I am so screwed...
Omelet
Finally hurt enough, I requested an order for an MRI for both shoulders.
The left shoulder, not so bad. Only a partial tear of the Supraspinatus
tendon and a flurry of other minor crap. Osteoarthritis in both AC
joints.
The right shoulder has a full length tear of the Supraspinatus tendon
with muscle retraction pulling the tendon out of normal position and
interfering with the function of others as a result.
Ortho' says that surgery might not be necessary as the other rotator
cuff muscles can compensate for it over time with therapy, but pain
control will be the big issue and I will probably permanently lose some
strength and range of motion, even if I do decide I want surgery.
He's leaving that option open, and up to me.
If I do decide to go that route, it won't be until sometime in February
due to work obligations.
See subject line.
But, at least I know what the hell is wrong now, and why the pain is
allowing me almost no sleep anymore...
--
Peace! Om
"Human nature seems to be to control other people until they put their foot down."
--Steve Rothstein
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Steve Freides
> Turns out Perry was wrong. No Labral tear.
>
> Finally hurt enough, I requested an order for an MRI for both
> shoulders. The left shoulder, not so bad. Only a partial tear of the
> Supraspinatus tendon and a flurry of other minor crap. Osteoarthritis
> in both AC joints.
>
> The right shoulder has a full length tear of the Supraspinatus tendon
> with muscle retraction pulling the tendon out of normal position and
> interfering with the function of others as a result.
>
> Ortho' says that surgery might not be necessary as the other rotator
> cuff muscles can compensate for it over time with therapy, but pain
> control will be the big issue and I will probably permanently lose
> some strength and range of motion, even if I do decide I want surgery.
>
> He's leaving that option open, and up to me.
>
> If I do decide to go that route, it won't be until sometime in
> February due to work obligations.
>
> See subject line.
>
> But, at least I know what the hell is wrong now, and why the pain is
> allowing me almost no sleep anymore...
Find a sport doc, one who operates on the local professions football or
basketball team, get his opinion, and have him do the cutting if you
decide to go that route. Tell the doc that lost strength and/or ROM is
not an option for you.
-S-
Omelet
"Steve Freides" <st...@kbnj.com> wrote:
> > But, at least I know what the hell is wrong now, and why the pain is
> > allowing me almost no sleep anymore...
>
> Find a sport doc, one who operates on the local professions football or
> basketball team, get his opinion, and have him do the cutting if you
> decide to go that route. Tell the doc that lost strength and/or ROM is
> not an option for you.
>
> -S-
That's the hell of it; He IS a sports doc!
And yes, I've told him exactly that via e-mail.
I have to use one within "system" for my insurance to pay.
He's actually balking a bit and recommending another surgeon that's more
experienced with this kind of thing.
Sounds good to me.
But it still won't be until February due to work obligations. It's
complicated. I've already been putting up with this since May, another
3 months are not going to matter.
In the meantime, I continue PT and ART. ART has helped the left
shoulder already but is not going to fix a full thickness tendon tear on
the right. PT will be done to "tolerance". If it hurts bad, don't do it.
<sigh>
And yes, lost strength and ROM is not an option. I'm too young for this
shit.
Thanks.
Fortunately, there are still some good upper body moves such as rows and
cable crossovers that I can do that don't really hurt if I keep the
weight reasonable. So, I can still work it. Deadlifts seem to be fine
too.
David
"Omelet" <ompo...@gmail.com> wrote in message
news:ompomelet-7D878...@news-wc.giganews.com...
> Turns out Perry was wrong. No Labral tear.
>
> Finally hurt enough, I requested an order for an MRI for both shoulders.
> The left shoulder, not so bad. Only a partial tear of the Supraspinatus
> tendon and a flurry of other minor crap. Osteoarthritis in both AC
> joints.
>
> The right shoulder has a full length tear of the Supraspinatus tendon
> with muscle retraction pulling the tendon out of normal position and
> interfering with the function of others as a result.
