Torn Left Pectoral Muscle - Surgery R...
Wayne Wolverhampton UK

Edinburgh, UK

#639 Aug 16, 2009
Hey Pumbertot or anyone that could advise me?
Had my op on 11/06/09,I'm due to see Dr Funk on 18/08/09 but worried because my pec looks same as pre op with the indentation etc,just hope it's coz the tendon has to fill out or something like that?But I'm concerned that it's unattached somehow.Can anyone give me some reasurnce or advice please?
Many thanks Wayne
Jason San Antonio Texas

Portland, OR

#640 Aug 18, 2009
You should see the pec stretch back when you abduct your arm, creating a wall or shadow above your underarm, as opposed to the pec hanging right over the chest. My doctor, Dr Burkhart, said there would be a small indention always and not to worry about this - it's only visible and really not so noticeable when I swing my arm in toward my body while doing isometrics with my elbow locked against my side.
Wolverine

Gunnison, CO

#643 Aug 22, 2009
I have x 2 pectoral tears (left and right side) sustained on different occasions wakeboarding. After months of "healing" I was able to continue to compete at a high level, although deffinitely had to adjust/adapt to the injuries. Please find below a description pertaining to my injuries.
Left Pectoral Trauma 2003:
Sypmtoms:
Bruising in Left Bicep
Swelling and pain on left side
Sharp Pain under left armpit.
Considerable loss of strength
Deformity of muscle: Muscle would clump/ball into centre of chest towards chest insertion ( apparent after 3 months of atrophy).
Deformity of muscle: Void of muscle under left armpit and towards left side of pec major region.
Right Pectoral Trauma 2004:
Symtpons:
Trauma to right pectoral
Similar to left pectoral symptoms although not as severe (no bruising in bicep)
More of a chronic progression in tear
Chronic Pain, soreness, swelling
2005 untill present .
Chronic Pain from both right and left pectoral regions. Sharp pains under the armpits.
Both left and right tears seem to be getting progressively worse. Treated as living injuries. Would visit physical therapist on regular basis (specifically in 2008) for ultrasound and massage as well as conduct personal rehabilitation, light chest exercises and stretching.
Activities:
I have been an fitness enthusiast and athlete my entire life. My sports of focus over my athletic career have been wakeboarding (a form of waterskiing), Basketball, Surfing and Weight lifting/cross training.
I have adapted my physical techniques and performance levels to suite the injuries I have sustained over the years and was have been able to perform at a relatively high level, however I stopped wakeboarding 2 years ago certain that my health was not maintainable at the level I wanted to Perform . Physcologically and physically I have been gradually losing strength and movement capability a result of my pectoral muscle injuries.
I believe my left side is worse than the right with respect to severity of the tear (greater deformation) however the pain on the right side is chronic and significantly higher than pain experienced on my left side. I find my situation unique as to some extent I am able to describe the "same" diagnosis from different perspectives as the "same" injury has effected me in different ways.
I am so happy I came across this site. I live in San Diego and have seen several doctors who said they could not help me. As of two weeks ago I decided I could not live on pain killers the rest of my life and decided to take an "agressive" approach to recovery. Having come across this site and so many references to Dr Schepsis I decided to call him and am waiting to here from him. As of today he says he can help but I am waiting to here from him with respect to the type of procedure he has in mind.
I will be documenting my injury and recovery as well as posting any useful material on a STP link shortly.
Wayne Wolverhampton UK

Birmingham, UK

#646 Aug 31, 2009
Hey folks Dr Funk said all ok so now going to train very light and increase slowly but surely.Hope everything goes well for whoever has this injury etc-I wish you all the very best.
Wayne.
Alan

Punchbowl, Australia

#647 Sep 3, 2009
Hi folks I wonder if anyone out there has had the surgery without the expected results and has had to do the op again. I tore my left pec back in Sep08. In oct08 I had the surgery. After all the physio and rehab work, now it the muscle still bunches up in the middle of my chest.

I'm due for an MRI next week and see my specialist after that to see why the muscle length is as it is.

