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View Full Version : Do I need surgery? and help needed with x-ray results??



hails
13-08-2006, 11:27 PM
Hi all,
Firstly I can't believe there is a forum for shoulder injuries it's fantastic!
Ok, for no apparent reason my shoulder started hurting and then I accidently hit it on the corner of the car door and then it was constantly hurting so I got it checked out and I have a partial width full thickness tear of the supraspinatus 6.6mm in diameter with a small amount of fibres remaining and retraction of fibres visible, scan also says there is a small amount of bursal fluid.
My GP has recommended seeing a surgeon because I'm only 26 but I have read other people saying they had physio and it fixed the problem so wondering if this may be suitable for me?

Also I had an x-ray done and I have no idea what the results mean (didn't ask GP at the time because was dealing with the news I have a torn tendon) anyhow the results say I have a bony sclerosis at the greater tuberosity of the humerous consistent with some rotator cuff degenerative change :confused:

Any advice or help with diagnosis would be fantastic!

kjwilkin
14-08-2006, 08:47 AM
Hi there,

If I was you I'd go and see a good sports physician. That way they can refer you onto a good physio or specialist if necessary. Whereabouts are you based ?

About 4 or 5 years ago I stopped seeing my GP for joint related problems as they often don't really know how to treat them. Since I've been seeing a sports physician I've been getting the right treatment and not wasting time.

Good luck !

injuryupdate
14-08-2006, 10:57 AM
I agree that a surgical opinion is not a bad idea for a 26 year old with retraction of fibres visible.

hails
15-08-2006, 10:25 PM
Hi,
Thankyou for the replies, my main concern at the moment is dealing with the day to day pain as I have 3 young children and my husband works reasonably long hours, also dealing with the lack of sleep due to being woken up through the night with pain in my shoulder, and I can't get an appointment with the surgeon untill the start of October!
Should I be seeking advice from my GP about pain management or just put up with it untill I see the surgeon?
Kind regards

jellybean
16-08-2006, 05:04 PM
Hi,
Thankyou for the replies, my main concern at the moment is dealing with the day to day pain as I have 3 young children and my husband works reasonably long hours, also dealing with the lack of sleep due to being woken up through the night with pain in my shoulder, and I can't get an appointment with the surgeon untill the start of October!
Should I be seeking advice from my GP about pain management or just put up with it untill I see the surgeon?
Kind regards


Hi Hails,

Apparently quite a large proportion of the general population get a supraspinatus tear at some stage before they leave this earth. In some people there?s a traumatic event clearly associated with the tear (for me it was a pretty spectacular skiing fall, commonly known as a ?garage sale?, caused by someone with half a brain going too fast at the bottom of a run ? he hit me and I went flying), other times not. ?Sounds like you had a bit of both.

I have a similar size tear to you (5mm wide x 10mm long or 5mm long x 10mm wide depending on which ultrasound/MRI report you believe!? and full thickness).

Re managing the pain: I found there?s a few options. What you choose I guess depends on your personal philosophy about pain management, pain tolerance, what you have access to and what you can afford. At different stages I?ve used all of the following (I prefer the more natural i.e. non chemical options, where possible). All have helped.

1. Anti-inflamm?s
2. Physio ? for mobilisation
3. Acupuncture
4. Sleeping ? use a pillow under your arm so it?s cushioned and sleep so that your injured arm is not on the same side as your partner (?might need to swap sides of the bed) so it doesn?t get squashed during the night.
5. Keep busy and your mind occupied on other things (with 3 young children that shouldn?t be too difficult!!); remember that there?s always someone worse off than you; focus on the things you can do; and spend time with someone or some thing that makes you laugh out loud every day.
6. Pain med?s (ok for the short-term use, wouldn?t want to use too much or for too long ? although I was prescribed Panadeine Forte straight away I didn?t use any pain meds until I developed a frozen shoulder and it was in full swing ? 3 to 4 months after the injury occurred - and then only to get to sleep (otherwise I don?t think I would have slept at all).

If you can?t see a surgeon until October go and see a sports physician for advice (they might also know a short cut to see a surgeon sooner).

?Hope it all goes well.

Cheers,

JB

kjwilkin
16-08-2006, 05:34 PM
Hi there,

I agree, go and see a sports physician for some advice. They often have good links with surgeons so you be able to get in earlier. I'm sure they'd be able to give some suggestions regarding pain relief. I'm having shoulder surgery in early September and have been able to manage my pain with dry needling, massage, going to the gym and pilates.

Whereabouts are you located ? If in Melbourne I can tell you about some good sports physicians and a shoulder surgeon.

Good luck !

hails
17-08-2006, 11:46 PM
Hi,
thanx for those tips, well I have a new problem now! last night when I was on the couch I went to get up and I couldn't move my shoulder at all it was extremely painfull so I went straight to bed, when I woke the next morning I tried to move my arm and there was a small click and then a really big clunk, I have been in extreme pain ever since and went and saw my GP today and told him my arm doesn't feel right, when I relax my shoulder it feels like it is hanging 2 feet below where it should and he simply said no it shouldn't feel like that, here's some anti inflamatory's and if it's no better next week he will give me prednisalone shots. The pain is almost unbearable it has brought me to tears and that's saying something after having 3 kids! the pain changes all the time, sometimes when I walk it hurts and other times feels ok, sitting down to rest becomes a deep breathing session because of the sharp pain, what do I do now???
I think I need to see a sports physician like you have mentioned, I am in Melbourne too so any names would be great.

jellybean
18-08-2006, 07:15 AM
Hails, make an appointment with a sports physician today. Looking at one of kjwilkins earlier posts (he/she is based in Melbourne - I'm in Sydney), Chris Bradshaw and Andrew Jowett are both good Melbourne-based sports physicians, both are based at Olympic Park Sports Medicine Clinic - phone number is 9427 0366. As mentioned previously they may also be able to get you into to see a surgeon earlier.

P.S. My shoulder used to clunk and grind alot - still does if I try to swim - but has improved alot with months of rotator cuff exercises. But see someone who can give you an opinion on your shoulder.

P.P.S. Deep (slow) breathing exercises are another good way of managing your pain.