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Hello, well, it’s really a personal decision because you’ll regain up to 95% of your strength back with zero loss of mobility- so it comes down to aesthetics. Do you mind the bulge? If it bothers you then def get it fixed. Good luck !

Thank you !

Happy to have helped ya! I have a golfers elbow video with some additional tennis elbow exercises if you want to check it out on my channel. Thx!

Ouch!! How old are you? Are you very active? Are you thinking of having it repaired? Thanks for reaching out and let me know what you decide to do and if I could be of any help. 👍. John

I would love to have it repaired. I'm not very active these days. None the less I want full strength in it. It's been a few years and I'm not sure if surgery is even an option? What can you tell me about a full distal bicep tear? Is exercising it an option?

Obviously, I’m not a doctor and take his advice for sure, especially depending on how bad the tear is. Usually with complete tears, Nonsurgical treatments are usually only used for people who do minimal activities and require minimal arm strength. Not having surgery often results in significant loss of strength. Flexion of the elbow is somewhat affected, but supination (which is the motion of twisting the forearm, such as when you use a screwdriver) can be very affected. A distal biceps rupture that is not repaired reduces supination strength by about 50 percent. It’s been reported that Early repair (performed at 4 weeks or less after injury) has been recommended and is believed to prevent potential complications and poorer outcomes due to tendon retraction, scarring, and the need for more extensive dissection. However, these advantages of early repair have not been clearly borne out in the literature. So don’t feel pressured into a decision immediately. So, hope all this was helpful and good luck! Hit the like button and subscribe if you haven’t already. Thank you,

​@@JOHNDEYOUNGFITNESSLA I understand you're not a doctor. I appreciate any and all advice you gave and could further give. My tare happened a few years ago. So I'm way past the few week mark. I still have most mobility with some strength loss. I seen a doctor today who is referring me to a specialist. I guess my question to you is it heard of for someone to rebuild their arm without surgery?

check out Bobby Maximus on UA-cam- I randomly noticed that he has a distal rupture (right arm) & not repaired, and he seems to be doing great!! Maybe you could message him.

Hey, thanks for reaching out. I’m wondering if you still have a little scar tissue that could be worked through with a physical therapist. But yeah, mines great and no problems at all, except a little cosmetic, but I don’t care about that. Let me know what you think about getting some PT done. On that shoulder - could help ya out. Thx! John

@JOHNDEYOUNGFITNESSLA my current problem is on the other side (left shoulder) that was dislocated almost 2 yrs ago. Had it reset about 12 hrs later at the emergency room but never saw a dr. beyond that. It's been a painfully slow recovery and it cracks and pops. Still not like it should be, but I attribute slow recovery to being in my late 60s. What do you think?

Oh, got it. Jeez, that sounds like a possible labrum tear, supraspinatus ( rotator cuff tear) or a proximal tendon tear ( long head bicep tendon tear at the shoulder. You’re going to need a scan to see exactly what’s going on in there, then come up with a plan. Good luck

Happy to hear this video was helpful. Good luck in recovery and if you can give me an update of your progression, that would be great. I could pass that on to other viewers. Good luck.!! John

Ouch! I’m thinking you probably had that tendon compromised already in the past. Was it giving you a little problems before the accident? Definitely see a doctor make sure you didn’t tear any rotator cuff or your labrum. Good luck & let me know the results of the doc visit 👍

Hey, happy to hear you’re getting back in the saddle. Yes, I still do traditional barbell or dumbbell bicep curls, palms up, that’ll get the short head bicep. Good luck !

Yes, you will actually lose that long head bicep if the tendon tore completely off the bone. It will continue to atrophy and eventually be undetectable. You will still have very good strength, and range of motion. You can even start training again now but will experience some cramping that will also eventually go away. Work exercise for your short head biceps and your brachialus as well as your forearms.

Por enquanto só dá pra perceber quando faço as contrações, porém, com o braço em repouso não dá para perceber. Muito obrigado pela sua atenção e informações, Deus lhe abençoe !

Hey, sorry to hear about your injury. But yes, I know mine felt so much better after it tore. As far as the long head of the bicep, that will continue to atrophy and eventually disappear. There will be some cramping for a while. I remember that It did feel weird to move it around. So, basically moving forward, you will just have the short head of the bicep and the brachialus. You’ll get 99 % of the strength back & will have excellent mobility. Good luck & keep training hard!!

@JOHNDEYOUNGFITNESSLA Thank you for taking the time to respond.

