Lifting with 1 1/3 Arms?

Hello everybody. I’ve been following T-Nation for a while but joined up to ask a pretty darn particular question. How do I lift healthily with one and one-third arms?

Eleven years ago, an elderly driver merged into my motorcycle on the interstate. I kissed a concrete crash barrier at seventy miles an hour, rotating my left arm out of its socket and pulling it nearly completely off, held to my body by a string of flesh about the size of your pinky. It was a severe dislocation, paralyzing the arm. It was generally assumed that it would stay paralyzed, until the inevitable infection necessitated amputation sometime in the future. Limbs lacking ennervation generally don’t stay on very long.

A year later the top of the forearm began twitching, specifically, the flexor carpi radialis. It could move my arm when I was in the pool. Over the next six months the arm was twitching in several places and suffused with a burning sensation. At the end of this recovery period an electromyogram determined that my left arm was 23% enervated. Two major nerves had snapped, probably the thoracic and scapulary nerves. Judging from function and from common sense, the radial nerve had made it largely unscathed. Over the next eleven years the lack of enervation would visibly destroy a number of muscles in the left arm, most obvious being the lateral and posterior deltoid muscles, less obvious being a lot of muscles in the hand, forearm and shoulder. You have to look at my forearms and hands for a bit before you realize one is a lot beefier than the other. The left shoulder is pretty obvious, however.

The accident has done more damage inside my head than it did to my body, but that’s another story, and not one for this venue. I’ve been having some trouble in the weight room and I was wondering if the biomechanics here could help me out.

Military presses . . heh. Yeah. I don’t work shoulders at all. There’s nothing for the left side to do. I could work out the right side by itself, but I’m worried that all that off-side torque may cause more harm than good. I have two arms but only one spine. Am I doing the right thing here?

Rows are a problem. The left elbow just does not want to go back very far. I try to go around this by doing close-grip rows and keeping my elbows down, but the right side never really feels worked, long after the left side quits.

With chins I’m not sure if it’s my injury or if it’s because I just suck. I go up fast and strong until the upper arm is parallel with the floor, then -bap- I turn into the fat kid from Goonies. Shaking and going nowhere. I drop down to the starting position, go again, zoom up, then -bap- in the nowhere zone. I’m not sure which muscles are activated near the top of the chin, but if any of them are the ones I’m missing, well, that could explain this. If I’ve got all the muscles I need and I’m still missing, then I could hit that body part until I am chinning like . . well, chinning like a great big fat bastard, but still chinning.

Bench pressing used to be easier, even post-injury- but as the weight goes up it’s getting harder and harder to keep the bar level. The lack of a deltoid on the left side, combined with the lack of stabilizing muscles in the upper left side of the back, means the right side has way more get-up-and-go than the left. Strangely, it’s the right shoulder that hurts on a hard chest day, perhaps because it has to take more weight than is its share. I’m thinking of shifting away from the 5x5 for chest days and going to something a bit more high-volume, 3x8 or somesuch. Not sure if that will help save the good shoulder, but hey, maybe someone reading this knows.

Deadlifts are strange. It’s a strong exercise for me, but when I pull heavy I lose enervation in the left arm. It reverts to a limp piece of meat for about thirty seconds while I beat on it and fling it around, before it slowly starts moving on its own again. I haven’t dropped the bar yet because of this, but if I do I will probably get a stern lecture from the gym supervisor girl. Either that or my arm will come out of my socket and I won’t be able to hear the supervisor girl because I will be lying on the floor screaming like Lolita. I’m not too worried about this and continue to deadlift. I want to be able to pick up the back end of my car eventually. It’s a very small car, mind you.

I never used to like squats, but as the weight goes up I’ve learned to love them. I have very wide hips and short stubby legs, so I do pretty well, and this exercise doesn’t touch my injured bits. Unfortunately, lacking a deltoid means there’s no place to put the bar on a front squat. It just rolls right off the clavicle on the left side. That’s fine by me- back squats are what I’m used to. Hopefully I’m not screwing something else up with these weights.

Any help I could solicit from you folks, or anyone with similar problems? Any help would be fantastic.

I feel guilty posting this in someways, clogging up your thread, but man is that inspiring!!

Here’s a guy who isn’t giving up, no matter what. It should bolster the motivation to guys who cant be bothered, or just talk a good game.

