ask the surgeon if i will be able to bodybuild again all he said was to take it easy and couldn't give me anymore details regarding weight limit or things i can do or can't. I spoke to and did research to see what peoples experiences were and most of them were happy with the procedure and regained their ROM and pain free. But non of those people lifts and i cant seem to find anything online regarding if i'm able to lift moderate to heavy amount of weights or not. Anyone here that done this surgery or knows someone that went thru this can share some experiences?

There's been plenty of guys on here who have had shoulder issues and who have come back. You may never be able to lift super heavy again, which is okay. You don't have to, to be a bodybuilder.

 

[HarleyGuy]

Hi guys, not sure if this is in the right section but i can't seem to find an injury forum to post in so i will just post it here.
Has anyone here gone through partial or full shoulder replacement and went back to bodybuilding, lifting moderate to semi heavy amount of weight? I have been lifting close to 25 years this year and have no more joints left(severe arthritis), only option i have left is an shoulder replacement. I hold on as long as i could due to horrible results for people in their 40s and wants to be active. But recently the surgeon suggested an procedure called pyrocarbon hermiarthroplasty which hold premising results for younger patients. But when i ask the surgeon if i will be able to bodybuild again all he said was to take it easy and couldn't give me anymore details regarding weight limit or things i can do or can't. I spoke to and did research to see what peoples experiences were and most of them were happy with the procedure and regained their ROM and pain free. But non of those people lifts and i cant seem to find anything online regarding if i'm able to lift moderate to heavy amount of weights or not. Anyone here that done this surgery or knows someone that went thru this can share some experiences?

You might benefit from looking into BPC-157 and TB500 peptides.

@MarkNV and @rayray01 have had some experience with shoulder and joints that need surgery.

 

[Ulter]

Hi guys, not sure if this is in the right section but i can't seem to find an injury forum to post in so i will just post it here.
Has anyone here gone through partial or full shoulder replacement and went back to bodybuilding, lifting moderate to semi heavy amount of weight? I have been lifting close to 25 years this year and have no more joints left(severe arthritis), only option i have left is an shoulder replacement. I hold on as long as i could due to horrible results for people in their 40s and wants to be active. But recently the surgeon suggested an procedure called pyrocarbon hermiarthroplasty which hold premising results for younger patients. But when i ask the surgeon if i will be able to bodybuild again all he said was to take it easy and couldn't give me anymore details regarding weight limit or things i can do or can't. I spoke to and did research to see what peoples experiences were and most of them were happy with the procedure and regained their ROM and pain free. But non of those people lifts and i cant seem to find anything online regarding if i'm able to lift moderate to heavy amount of weights or not. Anyone here that done this surgery or knows someone that went thru this can share some experiences?

Not heard of that before but you should be working on some shoulder exercises and improving mobility regardless. And yes peptides will work.

 

[rayray01]

You might benefit from looking into BPC-157 and TB500 peptides.

@MarkNV and @rayray01 have had some experience with shoulder and joints that need surgery.

Yes go with wolverine stack (Boc157/tb500) and add kpv if you need additional inflammation relief you can't go wrong. Also collagen peptide suggested by @HarleyGuy was very beneficial so much so that I have added it to my daily protein shake. Ever since my first surgery in December.

 

[Mobster]

Hi guys, not sure if this is in the right section but i can't seem to find an injury forum to post in so i will just post it here.
Has anyone here gone through partial or full shoulder replacement and went back to bodybuilding, lifting moderate to semi heavy amount of weight? I have been lifting close to 25 years this year and have no more joints left(severe arthritis), only option i have left is an shoulder replacement. I hold on as long as i could due to horrible results for people in their 40s and wants to be active. But recently the surgeon suggested an procedure called pyrocarbon hermiarthroplasty which hold premising results for younger patients. But when i ask the surgeon if i will be able to bodybuild again all he said was to take it easy and couldn't give me anymore details regarding weight limit or things i can do or can't. I spoke to and did research to see what peoples experiences were and most of them were happy with the procedure and regained their ROM and pain free. But non of those people lifts and i cant seem to find anything online regarding if i'm able to lift moderate to heavy amount of weights or not. Anyone here that done this surgery or knows someone that went thru this can share some experiences?