There is a chance i suppose that the procedure, or some other surgery has to be done. So if you have any info or experience, I'd appreciate it.
michelles

Bringhurst, IN

#648 Sep 3, 2009
my son is 13 years old and he was born with no right pectorial muscle. has anyone have any comments or suggestions.
Wolverine

Gunnison, CO

#649 Sep 3, 2009
Alan wrote:
Hi folks I wonder if anyone out there has had the surgery without the expected results and has had to do the op again. I tore my left pec back in Sep08. In oct08 I had the surgery. After all the physio and rehab work, now it the muscle still bunches up in the middle of my chest.
I'm due for an MRI next week and see my specialist after that to see why the muscle length is as it is.
There is a chance i suppose that the procedure, or some other surgery has to be done. So if you have any info or experience, I'd appreciate it.
Dr Schepsis in Boston has had experience with operating on patients who have had an "unsuccessful" first operation. He also mentioned that after the operation aesthetics are not 100%.
Igot his information of this post and may be heading for surgery this month (read through prior pages).
Where did you have the Operation ?
How much strength / ROM do you have ?
What type of procedure did you have ? e.g. Graft
How did you re tear it (if you did)?
Why has it taken a year to notice ?
I am curious of post op complications case studies
Good Luck/Thanks
Alan

Punchbowl, Australia

#650 Sep 6, 2009
Wolverine,

unfortunately I do not live in the US so getting to Dr Schepsis would be a bit of a problem. But since you asked here are the answers to your questions:

I had the operation in Sydney Australia - More specifically Castlecrag private hospital.

I estimate strength to be about 50% with no issues with rotational motion.

The specifics of the surgery I am not too sure about but there was no graft. I know that the tendon was secured via sutures.

The one year, well that's was in part hoping strengthening the muscles around the Pec would help and partly not knowing what to expect post repair. A lot of posters here and elsewhere talk about how the shape of the muscle is different post repair.

Anyway I will have MRI next week and will post here as to the result. The following web link may also be of interest to you. http://www.shoulderdoc.co.uk/article.asp...
jeff

Daly City, CA

#651 Sep 13, 2009
Nate wrote:
While lifting weights (bench pressing 315 lbs), I tore my left pectoral muscle and tendon from the bone -- this confirmed by an MRI. Surgery is scheduled 5 days out.
What can I expect from a recovery angle? I'm nearly 32 years old and have lifted for the past 18 years. I'm not too concerned with regaining 100% of my shape and strength, but rather want to make sure I can function relatively normal in everyday life (playing with my son, "normal" exercise, etc.). Can you experts out there reassure me that all can, and should, be well?
What can I be doing now to best set myself up for 100% recovery?
Can you provide the name of the surgeon in San Francisco? I also have a left torn pectoral muscle that needs attention. How successful was your surgery and rehabilitation. Thanks.
jeff

Daly City, CA

#652 Sep 13, 2009
DJO34_Chicago wrote:
Garrett,
So what you and PUM are saying is .....TALK TO DR. SCHEPSIS IN BOSTON!!!.......LOL
Hey Garret, I am very interested in your progress since your injury was also a partial tear. Hope to hear more about your progress.
Per my last post..I have already reached out to the "professor" Schepsis. Hopefully will hear something soon.
Let me just say....This topix post is absolutely the best information out there. I have gotten more information here than the 3 doctors I have seen in the last week.(just got through all of the posts...all 23 friggin pages.)
Thx,
Doug
This thread is giving some hope for a possible recovery. Like some others who have posted, I tore my left pectoral muscle bench pressing five years ago. I did not regularly do bench press and went in and ripped my pectoral doing reps of 205.

I keep stretching the muscle and do some light DB exercises. Of course I no longer bench press.

I am going to research Dr. Schepsis.

Do any of you also know about Dr. James Andrews in Alabama, and Dr. Ed Khalfayan, in Seattle.

I need to decide which doctor to contact for this. I went to a doctor in SF who told me there was nothing I could do for this type 2 tear, and to live with it. I like the rest of you have been dealing with this injury. It causes tons of grief as I feel like this is a permanent. Arrrgghh.