>
> Ortho' says that surgery might not be necessary as the other rotator
> cuff muscles can compensate for it over time with therapy, but pain
> control will be the big issue and I will probably permanently lose some
> strength and range of motion, even if I do decide I want surgery.
>
> He's leaving that option open, and up to me.
>
> If I do decide to go that route, it won't be until sometime in February
> due to work obligations.
>
> See subject line.
>
> But, at least I know what the hell is wrong now, and why the pain is
> allowing me almost no sleep anymore...
How did you cause the injury?
A link for you if you dont know about it
http://injuryupdate.com.au/forum/showthread.php?t=1093
what are the prospects of the tear healing without surgery?
Omelet
"David" <forg...@yahoo.com.au> wrote:
> "Omelet" <ompo...@gmail.com> wrote in message
> news:ompomelet-7D878...@news-wc.giganews.com...
> > Turns out Perry was wrong. No Labral tear.
> >
> > Finally hurt enough, I requested an order for an MRI for both shoulders.
> > The left shoulder, not so bad. Only a partial tear of the Supraspinatus
> > tendon and a flurry of other minor crap. Osteoarthritis in both AC
> > joints.
> >
> > The right shoulder has a full length tear of the Supraspinatus tendon
> > with muscle retraction pulling the tendon out of normal position and
> > interfering with the function of others as a result.
> >
> > Ortho' says that surgery might not be necessary as the other rotator
> > cuff muscles can compensate for it over time with therapy, but pain
> > control will be the big issue and I will probably permanently lose some
> > strength and range of motion, even if I do decide I want surgery.
> >
> > He's leaving that option open, and up to me.
> >
> > If I do decide to go that route, it won't be until sometime in February
> > due to work obligations.
> >
> > See subject line.
> >
> > But, at least I know what the hell is wrong now, and why the pain is
> > allowing me almost no sleep anymore...
>
> How did you cause the injury?
I fell.
> A link for you if you dont know about it
> http://injuryupdate.com.au/forum/showthread.php?t=1093
Interesting stuff, but it's moot. I hurt this back on May 7th according
to the archived e-mails. I doubt it'll get any worse and I was given a
projection of an 80% max recovery with surgery. Part of that is my own
diligence on following the treatment plan and PT suggestions.
I have higher hopes that ART or Airrosti treatments can help, but only
time will tell.
>
> what are the prospects of the tear healing without surgery?
Zero. Zilch. Nada. None.
A torn tendon that's retracted out of place is not going to heal on it's
own. That's anatomically impossible.
Sucks, but the truth often does.
x...@xxx.com
>
> Zero. Zilch. Nada. None.
> A torn tendon that's retracted out of place is not going to heal on it's
> own. That's anatomically impossible.
>
> Sucks, but the truth often does.
I have 2 tears in my rotator cuff that I refused surgery for, I tore
them over 10 years ago and for awhile I couldn't lift my arm without
grabbing my wrist and pulling it up through the weak zone. With
resistance bands and about 5 exercises I got back most of my ROM in a
year. I dealt with the pain for about 2 years after that doing shoulder
exercises with weights. After that I got back to 100% of my activity
level (soccer, basketball and sometimes tennis) with no pain and some
weakness. I couldn't throw as far or hit as hard as before but that
might be age as much as the damaged rotator cuff.
I refused treatment because the operation consisted of detaching 2
ligaments from the bone, repairing the tears and reattaching the
ligaments with screws. My initial doctor was a powerlifter who kind of
inspired me with her "hit the gym and stop whining" attitude. I will
estimate that my recovery was 1 year longer without surgery and I don't
have screws holding my shoulder together. My thumb is another story for
another day.
Good luck, one way or another you'll be back to 100% relatively shortly.
Omelet
"X...@XXX.COM" <x...@xxx.com> wrote:
Thanks for the inspiration. ;-)
slide
> In article <hd31h8$lva$1...@news.eternal-september.org>,
> "X...@XXX.COM" <x...@xxx.com> wrote:
>
>> Omelet wrote:
>>> Zero. Zilch. Nada. None.
