question re shoulder pain

[Jennifer Sass]

Hey Friends,

I figure this listserve has more experience and understanding of shoulder pain and injury than anywhere.  I am not crowd-sourcing a medical diagnosis here, but rather asking about what I should do - see my regular doc? A physiotherapist? Is there a sports injury doc? Orthopedist?

It is my right (dominant) shoulder, and it has been hurting for several months now. Doesn't hurt when I kayak (staying in the box) or weight lift or other stuff, but does hurt afterwards. Sort of a low-level chronic pain when I reach up, stretch sideways, or strain it in a twisting lift. 

May be bursitis? May be a tendon tear or injury?

Recommendations on who to talk with?

--

Jennifer Sass
Email: sass...@gmail.com

Let there be no peace without justice, no worker without rights, no child without future, no elder without care, no individual without dignity. Let us take great care of Mother Earth. (adapted from Pope Francis on the Poor and Indigenous Peoples)

[Bill Geary]

I’m following this so please copy me on replies as well…

 

Thanks,

Bill

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[John Finley]

I’ve had tears in both shoulders   The right one had surgery   It started with your symptoms but I did nothing and the tendon finally tore completely   Was three years to get back full strength and still didn’t have full range of motion 

  The left  one I had an mri as soon as it felt like yours I and found 80% tear but was given choice of rehab first   I did rehab six months Nd now do shoulder weights 2-3 times per week   Shoulder is now back at full strength   

So take home message is make sure it isn’t a tear    If it is at this stage u will probably go through rehab Nd have good chance of full recovery     But if it is a tear that ends up completely tearing its surgery = 🥵

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[Graham White]

Go see a specialist. I strongly recommend dr Wiesel.    in addition to being an orthopedic surgeon who specializes in shoulders, he is a kayaker. 

Dr. Brent Wiesel

3800 Reservoir Rd NW,  Pasquerilla Healthcare Center Ground Floor, Washington

(202) 444-8766

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[Jennifer Sass]

Thanks All!

Made an appointment with my regular doc for this week, and with Dr. Brent Wiesel for next week (he has a Chevy Chase office on Wednesdays, FYI). Will make sure to get an MRI and check for tears. 

Pain is in the top and back, around the shoulder blade. 

So sorry that so many of us have had to suffer such injuries, but glad that there is a road to recovery (including non-surgical) and thanks so much for all the smart advice!

 - jen

[Thierry Rosenheck]

I'm going to see my osteopath (Dr Rosen) this afternoon for this reason... I'll ask him for feedback.  MY 'story' for what I might be doing to elicit the problem .... Possibly stressing it paddling - more likely is that I carry the boat on my right shoulder.  .... What's your story if I were to describe it to him?    -t

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[Jim Frangenberg]

I had the same issue a number of months ago. I went to my Orthopedist (Shady Grove Orthopedics) who diagnosed bursitis as well. He prescribed physical therapy to strengthen and stretch my shoulders. I now use a theraband to maintain the therapy. 

In addition, I visit a chiropractor who also is a sports therapist. Rather than the typical snap-crackle-pop doc, he focuses on muscle release complimented by adjustments. His name is Dr Oliver Roberson with Active Chiropractic in DC. He is the best I have ever worked with (been with chiropractors for 20 years). 

I hope this helps. Good luck!!

Jim Frangenberg 

804-873-0909

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[Robert Pollock]

I’ve had good luck with The Jackson Clinics.   I use the one in Shirlington but they have offices all over the DMV.  

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[cifarr...@gmail.com]

Hi Jenn: I'm not a Dr so this is my free advice.  I would advice cutting your paddling hours and replacing them with yoga.  After a few weeks of that, hoped you will start to feel better. You may need to strengthen other muscles in your core and upper body, and more vigorous yoga may help there too.

Carlos

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On May 28, 2019, at 9:55 AM, Bill Geary <BGe...@mpegla.com> wrote:

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[liquid adventures]

I got multiple opinions and looks like the knife for me... Craig Miller is my doctor. He did my first surgery and it’s been awesome. He will do my second as well. 

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Ashley McEwan

Calleva's Liquid Adventures

13015 Riley's Lock Rd 

Poolesville, MD 20837

301.216.1248

Learn to Kayak this Summer!