We've had at least two on the podcasts who have had shoulder surgery: https://www.evolutionary.org/podcasts/

 

[MarkNV]

You might benefit from looking into BPC-157 and TB500 peptides.

@MarkNV and @rayray01 have had some experience with shoulder and joints that need surgery.

@Jingajinga I am just beginning my journey into solutions with my very arthritic shoulder. I spoke with my doctor a week and a half ago about possible procedures and replacement. Going to start the process for a nerve block and ablation on the 12th and I will ask about the procedure you mentioned and the limitations, if they are even known.
Nothing can be worse than the pain we go through to lift right now. And even if we get replacements, and can’t lift heavy weight, we can still get amazing results with lighter weights and more volume.
I would think that any muscle built around a replacement, would only make the replacement stronger

 

[2Thick]

We've had at least two on the podcasts who have had shoulder surgery: https://www.evolutionary.org/podcasts/

wow that is a great source of info. good to see that

 

[MarkNV]

Yes go with wolverine stack (Boc157/tb500) and add kpv if you need additional inflammation relief you can't go wrong. Also collagen peptide suggested by @HarleyGuy was very beneficial so much so that I have added it to my daily protein shake. Ever since my first surgery in December.

What is the name of that collagen?? I want to give it a try and also have my girl try it. She gas lost an extraordinary amount of fat over the last 2 years and has loose skin issues,
Well, she has issues with it…I don’t see it, she is just beautiful to me.
maybe the collagen can help her to gain back some elasticity

 

[rayray01]

Hey @MarkNV, I have attached a Pic of it and the here c is the link of it on Amazon as well
https://a.co/d/09WPoOiP

I am also in the same boat with weight loss. I have taken a multiple pronged approach.

I have a big red light therapy unit for overall body, plus a waist belly red light therapy which directly focuses on excess loose skin on the waist fpr mpre targeted approach, I also utilize GHK-Cu and Matrixyl (both injectable peptides) which help with collagen synthesis, which in turn helps with skin elasticity. And the. Topping it off with multiple topical lotions with retinol and matrixyl & ghk-cu in ingredients as well. (Applied multiple times a day)

It is definitely an overkill but it is giving good consistent improvement.

Hope some of this is useful and helpful for her brother.

 

[MarkNV]

Hey @MarkNV, I have attached a Pic of it and the here c is the link of it on Amazon as well
https://a.co/d/09WPoOiP

I am also in the same boat with weight loss. I have taken a multiple pronged approach.

I have a big red light therapy unit for overall body, plus a waist belly red light therapy which directly focuses on excess loose skin on the waist fpr mpre targeted approach, I also utilize GHK-Cu and Matrixyl (both injectable peptides) which help with collagen synthesis, which in turn helps with skin elasticity. And the. Topping it off with multiple topical lotions with retinol and matrixyl & ghk-cu in ingredients as well. (Applied multiple times a day)

It is definitely an overkill but it is giving good consistent improvement.

Hope some of this is useful and helpful for her brother.

Bro!!! Thank you so much, she is a normal person, she is still sleeping
I will share this with her later this morning!!!
Thank you!!

 

[Mobster]

wow that is a great source of info. good to see that

Both @MarkNV and @rayray have been on. One included pics of the internal stitches etc in his log

 

[Jingajinga]

Again Thank you all for great info and sharing their experiences. Unfortunately my shoulders are too far gone, seen 3 surgeons so far all of them said this is the worst shoulder they ever seen for someone in their 40s. 2 of the surgeons said to come back in 10-20 years for the replacement as it is statically bad for active younger people. I hold on for 3 years and now its to the point where its getting harder to sleep because of the pain. The current doctor suggested pyrocarbon hemi as it showing promising results for younger patients. I'm also one of those guys that never benefited from peptides, i tried bpc157, tb 500, over and over ever since they first came out from multiple sources, had a least 6-8 cycles of this stuff last few years. I doubt they all bunkers but who knows? If anyone here that know a good source for bpc 157 and tb500 i would love to give 1 last try before going under the knife. regarding weight lifting, honestly my heavy days are long over, with the busted shoulders i can barely train, most of my exercises are now 15-20 reps of 50-60% max weight for years now. I would really love to get back to 60-80% max weight for 8-12 reps one day.

