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Pains ? Health struggles ? Ask a Surgeon anything

Timmy C

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Sorry for this blunt approach, but to me, and to a lot of orthopaedic surgeons I guess, Hoff'as impingement syndrome isn't a proper diagnosis. It is just a symptom but not a cause. So you have to know what is the root to this. It kinda sounds like a patellar instability but it's really hard to tell without being able to test your knee IRL.
My advice would to go see a very competent knee surgeon in your area but these are not easy to find. Try to know where your local professional sport team gets medical care. There are great surgeons in Australia. Be wary of anyone trying to sell you a meniscectomy, it's forbidden at your age (I guess you're born 1990) except in very particular cases.
If you have any tight muscles, you may, whatever is your pathology, benefit greatly from stretching seriously everyday.


Yeh i know the cause, i was doing brazilian jiu jitsu, and a training partner who was new to the sport, drilled a technique on me.

Incorrectly and smashed his shoulder directly into my knee cap.
 
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Okay... Then it's not an impingement stricto sensu since it is a chronic cause, and you seem to say it happened next to a trauma. But sometimes a trauma can decompensate and reveal a chronic problem that wasn't painful before.
Direct choc on bones can cause bone oedema resulting in pain for a very long time (up to 2 years) without any visible fracture, but it's not too bad since it will resolve spontaneously. It is an elimination diagnosis still. Did you get some xrays or MRI ?

edit : thanks for the rep dude !
 

Timmy C

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Okay... Then it's not an impingement stricto sensu since it is a chronic cause, and you seem to say it happened next to a trauma. But sometimes a trauma can decompensate and reveal a chronic problem that wasn't painful before.
Direct choc on bones can cause bone oedema resulting in pain for a very long time (up to 2 years) without any visible fracture, but it's not too bad since it will resolve spontaneously. It is an elimination diagnosis still. Did you get some xrays or MRI ?

edit : thanks for the rep dude !

I got an MRI done to rule out a torn meniscus, and he determined it was the fat pad. Apparently my abductors are sore because my knee is weak and my abductors and hamstrings are working harder, hence the pain there as well.
 

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Okay... Well, to me, it just means there's some inflammation in your fat pad, but I don't think it's the root cause. It could be only the trauma. That would be my advice, try to avoid any exercise that's painful for a 6 weeks - 2 months peroid, put your knee to a relative rest, if you didn't before, get some NSAIDs (ketoprofene, ...) for 7 days to break the inflammation cycle, ice, and see how it goes from there.
 
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G

Guest64655

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Hello Thomas,

Thanks for your help.

I'm not far from you :).

Last week, during karate I don't know how but I little bit hurt one of my knee. It's a little bit painful only if I force to stretch my leg. So yes not a big deal. It also feels like it is a little bit "congest" (?).

I'm not sure it's related but during my dance lessons when I spin on this leg I lose my balance, which is not practical since I will have a little show next week.

So I don't know if there is something I can do and if it's related or not?

If it's not clear and developped enough for you to be able to say something about it it's ok.
 

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It is probably related, yes. I can't give you any quick fix for your dance show. You should get an x-ray and an MRI to check the ACL and collateral ligaments.
 

moneytree3006

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Hello everyone,

I decided to start this thread because I keep lurking in here and I'm tired of getting this much value without contributing. I try to, but I have to say since I've done poorly in this field of fastlaning, I don't feel confident enough to give solid pieces of advice about business.

However, in my experience, people ask themselves a lot of questions about health in general. Everytime I'm in a conversation with muggles (yeah, sometimes that's how we call people who doesn't work in the healthcare industry ^^), I get asked a lot of questions that I love to answer.

c475b7c0-d36c-4c73-be33-a34030b6ca82

I am an MD in Surgery in France, I am in the near end of my training in Orthopaedic and Trauma Surgery (anything related to locomotive appartus : joints, muscles, bones, tendons, ...). I had a great training with some of world's best surgeons in the field of shoulder surgery and pathology, especially. I can also help you with anything related to Sports medicine and strenght training, and general medical stuff.
Skeletal-muscles-of-the-torso-and-arm20161111-16395-19whlxj.jpg


I don't know if you guys will have any questions for me but I think it's the only and best way I can provide real value here right now (hopefully it will change in the near future).

Best regards,

Thomas, a fellow member of this awesome community.

PS : If you have any question you don't feel like posting in public, please send a PM, I'll do my best to help you.
Oh wow! What an interesting post! Can't wait to read this.