Thanks for all your posts. This is very informative and helpful. This may take me on an adventure to Boston....any advise will help.
jeff

Daly City, CA

#653 Sep 13, 2009
Kyle wrote:
<quoted text>My incision was located at the same point as yours.
Did your surgeon give you a picture of your procedure? If not, ask him/her for it. Mine is awesome.
Kyle, curious who performed your pectoral surgery in san francisco. Hope it was successful. I am looking for a doctor to treat my torn pec. thanks.
jeff

Daly City, CA

#654 Sep 13, 2009
Rog1094 wrote:
I just wanted to say hello to all here on this topic...I have been following it for the past 6 months and it has been very helpful to me...I am a 39 year old lifter who while benching 425 ruptured his left pectoral this past June. I have benched that much weight for many years and I have never had a major injury up to that point...my was little different then most as I tore mine from the muscle rather then the bone...my doctor did an excellent job as he said it was a more difficult surgery then he expected....I am now 25 weeks post surgery and the results have been pretty amazing....rehab has been slow but steady...I immediately went back to the gym after surgery for cardio and working my other arm which kept my mind off the injury....by week 4 I was back on a treadmill and by week 6 full running and small curls...I am now have 100% movement and rotation with no pain..I am curling almost the same weight with each arm and I am in the process of strengthing lateral movement so I can start lifting heavier weight..I also can bench around 70 lbs but I have kept that very slow and don't plan on ever benching a large amount of weight again...the most amazing thing has been that my shape of the pectoral came back to normal even though I have changed my lifting style...I just want to say for all of you going through your stages to not give up as you will be frustrated at times, swallow a little of your ego (as I had too) and keep working hard good health is well worth it...I also want to say that I am so pleased that I had the surgery and if you are in the Western half of the US I can give you a referral for my doctor
Thanks
Who was your doctor. I would love to know as I am trying to chose one for this procedure. I am living in san francisco. Otherwise its off to Boston to see Dr. Schepsis. Thanks.
michelles

Bringhurst, IN

#655 Sep 14, 2009
Has anyone been born without one pectoral muscle? My son who is now 12 was, and would like to here any comments, or suggestions. I love my son the way he is just curious. thank you for any comments.
Matt

San Francisco, CA

#656 Sep 14, 2009
jeff wrote:
<quoted text>
Who was your doctor. I would love to know as I am trying to chose one for this procedure. I am living in san francisco. Otherwise its off to Boston to see Dr. Schepsis. Thanks.
Jeff,

It sounds like you will definitely need a graft. Not many surgeons are experienced doing pec grafts. I flew from SF to Boston after months of research. It was well worth the trip for moe ti get it done correctly. Dr Schepsis is the only Pec repair specialist that I could find anywhere. Dr Andrews is also another good top sports Doctor. Dr Schepsis is known to repair injuries that other Doctors were unable or unwilling to repair due to inexperience. You can contact Dr Schepsis and make a video of your injury showing all angles of your pec while squeezing and relaxing. An MRI is helpful in some cases and he may request one from you.
Alex

New York, NY

#657 Sep 14, 2009
18 weeks out from surgery in New York, full tear from humerous. Physical therapy prescription ended last week. They did a great job. I'm at about 98% ROM. Slow and steady strength gains. Faster gains with pushing exercises than pulling. Can bench for reps with 45lb. dumbbells, was at 90-100 before injury. Even better progress with curls for some reason. Can still see atrophy in shoulder and arm on impacted side. Stability exercises are hardest, like pushup variations. Still feel weak on explosive movements, like throwing and punching. Progress on exercises requiring elbow movements behind waist, like dips, are not where I'd like but I can swim for laps after a proper warmup. Can engage in light contact sports but I'm very cautious and watch who I work out with. Aesthetically, both sides of chest are symmetrical and building up with no noticeable difference. So far I'm very pleased. Still a bit of soreness from recovery of ROM after frozen shoulder. Based on this experience. my advice is get the surgery as soon as possible after the injury.
Wolverine