 

[Jingajinga]

@Jingajinga I am just beginning my journey into solutions with my very arthritic shoulder. I spoke with my doctor a week and a half ago about possible procedures and replacement. Going to start the process for a nerve block and ablation on the 12th and I will ask about the procedure you mentioned and the limitations, if they are even known.
Nothing can be worse than the pain we go through to lift right now. And even if we get replacements, and can’t lift heavy weight, we can still get amazing results with lighter weights and more volume.
I would think that any muscle built around a replacement, would only make the replacement stronger

Keep me updated plz, would love to see what your doctor recommends. Pyrocarbon hemiarthroplasty is new tech that came out only 1-2 years ago that is why not many people heard of it, and it is a partial replacement for the damaged humeral head, and luckily for us AUS is one of few countries that does this procedure.

 

[MarkNV]

Keep me updated plz, would love to see what your doctor recommends. Pyrocarbon hemiarthroplasty is new tech that came out only 1-2 years ago that is why not many people heard of it, and it is a partial replacement for the damaged humeral head, and luckily for us AUS is one of few countries that does this procedure.

That sounds interesting!! I will keep you updated! You do the same please!!

 

[LevButlerov]

Again Thank you all for great info and sharing their experiences. Unfortunately my shoulders are too far gone, seen 3 surgeons so far all of them said this is the worst shoulder they ever seen for someone in their 40s. 2 of the surgeons said to come back in 10-20 years for the replacement as it is statically bad for active younger people. I hold on for 3 years and now its to the point where its getting harder to sleep because of the pain. The current doctor suggested pyrocarbon hemi as it showing promising results for younger patients. I'm also one of those guys that never benefited from peptides, i tried bpc157, tb 500, over and over ever since they first came out from multiple sources, had a least 6-8 cycles of this stuff last few years. I doubt they all bunkers but who knows? If anyone here that know a good source for bpc 157 and tb500 i would love to give 1 last try before going under the knife. regarding weight lifting, honestly my heavy days are long over, with the busted shoulders i can barely train, most of my exercises are now 15-20 reps of 50-60% max weight for years now. I would really love to get back to 60-80% max weight for 8-12 reps one day.

do you have any scam of the shoulder you can share please? xray etc

 

[Jingajinga]

do you have any scam of the shoulder you can share please? xray etc

I will post the finding from an MRI from 2 years ago, Note this is when i wasn't even that bad yet back then. Now its significant worse, can barely lift that shoulder anymore.
Findings:

