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PT for my shoulder this morning


MoseySusan

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2 minutes ago, sheep_herder said:

I just finished rubbing arnica salve on my shoulder and knee this morning. I need to consider the steroid injection for my shoulder. 

mr. had a series of three injections scheduled to alleviate pain in his foot, the one he broke twice. He’d developed a nerve thing. Two shots is all it took to settle things down.

Did you get an MRI on your shoulder or knee? What’s going on in there?

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6 minutes ago, MoseySusan said:

mr. had a series of three injections scheduled to alleviate pain in his foot, the one he broke twice. He’d developed a nerve thing. Two shots is all it took to settle things down.

Did you get an MRI on your shoulder or knee? What’s going on in there?

Arthritis in shoulder and assuming the same in knee, as it pops periodically. Sure helps to keep them both warm.

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Just now, Zealot said:

@MoseySusan, what’s up with your shoulder?

My right shoulder has become pretty crappy over the past few months. When I had my left done, my ortho said my right wasn’t far behind.

Was hoping he was wrong. 

Torn rotator cuff. I want it to be slight and respond to steroid injection and PT. It’s playing a long game, though. At least it feels like it’s taking a long time to sort out. 
@BuffJim suggests it could become my new normal. Best Buy the big jar of pain reliever cream. 

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1 minute ago, MoseySusan said:

Torn rotator cuff. I want it to be slight and respond to steroid injection and PT. It’s playing a long game, though. At least it feels like it’s taking a long time to sort out. 
@BuffJim suggests it could become my new normal. Best Buy the big jar of pain reliever cream. 

The MRI could decipher that. Ortho hasn’t suggested?

 

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2 minutes ago, sheep_herder said:

Sure helps to keep them both warm.

Definitely. Arthritis runs in my family. My dad was a freight conductor for the D&RGW running through the Colorado Rockies. He’d get out there in thigh-deep snow with his arthritis, so he used a horse lineament to warm the area surrounding his joints. I tried it once on my lower back. Holy smokes. It did the trick. 

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6 minutes ago, MoseySusan said:

Torn rotator cuff. I want it to be slight and respond to steroid injection and PT. It’s playing a long game, though. At least it feels like it’s taking a long time to sort out. 
@BuffJim suggests it could become my new normal. Best Buy the big jar of pain reliever cream. 

My sister had surgery yesterday.  Sewed up some stuff in there and ground down a bone spur (if her post op assessment can be relied upon for accuracy).  She'll be in a sling for awhile.  Her shoulder started hurting this time last year - same time as my wife's - but unlike my wife who got back to near 100% from a steroid shot and some PT, she didn't get better over time with that approach :( 

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Just now, Zealot said:

The MRI could decipher that. Ortho hasn’t suggested?

 

He and I agreed to take a conservative approach. I just have to decide when I’m ready to take the next step. It’s been 17 days since the injection. So…give it more time, or get the MRI, which could reveal that I should just give it more time, or it could reveal that I need more intensive treatment. 

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43 minutes ago, MoseySusan said:

The healing is slow. I had a steroid injection, but it aches constantly, there’s a sharp pain if I overreach, and I’ve lost a lot of muscle tone in this arm. What a set-back. I’m going to ask my therapist if I should schedule an MRI. Or, give myself more time. 

Therapy works but it takes time 

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Mine did not come back with injection & pt the first ortho I saw said "I can't  understand why you are in pain..it is a typical year for a woman of your age"...

I asked my GP for recommendations and she said see a sports medicine orthopedic...

So..I did..he took one look at my year and a half old MRI and said it was very fixable and a complete tear..He scheduled a new MRI to see if it had gotten worse...and we scheduled surgery..I wasted 1.5 years with pain due to the first doc.  And yes..we tried cortisone on PT first. With the first doc.

Yes..wear and tear due to age is possible and at some point they will say..we can't fix it..but @MoseySusan you are not that old yet and I am guessing you don't have extreme wear and tear due to years of abusing your shoulder.

Don't  go a year and a half like I did.

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1 minute ago, MoseySusan said:

I’ll call the local curandera. 😉 

Jk..it’s a good question. I’ll ask. 

I don't know much about it.  I listen to Joe Rogan a lot.  He swears by it for his shoulders that have been beaten up with years of weights and martial arts.  

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1 hour ago, petitepedal said:

So..I did..he took one look at my year and a half old MRI and said it was very fixable and a complete tear..He scheduled a new MRI to see if it had gotten worse...and we scheduled surgery..I wasted 1.5 years with pain due to the first doc.  And yes..we tried cortisone on PT first. With the first doc.