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[Thierry Rosenheck]

For what it's worth - the yoga Carlos recommends likely to work for me ... In case you have knotted muscles. Massage and/or working the tennis ball on knotted area would also help. I hope you don't need a knife.  -t

[Randall Lutter]

Well, everyone is mentioning shoulders but it is my forearm and elbow, aka kayaker's tennis elbow.  I have not tried the dry needling (yet), since no one has pointed to a single study showing effectiveness, but I am pursuing physical therapy with a clinic in Silver Spring.  Over the long weekend I paddled briefly once, but then spent 36 hours thinking it was a bit much. 

I hope this organ recital is not too dismal for younger paddlers.

Best,

-rl

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Randall Lutter, PhD
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[Mark Eakin]

Jen,

Sounds a lot like the issue I was having initially with my shoulder. Best bet is with the orthopedist as you are planning. I tried PT first but found it wasn’t enough. Hopefully you can avoid the knife.

Cheers,

Mark

On May 28, 2019, at 9:44 AM, Jennifer Sass <sass...@gmail.com> wrote:

[Eric Zimmermann]

Are we at feeder tonight?

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[Stephen MacDonald]

My experience with chronic shoulder pain 10 years ago was it got worse and eventually I got an operation to remove some bone spurs that has developed in my shoulder.  Long (year) painful recovery and eventually I got through it while undertaking yoga and some acupuncture.  Likewise, it was right shoulder and I use a right-handed paddle.  No two experiences will be exactly the same, but this buildup of a shoulder problem to the point of asking around was the first step in what I went through and my take-away is always take chronic pain seriously.  I'm presuming the yoga functioned as cross-training for me, with the planking etc adding more pushing to baseline activities which primarily revolved around pulling a paddle. 

On Tue, May 28, 2019 at 6:07 PM Thierry Rosenheck <teros...@gmail.com> wrote:

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Stephen MacDonald

1116 N Roosevelt St

Arlington, VA   22205

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703-346-1372

[Scott]

I’ve seen Brent Wiesel. He’s OK. But, he will just look at you and then prescribe physical therapy - at Medstar or elsewhere. But, Dan (Cardinali) has had excellent results with his PT: Devin Christman at Sports Therapy and Rehabilitation or “STAR.” At 1112 16 St NW.

[Lisa Kara]

As you know, I had a horrible case of tennis elbow that started in my right elbow and moved to my left.  I tried everything - PT, cortisone, yoga, acupuncture, dry needling...it all made me "feel better" but it really just took time and avoiding "heavy" use for (I sorry in advance) a year.  "Heavy" use included things like attaining and push ups, although things like down dog and "girl" push ups seemed okay.  FWIW - Thierry, the dry needling was one of the "last" things I tried, and it either really helped or made me realize I "had to" rest.  

I guess it just depends on what you have...some things may need more than rest.  I hope you figure out what it is in short time and start on the road to recovery.

I also hope there is nobody under 40 on this thread.

Hugs!

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[Travis Vice]

Hey all,  when I was in high school,  I dislocated both of my shoulders (at different times).  I never had surgery although my baseball career was over.    For a few years,  I would occasionally pop the shoulder out doing random stuff.   Got to the point that it didn't even hurt when they popped out.  Kind of like Lethal Weapon Riggs style.   Eventually,  I started doing shoulder exercises to strengthen them and they stopped popping out.  Now,  they are fine.   Still no surgery.  I have yet to have a problem with them doing kayaking but I am also aware that my shoulders are subject to popping out so I really try to stress the technique of good form.  Key word is try...

Good luck in whatever you decide. 

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[Jill MacNeice]

I would be remiss if I didn’t add a plug for Feldenkrais, my go-to treatment for back, neck, shoulders, and knees. It’s not about strength or flexibility, but rather works on ease and range of motion at points of attachment. I’ve been doing it for decades. I recommend Maureen McHugh for a local practitioner. There’s also lots of Feldenkrais videos on YouTube. I like this one for shoulders. https://youtu.be/JWkUkmbQ94k

Different things work for different people. Good luck and let us know how it goes. 

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