Moderate distal supraspinatus laminar tendinosis with mild thinning of anterior
fibres at insertional and juxtainsertional fibre levels, articular and bursal
surface fraying and a mildly concave articular surface contour towards the
humeral footprint suspicious for a shallow non-acute nonretracted
partial-thickness tear, though no discrete fluid signal cleavage plane is
evident. Mild-moderate distal infraspinatus laminar tendinosis with small foci
of longitudinal intrasubstance delamination at insertional level, without
surface breach. Mild overlying subacromial burso-synovial thickening and small
effusion. Intact teres minor tendon. Cuff muscle volume is maintained.
Curved acromial undersurface. No subacromial bony spurring. Intact
coracoacromial and coraco-clavicular ligament complexes. Minor quiescent AC
joint arthrosis.
Moderate distal subscapularis laminar tendinosis and superimposed non-acute
insertional intrasubstance split tear at superior fibre level extending close to
and potentially focally breaching the deep surface, without fibre retraction.
Muscle volume is maintained. Moderately extensive proximal long head biceps
tendinosis at interval and proximal groove levels with deep surface fraying and
early medial migration towards the superficial margin of the subscapularis
tendon, without frank subluxation. Small long head biceps tendon sheath
effusion and mild tenosynovial thickening. Prominent enthesial bony spurring
anterior margin lesser tuberosity deep to the superficial insertional fibres of
the subscapularis tendon.
Moderate myxoid degeneration of the glenoid labrum with an underlying
attritional type tear at the labral base superiorly, involving the biceps
anchor, with early longitudinal intrasubstance delamination in the proximal long
head biceps tendon. Attenuated, chronically torn posterior labrum. No
paralabral cyst. Established glenohumeral joint osteoarthritis with a posterior
predominance, with prominent inferior and posterior humeral head marginal
osteophyte formation, full-thickness chondral wear posterior inferior glenoid
rim and high-grade partial-thickness chondral wear superior glenoid rim,
full-thickness chondral wear posterior third humeral head predominantly inferior
to the equator, and early subchondral sclerosis and cystic change on both sides
of the joint inferiorly. No significant subchondral bone marrow oedema. Small
reactive joint effusion with multiple intra-articular loose bodies measuring up
to 12 mm in the rotator interval and 5 mm in the subcoracoid recess.
At the periphery of the examination note is made of superficial scarring and
fibrosis in the middle deltoid.
CONCLUSION:
MRI left shoulder demonstrating-
Established glenohumeral joint osteoarthritis, more extensive than on the
contralateral side, with moderate full-thickness chondral wear on both sides of
the joint posteriorly, mild subchondral cystic change and sclerosis, moderate
inferior-posterior marginal osteophyte formation, small joint effusion and mild
synovial thickening and multiple intra-articular loose bodies measuring up to 11
mm in the rotator interval, likely chondral in origin.
Degenerate labrum with an attritional type tear at the labral base superiorly
and a chronically torn, attenuated appearance posteriorly, moderate proximal
long head biceps tendinosis and early longitudinal intrasubstance delamination
towards the biceps anchor.
Moderate subscapularis laminar tendinosis and small non-acute insertional
intrasubstance split tear at superior fibre level, extending close to and
potentially focally breaching the deep surface.
Moderate distal supraspinatus and infraspinatus laminar tendinosis, with
thinning and surface fraying of anterior supraspinatus tendon fibres and
suspected shallow underlying non-acute non-retracted partial-thickness articular
surface tear.
Mild reactive subacromial bursopathy.
Minor quiescent AC joint arthrosis.

I did an Xray recently and that is when the surgeon suggested the replacement but i forgot to take a pic of it while he was explaining it to me...

 

[Jingajinga]

do you have any scam of the shoulder you can share please? xray etc

A little bit better on the right side tho not by much...

Findings:
Moderate distal supraspinatus laminar tendinosis with mild attenuation at
anterior fibre level and small regions of insertional articular and bursal
surface fraying towards the humeral enthesis with questionably, shallow
underlying non-acute partial-thickness tears, though no discrete fluid signal
intensity cleavage plane is evident. No tendon fibre retraction or muscle
atrophy. Mild distal infraspinatus tendinosis without tear. Intact teres minor
tendon. Trace subacromial bursa.
Mildly anterolaterally downsloping acromion in the sagittal and coronal planes
without subacromial bony spurring or static outlet narrowing. Intact
coracoacromial and coraco-clavicular ligament complexes. Mild AC joint
arthrosis, quiescent in appearance. No static malalignment. No os acromiale.
Mild-moderate superodistal subscapularis laminar tendinosis with small foci of
juxtainsertional deep surface fraying but no frank tear, fibre retraction or
muscle atrophy. Moderate proximal long head biceps tendinosis most confluent
towards the biceps anchor, the tendon lying towards the medial margin of the
bicipital groove without frank subluxation. Moderate long head biceps tendon
sheath effusion and mild tenosynovial thickening. Chronic traction type change
at the biceps anchor with myxoid degeneration, underlying bony spurring and mild
and these is a bone marrow oedema at the supraglenoid tubercle.
Early glenohumeral joint OA with inferior marginal osteophyte formation at the
humeral head neck junction anteriorly and posteriorly, focal full-thickness
fissuring anterior glenoid rim and grade 2-3 chondral fissuring
superior-posterior glenoid rim and central and posterosuperior humeral head. No
subchondral bone marrow oedema or cystic change. Generalised labral myxoid
degeneration with moderate attenuation posteriorly and suspected small
underlying non-acute tear at the base of antero-superior labrum. Small reactive
glenohumeral joint effusion and synovial thickening, moderate in the rotator
interval and subcoracoid recess, with at least 3 intra-articular loose bodies
each measuring 5 mm in the proximal long head biceps tendon sheath, axillary
recess and subcoracoid recess, likely chondral in origin.
At the periphery of the examination note is made of scarring and fibrosis at the
superficial margin of the mid-posterior deltoid.
CONCLUSION:
MRI right shoulder demonstrating-
Early glenohumeral joint OA with inferior marginal osteophyte formation,
predominantly grade 2-3 chondral wear on both sides of the joint and small foci
of full-thickness chondral fissuring in anterior glenoid rim, small joint
effusion, confluent synovial thickening in the rotator interval and subcoracoid
recess, and several intra-articular loose bodies measuring up to 5 mm in the
axillary and subcoracoid recesses and proximal long head biceps tendon sheath,
likely chondral in origin.
Moderate proximal long head biceps tendinosis and chronic traction type change
at the biceps anchor, generalised labral degeneration and suspected chronic tear
at the labral base anteriorly-superiorly. No paralabral cyst.
Mild-moderate superodistal subscapularis laminar tendinosis with
juxtainsertional deep surface fraying but no frank tear.
Moderate distal supraspinatus laminar tendinosis with mild anterior fibre
attenuation, foci of articular and bursal surface fraying and questionably,
underlying shallow non-acute nonretracted tears. No discrete fluid signal
intensity cleavage plane, fibre retraction or muscle atrophy.
Mildly active AC joint arthrosis.