I do have a question. Are there any groundbreaking new/unheard of treatments for fibro myalgia in Europe that you know of? Other than the common ones such as medications like lyrics, PRP, massage therapy, anesthetic injections, burning of sections of nerves in the spine etc
 

FreakyThomas

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Oh wow! What an interesting post! Can't wait to read this.

I do have a question. Are there any groundbreaking new/unheard of treatments for fibro myalgia in Europe that you know of? Other than the common ones such as medications like lyrics, PRP, massage therapy, anesthetic injections, burning of sections of nerves in the spine etc
Hey ! Thank you for your interest in this thread. It can only lives thanks to contributors.

Honestly, I don't. We sometimes deal with fibromyalgia patients in my specialty but we are not trained at all for it and there seem to be no effective surgical treatment. I wouldn't do any burning of the spines nerves, I don't think it's very effective but that's only my opinion.

Do you suffer from it ?

It is right a very unknown disease. Some says it's psychological, and it's usually what some says when we don't understand something but I don't agree with it. However today there is not magic trick to treat it, it is a complex entity. I would also avoid taking painkillers for long periods since there are not effective either but comes with a lot of issues.

Sorry about not being able to help you more with this.
 
G

Guest64655

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Hello Thomas,

How are you doing?

Are you still available to answer some questions around health ? It's still about my knee.
 
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FreakyThomas

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Hello Thomas,

How are you doing?

Are you still available to answer some questions around health ? It's still about my knee.
Hey dude ! I'm fine thanks. Of course I'm still available, please feel free to ask anything.
 
G

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Thanks Thomas !

It's funny to be called Dude :happy:. Probably the 1st time and a nice synchronicity with the last episode of Modern family.

So I have hurt my knee I don't know exactly how but it was at a martial art course. It was in May I think. I waited, done nothing. Asked you a question about it, you answered (thanks). Then eventually in July I made an appointment with a sport doctor who happens to be also a surgeon. He looked at it (nothing I guess to be seen), he asked me multiple questions. We didn't do any x rays or stuffs like that.
Tbh I don't remember what he told me, but it must have been something along the lines of: wait and see if it gets better, probably be careful on some exercises during sport...

So I have continued to go to my martial art courses. I have been a little bit careful. It got better, meaning I felt the thing which told me that there was a problem in my knee less. But last week after a lesson I started to feel it again a little bit more.

Basically it's not painful. Just a little mini pain (une petite douleur "aigue" comme si ça pique ou pince, au coin intérieur de mon genou droit). I have decided to do a break with my martial art lessons (for also other reasons).

I have called the same sport doctor who told me that he doesn't know that I might do y rays or stuffs like that. I called my doctor and the secretary told me that by the phone she can't tell me anything.

Basically I would like to avoid going to the doctor just for the sake of going. Many times I have been and the result was there was nothing, I could have waited. If I can avoid to pay an added bill I would be glad. But at the same time I don't know if things like that left without more examinations can lead to long term problems for my knee. I love my knee :smile2:. And I need it for all my sports.

What would you do in this situation ?

Thanks again for your help here. It's inspiring.
 

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Hi Tomas,

Great thread!

I have had Sternoclavicular Joint Subluxation (point outwards) for several years now. It often causes pain in my shoulder when I work out or stand straight up for a long time. The sternoclavicular is not dislocated, but it's always "half out". When I pull my arm up, it pops back into the correct position. When I take my arm down again it pops out once more.

I got this when I was doing push-ups a few years ago, I think. My whole neck and shoulder was swollen.

I've tried getting help for this but the answers have been... strange. Some doctor said he had no idea what this was, a shoulder specialist told me the swollen lump between my neck and shoulder is my trap muscle. Obviously it's not.

So I went to another doctor in another country, which I am living in now, and he said the sublux was caused by my PE (Pectus Excavatum). So I had the Nuss procedure a few months ago, which was hell. Unfortunately my collarbone is still subluxed. The doctor told me that I should never lift weights again when I have this problem.

Impossible for you to say anything if you havent seen me. But I wonder what's your experience is with this sort of stuff. I know that there are some serious things underneath this area, so doctor avoid surgery there.

Could the doctor be correct that I should avoide lifting weights ever again? Is there a possibility of the injury getting worse and finally pop out 100%?

I apologize for the long post. But I have been to over 7 doctors with this issue, and their explanations are more absurd than the other. One shoulder specialist shrugged his shoulders and told me he had no idea what this is and that "it's just the way you are shaped".

