Two Weeks After Bicep Tendon Surgery

Hope to fly Simplicity, creativity, concept, flying, hope, dove ...

Today was liberating. I got to ditch the sling and was also able to drive. Today was also my first day back at the gym training clients in person. Of course, it will be another 4-5 weeks before I can lift anything heavier than 1 pound with my right arm, but it feels great to be getting back to a normal routine.

It’s been 14 days since the Bicep Tenodesis surgery and I feel like we’ve made some good progress.

The last week was up and down. The stitches came out 2 days ago and I good a report from the doctor. The assistant showed me the pictures that the arthroscope took (they actually sent me home with a set but I really couldn’t interpret them). She explained what I was seeing, where the problem had been, and how it was corrected. The good news was that the rotator cuff is looking awesome and there didn’t seem to be any other issues. She did say that the area that was causing the discomfort that led me to PT and eventually surgery was not actually that bad, but that they could see where the issue was.

Was the surgery unnecessary then? No. This was not going to get better and would probably have gotten worse. Taking care of it now just means an easier recovery and less time dealing with the mobility and pain issues. It’s kind of like when your check engine light comes on; you can go right to the dealer/mechanic and it won’t usually be such a bad problem…or you can drive on it for another couple of months and then find out that you’ve got a serious repair that will cost a lot more. I’d rather be proactive.

There were times over the past seven days when my arm felt fairly pain-free and others when the it was a little more intense. One night it even woke me up in the middle of the night twice; I fell back asleep with an ice pack on. Yesterday at PT, the therapist told me that this is actually quite normal. She said to expect it to continue for a while; I may even want to ice each time I do my PT exercises at home and before bed. So far, that hasn’t been necessary but we’ll see how things proceed.

The actual process of PT is changing as well. For the first 10 days or so almost everything I did was passive or assisted. Now that we’re past the two-week mark, we will begin to build up the muscle while continuing to work on mobility. I am happy about this even though I know that I might experience some aches and pains. I looked in the mirror yesterday and saw that my right bicep is definitely looking sad compared to my other arm. The rebuilding process will be a long one, but I have lots of reasons to want to get myself back in tip-top shape.

Next report when we hit the one-month mark. In the meantime, it is great to be back to doing the things I enjoy…within limits!

Power to the (Older) People

Power to the people

In the world of fitness–as in the world of physics–there is a difference between strength and power.

Muscle strength is the maximum amount of force a muscle can exert against resistance in a single effort. For instance if a person is able to press 135 lbs in a single rep of a bench press, that would be their muscle strength.

Muscle power, on the other hand, is the ability to exert maximal force in as short a time as possible; this could mean accelerating (as in a run), jumping or throwing an object (a ball, a discus, a javelin). Muscle power takes into account speed.

The way a person trains their muscles depends on the outcome they are looking for. Those seeking sports performance often focus on power training since speed is usually a factor in competitive sports. Many others who look to improve muscle tone or who want to be able to carry out activities of daily living may focus on strength training.

The most recent issue of ACE Fitness Journal (Sept. 2019) had a brief article on power training vs strength training for older adults by Shirley Archer, JD, MA. She reports on a study out in Brazil reporting on the benefits of power training in an older population. It showed that subjects in the study who were above the median in maximal power had better survival rates than those below the median; in other words, if you have more muscle power there is a tendency to live longer.

This is exciting news to those of us who work with many older clients. The study can be found in https://journals.lww.com/nsca-scj/pages/default.aspx, vol. 41, issue 1.

The article by Archer notes that there is need for more study and caution. Power training requires more balance and coordination; some seniors may not have the necessary skills to perform power training. Even so, it is interesting to note that this is a promising direction for trainers and clients as we age.

I look forward to more research as I continue to help my older clients live longer, healthier and more independent lives.