 

[LevButlerov]

I will post the finding from an MRI from 2 years ago, Note this is when i wasn't even that bad yet back then. Now its significant worse, can barely lift that shoulder anymore.
Findings:

Moderate distal supraspinatus laminar tendinosis with mild thinning of anterior
fibres at insertional and juxtainsertional fibre levels, articular and bursal
surface fraying and a mildly concave articular surface contour towards the
humeral footprint suspicious for a shallow non-acute nonretracted
partial-thickness tear, though no discrete fluid signal cleavage plane is
evident. Mild-moderate distal infraspinatus laminar tendinosis with small foci
of longitudinal intrasubstance delamination at insertional level, without
surface breach. Mild overlying subacromial burso-synovial thickening and small
effusion. Intact teres minor tendon. Cuff muscle volume is maintained.
Curved acromial undersurface. No subacromial bony spurring. Intact
coracoacromial and coraco-clavicular ligament complexes. Minor quiescent AC
joint arthrosis.
Moderate distal subscapularis laminar tendinosis and superimposed non-acute
insertional intrasubstance split tear at superior fibre level extending close to
and potentially focally breaching the deep surface, without fibre retraction.
Muscle volume is maintained. Moderately extensive proximal long head biceps
tendinosis at interval and proximal groove levels with deep surface fraying and
early medial migration towards the superficial margin of the subscapularis
tendon, without frank subluxation. Small long head biceps tendon sheath
effusion and mild tenosynovial thickening. Prominent enthesial bony spurring
anterior margin lesser tuberosity deep to the superficial insertional fibres of
the subscapularis tendon.
Moderate myxoid degeneration of the glenoid labrum with an underlying
attritional type tear at the labral base superiorly, involving the biceps
anchor, with early longitudinal intrasubstance delamination in the proximal long
head biceps tendon. Attenuated, chronically torn posterior labrum. No
paralabral cyst. Established glenohumeral joint osteoarthritis with a posterior
predominance, with prominent inferior and posterior humeral head marginal
osteophyte formation, full-thickness chondral wear posterior inferior glenoid
rim and high-grade partial-thickness chondral wear superior glenoid rim,
full-thickness chondral wear posterior third humeral head predominantly inferior
to the equator, and early subchondral sclerosis and cystic change on both sides
of the joint inferiorly. No significant subchondral bone marrow oedema. Small
reactive joint effusion with multiple intra-articular loose bodies measuring up
to 12 mm in the rotator interval and 5 mm in the subcoracoid recess.
At the periphery of the examination note is made of superficial scarring and
fibrosis in the middle deltoid.
CONCLUSION:
MRI left shoulder demonstrating-
Established glenohumeral joint osteoarthritis, more extensive than on the
contralateral side, with moderate full-thickness chondral wear on both sides of
the joint posteriorly, mild subchondral cystic change and sclerosis, moderate
inferior-posterior marginal osteophyte formation, small joint effusion and mild
synovial thickening and multiple intra-articular loose bodies measuring up to 11
mm in the rotator interval, likely chondral in origin.
Degenerate labrum with an attritional type tear at the labral base superiorly
and a chronically torn, attenuated appearance posteriorly, moderate proximal
long head biceps tendinosis and early longitudinal intrasubstance delamination
towards the biceps anchor.
Moderate subscapularis laminar tendinosis and small non-acute insertional
intrasubstance split tear at superior fibre level, extending close to and
potentially focally breaching the deep surface.
Moderate distal supraspinatus and infraspinatus laminar tendinosis, with
thinning and surface fraying of anterior supraspinatus tendon fibres and
suspected shallow underlying non-acute non-retracted partial-thickness articular
surface tear.
Mild reactive subacromial bursopathy.
Minor quiescent AC joint arthrosis.