After intensive Googling I could at least find out that it's Sternoclavicular Joint Subluxation, which my current doctor confirmed.

Thanks!
 
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Kevin88660

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Hi,

I am not sure if this is your field but I am thankful that you are offering help.

Recently I had done a haircut. The hairdresser mentioned thatI had dandruff issue and sensitive scalp, and slight balding at forehead. I am 31.

I knew I had these issue but itnever bothered me enough to see a dermatologist. Basically sometimes my scalp feels itchy and I have more dandruff than an average dude. Hair loss has an inherited component tied to my father’s side.

Basically he recommended a package of premium natural shampoo, and additional creams to put on my hair after washing To remedy the above mentioned problem. It costed me around 500. I trusted him because they had a good online review and strong presence in the area I live in.

But I was thinking when should someone see a dermatologist versus an “experienced hairdresser”. The line is very blur.
 

Bigguns50

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First, thank you for this thread @Thomas Chauvet !
Do you have a general opinion on Stem Cell Therapy ?

I have my MRI results on my shoulder I can post if you want or need.'

Thanks !
 

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Hey @Thomas Chauvet ,

I've been dealing with patella tendonosis for a year and a half and I'm currently doing physical therapy but the progress has been less than stellar. I know this is a fairly common wear and tear injury and wanted to know if you had any input as far as treatment goes surgery wise and things to be cautious of.

Thanks in advance!
 
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FreakyThomas

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I like your local joke about Muggles. Probably, every profession has its own Muggles. It's funny. Thank you for sharing. And now about the serious. I have problems with my jaw. Sometimes I get stuck with it. When I eat, I hear a crunch near my ear. I found your post and wanted to ask you directly before I go to Indiana orthopaedic hospital. I was signed up there for November. I've already been to dentists and dental surgeons. They said it was because of my deep bite and gave me a mouthguard. But it seems to me that my problem is more complicated than it looks. The mouthguard helps me, but not much. What can you tell me about this? You are welcome.
Hi Dobarduff,

First thanks for your message because thanks to you I just realised a bunch of people posted some questions ; for some reason I never got the notifications and couldn't answer them. What a shame. Will adress this in a few minutes.

About your issue, I wouldn't see an orthopaedic surgeon ; well in France the people that take care of this joint (temporomandibular joint) are called "maxillo facial". Looks like in the US this specialty is called Oral and maxillofacial surgery. You should try to see someone in this field. I have almost no knowledge about this so I wouldn't give any advice regarding this. However, if you don't feel any pain, despite the crunches, I don't think you should loose your sleep over it. It happens a lot of time that joints are doing cnoises, but as one of my masters taught me "the more it cracks the less it's bad".
 

FreakyThomas

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Thanks Thomas !

It's funny to be called Dude :happy:. Probably the 1st time and a nice synchronicity with the last episode of Modern family.

So I have hurt my knee I don't know exactly how but it was at a martial art course. It was in May I think. I waited, done nothing. Asked you a question about it, you answered (thanks). Then eventually in July I made an appointment with a sport doctor who happens to be also a surgeon. He looked at it (nothing I guess to be seen), he asked me multiple questions. We didn't do any x rays or stuffs like that.
Tbh I don't remember what he told me, but it must have been something along the lines of: wait and see if it gets better, probably be careful on some exercises during sport...

So I have continued to go to my martial art courses. I have been a little bit careful. It got better, meaning I felt the thing which told me that there was a problem in my knee less. But last week after a lesson I started to feel it again a little bit more.

Basically it's not painful. Just a little mini pain (une petite douleur "aigue" comme si ça pique ou pince, au coin intérieur de mon genou droit). I have decided to do a break with my martial art lessons (for also other reasons).

I have called the same sport doctor who told me that he doesn't know that I might do y rays or stuffs like that. I called my doctor and the secretary told me that by the phone she can't tell me anything.

Basically I would like to avoid going to the doctor just for the sake of going. Many times I have been and the result was there was nothing, I could have waited. If I can avoid to pay an added bill I would be glad. But at the same time I don't know if things like that left without more examinations can lead to long term problems for my knee. I love my knee :smile2:. And I need it for all my sports.

What would you do in this situation ?

Thanks again for your help here. It's inspiring.
First I am really sorry for not answering your message. I didn't get any notification, I'm really sorry.

For your question, I don't know what to say. I guess the situation evolved a little bit since.

