Author Topic: Shoulder issues  (Read 1276 times)

BridgeRunner

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Shoulder issues
« on: April 27, 2010, 10:56:51 PM »
Alright, I know I'm far from the only person here who has had surgery for a mess-up shoulder.  Question for anyone who has experience:  What kind of issues did you have later on?  At what point do you begin to differentiate between "yeah, I have a messed-up shoulder that was mostly fixed" and "oh f***, I screwed it up again."?  What kind of long-term limitations did you have after shoulder surgery, and were you informed of them, or did you just figure them out on your own?

BobR

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Re: Shoulder issues
« Reply #1 on: April 28, 2010, 04:54:57 AM »
I think the answer depends on what and where the shoulder is messed up.

In my case I had a severe AC joint seperation and some impingement from that. I had the outer one third of my collar bone cut off, my AC joint removed and a few other bits and pieces removed. The tear in the rotator cuff wasn't touched. My shoulder works pretty well.

It took about 4-6 months to get back to full use, but only about a week to start using it again.

So far all has been good. The original surgery was in 1990 with a minor tuneup in 1991. I guess I was too dumb to figure out it was supposed to be limiting. I just motored on as I was able. The only down side was the military grounded me from my flying job so I took that as a sign I was supposed to retire.

My "good" shoulder is the one that gives me problems now. I was injured at work, 4 tears and a dislocated bicep tendon. The tendon popped back into place one day as I tried to reach behind me. I went to a sports medicine orthopod and he wanted to try PT for a while. I did about 5 months of PT, still do a lot of stretching on my own and so far all is good without having to have surgery. It is painful if I do a lot of repetitive motion things like washing the car, raking the yard or shoveling snow. I just do a lot of stretching before and after and take motrin for the pain. It usually is gone the next day. I try my best to take care of this shoulder now, I have no desire to have surgery on it. Just about limitation I have with this shoulder was figured out as I did things. If it hurt I stopped it.

Shoulders are one of the worst joints to mess up, if you look at how they work and the range of motion they have it is a pretty amazing joint. That is until you start tearing things up in it and you find out how fragile it can be.

bob


Hawkmoon

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Re: Shoulder issues
« Reply #2 on: April 28, 2010, 07:26:07 AM »
Alright, I know I'm far from the only person here who has had surgery for a mess-up shoulder.  Question for anyone who has experience:  What kind of issues did you have later on?  At what point do you begin to differentiate between "yeah, I have a messed-up shoulder that was mostly fixed" and "oh f***, I screwed it up again."?  What kind of long-term limitations did you have after shoulder surgery, and were you informed of them, or did you just figure them out on your own?

I am going through shoulder issues right now. Third time in about twenty five years. No surgery.

The first time, 25 +/- years ago, the shoulder was just sore, and got progressively worse. Regular sawbones had nothing to offer, so he referred me to the best sports doctor in town. He sent me in for a CAT scan. The scan was negative, so he deduced that I "must" have a torn rotator cuff and he proposed surgery. It didn't feel right, so I declined. So did the shoulder (decline, that is). It got to where I couldn't put on a shirt without assistance. I woke up one morning with the thought, "Ya know, self, this feels a lot like when you jammed your knuckle playing softball in Tommy Adams yard." The house I was living in at the time had square-edged trim around the doors, so I managed to lift my right hand up to where I could hook my fingers around the trim across the top of a doorway, and I let my weight down on it. Something popped, and I could move my arm again. It stayed fixed for about 15 + years.

Same thing happened in late 2003. In early 2004 my then-new wife and I were walking in a park with her granddaughter, and granddaughter didn't understand what a set of monkey bars (overhead ladder) was for. So I attempted to show her. The first swing with weight suspended from the right arm resulted in excruciating pain, I fell off the bars ... and the shoulder had movement again. It was sore for a couple of days, then fine.