I did an Xray recently and that is when the surgeon suggested the replacement but i forgot to take a pic of it while he was explaining it to me...

A little bit better on the right side tho not by much...

Findings:
Moderate distal supraspinatus laminar tendinosis with mild attenuation at
anterior fibre level and small regions of insertional articular and bursal
surface fraying towards the humeral enthesis with questionably, shallow
underlying non-acute partial-thickness tears, though no discrete fluid signal
intensity cleavage plane is evident. No tendon fibre retraction or muscle
atrophy. Mild distal infraspinatus tendinosis without tear. Intact teres minor
tendon. Trace subacromial bursa.
Mildly anterolaterally downsloping acromion in the sagittal and coronal planes
without subacromial bony spurring or static outlet narrowing. Intact
coracoacromial and coraco-clavicular ligament complexes. Mild AC joint
arthrosis, quiescent in appearance. No static malalignment. No os acromiale.
Mild-moderate superodistal subscapularis laminar tendinosis with small foci of
juxtainsertional deep surface fraying but no frank tear, fibre retraction or
muscle atrophy. Moderate proximal long head biceps tendinosis most confluent
towards the biceps anchor, the tendon lying towards the medial margin of the
bicipital groove without frank subluxation. Moderate long head biceps tendon
sheath effusion and mild tenosynovial thickening. Chronic traction type change
at the biceps anchor with myxoid degeneration, underlying bony spurring and mild
and these is a bone marrow oedema at the supraglenoid tubercle.
Early glenohumeral joint OA with inferior marginal osteophyte formation at the
humeral head neck junction anteriorly and posteriorly, focal full-thickness
fissuring anterior glenoid rim and grade 2-3 chondral fissuring
superior-posterior glenoid rim and central and posterosuperior humeral head. No
subchondral bone marrow oedema or cystic change. Generalised labral myxoid
degeneration with moderate attenuation posteriorly and suspected small
underlying non-acute tear at the base of antero-superior labrum. Small reactive
glenohumeral joint effusion and synovial thickening, moderate in the rotator
interval and subcoracoid recess, with at least 3 intra-articular loose bodies
each measuring 5 mm in the proximal long head biceps tendon sheath, axillary
recess and subcoracoid recess, likely chondral in origin.
At the periphery of the examination note is made of scarring and fibrosis at the
superficial margin of the mid-posterior deltoid.
CONCLUSION:
MRI right shoulder demonstrating-
Early glenohumeral joint OA with inferior marginal osteophyte formation,
predominantly grade 2-3 chondral wear on both sides of the joint and small foci
of full-thickness chondral fissuring in anterior glenoid rim, small joint
effusion, confluent synovial thickening in the rotator interval and subcoracoid
recess, and several intra-articular loose bodies measuring up to 5 mm in the
axillary and subcoracoid recesses and proximal long head biceps tendon sheath,
likely chondral in origin.
Moderate proximal long head biceps tendinosis and chronic traction type change
at the biceps anchor, generalised labral degeneration and suspected chronic tear
at the labral base anteriorly-superiorly. No paralabral cyst.
Mild-moderate superodistal subscapularis laminar tendinosis with
juxtainsertional deep surface fraying but no frank tear.
Moderate distal supraspinatus laminar tendinosis with mild anterior fibre
attenuation, foci of articular and bursal surface fraying and questionably,
underlying shallow non-acute nonretracted tears. No discrete fluid signal
intensity cleavage plane, fibre retraction or muscle atrophy.
Mildly active AC joint arthrosis.