I take my hat off to you sir, and hope you achieve everything that you want to achieve with you physique!

Too bad I can’t help you! Obviously, you’ve been seeing lot of therapists…If I were you, I’d send an e-mail to one of the “functional trainers” who write articles on T-Nation (do I need to mention? Cressey, Robertson, Boyle…). All the best, man!

Ps: for squat, try a Manta-Ray device…just google it.

SWD- aw, shucks. Thanks for saying so, but I have a long way to go by any measure. Since no one I know exercises, it’s always a competition of me against me. Which I suppose is one of the reasons I signed up here.

That said, I’m not very strong, at least not by T-Man standards: squat 355x5, bench 245x5, dead 315x5. Body weight of 220- yuck. My belly pooches out above the waist more than I’d like, so I could stand to lose some fat (damn desk job). Strength, fat loss, it’ll all help me with my real passion, which is long-distance hiking. Oh, and to look good naked.

Thanks for the tip fabiop. . wow, that Manta Ray thing looks nifty. I wonder if I can try it at a store somewhere before I buy it . .

I’m OK with back squats but after seeing everyone here sing so many praises on the front squat I’m thinking about switching over. If that doohickey works, it could make that possible.

Regarding therapy . . I actually had to abandon therapy not too long after the accident for financial reasons. The other driver left the scene and I was a poor college student, no insurance. Whaddya gonna do? I did try to educate myself about what had happened to my body, and was able to figure it out from the pattern of muscle activation and lots of books. Now that I’m all grown up and insured, various doctors have collectively said something to the effect of: a)it’s sort of incredible you’re alive, b)keep up the good work, and c) have some pills for your blood pressure. I don’t drink more often than once a month, but when I do it’s too much.

About the device: there are two versions, one for front squat, the other for back squat (Manta Ray and Sting Ray, if I recall it correctly); I wouldn’t advice them for people with both delts, but your case it’s a bit different. For shoulder press, seated DB should reduce torque on your spine.
Keep alcohol under control, anyway…

OP

This is very inspiring, and your spirit is commendable. However, I think you might get more results by re-posting or asking mods to move this to Bodybuilding or Strength sports, where more/more experienced people go.

Best of luck.

Lopsotronic,

It’s great that you still lift, and cool that you like to hike. Trail-running is one of my (too often neglected) passions. It’s my therapy, but I don’t often mention it here.

I’m sorry that the person who hit you played the coward and left the scene, though I commend your attitude. Like your writing style, too.

Random, probably insultingly obvious thoughts:
Are there any surgeries or therapies that could return some nerve-function to that arm? (I know that veins and even muscles can be moved from one part of the body to another, can nerves?) I have no medical training, and, yes, I read about your insurance situation. This is likely pie-in-the-sky thinking, but you never know. Perhaps there is some experimental procedure, or some private institution/state agency that would help finance such care…

Someone posted (or was posted about) here awhile back whose elbow was blown out while serving as a soldier – he was lifting, more or less, with one arm. Does anyone know this guy, or can anyone point to that thread? (This wasn’t in an Atomic Dog, was it?) Perhaps he could be contacted.

You have some, but not full, function in your injured arm. It seems you could attack training from three angles: trying to improve function in the injured arm (therapy, surgery, or things like one-arm cable exercises), finding methods of training (belt squats, sled pulling w/harness) that don’t require a lot of arm involvement, and/or training to maximize the abilities of the non-injured arm…

The Rehabilitation Institute of Chicago is supposed to have very good people/results. Might not be an option for you. Might not be what you’re looking for, but I throw it out: http://www.ric.org/

Even if you can’t go to this or a similar place, if you are pushy and ask to speak to a doctor, they might be able to point you to some good resources.

Might be macabre, but a (comparitively) high number of servicepeople lose limbs or have permanent injury to a limb. I might find them or the people who treat them – assuming they were willing to talk w/me – perhaps they will have ideas on how to train and avoid harmful imbalances.

Any clever things you could do with bands, chains, dipping belts?

Finally, I second the idea of contacting Cressey, Boyle, Robertson, directly.

If any of the above is insultingly irrelevant or insensitive I apologize. Just brainstorming what I might do in your situation.

Best of luck to you.
-F.

have you tried western [as opposed to chinese] acupuncture? It really helps get the nerves firing but will likely not be Rx’d by most doctors.