North Scituate, MA

#658 Sep 15, 2009
Alex wrote:
18 weeks out from surgery in New York, full tear from humerous. Physical therapy prescription ended last week. They did a great job. I'm at about 98% ROM. Slow and steady strength gains. Faster gains with pushing exercises than pulling. Can bench for reps with 45lb. dumbbells, was at 90-100 before injury. Even better progress with curls for some reason. Can still see atrophy in shoulder and arm on impacted side. Stability exercises are hardest, like pushup variations. Still feel weak on explosive movements, like throwing and punching. Progress on exercises requiring elbow movements behind waist, like dips, are not where I'd like but I can swim for laps after a proper warmup. Can engage in light contact sports but I'm very cautious and watch who I work out with. Aesthetically, both sides of chest are symmetrical and building up with no noticeable difference. So far I'm very pleased. Still a bit of soreness from recovery of ROM after frozen shoulder. Based on this experience. my advice is get the surgery as soon as possible after the injury.
Alex,

I can't believe you are trying dips and benching so soon. That's great. Do you have a rehab protocol that you can share. I am having surgery this week but will need a graft as I suffered the injury about six years ago.

Did you need a graft ?

Thanks
Wilks

North Scituate, MA

#659 Sep 15, 2009
michelles wrote:
my son is 13 years old and he was born with no right pectorial muscle. has anyone have any comments or suggestions.
Hi Michelle,

I think it would be good to have your son work with an experienced sports therapist/trainer as well as have him focus on a specific sport that he enjoys. Possible one that may not require major upper body strength. If he sticks with something he likes by the time he is 18 he will have achieved success in something involving his body ......

One thing that may result from such a condition is imbalance in musculature, especially during/after a growth phase such as puberty. Imbalance may occur from favoring of one side of the body due to a lack of strength in the pectoral region of one side. A sports therapist will be able to show you and your son specific exercises that will isolate specific muscle groups and allow his body to develop in the most balanced way possible. In addition they will be able to show him specific strength and co-ordination exercises that will compensate for the missing pectoral, including stretching exercises that will relieve over used muscle compensating for his lack of a pectoral strength. WIth gains in strength and co ordination from such routines will come confidence and stepping stones of physical achievement for your son. In addition he will become familiar with his body and avoid muscular skeletol problems later in life (i.e injuries we all suffer from). Introduce him to anatomy and physiology so he understands his condition and find solace in the fact that many people including myself have been able to perform at a high physical level with completely torn pectoral muscles (somewhat similar to having no pectoral major). In addition this is something you could do together ..... yoga, routines, etc .....

Introducing your son to case studies of athletes who have overcome major injuries and still are capable of living great lives. One such example is a teenage professional surfer who lost an entire arm to a Tiger Shark, she still surfs better than most women and men without a prostetic (you could google her name and story).

With respect to aesthetics pectoral implants are an option once your son is fully mature however this is something I would not mention to him. I am unsure weather there is such a thing as a pectoral transplant, but Dr Schepsis may be the man to talk to (Boston Medical Centre).

With such challenges can come great achievements and strength in character, possibly a blessing in disguise.

Please note I have no experience in child phycology and should you choose to embark on such activities with your son it may not be the best idea to tell him this is something he has to do because he has a physical defect, it may be best to just get in to such things for "fun" ......

I hope this gives you some ideas, avenues of thought ........

All the best .....
Alex

New York, NY

#660 Sep 15, 2009
michelles wrote:
Has anyone been born without one pectoral muscle? My son who is now 12 was, and would like to here any comments, or suggestions. I love my son the way he is just curious. thank you for any comments.
Your son should be able to compete in sports normally. I've seen a professional mixed martial arts fighter who has a missing right pectoral. Didn't appear to be an impediment in competition. Get your son involved in some athletic activity.
Alex

