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worried
11-10-2005, 02:55 PM
Hi all,
New to this site, I guess you don't register unless you have an interest or injury.
you can see from the Subject I have just got scan results back and I guess the critial line in amongst all the jargon is , "There is a complete tear of the Supraspinatus tendon, no tendon fibres can be seen".
I am looking for any relevant info I can get, in particular any one else here who has had the same injury? , What treatment (surgery) did you recieve and what was the outcome?
What concerns me is that I have only been to my GP and had a scan so far, go for another one tomorrow, and the injury is already 10 days old.
I would have thought if the tendon is completely snapped then the sooner they can re-attach it the better (if that is possible) , will the snapped tendon shrink if left for any prolonged period?
Thanks
Worried.

Unregistered
12-10-2005, 08:16 AM
Yep, if you are young enough to warrant repair (50% of 75 years olds have an unrepaired torn supraspinatus) then it would be good for the surgeons to do it within 3 weeks so it isn't too scarred down. I would try to get a referral to a shoulder surgeon ASAP.

Unregistered
03-11-2005, 05:23 AM
i had the same thing done but waited 3 months. for that i think the recovery took a lot longer.my shoulder was never the same. i still cant go over my head without pain. its been 3 years now and doc says thats the best its going to get. my advise is get it done soon and follow doc orders to the t. good luck hope it turns out well for you.

worried
09-11-2005, 11:29 AM
HI Guys thanks for the replys.
I am in my 40s and have played a lot of sport over the years and still pretty active, so the doctor thinks it is worth operating on.
; )
I have quickly come to the conclusion that there must be a lot of people with stuffed shoulders in Bribane.

Just to update those interesed.
My GP gave me a referral to one of the top surgeons here in Brisbane (I think he does the shoulders for the Brisbane Lions).
I rang up to make an appointment and he could not see me for 2 months, (why don't the footballers have to wait that long?) I decided that was too long so rang around and booked appointments at 2 other shoulder specialists. The two who could see me the quickest, probably not the best selection criteria. One could see me in a couple of weeks , the other about 10 days after.
Figuring that if anything happened I would have to rejoin the queue , and also in the event that if i didn't like the prognosis I could get a second opinion , I kept both appointments.
Just as well, as the first specialist was called away to do emergency surgery about half an hour before my appointment. (some poor sod had cut half his fingers off).
Another week later I get to see him, he orders an MRI and books me in to see him again in another 2 weeks.
Getting sick of waiting and knowing the quicker the surgery is done the better the outcome , I go and see the second specialist which is now only 3 days later.
The second specialist says we need to do something about it straight away and books me in for surgery this coming Monday.
I ask about the MRI and he says what do you want that for and he doesn't need it, done hundreds of these ops.???

So now we start getting into the minefield of getting second opinions.

I guess the suggested surgical procedure is basically the same from both, but the first guy thought that there was more going on in the shoulder joint after moving it around a lot and listening to all the funny noises it was making (hence the MRI) , the second specialist didn't examine it as much and recons it's a pretty standard case?
You can see the dilema, is one over confident? Is one over cautious?
Both said it will take a long time to heal , but one said don't move it for 6 to 8 weeks and then we will see if you need physio, the other one said start physio the next day??

I guess I will be going with the one who can operate the soonest.

I feel like the astronaut on the first shuttle flight who said "the only thing that concerns me is that the cheapest quote got the job of building the shuttle". Prophetic words.

jellybean
11-11-2005, 12:27 PM
Hi Worried,

I know exactly what you mean by minefield. I injured my neck/shoulder 14 months ago in a skiing accident (got hit by a halfwit who was going too fast at the bottom of a run & fell on outstretched hand.). During that time I have come across some excellent & not so excellent medicos.

In terms of my shoulder injury, I also tore the supraspinatus tendon & am also in your age group (I?m 42). I was fortunate in that although it was a full thickness tear, it was not large enough to warrant surgery. I was unfortunate in that I developed a secondary capsulitus (frozen shoulder) as a result of the initial injury. This caused considerable pain, loss of movement/function & sleep! While it is now much improved, it will be 18 months + before it is 100% again. Rehab continues.

Lessons I learnt during this time?

1. Find out who the best possible shoulder people are & spend the extra money, and travel the extra distance (if necessary) to see them. In the end, it will cost you less.

2. Be very diligent & consistent in your rehab (there will be times when you?ve had a gutful, but you just have to keep plugging away. It can also help to remember that there are always people worse off than you). I was a little concerned when I read your comment that one specialist thought physio wouldn?t be necessary. I?m not medically trained (sports science/coaching background), but seems like a recipe for a poor outcome to me. At our age & later the risk of frozen shoulder increases. My initial physio (AIS) drummed into me the importance of being diligent in rehab & provided awesome treatment (& I was diligent). Unfortunately I was travelling about 2 months into rehab & couldn?t find a physio that provided same level of treatment (I continued the ex?s) (I think that may have led to the frozen shoulder; my shoulder went rapidly downhill from there & the frozen shoulder was diagnosed. Another possibility is the initial post-injury period where it was kept fairly still ? couldn?t get in for x-rays, ultrasound until 7 days post-injury). Have since found excellent medicos in Sydney (I was working short-term in Canberra) & my shoulder is on the mend.

This won?t help you, but for others reading who are based in Sydney or Canberra, I can highly recommend the following medicos for treatment of shoulder injuries:
Sports physician ? Dr Seamus Dalton (NSOSM, Crows Nest, Sydney)
Imaging ? Dr John Read (NSOSM, Crows Nest, Sydney)
Sports physios ? Henry Wajswelner (AIS Canberra, also sees private patients); Joel Werman and Rebecca Toole ? Oval Physio and Sports Injury Centre, North Sydney)

Good luck!!!

Unregistered
25-11-2005, 10:21 AM
I can relate to all who have shoulder injuries. I injured both my shoulders 9 weeks ago, they both fully dislocated due to having a seizure in a motor vehicle accident. Thankfully no one else was injured except for me. I was rushed to hospital to have the shoulders put back in place, it was agony. I then had to return to the hospital the next day to see an orthopaedic surgeon.

He reffered me to have MRI scans and Arthograms, this was the start of the waiting nightmare. I received a letter from the hospital a week later booking me in for the scans some 6 weeks later.

I am on workcover and they advised me to phone around to see if I could get the scans done elsewhere quicker.
I live in Newcastle and managed to get the scans done in Gosford 3 weeks earlier and then made an appoointment to see the orthopaedic surgeon. This took another 2 weeks.

In I went with my scans and the news was not good. I was told I needed surgery asap and they would be in touch when the surgery was to be scheduled. After waiting 2 weeks and hearing nothing I decided to start chasing things up. Workcover also got involved to help out with the situation.

Yesterday I was advised that the surgery will now not happen until late January next year. I am facing the likelyhood of being off work for at least another 5 months.

I do not think that it is fair to have to wait so long, however I understand that there just are not enough surgeons available.

I wish everyone who is experiencing the same problems, you are not alone.

Goner
29-12-2005, 06:47 AM
Just came from the doc today, and after reading the threads, I'm afraid my shoulder may be done for. I took a fall in May, laid off of it for a month, hoped it would get better. It didn't. Here's the bad news from the MRI: "There is a full thickness complete tear of the supraspinatus tendon with approximately 3.5cm of tendinous retaction." Translation? I'm screwed. The doc thinks I've waited so long that the muscle is atrophied and surgery's a waste.

Any hope out there?

worried
29-12-2005, 12:41 PM
Don't give up Goner, new advances in surgery are being made all the time, unfortunately for most of us they seem to be for the exclusive use of the rich and/or famous.
Alisa Camplins recent surgury is a prime example, see here http://www.smh.com.au/news/sport/camplin-pins-hopes-on-donor-tendon-surgery/2005/10/12/1128796589375.html
so how long did she have to wait for surgery and how available is similar surgery to the average Joe.
Surely a similar operation can be done with the Supraspinatus Tendon?
I am only guessing there obviously as I am in no way an expert.