It's been 5 months between your first injury and your post, if you still feel something odd, for instance pain when crouching, or some sensations of instability, it could be worth doing first x rays and then an MRI just to check the meniscus and the anterior cruciate ligament.However if the clinical exam is reassuring regarding these, I wouldn't do it. That only a qualified professional can tell you (a sports doctor, orthopaedic surgeon, or a very good physiotherapist). Many times people feel a little pain and we can't find why, but when it's the case, it's usually nothing too bad.
 

FreakyThomas

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Hi Tomas,

Great thread!

I have had Sternoclavicular Joint Subluxation (point outwards) for several years now. It often causes pain in my shoulder when I work out or stand straight up for a long time. The sternoclavicular is not dislocated, but it's always "half out". When I pull my arm up, it pops back into the correct position. When I take my arm down again it pops out once more.

I got this when I was doing push-ups a few years ago, I think. My whole neck and shoulder was swollen.

I've tried getting help for this but the answers have been... strange. Some doctor said he had no idea what this was, a shoulder specialist told me the swollen lump between my neck and shoulder is my trap muscle. Obviously it's not.

So I went to another doctor in another country, which I am living in now, and he said the sublux was caused by my PE (Pectus Excavatum). So I had the Nuss procedure a few months ago, which was hell. Unfortunately my collarbone is still subluxed. The doctor told me that I should never lift weights again when I have this problem.

Impossible for you to say anything if you havent seen me. But I wonder what's your experience is with this sort of stuff. I know that there are some serious things underneath this area, so doctor avoid surgery there.

Could the doctor be correct that I should avoide lifting weights ever again? Is there a possibility of the injury getting worse and finally pop out 100%?

I apologize for the long post. But I have been to over 7 doctors with this issue, and their explanations are more absurd than the other. One shoulder specialist shrugged his shoulders and told me he had no idea what this is and that "it's just the way you are shaped".

After intensive Googling I could at least find out that it's Sternoclavicular Joint Subluxation, which my current doctor confirmed.

Thanks!
First I am really sorry for not answering your message. I didn't get any notification, I'm really sorry.

I get that you had problems for getting good information about this problem because it's quite rare.
First thing is to identify the direction of the instability. You say that your collarbone is pointing outwards, we say anteriorly, so you seem to say it's an anterior instability. It's the best one because behind, posteriorly there is big and important things (trachea, aorta...).

If it is confirmed that it is an anterior instability, I wouldn't say that you can't lift weight or do push up. The risk is that your collarbone dislocates anteriorly, which is already the case If I understood you well. So if you can tolerate the pain when it does, don't worry too much.

However in some patients, the pain or discomfort can become important especially in physical activities involving the shoulder. In that case, my advice would be to see a shoulder expert (perhaps in the capital of your country?). Seek for people who publish scientific works (pubmed), or participate in teachings/courses, and have a good reputation. They are more likely to know about this. Then, they may suggest a surgery of stabilization. I have to admit I did it only once and we were two surgeons. Of course like every surgery it's risky, but not too much, if you take adequate care to avoid the important stuff behind.

Summary ; confirm the dislocation is anterior (and less dangerous). If that's the case, don't bother too much, try to live a normal life. That's how you're going to see if it's discomfortable or not. If you feel pain or discomfort too much, then seek for highly specialized shoulder surgery advice.
 
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FreakyThomas

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Hi,

I am not sure if this is your field but I am thankful that you are offering help.

Recently I had done a haircut. The hairdresser mentioned thatI had dandruff issue and sensitive scalp, and slight balding at forehead. I am 31.

I knew I had these issue but itnever bothered me enough to see a dermatologist. Basically sometimes my scalp feels itchy and I have more dandruff than an average dude. Hair loss has an inherited component tied to my father’s side.

Basically he recommended a package of premium natural shampoo, and additional creams to put on my hair after washing To remedy the above mentioned problem. It costed me around 500. I trusted him because they had a good online review and strong presence in the area I live in.

But I was thinking when should someone see a dermatologist versus an “experienced hairdresser”. The line is very blur.
First I am really sorry for not answering your message. I didn't get any notification, sorry!

You're right. But remember that the hairdresser sells you a product ; when the doctor doesn't get anything when he prescribes you any drug (at least, that's how it works where I leave). His advice will probably be more objective. So if you worry about it, nothing wrong about getting a medical advice. It is true that for minor problems however the outcome may not be as satisfactory as with a top notch commercial service. It is a very personal point of view but to me all the beauty industry is 95% marketing and 5% or less real product value.
 

