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Old 11-23-2005, 02:03 AM   #1
x77
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brachialis tendonitis

Hi,

I have had brachialis tendonitis for the last 2 years in my right arm. My doctor just tells me to take naproxen and stop training until its healed. I did stop for 1 year due to other stuff happening and its still there. I have been back training consistently since July of this year but the tendonitis is still there despite the fact I am avoiding curls and chins which cause a lot of pain. I can manage 44lb DB curls. Bent rows also hurt it but DL are fine and DB rows are easier on the joint.

So apart from just getting on with it is there actually anything I can do? I can not take naproxen for that long without getting stomach ache. I've done the rest/ice stuff to no avail.

BTW I dont have the funds for private health care and I live in the UK so we get what we are given and typically any sporting injuries are greeted with a canned response of 'take brufen/naproxen and rest until its healed'.

Thanks

Pete
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Old 11-23-2005, 08:12 AM   #2
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I have had similar problems and I used "icy-hot" and other sports creams like Ben-Gay with very good success. Just put it on an hour before working out and it seems to help...

An acupuncturist may be able to help.......
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Old 11-24-2005, 01:14 PM   #3
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good luck bro !

I've been battling with mine for almost 10 years. IMO once you get it, good luck improving your arms, 'cause IMO it aint gonna happen.

Things that help are rest and stretching !
When it comes to training your arms you have to stay in control and never let the weights accelerate or drop even a little too fast.
What also worked for me when it comes to training arms is i'd start out with triceps while every other set I'd superset with something for forearms, like reverse curls with EZ bar. (BTW forget about using straight bars, don't even touch em !) So when I'd get to working bi's that area would be nice and ready, but you still have to excercise control and forget about using heavy weights.

When it comes to training your back with BO rows, it flares up only when I do them with a wider than usual grip, I like to keep it very close anyway.

Couple of years ago when it was really bad I posted similiar question on Mayhem, so I think if you do a search there you'll find my post (my id there was:Shura , I think) I received a lot of really good answers, a lot of really guys like chris bennett chimed in and it confirmed everything I knew but also gave me some new info.
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Old 11-24-2005, 02:01 PM   #4
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Let me get the master PTAaron over here to give you guys the best advice on rehab you can find...
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Old 11-24-2005, 05:33 PM   #5
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Thanks for the replies guys.

Shula, 10 years is a long time, I feel for you. I did my right arm on BB curls, too much weight, my own fault. Weirdly enough my left arm has been sore the last 2 days and that also feels like tendonitis and I havent done much bicep work, just enough to prevent atrophy. I'll search mayhem, thanks for the tip

I'm 34 years old now and clean, I had my fill of blasting all out and I guess I am paying the price for all the abuse in my 20's. I can live with going light on biceps, I'll just work around the problem, as long as I can still workout that is the main thing. I would hope I am still training at 60 but I wonder if I'll have any joints left by then, however in the grand scheme of things many folks suffer far worse so i count my blessings

Inhuman - thanks, any further info will be much appreciated.
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Old 11-24-2005, 06:30 PM   #6
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you could have a constriction issue in your anterior delt, upper arm or brachialis.

muscular constrictions can lead to symptoms you have mentioned.

i happened to me. i saw the finest doctors, and none of them could diagnose it--so i did. they diagnosed it as a labral tear, partially torn biecps, tendonitis, etc. i came up is a alternation protocol with a ART specialist and an accupuncturist who does a release technique in my ant delt, pec minor, biceps area.

and it worked. i also heat and stretch the area frequently to prevention constriction in that area

good luck
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Old 11-24-2005, 09:21 PM   #7
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Quote:
Originally Posted by sniffy54
they diagnosed it as a labral tear, partially torn biecps, tendonitis, etc. i came up is a alternation protocol with a ART specialist and an accupuncturist who does a release technique in my ant delt, pec minor, biceps area.

and it worked. i also heat and stretch the area frequently to prevention constriction in that area

good luck
NICE!!! I absolutely *hate* it when I get a labial tear...

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Old 11-25-2005, 12:30 PM   #8
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Heres my input based on my past experiences

1st - several extra sets to warm up helps me alot-
DMSO works , also a home EMS or STEM machine works (electronic muscle stimulation)- these are low tech versions of what Chiropractors use in their offices.

and to make it clear--- Hey RANDY-- I said offices NOT orifices... jeez ! labial tear-- now thats funny!
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Old 11-25-2005, 02:33 PM   #9
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Some good suggestions in here already...

After 2 years I can tell you that naproxyn isn't going to do anything - at this point it has most likely become tendonosis, not tendonitis. True tendonitis is an inflammatory process and will respond to anti-inflammatories - but after 8 weeks or so it typically will move on to tendonosis, which no longer has the inflammatory cells present. Also - naproxyn and ibuprofen are both pretty much pointless to treat tendonitis because they will take 6-8 weeks of continuous dosing to give you an anti-inflammatory effect... so I would say just forget about the naproxyn if it is bothering your stomach.