For anyone else out there my advice is to act quickly.
The standard treatment you will get from a GP is to put you on non inflamatory drugs (NSAIDs) for a week and see how it goes, then if its still no good they will send you off for a scan and in my case a second scan, that is usually 2 weeks down the drain before they refer you to a shoulder specialist, and you can wait up to two months to get in to see one.. he will then probably send you for an MRI and and that will waste another week, two by time you get back in to see him again.
The whole process is hopelessly prolonged, yet if my name was Darren Lockyer or Ricky Ponting or the like , they would be carving me up a day or two after I hurt it.
In hindsight I should have rang around and found a shoulder specialist and booked an appointment before I even went to see the GP , then insisted he sent me straight for a MRI and give me a referral to the specialist I had found. This would have saved me 4 or 5 weeks lead time.

Anyway I had my op 6 weeks ago this Friday, I am not sure how it turned out yet, only time will tell, my arm is still in a sling, but it moves around OK.
I had incredible pain for well over a week and a lot of sleepless nights so I am not keen on having another operation yet if its not OK.

Two things concerned me a little, firstly he started operating on patients at 8 am and he operated on me at 8pm that night and the operation took 2 hours (They discovered another torn tendon so it had to be sewn back together as well as the reattachment of the supraspinatus tendon), so what sort of form is he in after carving people up for 12 hours straight?? I know I couldn't work like that.
Secondly this has cost me about $3000 so far on top of what Medicare and MBF cover and I had to pay up front. Not everyone has that sort of money lying around, but what price your health...

jasonsteele
10-01-2006, 01:26 PM
Going through the same thing. Injured in hockey in Oct 05. Doc just wanted to do physio, and to this day still can't get full ROM. Had an MRI last week....still shows a tear with scar tissue. Going to see a "shoulder specialist" this Friday. Wish I could post the pic of the MRI to get other opinions.

Unregistered
24-01-2006, 11:01 PM
Hey ppl........it is never to late to have a shoulder repair. JUST MAKE SURE YOU GO TO A SPECIALIST THAT TREATS SHOULDERS. SOME ORTHO'S DO BACKS, LEGS, KNEES, ETC. COME TO TORONTO, CANADA........THEY HAVE THE BEST!!!

Unregistered
18-02-2006, 09:45 AM
hi I am a 45 yr female who recently had an op for repair.I was sent to a very good doctor who said it needs doing and it doesn't matter how many scans mri's etc it is best seen with the eye firstly athroscopic and then if needed [WHICH I DID OPEN SURGERY]Once he went in he could see more damage than shown on any of my many scans.The worst thing is 6 weeks in an immobiliser sling 24hrs a day>i had mine off today and now have very little movement in elbow and shoulder>i start physio monday and they expect 6 months so dont expect a quick fix,Good luck with your op

bro4lyfe@htm.com
26-05-2006, 10:50 AM
i went for an mri and was told that i have a fractured humoral head and torn labrum and if i get surgery without theraoy i wont be able to move the arm past 2 inches

tina
21-06-2006, 08:53 PM
hi, I just got back from having a ultrasound and scans on my shoulder which I hurt at work. I have a spraspinatus tendon tear and fluid around it. Anyone else have this problem and what did you do about it. I am worried

kjsparrow
16-09-2006, 05:43 AM
hello,
I just had a MRA done on my right shoulder and the result said this: There is a large focal full-thickness tear of the supraspinatus tendon with disruption of the majority of the anterior fibers of the supraspinatus tendon. The tear is approximately 2cm of anterioe posterior dimension and is associated with 2.5-3 cm retraction of torn tendon fibers. Some bursal-sided fiber to the posterior most supraspinatus tendon remains intact. There is prominate subacromial enthesophyte. The acromioclavicular joint is normal. The biceps tendon is normally located. No labral abnormalities are identified. No focal cartlidge abnormalities are seen The rotator cuff is otherwise intact. Now what does all this mean? My shoulder has been hurting for about 4 months now and I don't go to the DR until tuesday of next week I am worried. Has anyone here had this kind of problem and what did you do to correct it? I am in the dark on this one, Kathy

kjwilkin
16-09-2006, 06:12 PM
Hi there,

I wouldn't get too worried until you see your doctor. Sometimes things are mentioned in the scan report that you don't need to be concerned about.

Just try and keep your mind off it as much as you can.

Good luck !:)

hails
01-10-2006, 12:26 PM
Hi all,
Wow I guess there are alot of stuffed shoulders out there!
Ok well I have an appointment with my ortho surgeon tomorrow morning for a full thickness tear of the supraspinatus in my right shoulder but I'm a bit worried after reading everyone's post because I have had to wait 2 and a half months for this appointment, but the other news is my left shoulder began hurting so I went for scans asap to try and catch this one early and shore enough I have a partial thickness tear of my supraspinatus! My biggest problem with this is that they don't know why it is happening, I'm only 26 and have been very healthy and active. My GP said to wait and see with my left shoulder, it may just settle down or it could continue to tear!!! well with the evidence of my right shoulder it's not looking promising..... has anyone else had 2 buggered shoulders at the same time?? how did you cope???

Is there anything I should be asking my surgeon in the appointment tomorrow?? besides the obvious of why it is happening!!!

kjwilkin
01-10-2006, 08:55 PM
Hi all,
Wow I guess there are alot of stuffed shoulders out there!
Ok well I have an appointment with my ortho surgeon tomorrow morning for a full thickness tear of the supraspinatus in my right shoulder but I'm a bit worried after reading everyone's post because I have had to wait 2 and a half months for this appointment, but the other news is my left shoulder began hurting so I went for scans asap to try and catch this one early and shore enough I have a partial thickness tear of my supraspinatus! My biggest problem with this is that they don't know why it is happening, I'm only 26 and have been very healthy and active. My GP said to wait and see with my left shoulder, it may just settle down or it could continue to tear!!! well with the evidence of my right shoulder it's not looking promising..... has anyone else had 2 buggered shoulders at the same time?? how did you cope???

Is there anything I should be asking my surgeon in the appointment tomorrow?? besides the obvious of why it is happening!!!

Hi there,

I know it's easy for me to say, but try not to worry too much. Everyone is different and may not be as bad as you think.

Whereabouts are you based ?

Would suggest you see a good sports physician as well. GPs have their place, but are not specialised in orthopaedics or sports injuries. My sports physicians are a good link between my orthopaedic surgeons and physios. They are able to explain a lot of things that the physios and surgeons don't explain that well. Also they are often up to date with other treatments that may help other than surgery.

I've had a shoulder stabilisation procedure on my left shoulder and am putting off having a similar procedure on my right shoulder.

You may like to try pilates too. Has really helped in strengthening the muscles around my shoulder.

Good luck !

ah-oh
16-03-2007, 09:07 PM
This would have to be the scariest web site I've ever seen. Being one of the supra-whoosy-whats club members myself as of 8 weeks ago it appears.

Had my first physio assessment on the beach a day after the 'ping' when the shoulder couldn't do anything. Bit of a bugger really being on holidays looking forward to 3 solid weeks of bodysurfing and surf ski paddling. That put a spanner in the works. And doesn't it hurt?

Also being in my 40s seems to be the age for this business.

Been vigilent with the exercises since then. Saw my usual physio after a 2 week wait on returning home, got the scans, things torn, GP says they won't operate and go back to your physio. Physio says nah, think you'd better see the surgeon.

