My Osteopath laid it out for me today. He isn't concerned about my symptoms, but about the possible death of the impinged nerve and some other things in the MRI that has him concerned about my loosing at least partial use of my bad arm.

He then proceeded to show me just how weak I really am, apparently I've learned how to adapt well and how to get my body to assist. Kettlebell lifting is an all body activity, I knew I was weaker than I should be at my activity level but didn't know I was THAT weak. He think the mtb crash fed into this, it isn't all new. So I will let them do further tests for more information, it is only prudent. They have my attention.

To top it all off, I've a small meniscus tear in the knee that just had surgery.

Officially I am now limited to walking, hiking, and cardio machines that don't hurt. I think I need ice cream...