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After eleven years as a competitive powerlifter (24 World and 25 American titles), my shoulder joints have been reduced to bone on bone. Osteoarthritis is defined as the wearing away of the cartilage which cushions the joint. Most people over 60 years of age with this condition are subjected to shoulder replacement surgery, which is an invasive procedure involving the removal of the head of the humerus and the installation of a titanium rod with a titanium ball on top, into the bone marrow of the humerus itself. I was told a number of years ago by my orthopedic surgeon that I would not be able to lift heavy ever again if I undertook such an operation. Therefore, I continued to train with severe pain rather than end my career. My training partner, John Hare, has literally had to shove me under the bar for the last four years in order to get into position to squat-a very painful movement.