Booked the surgeon and have no idea what is going on yet. Have to wait another couple more weeks to see him. Maybe I should go and get every scan possible to avoid more delays? Gee some of you got really detailed reports. by the way is an ultrasound an MRI or are they different?

Is this the end of the road as for water sports? I'm running out of sports. Maybe I should buy one of those 'huffy puffy' exercise machines that 'Kath and Kim' have or just rig up the bike on a trainer and watch videos. Too sad to contemplate. Now my knee is hurting....actually so is the other shoulder...:eek:

Has anyone actually had any success with the ops?
What sort of movement do you get if you don't have the op and keep up the physio?:confused:

Bridie Cushion
30-05-2007, 11:05 PM
Not quite the experience here in England
I went to the GP in January
Had appt in Feb with orthopaedic consultant and X ray, MRI the next month and surgery in April. Physio came next
No charge
good ole NHS

debbie clarke
01-06-2007, 12:36 AM
I Am 47 And Have Susp....tear And Although 14 Weeks Has Been Long And Tiresome With Little Sleep, Pain And Boredom - I Have An Op In 2 Weeks Time. I Was Wrongly Diagnosed For Weeks On End And Finally As One Of You Said - Make Sure You Go To A Shoulder Specialist. Within 10 Minutes He Diagnosed What 5 Other Gps Physios And One Other Specialist Had Missed. Very Impressed There Is A Light At The End Of The Tunnel. I Got Down And Thought I Was A Looney At One Stage When There Was No Defineite Answers. So Dont Lose Hope Just Keep Persisting Until You Find The Right Spec And The Answers You Are Looking For. I Was Even Sent Back To Work For 3 Weeks On Light Duties 1 Week After I Done It. Frustrating Yes We Can All Relate To That. Keep Chins Up And Find The Support That You Need.... Good Luck To All

angieliu
01-06-2007, 02:03 PM
Hi there,

I would wait to see the surgeon first before you go and get more scans done. With some tears, things don't show up on MRIs, because they need a contrasting dye to see if there is a tear. MRI's and ultrasounds are different. MRIs are primarily used to see if there is any change in live tissues and presents the images very differently. Ultasounds use sound pressure to detect if there is something wrong with the tissues (someone correct me if I am wrong). I guess most importantly, MRIs are more expensive and you only get some of it back from medicare if a surgeon orders them even though GPs can order them, and with ultrasounds you can get a GP to order them and get money back.

i know how you feel about the whole waiting game. I'm waiting to see an ortho and that's not till july and waiting to see another sports physician in two weeks time. I don't like the waiting game either as it can get rather unnerving.

Angie

cvx
08-09-2007, 11:51 AM
hi, I just got back from having a ultrasound and scans on my shoulder which I hurt at work. I have a spraspinatus tendon tear and fluid around it. Anyone else have this problem and what did you do about it. I am worried
hi i also have a supraspinatus tendon tear after a motor vehicle accident and have had physio for 3 months and have seen 2 specialists and they have both told me i need keyhole surgery

RAMA53
02-11-2007, 08:45 AM
Had a complete tear of the supraspinatus in my dominant side shoulder March 2005. The doctors misdiagnosed, said I just needed physiotherapy so wouldn't order an MRI because the wait was 6 months (this is Ontario, Canada) and the shoulder was supposed to be better by then! After 2 physiotherapists both said there's more going on I insisted on booking for an MRI, finally got it in Dec 2005, 9 months after the injury.

The MRI showed a full thickness tear of the supraspinatus tendon, though one image looked like there might be a few tendon fibres still attached (as per the radiologist's report). This suggests that 9 months after the injury it was still repairable (not much atrophy; the end of the tendon still close to the attachment point).

However it took until July 2006 just to get a CONSULTATION with an orthopaedic surgeon, despite my requests to be referred to someone who could see me sooner. The surgery was eventually booked and carried out in April 2007. Result ... the surgeon found the end of the tendon but could only move it 1cm. He needed 6cm movement to reattach it due to atrophy in the 16 months since the MRI, so no repair!

For those posting here worried about delay in surgery following a full thickness tear; it might still be repairable 9 months after the injury, but if your medical system chooses to neglect it for 25 months you're probably out of luck!

Oh, Canada!

carver42711
03-11-2007, 04:41 PM
Hi Worried,

I know exactly what you mean by minefield. I injured my neck/shoulder 14 months ago in a skiing accident (got hit by a halfwit who was going too fast at the bottom of a run & fell on outstretched hand.). During that time I have come across some excellent & not so excellent medicos.

In terms of my shoulder injury, I also tore the supraspinatus tendon & am also in your age group (I?m 42). I was fortunate in that although it was a full thickness tear, it was not large enough to warrant surgery. I was unfortunate in that I developed a secondary capsulitus (frozen shoulder) as a result of the initial injury. This caused considerable pain, loss of movement/function & sleep! While it is now much improved, it will be 18 months + before it is 100% again. Rehab continues.

Lessons I learnt during this time?

1. Find out who the best possible shoulder people are & spend the extra money, and travel the extra distance (if necessary) to see them. In the end, it will cost you less.

2. Be very diligent & consistent in your rehab (there will be times when you?ve had a gutful, but you just have to keep plugging away. It can also help to remember that there are always people worse off than you). I was a little concerned when I read your comment that one specialist thought physio wouldn?t be necessary. I?m not medically trained (sports science/coaching background), but seems like a recipe for a poor outcome to me. At our age & later the risk of frozen shoulder increases. My initial physio (AIS) drummed into me the importance of being diligent in rehab & provided awesome treatment (& I was diligent). Unfortunately I was travelling about 2 months into rehab & couldn?t find a physio that provided same level of treatment (I continued the ex?s) (I think that may have led to the frozen shoulder; my shoulder went rapidly downhill from there & the frozen shoulder was diagnosed. Another possibility is the initial post-injury period where it was kept fairly still ? couldn?t get in for x-rays, ultrasound until 7 days post-injury). Have since found excellent medicos in Sydney (I was working short-term in Canberra) & my shoulder is on the mend.

This won?t help you, but for others reading who are based in Sydney or Canberra, I can highly recommend the following medicos for treatment of shoulder injuries:
Sports physician ? Dr Seamus Dalton (NSOSM, Crows Nest, Sydney)
Imaging ? Dr John Read (NSOSM, Crows Nest, Sydney)
Sports physios ? Henry Wajswelner (AIS Canberra, also sees private patients); Joel Werman and Rebecca Toole ? Oval Physio and Sports Injury Centre, North Sydney)

Good luck!!!
im wondering if surgery is warranted, it burns really bad , cant sleep without meds. get numbness ,and tingling in arm

matt182
03-11-2007, 05:08 PM
more info about yourself, where is the tingling?

Sounds like you have nerve damage as well.

6tee7
04-11-2007, 09:26 AM
Hi all,
Just joined the list after reading the many posts about supraspinatus tears. Seems mine was pretty typical. GP sent me for an ultrasound which rev ealed a 1.75cm tear. Said rest it and don't do "anything silly" with it. He should have sent me to the ortho then. Long and the short of it ( 16 months on ) I had the op on Thursday. Surgeon came to see me on Friday morning and tells me sorry I couldn't fix it because it was completely worn away. Nothing there to join. He couldn't even stretch the muscles enough to join them! Thanks GP.

Has anyone else experienced this particular problem?
If so, what is the recovery like? I have little or no pain now which is great because it was not good before.
Will I get full strenght and mobility back to the shoulder?

While he was in there he also did a bicep tendon reattachment which will take about 6 weeks to fully grow onto the bone.
Anyone had any experience with this?

Can't wait to get the sling off. Doing everything left handed sucks.
Interested in any feedback.

Thanks

jellybean
04-11-2007, 01:23 PM
Some advice to everyone ....