New York, NY

#661 Sep 15, 2009
Wolverine wrote:
<quoted text>
Alex,
I can't believe you are trying dips and benching so soon. That's great. Do you have a rehab protocol that you can share. I am having surgery this week but will need a graft as I suffered the injury about six years ago.
Did you need a graft ?
Thanks
I had surgery just ten days after the tear so I didn't need a graft. If you read back you can see some of my past posts in which I tell how I progressed at various time points. I am a bit surprised that I am benching as well but my therapist said if I can do 12 reps comfortably at a given weight, then just add 5 lbs. more. After trying assisted dips a couple of weeks ago, I was told to hold back on that for awhile. Although I can swim freestyle, my left elbow still can't pull out of the water as comfortably or high as my right but that's something to work on. In my last session, the therapist told me that at this point, I should start working on 'functional strength' exercises. I'm meeting with the ortho who did the surgery in 2 weeks so I'm eager to find out what he thinks of my progress and how close I am to being fully recovered.
DJO34_Chicago

Blackstone, IL

#662 Sep 16, 2009
jeff wrote:
<quoted text>
This thread is giving some hope for a possible recovery. Like some others who have posted, I tore my left pectoral muscle bench pressing five years ago. I did not regularly do bench press and went in and ripped my pectoral doing reps of 205.
I keep stretching the muscle and do some light DB exercises. Of course I no longer bench press.
I am going to research Dr. Schepsis.
Do any of you also know about Dr. James Andrews in Alabama, and Dr. Ed Khalfayan, in Seattle.
I need to decide which doctor to contact for this. I went to a doctor in SF who told me there was nothing I could do for this type 2 tear, and to live with it. I like the rest of you have been dealing with this injury. It causes tons of grief as I feel like this is a permanent. Arrrgghh.
Thanks for all your posts. This is very informative and helpful. This may take me on an adventure to Boston....any advise will help.
Jeff,

I would say to at least reach out to Dr. Schepsis in Boston. I am now coming up to 20 weeks post op and progressing through PT. I began PT about 4 weeks than recommended so there is a bit more stretching to get through to break down the scar tissue. Overall, it has NOT been as painful a recovery as I though it would be. There is more pain in the shoulder than the pec. When in a sling for 6-8 weeks your shoulder has a tendency to shift forward so it needs to be retrained. Additionally while in this position, the back muscles stretch to accomodate the shoulder rolling forward so they are tight and need to be strengthened as well to get your shoulder back in line. We have begun light strength and rubberbands and I'm at about 70% range to date (so I put myself behind by not starting PT on time).

I do not know the other doctors.(however James Andrews sounds like the guy the NFL players use) not sure if he is the same guy.

Keep your head up - your torn pec can be fixed. There will not be 100% cosmetic look, but at least when you flex your chest muscle, you can see it is attached and it responds correctly. Plus - its now "my" scar and a I am very happy to date with the surgery and the look.

One last note - I picked Dr. Schepsis from this post and he made me feel extremely comfortable with his knowledge of the injury and the positive result. I think when you are having surgery it is very important to go in with a positive attitude and having a surgeon who knows his craft provided even more support. Go with the best.

Hope this helps.

Doug

Tell me when this thread is updated:

Subscribe Now Add to my Tracker

Add your comments below

Characters left: 4000

Please note by submitting this form you acknowledge that you have read the Terms of Service and the comment you are posting is in compliance with such terms. Be polite. Inappropriate posts may be removed by the moderator. Send us your feedback.

Orthopaedic Surgery Discussions

Title Updated Last By Comments
Broken tibia and fibula 6 months still no bone ... (Apr '13) Sep 11 Jimbo 68
Distal Biceps surgery? (Dec '06) Sep 10 Techfire35 2,836
Femur Rod Implant Removal Problems (Rod broke d... (Sep '07) Sep 9 Palappe 308
Mystery Pain in Leg after Metal Rod Placement (Apr '09) Sep 9 Angela Sloan 338
Fell on shoulder 10 weeks after bicep repair (Mar '13) Sep 4 Pedro Cintas 3
Proximal Bicep tendon rupture (Jun '08) Aug 29 Bizeebea 261
Misaligned fibular fracture (May '07) Aug 22 Cmlegend 16
More from around the web