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I'm picturing a T-shirt of thisOriginally Posted by Adam Skillin
Member
12/27/14:
Okay you wonderful, ridiculous bastards, it's time to get my log back on the subject of the actual logging of my workouts:
Squat: 135 x 10, 190 x 10, 235 x 10
CGBP: 190 x 10, 10, 8
I'm ready for a day off from squatting. The last day I didn't squat was 12/10. Babyweights notwithstanding, I'm burnt out and taking tomorrow off.
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The MRI Report has arrived. If I'm understanding it correctly, it's not good news:
Clinical History: Right Groin Pain (duh)
Technique: Multiplanar multisequence images of the pelvis were obtained without intravenous contrast.
Comparison: Plain radiographs of the right hip dated December 12, 2014
Findings:
With there is complete, full thickness tear of the right adductor origins with up to 1.5cm distal tendon retraction. A hematoma is present at the site of the tear measuring 3 x 1 cm. Prominent intramuscular edema is present within the right hip adductor musculature. The tear extends proximally into the distal right rectus abdominis muscle with associated intramuscular edema of the right rectus abdominis. There is no bony avulsion of the symphysis pubis or reactive bone marrow. The symphysis pubis is intact.
The right rectus femoris origin is intact.
There is focal bony prominence of the bilateral femoral head neck junctions in keeping with cam type morphology. THe bilateral hip joint spaces are preserved with small subchondral cyst at the right seperolateral acetabulum. There is no hip pjoint effusion. The study is not tailored for the evaluation of the acetabular labrum.
Impression:
MRI of the pelvis demonstrates a full-thickness tear of the right hip adductor origins with up to 1.5 cm distal tendon retraction. The tear extends proximally into the distal right rectus abdominis muscle. Reactive intramuscular edema is present within the right hip adductor and distal right rectus abdominis musculature. No bony avulsion of the symphysis pubis or reactive bone marrow edema.
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Found your log by searching adductor tear on starting strength. Went to the ER last night with similar pain from squatting yesterday morning. I felt a rip/pop in my groin/right adductor during a warmup with 315. ER Doc said there's no hernia and he believes its just an adductor muscle belly tear/strain. My pain must be less than yours was.....I never needed anything like Vicodin for pain....Motrin was fine and at one point I was fine with nothing though like you it does hurt if I move my leg a certain way.
Going to start the Starr protocol as soon as the pain nulls and I'm able to. Hoping in another day or two. I'm gonna keep checking your log to follow your progress. Good luck.
Member
Thanks, man. Good luck to you too.
Brazilian Car Jack
This means a visit to the ortho RIGHT NOW. Don't know if it's something to operate on, but it's not gonna reattach by itself either.
Last edited by Carlos Daniel; 12-29-2014 at 01:34 PM.
Member
Thanks, Dr. Carlos. I'm aware that time is very much of the essence if they're going to put me back together. The actual appointment to discuss the report and the options is tomorrow. Apparently this is not a particularly common injury, so the internet is being sort of a bastard about helping me figure out which way to lean. I hate going into a Doctor's appointment without having done my research, but there's just apparently not much out there.
My suspicion all along has been that this is the adductor longus, although the report doesn't appear to specify. This is based on my best attempt at comparing "where it hurts" to an anatomy textbook. Even if I knew for certain exactly which adductor(s) took its ball and went home, I don't have a sufficiently thorough understanding of the muscular anatomy to know how limited I'd be if I have to go through life without the use of one a. longus, or an a. brevis, or whatever the case may be.
As a 2-sport athlete, I actually feel this is a greater threat to my Brazilian Jiu Jitsu than to lifting. I can deadlift just fine, and although I've been squatting light, the motor pattern doesn't appear to be giving me any real trouble, although I'm sure I'd feel problems more readily with 335 on my back than I did with 235.
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12/29/14:
Squat: 185 x 10, 215 x 10, 245 x 10
Bench: 227.5 x 5 x 3 (3 x 5 PR, 5 lbs off my old 5-rep PR)
Chins: OSTF ---> 20.
Gotta get some better chin volume in. Might go back to AMRAP in 7 for a bit and see if I can push the max towards 30. I think I was about 7 pounds lighter when I hit 23, and had been getting lots more reps in on a weekly basis.
Squats felt pretty good, all things considered.
Member
12/30/14:
Doctor appointment was today. Dr. said some things that have me slightly confused. First of all, he said the radiologist called him to say "holy sh*t" upon seeing my MRI. They've never seen an adductor tear on this level. So I've got that to be proud of?
Secondly he said he called the hip surgery specialist and that he said the best thing to do was not get the surgery now. He said it's not worth the invasiveness and risk of complications, and that if I'm not feeling capable and good again in 2-3 months they'd consider doing it then. Well, obviously the tissue will "take" better when it's fresher, but he still is FIRMLY of the opinion that rehab is the way to go for now, not surgery. Although obviously anything that's undergone a "full thickness tear" is not going to repair itself.
I also asked him which adductors were no longer in a relationship with my pelvis, but he declined to opine on the matter. He said the whole area is full of too much fluid and stuff to even guess.
Of course "rehab" to him means pink neoprene dumbbells and rubber bands and whatnot. When I told him I had squatted 245 for 10 yesterday, he nearly leapt out of his seat.
So the plan is to continue to rehab this thing as best as I can, assume that other muscles will strengthen to fill the role of what-the-hell-ever's completely torn beyond repair, get back on the jiu jitsu mats gradually, and probably become good at forecasting severe meteorological events.
Also, squats: 185 x 10, 225 x 10, 255 x 10. Not going to be able to keep pushing 10's daily much longer. Maybe it's time to try something totally crazy, like 3 sets of 5 across thrice weekly.
✓ Member
Have you run this by TMPHBITU?
I would do that by forum or email, I'm sure it's not a repetitive inquiry, see if he's ever seen anything similar, you have the full package of info now.
Might be worth a second opinion from a different doctor as well. Seems like a very uncommon thing, compared to a torn bicep for example.
Doesn't look like it's holding your squats back too much though.
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