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Mike, a paramedic and professional weightlifter, is back to full fitness following two shoulder injuries, both successfully treated by Professor Ali Noorani.

In March 2017, Helicopter Emergency Medical Service and London Ambulance Service paramedic and professional weightlifter Mike suffered a rupture of the long head of his biceps tendon while lifting weights. After medical scans confirmed his injury.

Mike, professional weightlifter

On both occasions from start to finish Professor Noorani has been professional throughout. Whenever I was ever worried or concerned about anything Professor Noorani’s confident approach was refreshing to listen to.

TAGGED INProfessor Ali Noorani

Biceps injuries

Shoulder stabilisation

Sports injuries and trauma

When professional weightlifter Mike injured his shoulders, he needed a solution that would stand up to his punishing schedule.

Mike explains his biceps tendon injury

Mike in hospital following his biceps tenodesis operation

Mike in hospital following his biceps tenodesis operation

Mike recovering at home

Mike recovering at home

Mike 3 months after surgery (left) and 6 weeks later (right)

Mike 3 months after surgery (left) and 6 weeks later (right)

Mike rehabilitating his right shoulder

Mike rehabilitating his right shoulder

Mike winning the French Throwdown competition, 15 months after his surgery

winning weight lifting award

Mike 6 months post SLAP repair with his Physio, Barry Sigrist

Mike 6 months post subacromial decompression with his Physio, Barry Sigrist

Mike back to strength, 6 months post his second surgery

Mike back to strength, 6 months post surgery

Professor Noorani explains: “Mike’s acute biceps tendon rupture usually happens in 50-year-olds. In Mike’s case it happened at a much younger age, mainly due to the heavy weights that he lifts as a power lifter. A tear in his biceps would result in significant weakness and this was not an option for him. I repaired Mike’s tendon and he went through some intensive rehab with one of the best rehab specialists in London, Barry Sigrist. This resulted in Mike’s shoulder feeling completely normal and returning to full function.”

His right shoulder had completely recovered when, in 2018, Mike began to experience some pain in his left shoulder. Despite working closely with his physiotherapist, Barry Sigrist, the issue persisted. In July 2018, he visited Professor Noorani and discovered that he was suffering from a SLAP tear (an injury to the labrum of the shoulder – the ring of cartilage surrounding the shoulder joint socket). Again, taking into account Mike’s high-level sporting activity, Mr Noorani performed subacromial decompression (keyhole surgery to repair shoulder impingement), repaired the SLAP tear and administered a PRP (platelet rich plasma) injection to promote healing.

Again, Professor Noorani explains: “Mike later presented to me for his left shoulder. On his left shoulder he was suffering a similar problem with pain in his biceps, however he had not ruptured his tendon on this occasion. In fact he had what is called a SLAP tear (superior (topmost) labral tear from anterior (front) to posterior (back)). This is an injury to the biceps tendon where it attached to the glenoid, i.e. the socket of the shoulder joint. This commonly happens in power lifters and in Mike’s case, we caught it pretty early so we were able to repair it. In addition to an arthroscopic keyhole repair, Mike had injections of biologics, i.e. platelet rich plasma (PRP) which enhances healing and rehab with Barry Sigrist, who is one of the best strength and fitness coaches in the country.”

Prior to surgery, Mike hoped he would return to full fitness; an expectation that has now been fully met. He advises patients with similar shoulder problems to consult a physiotherapist initially and to follow their instructions to the letter with their rehab programme. However, if the issue persists, he suggests that patients seek further advice from their GP and have scans done to establish the cause of the problem. He appreciates that surgery is not the answer in every case but is confident that skilled surgeons like Professor Noorani will always guide patients in making the right decision. He adds: “On both occasions from start to finish Professor Noorani has been professional throughout. Whenever I was ever worried or concerned about anything Professor Noorani’s confident approach was refreshing to listen to.”

Professor Noorani concludes: “I am delighted that Mike has done so well after his 2 shoulder injuries. He has worked really hard to get back to full strength, a credit to him and his physio, Barry Sigrist. Now Mike is back to his normal power in his shoulders and now, according to him, it feels better than it ever has.”

Professor Ali Noorani:

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