>>> A torn tendon that's retracted out of place is not going to heal on it's
>>> own. That's anatomically impossible.
There is a book called something like the 7 minute rotator cuff solution
which others have raved about. I have no personal experience but I sure
have heard others praise it.
Try Amazon. I don't know if it's still in print.
Omelet
slide <dryads...@xxxxyahoo.com> wrote:
Certainly be worth it. It is feeling better today but I got a Cortisol
shot in it on Wednesday and scored a Tramadol Rx. from my primary care
doc. I hate taking drugs but I've been losing far too much sleep to
pain.
I only take it to sleep, never during the day. Tramadol holds it's own
set of dangers which is why I avoid Rx painkillers whenever possible.
I'll look at the book (thanks) but a torn tendon is a torn tendon. Full
thickness tear. I can't see any way of fixing something like that short
of surgery.
x...@xxx.com
> In article <hd7j6i$2o8$1...@news.eternal-september.org>,
> slide <dryads...@xxxxyahoo.com> wrote:
>
>
>>Omelet wrote:
>>
>>>In article <hd31h8$lva$1...@news.eternal-september.org>,
>>> "X...@XXX.COM" <x...@xxx.com> wrote:
>>>
>>>
>>>>Omelet wrote:
>>>>
>>>>>Zero. Zilch. Nada. None.
>>>>>A torn tendon that's retracted out of place is not going to heal on it's
>>>>>own. That's anatomically impossible.
>>
>>There is a book called something like the 7 minute rotator cuff solution
>>which others have raved about. I have no personal experience but I sure
>>have heard others praise it.
>>
>>Try Amazon. I don't know if it's still in print.
>
>
> Certainly be worth it. It is feeling better today but I got a Cortisol
> shot in it on Wednesday and scored a Tramadol Rx. from my primary care
> doc. I hate taking drugs but I've been losing far too much sleep to
> pain.
>
> I only take it to sleep, never during the day. Tramadol holds it's own
> set of dangers which is why I avoid Rx painkillers whenever possible.
>
> I'll look at the book (thanks) but a torn tendon is a torn tendon. Full
> thickness tear. I can't see any way of fixing something like that short
> of surgery.
The exercises I got were from a guy named Ken O'Neill he had about 20
webpages devoted to rotator cuff repair. Another benefit to the physical
therapy was that my dr shot me with steroids, so I got to try something
new.
Here is the first page that came up in a google search:
http://www.longlifefitness.net/Pages/rotatorcufftextframe.htm
Omelet
"X...@XXX.COM" <x...@xxx.com> wrote:
> > I'll look at the book (thanks) but a torn tendon is a torn tendon. Full
> > thickness tear. I can't see any way of fixing something like that short
> > of surgery.
>
> The exercises I got were from a guy named Ken O'Neill he had about 20
> webpages devoted to rotator cuff repair. Another benefit to the physical
> therapy was that my dr shot me with steroids, so I got to try something
> new.
>
> Here is the first page that came up in a google search:
>
> http://www.longlifefitness.net/Pages/rotatorcufftextframe.htm
Interesting read, thanks!
Keith
Omelet <ompo...@gmail.com> wrote:
Om - Ken O'Neil loves to challenge the status quo and kick sacred cows,
but he has some really good ideas. I'd consider his exercise
prescription.
I have to admit - I'm one of those anti-surgery people, although I have
had my bicep tendon re-attached with surgery. Going into the shoulder
capsule scares me - there can be inflammation issues for years due to
the invasive nature of the surgery.
So I'm thinking - if surgery and years of painful rehab are one option
maybe just doing the rehab is a better option? Follow Ken's program?
It worked for me with shoulder separations on both sides (left a little
more severe). I realize that is quite a different injury than the
supraspinatus tear.
I have to admit - the retraction part is the wrench in the works. If not
for that I'd strongly advise no surgery. But that is something that I'm
not sure rehab can address. That would be my question.
Anyhow - good luck.
Omelet
Keith <hob...@hobbes.com> wrote:
> > Fortunately, there are still some good upper body moves such as rows and
> > cable crossovers that I can do that don't really hurt if I keep the
> > weight reasonable. So, I can still work it. Deadlifts seem to be fine
> > too.