Good luck post-surgery & repair. Yes, being ambidextrous has its benefits 😊

I've just done mine so passed but happy you guys have been there

True. Here’s some additional info: Prolonged exposure to cortisol, hypercortisolemia, can lead to muscle wasting, which is probably thought to occur because of the decreased rate of muscle protein synthesis and the induction of muscle protein catabolism where your body is basically trying to get more amino acids. We also see the increase in lipogenesis (The effects of cortisol on lipid metabolism are more complicated since lipogenesis is observed in patients with chronic, raised circulating glucocorticoid (i.e. cortisol) levels. That all means that in the long run, high levels of cortisol are doing exactly what we don’t want. They are anabolic tissues we don’t want to make bigger, our fat tissue And they are catabolic to tissues that we want to make bigger and not smaller, namely our muscles. We did not evolve to have cortisol levels stay this high for this long “So high levels of cortisol, over a long enough period of time, make your fat cells fatter and your muscle cells smaller.” Exercise as a net benefit to stress but know when to dial it back Overall, there are net benefits of exercise for stress But adjust your goals for exercise during high-stress periods, shifting the focus from performance to persistence and consistency and just think about preserving performance during that time of high stress This is especially important for people who are overwhelmed with the sense that they need improvement on every aspect. It’s such a cliche, but Robert Sapolsky was really onto something saying that stress is a killer It may seem like a bit of a soft science since we don’t have the same biomarkers Measuring total cortisol levels in the blood is useless because it’s really the free cortisol that matters And even cortisol by itself is not sufficiently alone to help you understand the negative impacts of stress With that said, just acknowledging that and acknowledging how that factors into our training and how hard we push ourselves and how that needs to be part of the training equation is important At the same time, using exercise can be one of the most important tools we have to mitigate and buffer the negative effects of that stress.

Yeah, it is a beauty & I have to tower attachment that takes it to another level.

www.pilates.com/products/pilates-studio-reformer/ I use the Balanced Body Studio reformer, I you follow the link, you’ll find the Studio reformer:)

@@annamiorelli8974 hello, it’s for both. I’m going to reply at some length about cortisol info for you over the weekend. Thx for reaching out. John

Prolonged exposure to cortisol, hypercortisolemia, can lead to muscle wasting, which is probably thought to occur because of the decreased rate of muscle protein synthesis and the induction of muscle protein catabolism where your body is basically trying to get more amino acids. We also see the increase in lipogenesis (The effects of cortisol on lipid metabolism are more complicated since lipogenesis is observed in patients with chronic, raised circulating glucocorticoid (i.e. cortisol) levels. That all means that in the long run, high levels of cortisol are doing exactly what we don’t want. They are anabolic tissues we don’t want to make bigger, our fat tissue And they are catabolic to tissues that we want to make bigger and not smaller, namely our muscles. We did not evolve to have cortisol levels stay this high for this long “So high levels of cortisol, over a long enough period of time, make your fat cells fatter and your muscle cells smaller.” Exercise as a net benefit to stress but know when to dial it back Overall, there are net benefits of exercise for stress But adjust your goals for exercise during high-stress periods, shifting the focus from performance to persistence and consistency and just think about preserving performance during that time of high stress This is especially important for people who are overwhelmed with the sense that they need improvement on every aspect. It’s such a cliche, but Robert Sapolsky was really onto something saying that stress is a killer It may seem like a bit of a soft science since we don’t have the same biomarkers Measuring total cortisol levels in the blood is useless because it’s really the free cortisol that matters And even cortisol by itself is not sufficiently alone to help you understand the negative impacts of stress With that said, just acknowledging that and acknowledging how that factors into our training and how hard we push ourselves and how that needs to be part of the training equation is important At the same time, using exercise can be one of the most important tools we have to mitigate and buffer the negative effects of that stress.

Yay!! Happy to hear that. Very challenging right? Sometimes the hardest part is getting the knots out of the bands. 😂. Thx for the message!

Sorry sir, but don’t sweat it. If in fact the MRI shows a complete tear of the proximal tendon - you could get it reattached or just leave it alone. You’ll get some cramping but within a month or so you’ll be back to training regularly & will regain about 95 percent of your strength back. The operation to reattach is for more cosmetic appearances. I posted a recent Pilates video called “ 25 minute Upper / lower body flow” & half way through the video I’m doing a bicep exercise and my torn bicep side can be seen. Check it out & you’ll be reassured. Good luck!!!

BTW I’m 59 😁

@@JOHNDEYOUNGFITNESSLA Thank you very much for these valuable tips

Hey, thanks for watching the videos, I’m super happy that you find them of some use. For a high quality budget friendly reformer, I highly recommend the Balanced Body Metro Iq, it feels as good as the studio model I use. www.pilates.com/products/metro-iq-pilates-reformer/ Another suggestion is to check on fb marketplace or OfferUp for a used reformer. If you do find a used reformer, I would recommend buying a Balanced Body reformer. Quality built, easy to get replacement parts and great customer service. Reach out if you find one, and I can advise you, if it’s a good buy or not. Pilates has been a game changer for my health and longevity. If there’s any other topics you’re interested in, let me know. Thx! John

@@JOHNDEYOUNGFITNESSLA Thank you for your kind and insightful reply. I appreciate it very much; and I am sure incorporating a reformer is a huge game changer! I will check out your recommendations. As far as other topics that would be of interest is your diet protocol, suggested supplements and thoughts on them. Also, balancing hormone health at our age and any books on health & wellness you may suggest. If you'd like to continue our chat without this thread, please let me know. We can exchange email info etc. Thank you very much John! Cheers, Chris

Yes, I sure will. Great note & thank you 😊

Hello, yellow is lightest, green is next so 2nd lightest then blue is medium and red is hardest. Which reformer are you using? John

@@JOHNDEYOUNGFITNESSLA Balanced body... I have at home.. I teach at both a Stott and Balanced Body studio. Thanks for reply

Yeah, it was such a clean rupture with no residual tendon attached & no impingements so I figured I got lucky & didn’t want to have any surgery even though they could make it look better without having to reattach the tendon.