FreakyThomas

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Hey @Thomas Chauvet ,

I've been dealing with patella tendonosis for a year and a half and I'm currently doing physical therapy but the progress has been less than stellar. I know this is a fairly common wear and tear injury and wanted to know if you had any input as far as treatment goes surgery wise and things to be cautious of.

Thanks in advance!
First I am really sorry for not answering your message. I didn't get any notification, I'm really sorry.

That really can be a pain in the *ss.

Honestly the surgical treatment has no place in this kind of problems, except in acute cases with blunt and frank tears. Physiotherapy is the way to go, and time.

For some people change in eating habits has shown dramatic evolution. That does makes sense from a medical point of view, because acidosis tend to favor inflammation in the body. You can try to eat more vegetables, or take a basifying complement (alkaline formula or stuff like this), or both. You can't loose too much by trying, so why not see if it helps ?
 
G

Guest-5ty5s4

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After brain surgery how is the top of the head put back together? Staples? Hot glue gun?
I can answer this one first hand.

The bone flap is put back in place with some sort of plate and screws; the skin is sutured (stitched), and they do use temporary staples sometimes (with NO pain relief! Stapler to the dome - ouch!)

@Thomas Chauvet the real question is what to do about lower back pain from sitting at a computer all day :)

Oops - you already answered that one!! Great value provided, thank you!
 
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First I am really sorry for not answering your message. I didn't get any notification, I'm really sorry.

That really can be a pain in the *ss.

Honestly the surgical treatment has no place in this kind of problems, except in acute cases with blunt and frank tears. Physiotherapy is the way to go, and time.

For some people change in eating habits has shown dramatic evolution. That does makes sense from a medical point of view, because acidosis tend to favor inflammation in the body. You can try to eat more vegetables, or take a basifying complement (alkaline formula or stuff like this), or both. You can't loose too much by trying, so why not see if it helps ?
Hey Thomas! I've been away from the forum for a few years, but I wanted to say I appreciate the feedback. Since posting that, I did PT, focusing on strengthening the surrounding quad muscles while taking an extended break from running and basketball. Day-to-day life has improved dramatically, though running and certain exercises can cause it to flare up for a few days. Tendon tolerance is a tricky balance, but it's been easier to predict limits as time progresses. All the best!
 

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Hey Thomas! I've been away from the forum for a few years, but I wanted to say I appreciate the feedback. Since posting that, I did PT, focusing on strengthening the surrounding quad muscles while taking an extended break from running and basketball. Day-to-day life has improved dramatically, though running and certain exercises can cause it to flare up for a few days. Tendon tolerance is a tricky balance, but it's been easier to predict limits as time progresses. All the best!
That's awesome! I'm happy for you. It's nice to have come here and give some news.
Since you've posted I've heard about collagen peptides, which is a supplement, pretty expensive (about 30€/$/month), but it has been proven to improve pains from joints or tendon, and skin aspect. Just a new track to explore...

Also I forgot to tell you about tobacco; I don't know if you're a smoker, but it's really bad for the tendons. Sometimes if you change nothing but just stop smoking, pains like yours can improve like magic.

Tricky balance indeed!

Thanks again for coming back wish you well!
 

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From a longevity perspective:
- what are principles to follow to maintain enough muscle mass and mitigate sarcopenia?
- what is the best way to have a full range of motion?
 
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AceVentures

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Ok Doc would love to hear your answer on this one.

What is pain?
 

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From a longevity perspective:
- what are principles to follow to maintain enough muscle mass and mitigate sarcopenia?
- what is the best way to have a full range of motion?
I'll be honest, we doctors are not always very good and trained to maintain good health, but rather to treat anomalies. May be a geriatric practitioner would be better suited to answer this question.
Of course we all have some ideas about how to answer "good health" questions, some of them from culture and personal experience, some of them from scientific sources.

To maintain enough muscle mass, you need two things (same for building it) :
- good eating habits, especially eating sufficient protein
The amount depends on age, weight, activities, and absorption which depends itself on a lot of factors, including genetics, intestinal microbiome... 1g per kilogram of bodyweight is a good target for maintenance, 2g for building muscle
I'm not anti vegan at all, it is a fact that animal proteins seems to be absorbed better than vegan protein, but it is also proven that you can build or maintain a good mass with a vegan diet, by eating a bit more protein and with dedicated supplements.
secondary to protein, but you also need to eat sufficient calories (protein are not enough) especially in old age. After a certain age (I think it's 75 or 80) low BMI are at more risk to die compared to slightly overweight people (of course it's even better to have a normal BMI with a low fat % and good muscle mass)

- exercising
Which kind of exercising? There's a lot of debate around this question. Contrary to old beliefs, lifting shows a lot of benefit in older people too. It even augment life expectancy. Combine it with some of an endurance sport like cycling, speed walking, to promote heart health, and you have a great combo. It also shows a lot of benefits on cognitive function. Exercising is a no brainer.