Those MRI results are pretty rough that is not just inflammation or normal gym wear and tear. You have arthritis in the actual shoulder joint, cartilage loss, loose bodies, labrum damage, biceps tendon issues, and rotator cuff wear, so I can see why the surgeon is talking replacement.
I have seen clients do well after this type of procedure, but they trained much lighter after, not like bodybuilders.
Machines, cables, higher reps/lower weights, no overhead pressing, no heavy benching, even no squats or deads not to push the shoulder. @Jingajinga

 

[Jingajinga]

Those MRI results are pretty rough that is not just inflammation or normal gym wear and tear. You have arthritis in the actual shoulder joint, cartilage loss, loose bodies, labrum damage, biceps tendon issues, and rotator cuff wear, so I can see why the surgeon is talking replacement.
I have seen clients do well after this type of procedure, but they trained much lighter after, not like bodybuilders.
Machines, cables, higher reps/lower weights, no overhead pressing, no heavy benching, even no squats or deads not to push the shoulder. @Jingajinga

Yeah pretty fked up right? despite how bad it is i still load up on painkillers and anti inflammatory get my ass to the gym at least 2-3 times a week and lift, i believe even at this stage moving is better than not moving at all. I'm not looking to lift anything heavy honestly if i can just bench 100kgs for 15+ reps after the replacement i will be more than happy. Maybe i should log the whole process since there isn't alot of logs here regarding this type of replacement. o and when you say much lighter how light we talking about? 50% 1rm 40% 30%? and those clients done partial or full replacements? was it a metal rim or pyrocarbon? and how long ago was it done? sry bout all the questions but if i have all those data i can have a better understanding of what i ll be expecting.

 

[ballin2504]

Looks like @LevButlerov has you covered here?

 

[LevButlerov]

Yeah pretty fked up right? despite how bad it is i still load up on painkillers and anti inflammatory get my ass to the gym at least 2-3 times a week and lift, i believe even at this stage moving is better than not moving at all. I'm not looking to lift anything heavy honestly if i can just bench 100kgs for 15+ reps after the replacement i will be more than happy. Maybe i should log the whole process since there isn't alot of logs here regarding this type of replacement. o and when you say much lighter how light we talking about? 50% 1rm 40% 30%? and those clients done partial or full replacements? was it a metal rim or pyrocarbon? and how long ago was it done? sry bout all the questions but if i have all those data i can have a better understanding of what i ll be expecting.

There is an alternative, why not go with lower body work and cardio instead of loading up upper? @Jingajinga Biggest thing is stop using painkillers to force training because that can hide warning signs and cause serious disability, please train around the joint, not through it.

tbh benching 100 kgs x15 after a replacement is not light, that is still serious loading on a rebuilt joint, so I would not make that the early goal. When I say much lighter I mean starting super light after rehab, maybe 10-20% of old working weight, then move up only if pain free, stable, and cleared by PT. I know @rayray01 hates me for this but I keep pushing him to go light post surgery as well.
The clients I have seen do well were mostly partial and full shoulder replacements, not pyrocarbon, so I would not compare exact implants too hard because cuff health, bone, arthritis, labrum, and your surgeon’s work matter just as much.

 

[Jingajinga]

There is an alternative, why not go with lower body work and cardio instead of loading up upper? @Jingajinga Biggest thing is stop using painkillers to force training because that can hide warning signs and cause serious disability, please train around the joint, not through it.

tbh benching 100 kgs x15 after a replacement is not light, that is still serious loading on a rebuilt joint, so I would not make that the early goal. When I say much lighter I mean starting super light after rehab, maybe 10-20% of old working weight, then move up only if pain free, stable, and cleared by PT. I know @rayray01 hates me for this but I keep pushing him to go light post surgery as well.
The clients I have seen do well were mostly partial and full shoulder replacements, not pyrocarbon, so I would not compare exact implants too hard because cuff health, bone, arthritis, labrum, and your surgeon’s work matter just as much.