Shalom!! Thx for the friendly message & hope these tips work for you.

Genius!!!

Ha! But no sweets 🍭

Hey, happy to hear that all went well & you’re on the mend. It looks a lot better I bet. Happy it worked out for you & let me know your continued recovery progresses. Thanks for reaching out. John

Wow!!! That’s a serious situation. So bummed that happened to you. I’m surprised it failed since I’ve had two clients where that surgery was successful But they are also not very active, I should say. And actually tore the tendon tripping over a child’s toy. You’ll be fine!!! I think we notice the void more than other people do. Keep moving forward sir !!! Thx for the info. 😁

How did you know it failed (2 weeks after the surgery)? Did it hurt? Were there some sounds?

That’s great!! Thanks for the comment. If you have any other questions please feel free to reach out

Yay!! Happy to be of some help for you. If you have some shoulder issues or if you wanna get them stronger, I also have a video on my channel called “Stop Living with Shoulder Pain”. I use mostly resistance bands in that video. Thx again !! John

Hope it’s going well for you !

Oh no!!! How did you tear them both?? Complete tears?

Exactly what it should be used for !!! Happy for them. Thx for the comment 😁

I agree. Very gaunt. Looks like they’re not doing anything for fitness & health but rather just thinking that losing fat is all they have to do.

Hey buddy, sorry to hear about all the injuries and the unfortunate not so successful reattachment of the proximal tendon. Ugh!! Did the Doc say that there could be some issues & that it might not look 100 percent. I feel that these exercises for “filling the void” will help but only a little bit. my problem is that I’m very lean so the void still stands out. I continue to also train my short head & that has grown a bit so that helps a little more as well. Wish I had better results for ya & don’t sweat it so much, it’s really ourselves who notice it the most. Be well sir 👍

Sorry for the late reply, I missed seeing your question. I think jump rope might be too erratic to use for your cardio. I’d rather you use a machine that can show you heart rate & output ( watts/Rpm’s/ speed etc) so you know exactly how your doing & can take notes on your improvement. Try a different HIT that I’ve been using on a stationary bicycle, you can do it on any cardio equipment. They are called three by threes or four by fours. After your five minute warm-up, you will do a sprint interval that you can maintain for three minutes so it’s not your maximum output but it’s pretty high interval for three minutes and follow that up with a recovery which is your basically your warm-up speed for three minutes. Repeat that for about 5 to 6 intervals. Three minute interval, three minute recovery. It’s hard but challenging & will increase your VO 2 Max over time ! 👍

@@JOHNDEYOUNGFITNESSLA Thank you so much for your reply. I'll try it out 🤜🤛

@@AndresGarcia-yn2nq​​⁠ I just realized I have a video on it on my channel. It’s called “zone five cardio” check that out. I do a 4 x 4 on there, but you can do a three minute interval with a three minute recovery.

Hello, thanks for reaching out ! Obviously depending on your fitness level & strength, you could try just a green spring and or a combo of the yellow & green. Also, I increased the resistance by shortening up the straps so you could let the straps out a little further for less resistance. Hope this helped !!

Hey, same here, I didn’t have surgery. I have 2 other videos on my channel for Proximal tendon rupture ( the one you & I did) and I also have 99% of my strength back. The void creating the popeye bicep is fine, doesn’t really bother me. Check out the video “Filling the Void” after Proximal Tendon Rupture- Hopefully some of those exercises might help you go in a little further in your brachialus & short head bicep development. Thx for the comment 👍

Thank you & nice to hear. Yeah, I train hard on a regular basis & feel that protein is the wild card here. Just Eat It!! 😁. Keep it up sir !!

Yes, of course that would give you an answer. But a no-brainer even if you’re at the doctor, he’s gonna be able to see a torn or ruptured proximal tendon as the long head of the bicep is obviously not attached at the shoulder any longer, and has slid down forming a ball.

Hi, sorry about that don’t would be: 4:00 minute warm up Then :40 second interval Then 2:00 minute recovery Then :40 second interval Then 2:00 recovery :40 interval 2:00 recovery. Etc. doing 7 intervals of :40 seconds with a 2:00 recovery between each interval. 4:00 cool down. Total time about 25 plus minutes

To confirm, you wouldn’t recommend individuals run long distance then for like 5-10 miles at a time daily? How does one increase endurance if we are capping at an hour? Thanks again.

It will go away on its own. Sometimes I would massage that part of the muscle and tendon that kind of slid down - kind of creeped me out sometimes feeling the end of the tendon, but a little light massage is good - but it will stop eventually.