One of the most precise data to predict the risk of dying in the next 12 months is the walking speed. Yes walking speed. Think about it.

For full range of motion, it is also debated. So I'll give you my opinion, which is not entirely based on absolute scientific facts. Because studies have their limits, and everything has not been correctly tested on a scientific way so there's a lot we haven't proved yet. But I think the best way to gain or maintain range of motion is stretching. As a shoulder surgeon I treat A LOT of still shoulders (also cold frozen shoulder, adhesive capsulitis...) and I can definitely say the fastest and most reliable way to get a flexible shoulder back is to stretch a lot (and get adequate rest).

And I think having a good flexibility and / or stretching have a ton of benefits, pain wise, injury wise, recovery wise. Some say you can include stretching in your lifting workouts, if you use specific range of motion exercises, but I think for some joints you just need to stretch them, there's not turnaround.

Of course , lifting 3 times a week, biking once a week, and stretching enough to gain or maintain a good flexibility takes a lot of time, but it also gives you a lot of energy, a good morale, and win you the time you would have spent healing the health problems you would have had if you had not a healthy life style. We all choose how we spend our time, we all have 24hrs in a day, so that's only a matter of making it a priority. Of course it's a field where doing even a little , regularly is infinitely better than doing nothing at all.

Last thing I wanted to say, in the idea of longevity I would not recommend running a lot after 40 or 50, because it's too much stress for the knees. Cycling, swimming, are better, in a longevity perspective.

What did you expect for an answer and what do you think about those questions yourself?
 

FreakyThomas

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Ok Doc would love to hear your answer on this one.

What is pain?
It's a signal that comes from sensors (skins, joints, bones) and goes to the brain through neurons. It's function is to alert you that something's wrong and you need to do something about it. It uses the same system as the heat sensors.

It's actually very useful !

There's a syndrome where you don't feel any pain. Congenital insensitivity to pain. They have a lot of troubles, for instance, (diabetic people can have the same problem if the disease is not treated appropriately for a long time), if you get a small pebble in your shoe, and you don't feel it, you won't remove it and it will provoke a wound that can be not seen until it's gone very bad! It can even lead to amputations.

Like every system in the body it sometimes malfunctions and there is a discordance between the pain felt and the actual stimulus, for instance in fibromyalgia and complex regional pain syndrome.
 
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AceVentures

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It's a signal that comes from sensors (skins, joints, bones) and goes to the brain through neurons. It's function is to alert you that something's wrong and you need to do something about it. It uses the same system as the heat sensors.

It's actually very useful !

There's a syndrome where you don't feel any pain. Congenital insensitivity to pain. They have a lot of troubles, for instance, (diabetic people can have the same problem if the disease is not treated appropriately for a long time), if you get a small pebble in your shoe, and you don't feel it, you won't remove it and it will provoke a wound that can be not seen until it's gone very bad! It can even lead to amputations.

Like every system in the body it sometimes malfunctions and there is a discordance between the pain felt and the actual stimulus, for instance in fibromyalgia and complex regional pain syndrome.

Thanks for the response!

In helping develop chronic pain solutions, I've learned that most people's pains are neuroplastic.

Very few people have pains rooted in structural issues, though neuroplastic pain does limit mobility and bring about structural issues.

I'm curious about what you referred to as "malfunctions".

Can you please elaborate on what you mean by that? Why/how would developmental processes develop "malfunctions" which lead to pain?

And lastly, if pain is a trigger across neural tissues, is pain physiologically measurable in say voltage gradients? Is pain that's felt in the neck a result of neurons in the neck misfiring? Or is the entire system dynamically linked across the CNS, in which case can the "pain" be localized?
 

FastNAwesome

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Hi @Thomas Chauvet , thanks so much for this thread!

What kind of shoulder stretches would you recommend?
Should stretches be done before, during or after workout?

I love doing lots of pull ups, vigorously.
Then the next day I feel sore.

Should I work through pain, or let muscles rest, and for how long?

Are full extension pull ups ok?
I've heard it could be too much strain on shoulders.
I bring myself to a starting position, fully extended hands after each pull up.
 

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