100 kgs is more of a long term goal, I'm talking about 1 year or more. I'm going thru full rehab and PT, and will push only if given green light. My understanding is if they gonna cut thru the tendons, especially the SLAP tendon then strength properly wont fully come back within a year anyway. I guess the biggest question is can i push if i want to? or i physically cant even if i want to? that is the question i forgot to ask the surgeon. After the surgery I'm properly going to take 6 month off and just do the rehab, I'm prepared to losing everything i worked hard for and start from sractch again. After all i think this body deserve a properly break, i did run it to the ground. Yes i should do some lower body etc. But after 25 years of hardcore lifting every other joints are same as my shoulders..

 

[LevButlerov]

100 kgs is more of a long term goal, I'm talking about 1 year or more. I'm going thru full rehab and PT, and will push only if given green light. My understanding is if they gonna cut thru the tendons, especially the SLAP tendon then strength properly wont fully come back within a year anyway. I guess the biggest question is can i push if i want to? or i physically cant even if i want to? that is the question i forgot to ask the surgeon. After the surgery I'm properly going to take 6 month off and just do the rehab, I'm prepared to losing everything i worked hard for and start from sractch again. After all i think this body deserve a properly break, i did run it to the ground. Yes i should do some lower body etc. But after 25 years of hardcore lifting every other joints are same as my shoulders..

Yes definitely log the whole process because this is exactly the kind of thing other EVO brothers need to see, especially with real rehab, setbacks, weight progression, pain levels, and what movements work or do not work. I just DMed you how to guide @Jingajinga
https://www.evolutionary.org/forums/direct-messages/how-to-log.44918/

On the pushing question, you might physically be able to force weight, but that doesnt mean the rebuilt shoulder can tolerate it long term, because now you are dealing with tendons, implant, bone, cuff, and joint mechanics, not just muscle strength.
Taking 6mo to fully rehab is the right mindset, then start from scratch with machines, cables, and slow reps.
Moving is good, but after surgery the goal is not proving you can push, its proving you can rebuild without wrecking the repair.

 

[Jingajinga]

Anyone here get bad sides from bpc157? I started with 500mcg a week end up with a lingering headaches and severe fatigue, it gotten so bad I'm falling asleep everywhere as soon as i sit down. Seems like this isn't an uncommon side affect, most people say it will go away with in 4 -7 days, its been 2weeks for me now. Wondering if i should just get off it, don't want it to be chronic.

 

[LevButlerov]

Anyone here get bad sides from bpc157? I started with 500mcg a week end up with a lingering headaches and severe fatigue, it gotten so bad I'm falling asleep everywhere as soon as i sit down. Seems like this isn't an uncommon side affect, most people say it will go away with in 4 -7 days, its been 2weeks for me now. Wondering if i should just get off it, don't want it to be chronic.

This is not the thread for it tbh but depends on where you get the bpc, what brand are you using? @Jingajinga

 

[Jingajinga]

This is not the thread for it tbh but depends on where you get the bpc, what brand are you using? @Jingajinga

I will make a new thread. It wasnt from any source here, just a random site called refinex labs online that had good reviews, they disappeard since tho.

 

[LevButlerov]

I will make a new thread. It wasnt from any source here, just a random site called refinex labs online that had good reviews, they disappeard since tho.

i wouldn't use it if its not EVO approved, you're bound to get bad quality @Jingajinga you got fake contaminated bpc poison

Anyone here get bad sides from bpc157? I started with 500mcg a week end up with a lingering headaches and severe fatigue, it gotten so bad I'm falling asleep everywhere as soon as i sit down. Seems like this isn't an uncommon side affect, most people say it will go away with in 4 -7 days, its been 2weeks for me now. Wondering if i should just get off it, don't want it to be chronic.