I did something to it about 6 weeks ago and it's back. Either I'm older or I tweaked it differently because the same "cure" has not regained 100% motion without pain, but it is helping. In short, I have a minor dislocation and just have to find the magic tweak to pop it back in place. Chiropractor think it's the clavicle rather than the ball & socket of the actual shoulder. Maybe -- but his attempts to adjust it don't work as well as the monkey bars, so I am not convinced.

Dunno if that helps, but that's my story.
« Last Edit: April 28, 2010, 12:06:26 PM by Hawkmoon »
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HankB

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Re: Shoulder issues
« Reply #3 on: April 28, 2010, 08:45:43 AM »
I had a sore shoulder for several months, which a course of anti-inflammatories didn't clear up. So my regular doc told me to go to a physical threapist. Local hospital had a large sports medicine/therapy department, so I went there.

Diagnosed as an "impingement," a half-dozen sessions of therapy (bursal massage and various exercises) improved the situation by 95%, and in short order I was back to normal. I make sure to include the "shoulder specific" exercises the therapist showed me in each gym session.
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El Tejon

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Re: Shoulder issues
« Reply #4 on: April 28, 2010, 09:10:59 AM »
A/C separation at Great Lakes Kung Fu Tournament years ago.

One surgery that went very well.

I had scar tissue that limited mobility and caused my entire girdle to "freeze up".  I started yoga in 2002 after getting sick of physical therapy.

I still do yoga 2-3 times a week. 

I like the cobra pose and thread the needle for my shoulders.

Cobra:  http://www.abc-of-yoga.com/yogapractice/thecobra.asp

Thread the Needle:  http://www.yogabasics.com/seated-twists/threading-the-needle.html

Where El Tejon gets his yoga on:  http://www.sunshineyogafitness.com/
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RoadKingLarry

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Re: Shoulder issues
« Reply #5 on: April 28, 2010, 09:44:17 AM »
I've had off and on shoulder problems for 8-9 years. I would have boughts where I had difficulty lifting my right arm to shoulder hieght and above and couldn't draw a bow. Dr. would advise rest and anti-inflamatories.  Last Summer it got bad enough again for a trip to the Dr. He poked and prodded it a bit and decided it was rotator cuff problem and gave me shot in the sore spot.
Felt much better, for a while. Still took it easy for a week or so, didn't want to over do it and not let things heal up.
At the 2 week point after the injection it was really bothering me again and I intended to make another appointment to see the saw bones. The afternoon that I had already deciede to go back to the Dr. I reached up and pulled my work van into gear (column shift) and felt a "pop" in my shoulder and felt like I had just gotten a world class charley horse in my bicep, hurt like hell, bad enough that I ha d to reach with my left hand and turn off the engine. After that I developed a rather large lump in my bicep. Doc took one look and reffered me to the surgeon. I had experienced a "Proximal rupture of the long head of the bicep tendon".

The problems and pain I had been experiencing for years was due to a rough spot in my shoulder bones that had begun to saw away the tendon eventually making it let go.

Surgery to reattach the tendon and clean up the rough spots. 4 weeks total imobilization, 2 more weeks in a sling and then 4 weeks limited duty along with a couple months of physical therapy. Pain was manageable but I have a high toelrance for pain.

Now 8 months out I'm not haveing any problems to speak of with the shoulder. A little stiffness in the mornings if it is cool, particularly if I've used it a lot the previous day. A hot shower takes care of that.

I had posted pics of the surgery right after and can post them again if you like.
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BridgeRunner

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Re: Shoulder issues
« Reply #6 on: April 28, 2010, 11:15:35 AM »
El T, I started yoga a couple weeks ago, because I'm sick of PT routine for my knee.  The challenge is scheduling.  It just doesn't fit this week more than once.  Well, and this morning, but my kid begged me to stay home, and I figured she was more important.

I had surgery to repair a s.l.a.p. lesion (aka labral tear) almost two years ago.  It's been getting achey a lot more often lately and the past three days or so I'm getting the very fun shooting pain in arm and hand and arm and hand weakness, along with deep shoulder pain that is starting to get rather distracting. 