My ortho is a sports injury specialist. He said to schedule an MRI if I’m not getting relief from PT. But my therapist just said she thinks it’s “a locked shoulder from an injured cap” and not a complete tear. So, I think I’ll schedule an MRI to find out what’s happening in there. 

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7 minutes ago, MoseySusan said:

My ortho is a sports injury specialist. He said to schedule an MRI if I’m not getting relief from PT. But my therapist just said she thinks it’s “a locked shoulder from an injured cap” and not a complete tear. So, I think I’ll schedule an MRI to find out what’s happening in there. 

The ‘frozen’ shoulder is what initially tipped me off to something major going on with my first shoulder issue. 

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25 minutes ago, MoseySusan said:

My ortho is a sports injury specialist. He said to schedule an MRI if I’m not getting relief from PT. But my therapist just said she thinks it’s “a locked shoulder from an injured cap” and not a complete tear. So, I think I’ll schedule an MRI to find out what’s happening in there. 

And make sure you ask your ortho next time if you'll be able to play piano after the treatment! 

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On 11/12/2021 at 8:38 AM, MoseySusan said:

The healing is slow. I had a steroid injection, but it aches constantly, there’s a sharp pain if I overreach, and I’ve lost a lot of muscle tone in this arm. What a set-back. I’m going to ask my therapist if I should schedule an MRI. Or, give myself more time. 

I would consult a surgeon who does shoulders.  He would consult with the therapist, examine where the pain is, and be able to determine what the MRI needs to include.

If possible, get the therapist or anyone you know in the field to recommend a surgeon if you don't have one already.

I had both shoulders operated on, in 2003 and 2017.  The surgeon, recommended to me by a childhood friend who became a physical therapist, also operated on my left Achilles tendon in 1989 before he went on to specialize on shoulders only.  He is highly regarded and was the team physician for the AA-baseball Bowie Baysox and operated on some of them and on a few of the players of the parent team, the Baltimore Orioles.

He did NOT operate on my right Achilles tendon and a knee problem, both of which were completely healed by the physical therapy he prescribed.

The two shoulders and left Achilles tendon are 100% good now.  In fact, he improved on nature by rounding-off the outward ends of the acromion bones on each shoulder.  In most people including me, they end in a sort of hook that digs into shoulder tissues if the shoulders become seriously inflamed.  He also snipped a tiny tendon in each rotator cuff connecting part of the shoulder to a muscle that runs to the arm that does virtually nothing but can cause problems if injured.  And when he had to completely remove then reattach the supraspinatus tendon (the one than runs over the end of the shoulder and down to the arm) to the humerus (upper arm bone), he put two ceramic screws in the arm and attached the tendon with 10 permanent stitches, going lower on the arm than the original location so the attachment to the bone would grow over a larger area.

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3 hours ago, MickinMD said:

I would consult a surgeon who does shoulders.  He would consult with the therapist, examine where the pain is, and be able to determine what the MRI needs to include.

If possible, get the therapist or anyone you know in the field to recommend a surgeon if you don't have one already.

I had both shoulders operated on, in 2003 and 2017.  The surgeon, recommended to me by a childhood friend who became a physical therapist, also operated on my left Achilles tendon in 1989 before he went on to specialize on shoulders only.  He is highly regarded and was the team physician for the AA-baseball Bowie Baysox and operated on some of them and on a few of the players of the parent team, the Baltimore Orioles.

He did NOT operate on my right Achilles tendon and a knee problem, both of which were completely healed by the physical therapy he prescribed.

The two shoulders and left Achilles tendon are 100% good now.  In fact, he improved on nature by rounding-off the outward ends of the acromion bones on each shoulder.  In most people including me, they end in a sort of hook that digs into shoulder tissues if the shoulders become seriously inflamed.  He also snipped a tiny tendon in each rotator cuff connecting part of the shoulder to a muscle that runs to the arm that does virtually nothing but can cause problems if injured.  And when he had to completely remove then reattach the supraspinatus tendon (the one than runs over the end of the shoulder and down to the arm) to the humerus (upper arm bone), he put two ceramic screws in the arm and attached the tendon with 10 permanent stitches, going lower on the arm than the original location so the attachment to the bone would grow over a larger area.

Your surgeon sounds highly skilled. It’s my orthopedic doctor, who is also a surgeon. who suggested a shot and pt for six weeks then re-evaluate. An x-ray showed no broken bones or other anomalies. I’d like to avoid the cost of an MRI. It’s gnawing on me that I didn’t want to play softball in the first place, and now I’m piling up medical bills. 

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