The cutting routine is 6 days a week, not 7. If you skip a day in the middle, just pick up where you left off the next day.

No problem, good luck!

First of all, intraosseous cysts are fairly normal in middle aged people just from daily activity generating small amounts of trauma/inflammation to the joint areas. In younger people it's usually a sign of a trauma/injury to the area. They are normally not cancerous or have any role in cancer as a whole.

secondly,the tendon of the supraspinatus muscle is showing inflammation and/or enlargement. In this case, it's most likely inflamed which is to be expected.


Without reviewing all of your medical records as well as the MRI results directly, I can say that it sounds fairly normal for a shoulder injury. The cyst is usually a result of the injury, and the tendinopathy is usually either a cause or further result of injury to the shoulder.


Signal intensity refers to the signal from the MRI machine. Air and bone give very low signal, whereas fat and marrow give very high signal. Saying intermediate signal simply means it's in btween which is to be expected. Furthermore, no areas of fluid intensity is a GOOD thing. Excess fluid discovered in the shoulder would show signs of immediate traumatic injury and/or acute disease (of varying types).


Please see your orthopedist and discuss your results in person. HOWEVER, based on what you've told me, it appears that you have the signs of a per-existing injury, and nothing more.

wow thanks for that awesome indepth explaination. so its not as serious as i thought?
i am in my mid 20's and yes i used to lift weights often and am almost positive its an injury from weight lifting.

can the cyst go away on its own? i thought the cyst was probably causing the tendon to be injured? im wondering if the pain im constantly feeling is from the cyst or the tendinopathy? or both? im wondering which of the two is a more serious issue?

cause i think physical therapy should help the tendinopathy. but the cyst prob needs surgery? or will leave on its own over time? or some other less invasive procedure where i wont need to be put under any anesthesia?

hopefully this can be resolved without surgery. i think i read something that can be injected that lowers the production of some chemical that would allow the cyst to be reabsorbed back into the bone and leave. i hope....

This post was edited by noob_whacker on Mar 18 2016 06:38pm

Took 6 months off of gym due to personal issues, plan to get back in this week, always lifted for aesthetics, gained strength along the way, what's the best plan of action to get back into the rhythm of things? Should I aim for strength until I build some back up? Appreciate any help.

Any thoughts on DNP?

1. Most likely the cyst will remain dormant (not growing or shrinking) - however, it can go away on its own under ideal circumstances.

2. Furthermore the pain is most likely caused by tendonitis through hyperextension of the tendons in the shoulder. Most likely the injury never healed properly, and good physical therapy is required to improve the strength and range of motion.

3. Cyst doesn't need surgery - it can be left alone without issue. Furthermore, there are medications that can be introduced to the region to assist with the cyst being shrunken and/or absorbed.

Yes. I'd start off with something like this:


http://forums.d2jsp.org/topic.php?t=21269614&f=60&p=379997654
4 day upper/lower split for beginners or maintenance



Run that for at least 4-6 weeks to get back into the swing of things. After that, you can either jump into 5x5/3x5 for strength or hypertrophy for size/aesthetics.

If you are referring to Dinitrophenol, this is an illegal steroidal drug and can not be discussed on JSP.

thanks. thats good to hear. id like to avoid surgery.
i know this may be hard to answer, but do you have any idea what the time line might be for how long physical therapy would be needed?

and i tried looking online for treatments for the bone cyst. and it seems they all say surgery? what type of non surgical methods are there? and i read something about those injections of a chemical that promote the shrinking of the cyst so its reabsorbed by the bone? but even doing this seems like you would need general anesthesia and long recovery time from a needle penetrating the tendons and bone?

is the bone cyst considered a "unicameral" cyst? or something else? is it possible its an "Aneurysmal" bone cyst?

thanks again!

edit: this seems promising ( but it says the cysts can be recurring, does this mean without this type of treatment or with it? )
http://www.ncbi.nlm.nih.gov/pubmed/19568026

and this:
http://www.bjj.boneandjoint.org.uk/content/jbjsbr/84-B/3/407.full.pdf

This post was edited by noob_whacker on Mar 19 2016 09:26pm

For this cutting routine would it be beneficial at all to go: on 2 days, off 1 day, on 2 days, off 1 day, on 2 days, etc - rather than just 6 days / week?