If you have some sort of injury that is concerning you and/or impairing your ability to do everyday things (or train or compete) please go and see a sports physician (sports medicine doctor) - preferably one who specialises in ther injury you have (in this case, shoulders) - as soon as possible. DO NOT rely on diagnoses from emergency department doctors or GPs - they do not have in depth training in assessing, diagnosing, treating sports injuries (well, any injuries) and, as a consequence, often misdiagnose (and provide inappropriate treatment recommendations) for injuries. You only need to troll through a few threads here to see how many people have been affected by these inaccurate decisions (some to the extent of permanent disability). I have also learnt NOT to use GPs for any injuries (including concussion) through experience. (I am not a medico, have just had a lengthy and extensive involvement in sport).

6tee7
05-11-2007, 11:44 PM
Hi Jellybean,
Thanks for the reply. the problem with your recomendation is that us of the lessor knowledge TRUST our GP's to diagnose the symptoms as a first point of call. I am 54 and have played a lot of contact sport and thought that I had found a GP who was caring enough to point me in the right direction! What a laugh. It was only that the physio I was going to thought that I had a problem and referred me to the guru of shoulders in Melbourne, Lyn Watson, that I have actually been able to progress to the point of surgery and hopefully some sort of recovery. Difficult when the first thing that he says to you post op "sorry I couldn't fix it, there was nothing there to repair".
If anyone has an inkling of a problem get a scan. Pay for it yourself rather than to procrastinate. Then see a specialist. At least that way there should be something left for your surgeon to work with.
I wasted 14 months due to my GP and will be paying the price for the rest of my working/playing days. DON'T DO THE SAME.

I am interested if anyone else has had the same operation. I am right side dominant and as result of wear and tear I now have no supraspinatus tendon. Also had the bicep tendon reattached to the bone.
Any tips to sustainable life after surgery? I am taking things very quitely and adhearing to anything that the orthopod suggests.

Regards

John

jellybean
06-11-2007, 08:42 PM
Hey John,

I hear you! For the uninitiated, it's natural to assume that any doctor you visit has all the answers. It's not until you have some bad inexperiences that you realise that all doctors aren't gods and that you need to find the right doctor for your particular concern if you are to get the best possible care.

Unfortunately, I think alot of people who post on this site have learnt the hard way that GP's (or emergency room doctors) generally don't have the answers when it comes to musculoskeletal injuries. Hopefully, however, some recently injured people who check out this site will benefit from our misfortune (they'll see the advice to go see a sports physician or sports physio and heed that advice rather than have misguided faith in the ability of GP's or ER doctors to handle injuries. While a sports doc may be more expensive than your GP, getting the right advice in the first place can save you alot of time, money, frustration and even heartache in the long run).

With regard to your comment about getting a scan, I agree. If you know your body and know that what the doc is telling you doesn't seem right, get a second opinion or an appropriate scan.

I'd have to say though, that the same advice (re GPs) goes for scans. Not all imaging departments are created equal. You need to do more than get a scan, you need:

to get the right scan for your injury (ideally a good sports physician will advise the exact scan/s required)
a reputable imaging department that has modern, high quality equipment that can produce top quality images;
excellent technicians to get the right images; and
top notch radiologists to interpet the scans and provide an accurate report.

A lack of any of these ingredients can limit the accuracy and usefulness of the scans. [I live in Sydney and, after getting a series of scans at various places in both Sydney and Canberra with mixed results, will now only go to the Imaging department at North Sydney Orthopedic and Sports Medicine Clinic (in particular, radiologist John Read)].

'Sorry I can't comment on the op, I haven't had it, but hopefully someone else will chip in.
Best wishes with your rehab.

Cheers,

JB

angieliu
08-11-2007, 03:38 PM
I totally agree with JB on the note not all imaging departments are equal. I also had scans done in Canberra and sydney and have found that it's crucial to have a top notch radiologist interpret the images. I had an ultrasound not too long ago and it found out more about what was going on with my shoulder than the MRI.

ah-oh
08-11-2007, 10:25 PM
Hi 6tee7,

I agree with jellybean 100% regarding scans and GPs. My excellent sports physio advised getting an ultrasound, once done my GP (who's excellent for heaps of stuff) said no op would be done for my injury and go back to physio, went back and physio said nah you need to see an ortho.

I'd wanted to go and get my own scans done to try and speed things along before seeing the ortho - physio advised not to. Good advice.

Exactly as jellybean points out - the orthos (top ones) know exactly what they need to scan and the type of scans they want, they have their own favourite imaging place, technicians and radiologists who they trust to accurately interpret the scans (ie all the boxes listed in jellybean's post are ticked) resulting in higher likelihood of correct diagnosis and treatment options.

If you just go out and order your own scans, you risk wasting hundreds of $ by either getting the wrong ones done, not scanning the right area, not getting an accurate reading etc, etc. However, we all know when we're just not getting the right answers, in which case I'd think about going it alone. Seek a couple of top opinions first.

I've just had the same op as you - suprasp + biceps. Too soon to tell but luckily ortho had said tissue was good and op went as well as it could have gone. Sorry to hear you were not so fortunate.

Only time and plenty of physio will tell. I'm optimistic of returning to sports I want to do. Before making a decision to have the op, I was quite careful to make sure my post-op expectations were consistent with the repair work my ortho would be doing (which included the scenario of possible additional injuries he might find once shoulder was scoped).

Long and short - GPs can be fantastic - but they may not be so good with diagnosing/treating sports injuries. Not all injuries will show up on the scans - might need a scope. Good sports physios are gold.:)

6tee7
16-11-2007, 09:57 AM
Hi All,

Just thought that I would post an update on the never ending saga.

Had my first post op meeting with the surgeon on Wednesday. He is happy with the progress, and contrary to my worst fear, I have not torn the bicep tendonesis repair. How I arrived at that thought is for another time.
So now I am without the sling. Yeah! I am surprised how quickly your body adapts to changes. Specifically, the atrification of muscle tissue. Unfortunately unless I excercise frequently 3-4 times a week I lose muscle mass and hence body weight. Since being in the sling my right arm has shrunk to something that resembles an 8yr olds bicep.

One thing I didn't expect was the pain after the sling was thrown away. Not joint pain but tired muscle pain, given the inactivity it is not unreasonable but it actually hurts more than the pain from the surgery. I know, I know just being a girl(sorry to the girls) about it.
Anyway each day gets better and I am allowed to go back to physio on the 28th of this month. Can't wait.

rosecoloured64
21-11-2007, 05:04 PM
Hi JB,
I had shoulder surgery in 2002 (work injury)... for a look and see because the MRI didn't show much but some fluid around the bursa. I had hydradialation (however you spell it!) injections which were very painful! That did not work. I then had the surgery which the surgeon said he didn't expect to find much and was going to "clean it up a bit" I came out with the diagnosis of a full thickness 70% tear of the supraspinatus tendon! It was sewn up and screwed to the bone and a decompression of the whatever bone! I then developed a frozen shoulder, which I have struggled with ever since. My physio knew there was something wrong with my shoulder all the time he was working on it. He happens to be a physio for the socceroos! Six visits back to the surgeon did nothing. I then pestered another surgeon and yet another for quite a while because the original surgeon didn't want to know me after I did not recover as expected and sent me off to "pain panagement"!! Finally in 2004 a second surgeon decided to take a "risk" and do a manipulation under anaestetic and "clean it up a bit" He found my bursa was infected and I had quite a bit of swelling, he removed my bursa! I did recover some movement. I recently had my 5th child (1st Aug) and noticed my shoulder becoming painful again, I went back to the 2nd surgeon and requested a MRI, he suggested an ultrasound because there are too many mechanics in the shoulder and an ultrasound was better. He also mention only I can do my physio and the pain in my fingers had nothing to do with the shoulder, he was quite terse! I felt like a pain in the butt so I left the ultrasound for a few weeks thinking he doesn't believe me so maybe I am just being a sook. Well I had the ultrasound done.... I have another tear 1.5 cm in the same tendon right along side of the repair... the tendon looks thin in many places...Ho hum... Gee was the doc ever so nice to me when he rang with the results! GRRR I am to go back and see him on the 5th of December, do you think I will be giving him a piece of my mind..making me feel like a pain? My GP would like me to see someone in the city now for the 3rd operation! I was nearly sick when he told me about the tear. I have never forgotten the pain from the 1st operation. The 2nd was minor compared to the 1st! I will be out of action for quite sometime and won't be able to hold my baby! I have been told by many a doctor that my shoulder will never be the same. I do not want to keep having an operation every few years.... When do you think human body parts will be on the market? LOL (kidding!) Has anyone had such rudeness like the operation was not earning these doctors any money or it was coming out of their pocket? Why is it they don't want to know you when "their operation" has not been a sucess? Who lives with the pain? GAWD! Oh and don't get me started on the Work Cover merry go round...it stinks!!