About three days ago I did a couple sets of bench presses a little heavier than I'd been doing them.  Came to find out bench presses can cause labral tears.  Oops.  Kinda' wish someone might would have mentioned if there was something I should do in the long term. 

Trying to decide if I want to try to get it resolved, or if I just want to let it go until I can't stand it anymore, and what the likelihood is of it either getting better on its own or being irreparable and therefore not worth the bother.  I'm probably gonna let it go.  I'm just (successfully) finishing up a round of PT.  Really don't have time or inclination to start over again, and we're probably gonna be without insurance for a little while anyway. 

dm1333

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Re: Shoulder issues
« Reply #7 on: April 28, 2010, 02:31:02 PM »
Quote
Alright, I know I'm far from the only person here who has had surgery for a mess-up shoulder.  Question for anyone who has experience:  What kind of issues did you have later on?  At what point do you begin to differentiate between "yeah, I have a messed-up shoulder that was mostly fixed" and "oh f***, I screwed it up again."?  What kind of long-term limitations did you have after shoulder surgery, and were you informed of them, or did you just figure them out on your own?

AC3 separation in 1988 that was misdiagnosed and mistreated by the Navy.  Several months after getting out my civilian orthopod said that they had really screwed the pooch and that my rotator cuff had probably been torn, too.

Fast forward to 1998 and my shoulder started to bother me again.  I had an impingement that was getting worse and worse, then got underway on a lifeboat for a SAR case in very rough seas and either tore my rotator cuff again or it was already torn and I made it worse.  After 12 months of limited duty, PT, no operation but some very painful joint manipulation I was back to full duty.  I was in the Coast Guard and got treated at the Bremerton Navy Hospital.  This orthopod was as good as the 1988 doctor was bad.  He recommended that I not ever bench press again and that if I did that the weights be light and my arm doesn't go past 90 degrees.  He recommended that I do a lot of push ups, pull ups, etc.  Swimming was also recommended as long as I didn't overstress my shoulder.

In 2006 I had another minor tear of that rotator cuff.  The civilian orthopod recommended rest, PT and told me to keep using it. 

No surgeries, the two civilians and one good Navy doctor all said that after 18 months or so you really can't tell the difference between somebody who had surgery and somebody who didn't except for the scars.  I have no real limitations in daily life, I can do push ups, pull ups, reach over my head, behind my back, etc.  When we train on handcuffing I take a pass on being the subject because I don't have as much flexibility and my shoulder gets sore if people wrench on it a little too hard.  I have arthritis and bursitis but if I continue to exercise that seems to keep pain to a minimum.  After having my shoulder freeze and my right elbow freeze up on me one of the doctors said that I be aware of the fact that I evidently get a lot of scar tissue that causes me to have a frozen shoulder, elbow, etc. and should be ready for that if I tear something else again.  I also can't sleep on my left side for very long.

My biggest limitation, oddly enough, is that my shoulder gets sore on long bike rides.  It is less noticeable on my mountain bike because the position is more upright than on my Bianchi road bike.  The solution I came up with for that was to start riding recumbents last summer.  No more shoulder or elbow pain and no more bike seat jammed up between my butt cheeks! ;)

I know this probably doesn't fit what you were looking for since I didn't have surgery but you might want to get a second opinion before letting somebody cut.  I know two other people who had the same injuries and had surgery, both of them needed to have bone spurs and growth removed.  The same doctor cut on both and told both of them that if he could have avoided operating on them he would have.  I lost track of one guy, he retired, the other is fit for full duty and has no real issues.

El Tejon

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Re: Shoulder issues
« Reply #8 on: April 29, 2010, 09:30:57 AM »
Weights? :facepalm:

No, stay away from weights for now.  You need body weight exercise and stretching to rebuild your body.

Problem for you is timing but I look at it this way:  this is mommy's therapy, if mom does not take 90 minutes for her then she will be in a reduced capacity for the other 23.5 hours . . . for a very long time.

Make time for yoga so that you will have extra time.

 :police:=>exercise police (part of Obamacare)
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