Brachialis tendonitis is interesting... I don't think I've treated anyone with that in the clinic, so congratulations on a unique injury

Okay... here is what I would recommend: First - my standard answer of ice massage and cross fiber friction massage to the affected tendon. Because you mentioned that it was tendonitis, I am assuming you can find the point of irritation by poking around on the tendon? What you will do is take a block of ice (fill up a paper cup, freeze it, then peel off enough paper to expose the ice) and massage the area for 5 minutes, or until it is bright red and numb. Then you take your thumb or your index and middle finger and push into the area of tenderness that you found before - you are going to push hard - and move side to side going across the fibers of the tendon. This typically doesn't feel good - that is one of the reasons we ice it first. You will do that for 3-5 minutes, or until you get tired - then ice massage for another 3-5 minutes. Do the ice massage alone 2-5x per day, and the friction massage once per day with the ice massage.
This will help to "break up" the damaged fibers. The ice helps with the pain, and stops the proliferation of abnormal blood vessals that come along with tendonosis and weaken the tendon. You continue to exercise with relatively lighter weights - and the tenson on the muscle/tendon will help the tendon to heal with the fibers in proper alignment, and hopefully without pain.
If you can get ahold of an e-stim machine that does interferrential electrical stimulation - use it. That is going to help with the healing and the pain.
Also look into the elbow sleeves that InHuman is always going on about - those will keep the area warm while you workout which may help... I know the knee sleeves helped immensely in dealing with my knee issues.
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Old 11-25-2005, 03:26 PM   #10
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PTAaron - thanks very much, I will start doing exactly what you have suggested. As for Brachialis tendonitis that is what my doctors have told me but its worth mentioning I am in the UK and these are NHS doctors, not private so the standard of care is pretty shit.

Thanks for taking the time to stop by and help out, it is appreciated
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Old 12-20-2005, 06:32 AM   #11
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Just an update and a bit of advice needed yet again. The tendonitis has all but gone apart from a very slight twinge if I flex my bis hard. My father has been seriously ill so I have ended up missing many workouts and before that I avoided any bicep work in an attempt to heal the tendonitis/tendonosis. The arm layoff seems to have helped a lot.

After 2 years of this nagging injury something tells me I would be better off leaving biceps for another month or so, would you agree? What I really don't want is to end up with severe arthritus or even long term tendonitis but at the same time my arms are looking more like matchsticks as the year goes on. 10 years ago I had 20"+ arms and now they are 16 1/2 which for me is just taking the piss but I am cutting and have dropped 35lbs since July.

Another quick question, I have been doing loads of cardio and would I be correct in assuming the cardio will help the healing due to transportation of nutrients and increased blood flow etc?

I would also like to take this opportunity to wish you all a happy xmas and new year. I hope to be able to contribute to this forum next year, right now I feel like a sponge, taking and not giving back.
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Old 12-21-2005, 11:15 AM   #12
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Quote:
Originally Posted by x77

Another quick question, I have been doing loads of cardio and would I be correct in assuming the cardio will help the healing due to transportation of nutrients and increased blood flow etc?

.
yes, but lots of cardio could lead to increased oxidation transporting free radicals to your arm via increased blow flow. could work, maybe not....but....HEAT will increase circulation, providing nutrients without increased oxidation.
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Old 12-22-2005, 11:08 AM   #13
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Actually the increased free radicals may be beneficial if it isn't overdone...the free radicals, a normal part of our metabolism, will destroy any weak cells. The healthy cells will have sufficient oxidative enzymes to protect the healthy cells...but alas, moderation is the key-
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Old 12-22-2005, 11:11 AM   #14
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Originally Posted by SuperSport
Actually the increased free radicals may be beneficial if it isn't overdone...the free radicals, a normal part of our metabolism, will destroy any weak cells. The healthy cells will have sufficient oxidative enzymes to protect the healthy cells...but alas, moderation is the key-
this is also true. good point
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Old 12-22-2005, 12:13 PM   #15
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wow, you guys post so much in depth information i have like 50 threads from this site in my favourites...
thanks guys.
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Old 01-08-2006, 04:32 PM   #16
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Quote:
Originally Posted by x77
Hi,

I have had brachialis tendonitis for the last 2 years in my right arm. My doctor just tells me to take naproxen and stop training until its healed. I did stop for 1 year due to other stuff happening and its still there. I have been back training consistently since July of this year but the tendonitis is still there despite the fact I am avoiding curls and chins which cause a lot of pain. I can manage 44lb DB curls. Bent rows also hurt it but DL are fine and DB rows are easier on the joint.

So apart from just getting on with it is there actually anything I can do? I can not take naproxen for that long without getting stomach ache. I've done the rest/ice stuff to no avail.

BTW I dont have the funds for private health care and I live in the UK so we get what we are given and typically any sporting injuries are greeted with a canned response of 'take brufen/naproxen and rest until its healed'.

Thanks

Pete

ok I just noticed you're in the UK........I was going to suggest you find a DC who does Active Release Technique.....
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Old 04-15-2006, 12:59 AM   #17
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I'm 18 and I think I have this. My PT just said bicep tendonitis, but this sounds exactly like what I have. Only I have it in both arms. She has me doing stretches and electrotherapy. It just sucks not being able to do anything exercises above the waist. And its a bitch to heal because you kinda have to use your arms for basic everyday things. Either way, it tweaks pretty bad when i strain to lift anything, and almost as bad when i flex my bi. This sucks.
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