rosecoloured64
21-11-2007, 05:20 PM
Hi 6tee7,
I have seen so many surgeons and people dealing with work cover over the last 6 years it's a joke! None of them hold out any hope for a "full" recovery, I have to "live" with the pain. I am right handed too and I sometimes forget I am. I trained myself to use a computer mouse left handed! I knew nothing about the internet 6 years ago and luckily it kept me going through these frustrating years! I have one thing to thank my injury for though... I met my fiance outside the psychologist's rooms! True dinks! He is also a workcover recipient (back fusion)...yeeehaaah! We both know what it is like to be in constant pain. Noone unless they have been through it knows what it is like! Be careful with the pill trade... they only do harm along the way. I never knew how many drugs I was allergic to until I had this injury! It is exhausting to think like a left handed person when you are right hand dominant, but where there's a will there's a way! Good luck.... positive thinking... I don't take much in the way of medication now because of the side affects I have had and I am feeding our new daughter. I think I am use to the pain now and have bad days and good days. I am not looking forward to my 3rd operation as you can well imagine! Good luck to you.

6tee7
21-11-2007, 10:47 PM
Hi rosecoloured64,

Sorry to hear what you have been through. Hopefully your next repair will be your last!

Congratulations on your new daughter, if she provides you with half the joy our daughter has given us you will be in heaven.

Its interesting to have somewhere like this site to get some feedback. I should have done more research before my op but didn't and completely trusted my orthopod. If I had my time over again I would have scrutinised the whole process far more closely. Unlike you i was not(fortunately from what I have read) invovled with workcover, although I firmly believe that my shoulder problems are work related, it was easier for me to go the private route.

My recovery is progressing, each day I get a little bit more ROM but no strength yet. The pain is there all of the time, and as you probably know night time is the worst. I tend to try and let my body deal with the pain without any medication. I was given some STRONG pain relief when I left hospital but haven't been forced to take any yet. I guess that I am reasonably lucky to have a tolerance of pain. It appears that the pain you have gone through has been far worse than mine, especially with the supra repair. Fortunately? I didn't have to go through that as I vaporised mine so there was nothing to repair.

As you say.... positive thinking!... Look for the positive in everything. . My philosophy is that there is ALWAYS someone worse of than me with just a sore arm.

Good luck with number 3

6tee7

rosecoloured64
25-11-2007, 11:35 PM
HI 6tee7,
Thanks for your congrats, she is truely amazing.
I am petrified about my 3rd op.
Your pain is real and should not be compared with "others" pain, it comes and goes, we all have to live with it. Good days and bad days, we get use to it. Fresh operation pain... ewwww. Yes night time can be the worst. I do have all types of spasmodic pain throughout the day and I never know when it will hit. Can be a bit embarrassing at times in public when I yelp for that split second, or if i am trying to cut something i have ordered out at dinner that is a bit tough and the knife flies out of my hand or I have to ask someone to cut it for me like a little kid or not being able to lift the spoon from the soup to my mouth right handed!
If I had my time again I would have done quite alot of things different. I did not know life can be like this and feel for those worse off than me, never the less we live the lives we have and shouldn't disregard our suffering to a certain extent, at the same time... make the most of how we can adapt, and we do. Hind sight is a wonderful thing!
Strong pain relief... as in Tramal or similar? They sent me off my nut! Yucky things those drugs!
Have you asked the professionals how, when, if, you will regain your strength and time wise? If not..ask them, you/we keep them in a job. I use to be intimidated and not ask, then wonder or GOOGLE it and then be disappointed because I gave myself a very unrealistic recovery time. I then became depressed and frustrated because it wasn't meeting my standards and goal I had set. Silly me! They will hesitate... ask for a ballpark figure...work on that and if you need more time then so be it. The strength will only come back after many many months or years of constant physio and exercise...if ever!
I was told after I had muscle wastage after 4 years of not being able to work my arm properly without pain it would take 18months of exercises 6 times a day...constant!
The surgeon said to me on the phone..what to do..what to do with you... we will set you back to before step one if I operate again...gee installed my confidence in him! I have asked 2 GP's now if I can leave it...both said no. YIKES!
I am getting another opinion on the 10th December...in Melbourne. I know I have to have it done and am mentally preparing myself for it (or booking a flight outta here) I do not want my arm to "hang" like one GP said if I do not get it sorted and keep working it.
News flash.... after work cover cutting my wages off in September (because they said I had a work capacity) I have been to the medical panel (3rd Nov) Just got the news I will have my payments reinstated...thank goodness!
I actually was on my 2nd interview for Safeway when I got the results from my ultrasound.( I did not tell them I was on work cover and was dreading the time i would have to) I really believed I could work if I had to. I also knew my arm was playing up more. Maybe I do have a more profound mental illness...LOL
It never ceases to amaze me with work cover... all they need is 2 of "their" docs (they pay handsomely) to say I am fit for work. No medical scans, no nothing, just their 20 minute appointment (if that)...not even anything from my docs. Mind you I was 6 months pregnant at these doctor appointments, but that's not related to my injury, so they gave me 6 weeks after her birth to get a job and go to work, mind you I had a caesar and couldnt drive for 6 weeks either! I have not had wages for 3 months and it will take them a few weeks to reinstate them.
It's all a game... mostly a mind game. So far I am winning! There have been times I didn't think I could play the game anymore. I'm still standing...The arm may not be the best...Ratfinks! I actually started to believed there was nothing wrong with my arm at times because they constantly disputed it in their reports. I do have an adjustment disorder so their psychs report... ummm yessum... I don't want to be like this and refuse to believe it will be like this forever! We are just a number in a business to them. Their aim is to get us out of their face and stop costing them money. I am number 1 to me.. now and that's how it will be! I am glad your recovery is progressing, goodluck and ask those questions if you have not! Thankyou for your good wishes too. Seeing as I had both my operations in The month of April 2002 and 2006 I may choose a different month this time for the op and the month before to fly out!! LOL

Rosecolored

6tee7
30-11-2007, 02:04 PM
Hi Rosecoloured,
Had first meeting with physio y'day. Bad news. I will expand later when I get some time and my head around it.
Thanks for the reply

rosecoloured64
30-11-2007, 08:02 PM
:eek: Hi 6tee7,

Sorry to hear that. Keep your chin up. Not much more I can say for someone who says so much most of the time!:D

I will check back in a few days.

Take care

Rosecoloured64

6tee7
03-12-2007, 05:44 PM
Hi Rc64,

Talking to surgeon tomorrow. Keep you posted.

6tee7

ah-oh
04-12-2007, 02:13 PM
So what's happened 6tee7?

