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Mild biceps tendinosis/tendinopathy

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09-10-2009, 05:47 PM
  #1
Jive Time
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Mild biceps tendinosis/tendinopathy

Well, that's what the MRI said...

First of all I would like to thank everyone who has posted information regarding their injuries and recovery. With that being said, I figured it may be useful to describe and log my situation in case someone has advice or help another.

I grew up in Canada and mostly played pond hockey until the age of 11. My parents refused to let me play organized due to the perceived violence of the game (grumble). Since I was the younger brother I usually got stuck between the pipes with some foam tied to my shins. Needless to say, I never really learned to skate or stick handle.

Last January, my son started taking a beginning hockey class and I decided to give it a go as well. I got hooked and quickly moved into the pickup games at night playing three nights a week (my wife was not happy).

In late May, I started to notice a pain in my right (dominant) bicep muscle and figured it was just sore from playing a lot. I kept playing despite increasing pain and general discomfort thinking it would get better.

Finally, one morning after playing I could barely brush my teeth my arm hurt so much. I figured I would stop playing that week and give it a rest. The pain was in the center of the bicep in the supinated (thumb up) position with the elbow near the waist. I let a week go by and I had to completely stop using the arm all together! Switched the mouse at work and didn't move the right arm for three days.

There was NO swelling, NO deformation, NO bruising and NO pain in the shoulder. I quickly made an appointment to see an Orthopaedic specialist and the result was a prescription for an anti-inflamitory and PT.

I did one session at PT where they tested my arm for about an hour and still no answers. I took the anti-inflamitories for about two weeks but quit since I couldn't tell the difference.

Next stop I got a second opinion from another specialist and he recommended an MRI since there was no improvement after 2 months and that leads me to today. The MRI was kind of trippy with the giant hood over you and the weird sounds. It took about 45 minutes and $870 later to do but supposedly the results were pretty clear:

1. Mild biceps tendinosis/tendinopathy or even tendinitis but without a significant tear identified.
2. No mass in the region of the palpable abnormality of the biceps muscle.
3. If there is any clinical suspicion for a proximal biceps tendon tear, then an MRI of the shoulder and proximal humerous may be of benefit.

I had convinced myself that there was a partial tear and I was headed for surgery so this really is good news. The only problem is, I'm four months into this and no better off. Now I get to go back to the Imaging shop and get the shoulder done and hopefully there will be some answers.

If you think you have a distal bicep tendon rupture, I urge you to spend some time over on this site:

http://tendonsurgeryinfo.com/distalbiceps/index.php

Really a lot great information and case study collected here!

Sorry this was so long winded but if anyone has experienced something like this and can offer some advice I would be grateful. I'm 41 years old and I have never had a physical problem stop me in my tracks like this. I wish I picked up hockey earlier in life but that's something I can't change.

Thanks again to everyone for input already posted to this forum and I will continue to update.

wtk

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09-11-2009, 03:11 PM
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AIREAYE
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Sorry but...$870 for an MRI? Is this in the US or does insurance not cover it?

Anyways I hope you recover soon!

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09-11-2009, 06:38 PM
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NigelSPNKr
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If a doctor sent you to get an MRI, OHIP covers the cost, unless you went to a private clinic.

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09-12-2009, 07:16 PM
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Jive Time
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My coverage is a high deductible PPO in the US. I waited almost four months to do the MRI hoping not to take the hit but at this point I just want answers.

At least now I know the tendon is not torn so I can start looking in other directions.

wtk

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09-12-2009, 08:54 PM
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Hockeyfan68
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I'm sorry to hear about your issues with your bicep ... I have a partially torn bicep and it is the distal portion of it. i've opted to have no surgery ... I can play normally and do everything one normally does shooting or passing the puck.

I only notice it oddly enough when carrying my laptop under my arm like a book. It feels weak but I have NO pain which is also odd and you described having so much pain.

These things are odd ... I have no insurance for this I might add and from that discussion forum posted above for costs I can see why what I chose will just have to be enough.

it feels strong and was not as severe as some people get ... I belive I tore the muscle partially and also partially tore the tendon.

I will have to play it by ear, I can say I have used it a lot and also have played hockey without any feeling of 'Oh no I almost pulled it". i have not felt anything very serious at all when stressing it with physical activity.

This being said it would not have hurt to have surgery and I am certainly getting by without the surgery. I am also 41 by the way and I know 10 years ago I would not have even torn it as I was more elastic then.

I did it with a hyperextension type deal and it was rather flukey.

I've researched a lot of these injuries online since I hurt mine in June and really could not find any info that was from someone who injured theirs in the same way I did.

It appears that none of these are ever the same and are individual so while I opted not to have any surgery this certainly would not be the advice I would give anyone else. I simply went by how it felt personally doing everyday things. I just knew it would heal okay.

Good luck to you and again I am sorry my info is useless to you and I really cannot give any thoughts on your injury .... or whatever it is you are experieincing.

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09-12-2009, 11:47 PM
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NigelSPNKr
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Quote:
Originally Posted by wtkob View Post
My coverage is a high deductible PPO in the US. I waited almost four months to do the MRI hoping not to take the hit but at this point I just want answers.

At least now I know the tendon is not torn so I can start looking in other directions.

wtk
Ah....i assumed you were in canada from the flag and no location was up yet.

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09-14-2009, 03:45 PM
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Jive Time
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Quote:
Originally Posted by Hockeyfan68 View Post
I've researched a lot of these injuries online since I hurt mine in June and really could not find any info that was from someone who injured theirs in the same way I did.
Thanks HF68,

This is the reason I put this in the forum. I was hoping there would be other players out there who have run into the same issue. At a minimum, I can document the progress and hopefully help someone down the road. I can't be the only one with this kind of thing going on.

Supposedly 95% of these bicep problems are associated with some type of shoulder issue. I've had a shoulder problem for 20 years so I'm just going to get it over with and get the MR for that.

I've been doing public skates with my kids to keep some of the strength in my legs but that amounts to very little conditioning. I'll start backup with the early morning stick time at a local rink and just do the pwr skating routine with light stick handling.

CanadianBacon,

I'm from Osoyoos BC, transplanted to San Diego. Since I'm still a Canadian citizen I went with the CDN flag.

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Old
09-14-2009, 11:54 PM
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BadHammy*
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You overdid it, jumping from no hockey to a lot. The funny thing about our favorite game is that it involves a lot of repetitive movement on the upper body, especially wrists, shoulders and upper arms. The trick is to take a few days off when you first notice something is wrong. An ounce of prevention is worth... a lot in hockey terms

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