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frustrated
29-06-2006, 02:25 PM
Hi,

I am at the moment suffering from a shoulder problem which causes continual pain. The symptoms are that the shoulder appears to 'click' everytime the shoulder is moved. Unfortunately this is painful, otherwise, no problem, I believe that I have lost some strength, but the surgeon has told me I still have all the strength (if you feed cows you tend to be reasonably strong or your couldn't lift the bales...)( (we agreed to disagree).
MRI has come back with supraspinatus and infraspinatus tendioptathy seen in associaation with fluid within the subacromial/subdeltoid bursa. Also marked thickening of the peripheral subscapularis tendon -and supraspinatus tendon and the anterior fibres of the infraspinatus. no evidence of recurret labral tearing. MRI suggest likely impingement on the acromion during shoulder abduction. X-Ray showed nothing...

From a historical point of view this shoulder has already had surgery almost 2 years ago when it was doing exactly the same thing (although surgeon tells me it can't have been, he fixed it) (they ended up anchoring the tendon to tighten it) and I have had subluxing peroneal tendons fixed (eventually by cutting one out) in an ankle (that took 3 attempts to get right). It appears to be a real possibililty that this could happen to each joint (the other shoulder has now started).

At 26, I am not really happy with this level of pain I would just like to find someone to give me an answer and possibly a solution (current answer is try cortisone shot, it will fix the pain temporarily and worry about it later - it didn't work last time).

Does anyone have any ideas? The shoulder surgeon I saw is apparently one of the best in Sydney.

Thanks

mrdiko
02-07-2006, 03:07 PM
You sound like me. I have almost the same issues except I've never had surgery. I would suggest that you go and see Michael Lee at human Engineering in Sydney. He's a Physio, Chiro, CHEK prectitioner and Active Release Technique provider. ART does wonders for shoulders.

You'll need a good rehab program written up and being a CHEK practitioner he can certainly do that. Surgery isn't going to make this go away so google Human Engineering and get an appointment ASAP.

Kazlikesgreen
02-08-2006, 09:55 PM
Heydy, your shoulder sounds alot like mine - I've done eveyrthing as well MRI's, cortisones under ultrasound, rehabing an "instability" issue for over 8 months. But yet nothing seems to be working - At the moment the pain is the worst its ever been. I was orginally diagnosed with Bursitis and Tendonitis after a soccer fall and I have a type 2 acrominon. Now they say I have major instability but thats it. But they also agree the pain im getting is in no way related to that - however - YEt to find a cause! how frustating!

Unregistered1234
04-08-2006, 10:27 AM
Which surgeon did you see?

kjwilkin
06-08-2006, 02:58 PM
Hi,

I am at the moment suffering from a shoulder problem which causes continual pain. The symptoms are that the shoulder appears to 'click' everytime the shoulder is moved. Unfortunately this is painful, otherwise, no problem, I believe that I have lost some strength, but the surgeon has told me I still have all the strength (if you feed cows you tend to be reasonably strong or your couldn't lift the bales...)( (we agreed to disagree).
MRI has come back with supraspinatus and infraspinatus tendioptathy seen in associaation with fluid within the subacromial/subdeltoid bursa. Also marked thickening of the peripheral subscapularis tendon -and supraspinatus tendon and the anterior fibres of the infraspinatus. no evidence of recurret labral tearing. MRI suggest likely impingement on the acromion during shoulder abduction. X-Ray showed nothing...

From a historical point of view this shoulder has already had surgery almost 2 years ago when it was doing exactly the same thing (although surgeon tells me it can't have been, he fixed it) (they ended up anchoring the tendon to tighten it) and I have had subluxing peroneal tendons fixed (eventually by cutting one out) in an ankle (that took 3 attempts to get right). It appears to be a real possibililty that this could happen to each joint (the other shoulder has now started).

At 26, I am not really happy with this level of pain I would just like to find someone to give me an answer and possibly a solution (current answer is try cortisone shot, it will fix the pain temporarily and worry about it later - it didn't work last time).

Does anyone have any ideas? The shoulder surgeon I saw is apparently one of the best in Sydney.

Thanks

Hi there,

Can see you are very frustrated by your situation.

A while ago I was getting quite frustrated with my rehab program. So, my sports physician suggested adding things into my program that I'd get enjoyment from. For example, going for a walk with friends or going on a bike ride. Have found that's broken things up and feel I'm really get somewhere now.

Has anyone suggested that you have loose ligaments, also called ligamentous laxity ? When you have loose ligaments you are more prone to subluxating and dislocating your joints. I have this condition and is often frustrating to treat by both practitioner and patient.
If you have this problem it's really important to keep your muscles strong around your joints. For me it's really important to keep active. The more I do the better I feel. I go to the gym about 3 or 4 times a week and also do pilates twice a week.

Have you ever seen a sports physician ? They are specialists with these sorts of problems. I believe that John Best in Sydney is a good sports physician. Think you can probably find his details on this website. About 4 or 5 years ago I started seeing a sports physician as my GP just didn't really understand how to manage my condition properly. Both my sports physicians in Melbourne knew straight away that I had a problem with loose ligaments. It has made a huge difference getting the right treatment. They can then refer you onto other allied health professionals such as physios, podiatrists etc.

Guess the problem with surgeons is that they just know how to operate and not much else. That's where I think it's important to have a good sports physician and physio that understand your problem. I now have physios that know my sports physicians well and are realistic with their expectations of the exercises I do. It also helps if your sports physician or doctor has a good relationship with your orthopaedic surgeon.

At the end of January I had a peroneal and ankle reconstruction which has made a huge difference. Went to a great ankle surgeon called Mark Blackney. He reattached my peroneal tendon as it was subluxing all the time.

In early September I'm having an open stabilisation surgery on my right shoulder due to multi-directional instability. I've tried conversative treatment over the last couple of years including physio, strengthening around my upper back and shoulder, anti-inflammatories and dry needling to no avail. So, in discussions with my sports physicians and shoulder surgeon, John Salmon I've decided to have the stabilisation done on my shoulder.

With my shoulder I've experienced a lot of pain. I've found dry needling really good to manage my pain levels. Been having it once a week and helps to relieve my pain for a couple of days at a time. A lot of sports physicians do this. Is definitely worth giving a go if you want to try something else that is conservative.

A couple of years ago I started pilates. Last year I started doing a personalised pilates program with a physio in a group of 3 people. That has really helped in building up my shoulder and back. Have you thought about doing something like that ? A good sports physician should be able to refer you to a good clinic that specialises in pilates and/or exercise rehabilitation.

Good luck !