You had the op (supraspinatus + biceps wasn't it); then things seemed to go pretty well; but you went to physio, and then things not so good, and finally appointment with surgeon - which we assume is not for the usual follow-up....

I agree with you that the muscle degeneration is huge after 6 weeks in a sling and 6 weeks of 'assisted' physio (ie no strength work). It's going to take months looking at my arm now. Just got to keep plugging away...then hey presto...it'll work.

Hope surgeon's appointment goes well for you.:)

6tee7
08-12-2007, 07:53 AM
Hi Ah-Oh,

Yeah, had all of that and things did progress well postop. Physio seems to think there is a problem and has left multiple messages for surgeon, but he hasn't returned her calls. So I started calling as well. Finally gave up leaving messages and asking to talk to him and have made an appointment tosee him on Tuesday at 6pm.

I hope I am wrong in my assesment, but I think that my bicep muscle has come away from the tendon!

Keep you posted on that. Apart from that , my ROM is coming back quickly.

The next post will be interesting!

Flyona
11-12-2007, 09:42 PM
Worried, I had a full thickness tear of supra - you don't have to have the sports star surgeon - there are some generalist Oorthopods out there who will do just as good a job and probably have more time to spend with you and listen to you. I tore tendon and ignored body pain signals for about a month being of the 'it will get better school' My Ortho basically said well if you were over 70 I'd send you to a physio but u are young (30???) and active so these are your choices. I ignored it for 8 weeks - was repaired in 12 have had 3 months rehab now and am still frustrated but apparently miles ahead of others who have had the same problem. Don't go looking for the stars - there are lots of other genuinely good surgeons out there. Check there records but never discount the local guy - hope it goes well for you

rosecoloured64
22-12-2007, 05:00 PM
hi 6tee7,
wondering how things are going with you, are you ok? Havent had time to get back to this, had one son turn 18 and get his licence and another son turn 16, my little one has been sick for a few weeks and so have i... doh! Anyway... how's things? I have decided to put off my surgery until my nearly 5 mth old can walk, maybe not a good idea but how do I lift her, how does she understand I can't? not to mention I'm petrified of the surgery again with arm in a sling for 6 weeks! GRRRR "cancel my subscription...I dont want MY issues!!

Rose

ah-oh
22-12-2007, 08:19 PM
I'm also interested to know how everything went 6tee7. By the way, when did you actually have the surgery? How many weeks post op are you?

Let us know how you are.

6tee7
02-01-2008, 10:00 AM
Hi rosecoloured and ah-oh,

Sorry i have been tardy in replying, you know christmas rush and all that. The shoulder.....
where do i start. Probably with my cavalier surgeon and the lack of info he gave me postop. His interpretation of what i could and couldn't do was don't pick up anything heavier than a cup of coffee.
Didn't explain that the pronation in your forearm is generated by your bicep.
Didn't say DON'T shake hands with anyone.

Short version is i have torn the long head repair(tendonesis) from the bone. (Thats the outer section of your bicep).
His version is you don't have to worry about protecting it anymore do anything you want. Physios version is you have now compromised what you do with your arm for the rest of your life because if you damage the remaining tendons there is not much that can be done to repair them. To undergo a repair of the bicep is not practical, as i understand, as its 6 weeks in a sling and they have to shorten the tendon to re-attach it so that puts even more pressure on it each time you straighten your arm.

So I am left with an arm that works but am not allowed to do anything to sporty, like waterskiing. My rom is pretty good can nearly straighten my arm overhead and am slowly building up the muscle groups around the shoulder.

Let me say this very clearly....it is ENTIRELY MY FAULT what happened with me destroying the repair. However, the cavalier attitude and lack of information most definitely contributed. If anyone is contemplating having the operation ASK questions about what you can and can't do. I asked what i thought were the appropriate questions but given my occupation he should have made me more aware of my limitations and what to look out for.

Anyway thats my lot for a while. Rehabbing the muscle groups and looking forward to getting back to the gym.

Ah-oh, the op was 1 Nov so that puts me at 8 weeks post op.

Rosecloured, sorry to hear you have not been well, only the flu i hope!
Only you can make the call for your operation, but you should consider if there is any possibilty that delaying it will not cause any more damage. Just a thought.

Happy new year!!!!!!!!!!! Its got to be better than the last.

rosecoloured64
17-01-2008, 12:10 PM
HI 6tee7,
I too have been slack/busy. Happy new year to all of you too. Damn shame about your arm, hopefully you will get to where you feel comfortable with it. I have been putting off going to the surgeon, I am petrified that he will tell me I have to have it earlier than I want to. I will bite the bullet soon though. I have had 3 children turn 18,16 & 20 as well as xmas and others birthdays, bubs was sick on and off for 6 weeks as well, grrrr, what a busy time! Running out of excuses now....LOL I will do it...soon.. take care, I'll get back to you on the progress. Rose

ah-oh
22-01-2008, 08:51 AM
Hi 6tee7,

thanks for the update. Now that the Chrissy, new year, summer hols draw to an end, sorry to hear about your re-tear. You seem to be pretty philosophical about it - I guess that's how things go sometimes so good luck with the continued re-hab.

Just curious, what on earth did you do to re-tear it? My ortho gave quite similar advice ie don't lift weight greater than xyz but also I got the impression that the biceps repair was more resilient than the supraspinatus repair in the re-hab.

Having gone great guns initially, I've decided my repair is actually taking a VERY long time to re-hab. Now 6mths post op and still have referred pain down my forearm (similar to tennis elbow) on certain movements and next to no strength in lots of movements (compared to what it used to be). Also being non-dominant arm probably means it's not being used as much in day-to-day activities either.

Have started body-surfing and a bit of paddling but being pretty cautious and it still hurts which is pretty annoying.

6tee7
26-01-2008, 02:11 PM
Hi ah-oh,
The info I was given was, I think,incomplete given my employment. I am self employed which means I probably do more than your averager wage earner and I am also a refrigeration mechanic/mechanical services plumber. So there is a lot of heavy lifting and manual work. At no time was I told DON'T shake hands, DON'T turn door knobs to open doors, DON'T twist the top off bottles or jars. More importantly don't use a screw driver or spanners! Neither of which are heavier THAN A CUP OF COFFEE!

As I now know, the strenght of your grip comes from your bicep. It also provides the pronation of your wrist, and by using a screwdriver I tore the tendon repair from the bone.

Maybe someone should tell these scalpel wielding surgeons that the work they undertake may be fantastic, but if you can't communicate effectively with their patients they are wasteing everyones time.

Philosphical? Maybe, but what choice do I have. I am not going to sit around and mope or feel sorry for myself. I did the damage, now I have to work around the situation. It does mean that i am no longer able to do some of the sports with my family that I love most.

Waterskiing/wakeboarding is something that is forbidden, as it would be to easy to tear the remaning 2 tendons leaving me with a completely useless arm. As I said, I have to adjust, I don't like it, but I have to do it.

I am glad to hear that your repair has been successful. I also hear that the rehab can take the full 12 months before you get back to pre op muscle size and strength. PLEASE be careful and take it slowly.

rosecoloured64
31-01-2008, 01:04 PM
Hi 6tee7 and Ah-oh,
Your attitude is fantastic 6tee7, mind you it is the only way to be! Seriously, if you let this stuff that happens to us in life you would pack it in! :rolleyes: Took me a while to find my footing and I too have to accept that what is done is done...deal with it and get on with it any which way you can. What is the other options...make life miserable for everyone else around you, feel sorry for ones self? I'm sure we did that for a while and will always wonder why me:confused: I too cannot ever play the sports I use to enjoy. So I have found a few different interests, maybe not as fulfilling, but never the less at least there is something out there for everyone. It may take me days or weeks longer to accomplish my tasks, but I do get there! How's all with you 6tee7? What about you ah-oh? My shoulder is getting worse but I am plugging along watching what I do, good and bad days. Oh and I am getting married:D 8.08.08 in Cairns. So if that is not something to look forward to I don't know what is! After that I will have the 3rd lot of surgery:eek: Take care.

ah-oh
31-01-2008, 08:46 PM
Great news rosecoloured.

