ahhhh ok I see where you were going with it now.
1 Like
Here’s some info about my shoulder/biceps
This is the Operative Report from my surgery on 19 Sept 2019
===========
PREOPERATIVE DIAGNOSES: Right shoulder torn biceps tendon and torn cuff tissue.
POSTOPERATIVE DIAGNOSES: Right shoulder torn biceps tendon and torn cuff tissue.
PROCEDURES PERFORMED: Right shoulder arthroscopic: 1. Extensive debridement.
2. Open biceps tenodesis.
INDICATIONS FOR PROCEDURE: This is a 48-year-old male. See office notes for details. Who had irreparable rotator cuff debrided before and had a recent long-head biceps tendon rupture. He is apprised of conservative and surgical treatment, wished to go ahead with surgery.
ARTHROSCOPIC FINDINGS: Showed glenohumeral articular surface with some grade 3 and some grade 4 changes in the humeral head, fraying and tearing of the labral tissue circumferentially, full-thickness irreparable rotator cuff tear, stump of the biceps tendon torn with remnant tissue left inside the joint.
DESCRIPTION OF PROCEDURE: The patient was brought to the operating room, identified, placed in beech chair position, well padded and secured. The right upper extremity was prepped and draped in standard surgical fashion. Standard arthroscopic portals were created showing the above mentioned pathology.
Attention was paid to unstable chondral fragments on the humeral head and glenoid, which debrided back and abrasion chondroplasty performed down bleeding bone and the grade 4 changes, working both form the anterior and posterior portal. The stump of the biceps tendon that was remnant in the joint was removed in its entirety, making smooth transition superiorly.
Undersurface of cuff extensively debrided, removing any other bursal adhesions etc. The scope then removed, incision created over the bicipital groove, easily identified the distal retracted biceps tendon, pulled up into the wound. #2 FiberWire was used in locking whipstitch fashion and deemed to be size 6. Using Arthrex biceps tenodesis set at the point of isometry and good contour of biceps tendon a 7 drill hole was drilled in the intertubercular groove, seating the graft with a SwiveLock tenodesis BioComposite screw of 6.25 with excellent coaptation and excellent contour and purchase of the tendon. Once it was felt all pathology had been addressed, copious antibiotic lavage used, the fascial layer was closed, running subcuticular used, sterile dressing applied.
=========
Doing more research on Superior Capsule Reconstruction (SCR) as that may now be in my future in 2-3 years.
Originally discussed this option with my Dr. last year. At that time, my biceps tendon was intact and we felt like the SCR had the potential ((however small) to limit my range of motion. We decided to just do a cleanup of the joint (debriding surfaces and removing arthritic bone spurs) and get on with life.
Hindsight being what it is, I would probably opt for the full SCR if I had to do July 2018 surgery all over again.
This time, I didn’t have the required logistics in place to opt for the full SCR. We needed to get in fast to reattach the biceps tendon (having made the decision to do tat versus not reattaching which is also an option) and I had too many complications to be able to be totally dominant arm immobile for 6+ weeks and very limited for probably 12 weeks. I had that worked out with my job in 2018 that I might need to take short term disability and some significant time off, but that wasn’t an option right now plus a few other personal things that would have totally complicated the hell out of my life.
At any rate, I’ll probably start looking to plan the SCR for sometime in late 2020 or 2021.
1 Like
If anyone has any info on success/failure thoughts etc. on SCR, please share those.
and here is the Radiology report of my most recent MRI:
PROCEDURE: SHOULDER MRI RT WO CON
CLINICAL INDICATION:
M66.311 rupture of flexor tendons Injured right shoulder 9 days ago working out. Heard a pop in right shoulder.
COMPARISON:
None
TECHNIQUE:
MRI of the shoulder without contrast performed on a 1.5 Tesla Scanner.
DISCUSSION:
Bones/bone marrow:
No acute fracture or marrow replacing lesion.
Acromioclavicular joint:
Anatomic alignment. Mild degenerative change.
Glenohumeral joint:
Thinning of the cartilage of the superior aspect of the humeral head. No full-thickness cartilage defect. Joint effusion decompresses into the subacromial bursa.
Rotator Cuff:
Full-thickness retracted tear of the supraspinatus and the subscapularis, with retraction to the level of the glenoid. No evidence of associated muscular atrophy. Infraspinatus tendon demonstrates low-grade undersurface partial injury.
Labrum:
Degeneration of the superior labrum.
Biceps tendon:
Full-thickness retracted tear of the biceps tendon, with nodular focus of tendon tissue within the tendon sheath measuring 10x8x13 mm.
Soft tissues:
No evidence of bursitis.
IMPRESSION:
Full-thickness retracted tears of the supraspinatus and subscapularis components of the rotator cuff, as well as of the long head biceps tendon.
Calling @studhammer - need dosing advice on CJC1295.
I just started ipamorelin but was thinking of adding CJC1295 and wanted to know, DAC or no DAC and what dosage of CJC1295 (doing 500mcg ipamorelin nightly)
I ran no DAC at 250 mcg twice a day. Pin as close to the pain as possible
1 Like
Thanks man.
Hey brother I just re-read your MRI results. I hope you’re not trying to heal a full thickness tear with peptides? This is post surgery, right?
Full thickness tears in 2 of 4 tendons of rotator cuff are non operable and I know they aren’t going to heal. Was using peptides to help the repaired biceps tendon heal and to gain the anti aging benefits along with that.
The full thickness tears happened 20+ years ago and I never had them looked into. Never knew they were shredded until recently. Just thought I had hurt my shoulder playing ball but didn’t know I had torn the tendons.
Damn brother that sucks. I’ve now had 3 rotator cuff surgeries in the last 10 years or so. The most recent being in January. I’ve also ruptured both bicep tendons but never had them repaired.
They can’t do anything? You probably have significant scar tissue and some bone spurs. A good orthopedic doc might be able to clean you up and improve some things.
@studhammer - I’ve had 2 arthroscopic procedures done since July 2018. The first was for them to get in with a camera and confirm that my rotator cuff was a damaged as it appeared on the MRI. At that time, they debrided the bone and cleaned up spurs and arthritis and cleaned up the frayed tendons to help with the impingement I was having.
Most recently, they went in arthroscopically and clea ned me up again in the shoulder joint and also made a 3-4inch incision in the front delt area to reattach the biceps tendon and to clean up the remaining tendon from the groove where it frayed in half.
Ok, this helps alot.
I think you might benefit from BPC 157. BPC is body protective compound. Its another peptide and it helped a lot with my post surgery healing. I also currently run HGH and that helped immensely. Just some things to think about
I think what I’m really after is 2 things:
- Something for NOW that can help with the healing
- Something longer term for anti-aging and joint health benefits (my shoulders, knees, elbows all ache like mad when I am training regularly)
Not sure if that’s a single peptide or if multiple would be a better fit but I also have to be cognizant of $$.
I’ll check out BPC 157! Thanks
HGH is pretty damn expensive but, basically all the GH releasers are trying to stimulate a GH increase. GH is like gear, once you get on real Test, a test booster just isnt going to do anything for you.
If you want real noticeable changes, then I would run BPC 157 at 500 mcg/day stacked with a decent UGL HGH at 4 iu/day.
Note: From my source, 4 iu/day may cost about $7/day and you would need to run it for about 90 days.
@studhammer
I’m on TRT now (160mg/wk) - keeping my free/total test at 25/980
Been doing TRT since 2017 but have moved 2 times since I started and I just got my new protocol stabilized.
Done
Sorry about that @Chris_Colucci 
1 Like
No worries.