"SLAP" tear in left shoulder

[Vlad5]

got MRI results back showing a SLAP (superior labrum, anterior [front] to posterior [back]) tear. Massive bummer! Going to have surgery very soon.What peps do i need to load up on to help recover?

I was just about to start a Mod-grf(1-29)/GHRP-2(or ipa) stack. Willan igf or mgf be beneficial?

What about tb500 or BPC?

this is going tosuck(mostly the fact of being out of the gym)

ANY feedback is greatly appreciated!

 

[ShredMN]

Thymosin Beta-4 (Tb500) and something to help with GH secretion. I've used Tb500, but no other peptides so I'm not extremely knowledgeable on the GH ones.

Pick yourself up some Wobenzym-N if you can afford it as well. It's a nutritional supplement created by a German pharmaceutical company in the 60s. Should be safe to take immediately after the surgery.

I did have an arthoscopic repair of my anterior labrum, though.

Good luck with the surgery, the recovery is a long one.

 

[Vlad5]

thanks shred. yeah im not happy about it....dont even know how i did it.

The surgery is arthroscopic and lasts about 30-45 min. Not very familiar with it but im sure a combo of some peps should help. Just not sure which direction to go.

 

[hotdog23]

The stack you planned PLUS bpc @ 250mcg daily

Forget the rest. Make sure you use a reputable source

 

[Vlad5]

thanks Hotdog. The reputable source is the problem now days lol. I remember when there were good sources all around. Now its hard to find "legit" with "consistency". Its like 4 good reviews,2 bad....5 good reviews,3 bad...and so on and so on....Ifyou have a goodone to share with me that would be great,or please pm me.

 

[Dr JIM]

PEPs, to load up on? I hope you know there is NO LITERATURE supporting the use of "PEPs" for muscle or collagen growth.

Now there is SOME PRELIMINARY data that supports the use of IGF to enhance collagen growth BUT that requires (according to existing studies) intra-articulate injections.

Unfortunately probably the VERY WORST complication in a SLAP patient is a postoperative infection, bc if that happens you can kiss that "repair" goodbye! (PS yes I've had a SLAP tear and a repair!)

So just follow your surgeons advice and recover using physical therapy, and sound judgement, unless of course your a PRO ATHLETE where time off means millions---------- NEXT!

 

[Vlad5]

Thanks Dr. Very good advice. I was thinking extra GH around would help speed recovery. And Im also concerned with any atrophy in that arm, etc.

 

[Dr JIM]

Again there is NO EVIDENCE SYSTEMIC GH or IGF makes any difference in recovery.

Atrophy, well of course there well be some atrophy bc you won't be using it much for roughly 4-6 weeks.

I'm serious your better off ceasing this line of thought bc the FULL recovery interval for a SLAP tear is SIX MONTHS!!

People who push their post-op recovery, especially if it deviates from their surgeons recommendations, almost always do more harm than good, IME

Let me tell you you tear your glenoid rim again, chances are the second repair well be much less stable than the first, and you WILL regret it!

 

[BR1217]

PEPs, to load up on? I hope you know there is NO LITERATURE supporting the use of "PEPs" for muscle or collagen growth.

Now there is SOME PRELIMINARY data that supports the use of IGF to enhance collagen growth BUT that requires (according to existing studies) intra-articulate injections.

Unfortunately probably the VERY WORST complication in a SLAP patient is a postoperative infection, bc if that happens you can kiss that "repair" goodbye! (PS yes I've had a SLAP tear and a repair!)

So just follow your surgeons advice and recover using physical therapy, and sound judgement, unless of course your a PRO ATHLETE where time off means millions---------- NEXT!

Hey Doc, do you have any information about IAGH injections? I am having surgery March 13 to repair a SLAP tear and a torn rotator cuff on my right shoulder. I have found a little info but not much. My surgeon offers PRP treatments and I have asked him about IAGH injections which he said he is not familiar with and does not offer at this time, he did say he would look into it though. Just curious if you have any info?

Also, to your knowledge is it standard to reattach the long bicep tendon in a labrum repair? He said my LBC has fraying and if he doesn't reattach it will most likely pull on the labrum repair causing a failed repair. Does this sound right?