Yes things 'progress' slowly. Ortho thinks something going on in my neck. Physio thinks something going on in my neck/first rib. I think there's something going on somewhere.

Repairs seem good but nerve things from neck causing problems. Hoping more months of strengthening & working on posture will help stabilise spine and scapula. Mind you physio reckons she hadn't seen such a huge amount of muscle atrophy pre-op to sling coming off post-op, 'pathetic' was her description (hilarious) - so looks like it's a long road for this white duck back to recovery. Darn - but will keep plugging away towards that elusive finish line.

rosecoloured64
31-01-2008, 10:32 PM
Gee Ah-Oh,
Nothing like a bit of encouragement... pathetic she says??:rolleyes: Yes it will be a long road, but don't give up, believe me there will be times that you will want to and the pain some days seems so raw. I had heaps and still do have trouble with my neck. It has shifted because of muscle wastage from lack of use. I do use it, but not like it should be used! Why? cos of pain! vicious little cycle isn't it?:( Cry if you want to...it's stress relief you need to have:D then dust yourself off and get back to it!:) Cheers

ah-oh
01-02-2008, 08:18 PM
Hi rosecoloured,
luckily I actually have a very good and long standing working relationship with physio who has been spot on at various times. So I really did think her description was very funny...if not equally surprising. She's straight talking, practical, and I've found her to be fantastic.:D

Was hoping for more straight-forward re-hab but that's not always going to be the case. Like 6tee7 you work with what you've got and go from there. I remain very optimistic about eventual outcome as repairs seem solid but can see it's actually going to take the amount of time I'd heard it would take but hadn't accepted that my re-hab would REALLY be that long. Now accepting it. Frustrating - yes. Sore - yes.:eek: Getting there - yes.

Hope all's going well for the new year.

6tee7
02-02-2008, 01:19 PM
Hi Rosecloured and ah-oh,

Ah-oh, I would gladly put up with the pain and frustration of having a slow rehab. I guess it depends which way you look at it. Being your non dominant arm will also tend to drag things out a bit. That said listen to your physio, they know best.

CONGRATULATIONS rosecloured. That is fantastic news. I wish you all the happiness on your big day. I don't know if anyone has told you, so I will tell you anyway. Enjoy every moment because the day will fly by and be over before you know it. Gets lots of videos and pics from your friends so you can look back at it later.

Back to the boring. Saw the surgeon last week. He is really happy with my rom. Still can't touch my shoulder blade from rear with right arm yet. Vertical and sideways very good. Saw physio on Thursday, she is happy with progress also and has now given me some red band stuff to do along with my 1.5kg weights! Slow and steady. Ah-oh you said your rehab was slower than you wished, trust me I know the frustration when I have to ask my apprentice to do some of the things that I can't/won't do now.

As an aside, we had a friend over last night who has ..............guess what? A sore shoulder!!!!!!!!!! Did the doctor thing with ultrasound etc. Nothing from the tests. Doc says work through it!!! I am booking him to see my physio this week to confirm my diagnosis of supra tear. His sysmptoms are exactly the same as mine were. I hope it can be identified and reapired so that he doesn't have to go through what I did. Keep you updated.

needhelp
21-04-2008, 10:18 PM
Hi everybody,
Im new to this site so not sure what to expect, ok have just been diagnosed with rotator cuff tear from an ortho 2 weeks ago, he has told me that i need surgery as that is the better outcome for me as im in my early 30's, he explained that the tendon is off the bone and needs to be re-attached, now the tricky bit is that it was done at work so of course its a workcover injury.
Well this is were the fun begins, work wants a second opinion as they dont believe its that bad, [ have x-ray and ultrasound results] to back it up, so i now have to see a second ortho this week to see if he gives the same diagnosis, my concern is that it seems to be getting worse as time goes by, so what im wanting to know is what if the other ortho says that surgery isnt needed what do i do, someone please help.:(

kjwilkin
21-04-2008, 11:18 PM
Hi there,

I am currently going through the TAC to get my knee surgery approved, so know how frustrating it can be.

Just make sure you regularly ring up the insurance company to find out what is going on. Unless you do that they tend to sit on it for ages.

Maybe get the surgeon you saw to write a good letter for you. Whereabouts are you based ? If in Melbourne, I could give you the names of some good shoulder surgeons as I've had both shoulders operated on.

Good luck !! :)

worried
22-04-2008, 10:59 AM
Hi all you thread hijackers, LOL.
I am the guy that started this thread, over 2 and half years ago. I can't believe it is still active.
Anyway, updating those interested in my original injury, I am happy to report that my shoulder is very good, actually my bad shoulder is now my good shoulder if you know what I mean.
All I can say is thank god for the internet and all the information on this and other sites. It seems as though doctors don't want you to know all about your injury, I almost get the feeling they hate the internet for empowering people with knowledge, like we are sticking our noses into their business. Well these are our bodies and lives at stake and no-one is more interested than us, and to a lot of them its just a job.
If I had not been proactive and just sat back and waited for the GP to stuff around and then waited another 2 months to see a specialist and scans etc. then I would have lost most of the use in my right arm.
Just on scans, MRI's in particular, waiting for one seems pointless, my surgeon stuck them up on the board for two seconds had a bit of a look and then said "MRI's don't tell us much, we won't be sure whats going on until we get in there", then he just threw them away, I just sat there thinking that was $600 of my own money well spent, they must be on a kickback from the scan people. Lol.
A specialist has a pretty good idea of what the problem is from an examination. Your range of movement, strength doing certain tasks, muscle wasting etc. give him a very good indication of what the problem is and as he said we will find out the rest when we get in there.
For anyone in a similar situation my advise is don't sit idle, don't let your GP stuff around with treatments, (avoid cortisone injections if you think you need surgery).
Get a referral to a specialist straight away and make an appointment straight away actually make a few, shop around to see when you can get in, at one stage I had appointments with 3 specialist and was on a standby lists incase someone cancelled.
If you GP won't give you referrals to 2 or three specialists, go see a different GP and get another one.
And have the scans done before you get to the specialist if possible, normally when you get to see a specialist for the first time they examine you and send you off to get scans and put you back on the queue, your GP can organise them while you are waiting to get into a specialist and then take them with you to the specialist.
If surgery is needed press him to book you in on the first visit.
If the tendon is completely torn off the bone as mine was, you have about two months for them to sew it back on for the best results, wait a couple more and there is nothing they can do.

kiwi49
24-04-2008, 12:34 AM
Worried, so glad you started this thread as I was looking for answers about my shoulder. Happened 23 Jan 08, know the problem but can't see a Surgeon before the 4th Sept 08 and I am really scared that by then it will be too late to repair the Full thickness tear in the supraspinatus tendon and I have also snapped the biceps longhead. I'm 59 years of age and it is my left shoulder which is my dominate shoulder. Can't find another surgeon who does this op in the Sth Island of NZ so what now? Any suggestions anyone?

6tee7
24-04-2008, 12:51 PM
From someone who has had your symptoms, you can survive with no supra and no longhead. Justs limits what you can do overhead and your general strength. Much better to get it fixed though. Travel seems to be your only option.

6tee7

kjwilkin
24-04-2008, 03:30 PM
Have you considered travelling to Melbourne to see someone good ? There are some great shoulder surgeons in Melbourne. I have seen both John Salmon and Greg Hoy and are fantastic. They are used by a number of AFL clubs in Melbourne as well as some other elite sports teams.