Any how as to some training ideas I would be sure to stay on the safer side with most lifts. If deadlifting fucks with your arm then you might want to go with good mornings for most of your hamstring/glute work.

As for upper body I would not worry about left right imbalances very much. I know a fella who has only the one arm and his one side is straight jacked while the other is not so much. His spine is just fine. see a good legit chiro regularly if you are worried. The guy can one arm snatch 60kg/135# on a barbell.

Often times the work on one side can help trigger rebound growth on the other side. Where i read that they said that they used light proprioceptive exercises on the injured side and heavy strength work on the other and hypertrophy was found in both.

So from what i have read I would say that you can give the good side extra work and do whatever you can with the other side and it should get better, ideally.

In other news: you’ve got some real grit man. You can’t buy grit.

-chris

Hey,

I don’t usually come on T-Nation as bodybuilding isn’t my scene but i specifically signed up because of this post. I’m primarily a Thai Boxer but I have a squat 70kg, Bench 60kg and Deadlift of 100kg at 62kg bodyweight so I am interested in lifting.

I only have one arm (well it ends at my wrist) and like yourself I have struggled with lifts. Thanks to perseverance and the fact I’ve been like this my whole life I’ve come up with workarounds. I’m able to train most exercises but not dumbells. I’ve found pretty much equal growth/hypertrophy even though my left side is stronger. Stick to your strengths and blast those squats!

If you’ve got any questions or suggestions of how you work around stuff in the gym it’d be cool to hear about.

Owen

I think it’s cool that this thread brought someone out of the woodwork who might have similar training experiences/ideas/work-arounds… I wonder too, though, if this thread might get more traffic by moving to the Strength Sports forum – or maybe Bodybuilding (don’t know which crowd would be more likely to have useful opinions on this) – as Hunter S. Thompson (G87) suggested a few posts up.

Again, keep it up and good luck.

[quote]avengedsixfold wrote:
Hey,

I don’t usually come on T nation as bodybuilding is my scene but i specifically signed up because of this post. I’m primarily a Thai Boxer but I have a squat 70kg, Bench 60kg and Deadlift of 100kg at 62kg bodyweight so I am interested in lifting.

I only have one arm (well it ends at my wrist) and like yourself I have struggled with lifts. Thanks to perseverance and the fact I’ve been like this my whole life I’ve come up with workarounds. I’m able to train most exercises but not dumbells. I’ve found pretty much equal growth/hypertrophy even though my left side is stronger. Stick to your strengths and blast those squats!

If you’ve got any questions or suggestions of how you work around stuff in the gym it’d be cool to hear about.

Owen [/quote]

Would something like a barbell row or deadlift be out of the question with a hook-strap? Those are very solid lifts that can bring some development quickly.

Also, a kind of fun way to give your body a kick in the ass is to get a regular backpack, drop a full sandbag into it, and go for a long hike.

Feist: Um, not to sound like an idiot, but how do I request that a thread get moved? There are a lot of buttons that I can’t see because I have images turned off, so maybe it’s just invisible . .

Jeffe: Oh yeah, that’s how I got ready for my 2006 AT through-hike. Cardio days were cranking the treadmill incline up to max, putting 40 lbs in the pack and going at it for thirty minutes. The AT still kicked my ass to the moon and back, though.

avengedsixfold: Wow, I have no idea how I’d train without a hand. Of course, before the accident I had no idea I’d lose my left scapular and brachial nerves, so it proves the old mantra of “it’s all in your head”.

Also, you are awesome. “I got my ass kicked by a guy with one frickin’ hand tied behind his back!”

I have a lot of friends with uninjured bodies who have never done a single chin or pullup with their bodyweight. Makes you think. Sometimes I wonder if I would have been in worse shape had I been left whole . .

Anyway, most of my workarounds are based on my particular deficiency, but here we go, just in case it helps:

  1. Use a close semi-supinated grip on most pulling exercises. When you look at muscle acitvation, you can see that the wider-grip pulls are trying to activate the posterior deltoid, and the eccentric phase hits the anterior and middle fibers as well. If you don’t have 'em, you can’t work 'em. The mystery to me is why my chins stall halfway up, as I would think I’m safe in that range of motion with my trademark grip. Losing 20 pounds would probably help, too.
  2. When benching heavy without spotters (i.e., all the time), I sometimes (gasp!) use a Smith machine. Never go more than two sets on it, because it forces any deficiency on the left side to the right side. The right shoulder has trouble with this when it’s loaded heavy (which is also incidentally the only way I can feel the set on the Smith).
  3. Stay away from the preacher curl. The upper arm wants to pop up, and there’s no shoulder muscle there to keep it from doing exactly that.