>
> Om - Ken O'Neil loves to challenge the status quo and kick sacred cows,
I'm all for that. ;-)
> but he has some really good ideas. I'd consider his exercise
> prescription.
>
> I have to admit - I'm one of those anti-surgery people, although I have
> had my bicep tendon re-attached with surgery. Going into the shoulder
> capsule scares me - there can be inflammation issues for years due to
> the invasive nature of the surgery.
I know. But the Supriaspinatus muscle has a full thickness tear with
muscle retraction. It's pulled away from the bone and is interfering
with other rotator cuff structures. I don't see that I really have a
choice. I'm not happy about it, trust me. No more happy about the
Tramadol that's helping me finally get enough pain relief to sleep.
I'm only taking 1 to 2 (50mg) per day about an hour before I go to
sleep. I have this terror of drug addiction.
>
> So I'm thinking - if surgery and years of painful rehab are one option
> maybe just doing the rehab is a better option? Follow Ken's program?
Well, I have 3 months to play around as surgery before sometime in
February is out of the question. I have too many other commitments right
now, not the least of which is working thru the holidays.
>
> It worked for me with shoulder separations on both sides (left a little
> more severe). I realize that is quite a different injury than the
> supraspinatus tear.
>
> I have to admit - the retraction part is the wrench in the works. If not
> for that I'd strongly advise no surgery. But that is something that I'm
> not sure rehab can address. That would be my question.
>
> Anyhow - good luck.
Thanks. And thank you for the post. :-)
Charles
wrote:
I hope it all goes well for you Om; you've been in pain for a long
time now mate - and that's not fun!
Omelet
Charles <cha...@msn.com> wrote:
>
> I hope it all goes well for you Om; you've been in pain for a long
> time now mate - and that's not fun!
Thanks Charles. You are very kind. :-)
The Physical therapist and the A.R.T. guys feel that therapy is also not
enough for this, but they are helping me all they can. I'm currently
going twice per week.
Considering this rehab is run by Chiropractors along with PT's (who tend
to be quite conservative), that's going some.
Steve Freides
Sounds like the only things left for you to do are get a second opinion
and then, assuming it agrees with the first one, get the surgery.
Omelet
"Steve Freides" <st...@kbnj.com> wrote:
> Sounds like the only things left for you to do are get a second opinion
> and then, assuming it agrees with the first one, get the surgery.
>
> -S-
> http://www.kbnj.com
Pretty much...
Still waiting for the second opinion on the films from the surgeon. He
prefers to review them himself to see if he agrees with what was seen.
Seth
Omelet <ompo...@gmail.com> wrote:
>Finally hurt enough, I requested an order for an MRI for both shoulders.
>The left shoulder, not so bad. Only a partial tear of the Supraspinatus
>tendon and a flurry of other minor crap. Osteoarthritis in both AC
>joints.
Bummer.
>Ortho' says that surgery might not be necessary as the other rotator
>cuff muscles can compensate for it over time with therapy, but pain
>control will be the big issue and I will probably permanently lose some
>strength and range of motion, even if I do decide I want surgery.
>
>He's leaving that option open, and up to me.
If you're anywhere near NYC (and he's still in practice), I recommend
Dr. Francis Mendoza. (My ART guy said he was the best shoulder
surgeon in NY; nothing in my experience contradicts that.)
>If I do decide to go that route, it won't be until sometime in February
>due to work obligations.
What do you do, and how bad are the obligations? I had surgery
Thursday, overnight in the hospital, and was back at work on Monday.
(Wearing a sling, without my arm in it: he said not to use it because
it would just make the shoulder freeze up, so I just wore it so people
would be careful and not ask me to lift stuff.)
>But, at least I know what the hell is wrong now, and why the pain is
>allowing me almost no sleep anymore...
Which is good news: now you can get unscrewed.
Seth
--
Who cares? Shut up and lift. -- Watson (the pencil neck) Davis