Seems like an incredibly long time to wait. I wouldn't wait that long.

Let me know if you want their details.

6tee7
19-09-2008, 11:03 AM
Rosecoloured,

Just wondering if you have had surgery yet?

reds49
22-10-2008, 03:29 PM
Hi i am new to this forum but need to find out some things about my shoulder injury i have had for the last 2 years due to a work accident. I wont have surgery as i am a single mum and have to look after my 2 kids, i have gone onto a new job and love it but i ahve a question that one of u good ppl may be able to help me with. Over the past 6 months my specialist has noticed that my shoulder has dropped and is quite much lower than the other one and very noticiable but my question is ...is there any way that it will get better with out surgery, i have a complete tear and also bursitis and mri scans show i need a shoulder replacement as well. A specialist i had to see said that my shoulder will get better over time yet my treating doctor says it will always be permanent..has anyone lese had this problem and if so what did u do or ur doctor do to treat it. I also have a bad curvature in the shoulder as well which means to get a good night sleep i have to have a pillow under neath it or i suffer in the mornings. Plz if any one has any adivese i am willing to hear it..Thanks for any help given.

tunna
11-08-2011, 11:39 PM
Hi guys, found some useful info in this thread thus far so thank you. Today, after recieveing the results of an ultrasound , I was told that I have a 9x5x2mm full thickness tear of the posterior supraspinatus tendon and mild subacrominal bursitis. I have been referred by my GP to an orthopedic surgeon but the earliest appt date is 30th August. The injury was sustained on Saturday 6th August when during a soccer match I tackled an opponent and the player fell directly onto the shoulder with all their body weight. I am in my early 30's and although i am writing off this season with only five games to go, I want some re-assurance that it will make a full recovery. In twenty odd years playing competitive sport I have been fortunate enough to have never sustained an injury which has kept me out long term. My GP says that I may need an operation but I guess I'll know more once I see the surgeon. Any advice or tips in what to do next would be great. Should I ring around and try and find another surgeon that can see me sooner?*

angieliu
13-08-2011, 04:20 PM
Hi there
Sorry to hear about your shoulder. I would ring around to see if you can get in to see someone else. Each persons injury is going to be different and I do not claim to be an expert but my advice is that it won't harm to get a second opinion. I'd also see if you can see a sports physio, they may also be able to recommend another surgeon or a sports doctor. If anything the biggest lesson I've learnt is when you get an injury and you know it's not going to heal by itself, you have to act quickly. The longer you wait the harder it is to diagnose and treat.

Robert55
11-10-2011, 12:37 PM
Some specialists seem to have a problem with workcover. In late 2010 I was sent to a specialist in Brisbane who with hind sight has a really top reputation and in my opinion an inflated ego and a swelled head. If he is so good why did he miss diagnose my problem and maintain it was age related and unlikely work related when I had had an incident at work. My employer also lied to workcover. I am still seeking retribution for this.(It will still happen) The examination he did was almost identical to my second opinion Specialist. This second opinion Specialist operates in a country town and nailed the problems on the first visit. Just to be sure he ordered an MRI with die injection first.The result came back just as he said. My research on the internet says some of the questions asked by the first specialist should have been an excellent indicator of the injury yet he ignored the answer I gave him. My solicator's boss lady seems intimidated by his reputation and while not scared of his opinion seems to make exchuses for him. People should be warned about no win no pay solicators. It seems a good idea but they will manipulate for their best outcome which is not always in your best interest. You need to be carefull. Meanwhile I have now not worked for 12 months because of this prick with the swelled head. I still have to have an operation.(soon) My injurys amount to a couple of tears in tendons(biceps tendon is one) and a possible crack or tear in the cartlidge. My original diagnosis was calcific tendonitis and the first specialist said after X-rays I had no sign of calcium, yet he told workcover, when pushed, he would except an aggrivation to calcific tendonitis. Isn't this the calcium he told me I don't have! What a wanker.Workcover are so thick they can't see a problem there.

Diufamp
13-10-2011, 07:56 AM
Hey there

Does anybody know where I could find a complete map or an overview of M2TW-Continent vanilla? I would like to see all territories and to which factions they belong at the beginning of the great campaign.

Im sure that there must be s.th. like that out there, but I couldnt find so far..

thanks a lot

and by the way: territories and regions are the same, arent they?

tom pew
19-08-2012, 08:31 AM
I ruptured my supraspinatus over a year ago and have surgery scheduled for next week. After a couple months, the pain was gone. The shoulder gives me no trouble really. I have decent strength and good ROM. I can't throw a ball worth a damn, but I never could. I am seriously considering NOT having the surgery. Any opinions out there? I would especially appreciate hearing from any ortho. folks who've dealth with it. Thanks.

steve_q
10-09-2012, 04:35 AM
My opinion is that with the surgery you will go back from the point you are now but in the long run you will get closer to the condition you were before the accident. It could take quite long though.
I had surgery in 2006, 5 weeks after my accident, the first years progress was very slow, muscles did not respond easily to PT. I had very serious atrophy to the surrounding muscles. Now I am almost symmetrical but need more work to make them stronger. But it is only a matter of time. I am sure I will get back to "perfection" in about 12 months or so. The good thing is that now all muscles respond immediately.
Its worth noting that I had massive damage to 3 RC tendons.

supboard
18-10-2012, 11:46 AM
You've chosen a really great forum to join...this is a amazing place to be for help and advice as well as making some really good frinds, the members on here are some of the most genuine and caring people I have met and they are always there for one another whtever the circumstances and whatever they're doing at the time...if someone is needed there's aways someone there.

eddie1962
13-03-2013, 01:12 PM
Had surgery today to repair a full tear of the supraspinatus tendon and the infraspinatus tendon . They were able to partially connect the infraspinatus tendon but not the supraspinatus tendon , the tissues were too dry. My question is can I still function with a full tear for the rest of my life ? I am now 50 years old . My doctor said there are other options if I need it but he feels with therapy that I have a chance of getting better . Has anyone else gone through this





- Eddie .

aaronlove
10-04-2013, 12:32 PM
You really need a complete treatment process. You have spent too much time waiting, that is very bad. You now need to find a high level of surgical hospital, it must have experienced doctor. Only in this way you will cure you of your tendon. Don't waste your time! Hurry up!

PhysioAdvisor
14-05-2013, 02:57 PM
Hi all, for those of you with a supraspinatus / rotator cuff tear (http://www.physioadvisor.com.au/8043750/rotator-cuff-tear-torn-rotator-cuff-physioadvi.htm), physiotherapy treatment including an appropriate home exercise program (e.g. shoulder stretches (http://www.physioadvisor.com.au/8112357/shoulder-flexibility-exercises-shoulder-pain-sh.htm), shoulder strengthening exercises (http://www.physioadvisor.com.au/8122122/shoulder-strengthening-exercises-shoulder-rehabi.htm), scapular stability exercises (http://www.physioadvisor.com.au/16429050/scapular-stability-exercises-shoulder-blade-exer.htm) and rotator cuff strengthening (http://www.physioadvisor.com.au/8292250/rotator-cuff-strengthening-exercises-rotator-cuf.htm)) prior to any potential surgical intervention is important to help restore ROM, strength and function and can help to ensure an optimal outcome regardless of whether you do or don't go down the surgical pathway. These should of course be prescribed by your physiotherapist. Good luck to all!

AlexandraKB
30-07-2013, 02:29 PM
THe OP's situation is clearly in need of surgery, no question, if he wants to regain full mobility again. But for many, a small tear or strain can be healed using BFST and ColdCure technology.
To read more check out:
http://www.kingbrand.com/BFST-Home.php?REF=43PV16

easy to use, non invasive and significantly more affordable than surgery!