[quote]Lopsotronic wrote:
…how do I request that a thread get moved? There are a lot of buttons that I can’t see because I have images turned off, so maybe it’s just invisible .
[/quote]

Haven’t done it myself, but I’ve seen people just put a post in their thread that says, “Hey, Moderator, would you please move this to Forum X?” I guess if the mod thinks the request reasonable, the thread gets moved.

Lopsotronic, you wrote:
Over the next eleven years the lack of enervation would visibly destroy a number of muscles in the left arm, most obvious being the lateral and posterior deltoid muscles, less obvious being a lot of muscles in the hand, forearm and shoulder. You have to look at my forearms and hands for a bit before you realize one is a lot beefier than the other. The left shoulder is pretty obvious, however.

You also wrote:
[i]Anyway, most of my workarounds are based on my particular deficiency, but here we go, just in case it helps:

  1. Use a close semi-supinated grip on most pulling exercises. When you look at muscle acitvation, you can see that the wider-grip pulls are trying to activate the posterior deltoid, and the eccentric phase hits the anterior and middle fibers as well. If you don’t have 'em, you can’t work 'em. The mystery to me is why my chins stall halfway up, as I would think I’m safe in that range of motion with my trademark grip. Losing 20 pounds would probably help, too.
  2. When benching heavy without spotters (i.e., all the time), I sometimes (gasp!) use a Smith machine. Never go more than two sets on it, because it forces any deficiency on the left side to the right side. The right shoulder has trouble with this when it’s loaded heavy (which is also incidentally the only way I can feel the set on the Smith).
  3. Stay away from the preacher curl. The upper arm wants to pop up, and there’s no shoulder muscle there to keep it from doing exactly that.[/i]

I wonder, do you have, literally, NO lateral and posterior delt function on your injured side, or just very limited function? I realize that, in either case, work-arounds of the type you mention will be necessary for any heavy training. If the answer is “limited function,” though, do you take steps to try to maximize it or pretty much ignore it? I ask both in the sense of “What do you do now?” and “What’s most advisable?” I know the answer to neither of course.

Are your delts still there? Could they regain some function if it was somehow possible to ennervate them? This is more pie-in-the-sky stuff, I know, and I don’t mean to nourish unrealistic, escapist ideas or to downplay the good work you’ve done with what you’ve got. Ignorance combined with google (search term: “nerve graft”) yielded the following, though. No idea if it’s realistic in general or for you specifically:

http://www.pncl.co.uk/~belcher/information/Nerve%20graft.pdf

http://www.cumc.columbia.edu/dept/peripheral-nerve/problems/ngr.html

You know, if you took some nerves from your shins, you could also develop deadly Muay Thai shins of doom.

Again, forgive me if any of this is irrelevant to your situation.

Feist: Advice noted.

Hello, Moderators- please move this to Strength Sports. Thanks!

Also, Feist, yes there is no nerve activity to those muscles. It looks like old man flesh goo in those areas, with muscles popping out around them. The shoulders are the most obvious, but the hand and forearm are a little shrivelled as well.

The crazy thing is that for day to day use, the muscles around those shoulder muscles pick up the slack pretty well. I can type pretty well, obviously, and work on things above my head (plumbing, carpentry, etc.) if I’m careful and plan how I’m going about it.

There are some ranges of motion that I just don’t have, and it’s pretty much impossible to hold a weight out at arms length in front of my body with that arm. It’s not uncommon for me to hit that bad arc during a pushup and plant my chin into the carpet, or have a dumbbell fall on my chest with my hand still idiotically gripping it.

Anyway, I will definitely look into those links you posted, and maybe be more assertive with my doc. This damage is only going to get more problematic as I age.

Thanks to everyone for the replies!

Lopsotronic: I recommend you contact Jason Pegg over on elitefts.com. I think he may be able to give you some useful advice. Good luck.

Good luck, Lopsotronic. Please post again if there are any developments of note. And, either way, keep up the good work.