 

[Dr JIM]

IAHJ of what? A corticosteroid?

Sure many Ortho docs do this BUT it does NOT remedy the problem whatsoever and should only be considered palliative (as in only treats your symptoms pain in particular)

The long head of the biceps tendon continues to form the glenoid labrum after entering the shoulder joint.

So in actuality a SLAP tear is the avulsion of the BICEPS TENDON away from the glenoid!

It MUST BE FIXED or reattached for any hope of a successful repair!

Is your surgeon sports medicine TRAINED?

Is he going to perform the repair ARTHROSCOPICALLY?

Jim

 

[BR1217]

IAHJ of what? A corticosteroid?

Sure many Ortho docs do this BUT it does NOT remedy the problem whatsoever and should only be considered palliative (as in only treats your symptoms pain in particular)

The long head of the biceps tendon continues to form the glenoid labrum after entering the shoulder joint.

So in actuality a SLAP tear is the avulsion of the BICEPS TENDON away from the glenoid!

It MUST BE FIXED or reattached for any hope of a successful repair!

Is your surgeon sports medicine TRAINED?

Is he going to perform the repair ARTHROSCOPICALLY?

Jim

Intra Articular Growth Hormone injections post surgery, cant seem to find the protocol though.

Yes, he completed a Sport Medicine fellowship at the University of Pennsylvania and has been a team surgeon for several NHL hockey teams and one NFL football team.

Yes, he said he is going to do it Arthroscopically.

 

[Dr JIM]

Oh the use PRP therapy should only be considered ADJUNCTIVE, that is, in addition to corrective surgery, IMO.

 

[Dr JIM]

Growth hormone therapy although used in some research facilities remains EXPERIMENTAL.

It to is best considered an surgical adjunct much like PRP.

There is NO literature that supports the use of such therapies in isolation.

 

[BR1217]

Oh the use PRP therapy should only be considered ADJUNCTIVE, that is, in addition to corrective surgery, IMO.

That was his recommendation.

 

[Dr JIM]

My suggestion simply follow your surgeons advice from beginning to end and don't make the mistake many have, attempting to hurry recovery by accepting unnecessary risks.

We're only talking 6 months before your back in the gym.

 

[Dr JIM]

That was his recommendation.

If he agreed w me he's a wise man, lol!

 

[BR1217]

My suggestion simply follow your surgeons advice from beginning to end and don't make the mistake many have, attempting to hurry recovery by accepting unnecessary risks.

We're only talking 6 months before your back in the gym.

Only SIX MONTHS!

Thanks for the feedback Doc! I appreciate what you do here at MESO!

 

[Dr JIM]

I know from personal experience having had a SLAP tear 6 months may seem like forever but it will pass quite rapidly.

Actually at six months the repair strength is around 80% and 100% by a year.

Ask yourself how you would fare WO having it being repaired? (Answer, quite poorly GUARANTEED)

The important thing to remember, you will live to lift another day a full throttle IF you allow it to FULLY HEAL!

 

[BR1217]

I know from personal experience having had a SLAP tear 6 months may seem like forever but it will pass quite rapidly.

Actually at six months the repair strength is around 80% and 100% by a year.

Ask yourself how you would fare WO having it being repaired? (Answer, quite poorly GUARANTEED)

The important thing to remember, you will live to lift another day a full throttle IF you allow it to FULLY HEAL!

Yes. I actually injured this shoulder in 2012. I had an Arthrogram and an MRI at the time of the injury confirming the damage. Being stubborn as I am the thought of six months of rehab/recovery seemed too much to endure at the time. I have been training as best I can the last 3 years with limited range with the shoulder and increasing pain as time has passed. I finally decided to have the procedure done when I realized I was unable to lift my arm to put on deodorant in the morning without some doing. I still train regularly and have seen nice gains the last couple years even with limited range of motion but the pain has become too much to manage with meds. In hindsight I should have done this 3 yeas ago, stupidity on my part.

 

[Dr JIM]

They did an Arthogram to eval your injury in 2012, how antiquated.

Yep that's a classic history even for Doctors, lol!

Just get it done you'll be glad you did but peeved it took you so long to do so!

So be patient with that rehab, I mean chances are you will have more function in 2 months than now!