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moord
03-02-2007, 02:04 PM
Here's the run down so far - had PT 3 times which aggravated shoulder/arm from 5-1-07.
Felt as though swollen inside. Week later didn't have much movement. Dr advised cortizone jab, rest 2 days then minimal use next 2 weeks.
So the jab kept me awake for over 2 days except hour here n there, total maybe 6 hours broken sleep in 2.5 days. I should have strapped the arm to my side as it would have been the only way to NOT use it!
It's nearly 4 days now since jab. Absolutely no improvement at all, still inflamed.
I'm giving complete rest over weekend, seeing Dr mid week! Possibly a supraspinatus tear diagnosed by Physio.
Can anyone enlighten me, cheer me up somehow ?

kjwilkin
03-02-2007, 08:18 PM
Here's the run down so far - had PT 3 times which aggravated shoulder/arm from 5-1-07.
Felt as though swollen inside. Week later didn't have much movement. Dr advised cortizone jab, rest 2 days then minimal use next 2 weeks.
So the jab kept me awake for over 2 days except hour here n there, total maybe 6 hours broken sleep in 2.5 days. I should have strapped the arm to my side as it would have been the only way to NOT use it!
It's nearly 4 days now since jab. Absolutely no improvement at all, still inflamed.
I'm giving complete rest over weekend, seeing Dr mid week! Possibly a supraspinatus tear diagnosed by Physio.
Can anyone enlighten me, cheer me up somehow ?

Hi there,

You are really in the earlier stages of your treatment, so I wouldn't worry too much. The cortisone injection can take a couple of days to settle down, then it should get better over time if it's going to work. I think it's excessive that your doctor advised you not to do much for 2 weeks. That could actually make the situation worse. You are better off doing some gentle exercises than nothing at all.

I would highly recommend you go and see a sports physician to get the injury/condition diagnosed correctly. Your physio may only be guessing what it may be. So, try not to worry too much. Whereabouts are you based ? I know of some good sports medicine clinics in Melbourne, Canberra and London, UK.

Since I started seeing a sports physician they have been able to management my treatment and rehab much better. I have had shoulder instability for about 3 years and have been trying different types of conservative treatment. I am due to see Greg Hoy in about a week and a half for a second opinion. My sports physician recommended I do pilates and has really helped me strengthen the muscles around my shouder.

It's also really important that you have a physio that specialises in shoulders. I have a fantastic shoulder physio in Melbourne called Ian Macindoe. He's very gentle and realistic what you can do for your rehab.

Good luck and let us know how you go !!

jellybean
04-02-2007, 08:28 AM
Hi Moord,

'Sorry to hear your having problems with your shoulder.

Agree with KJ, the first step is to get the problem correctly diagnosed - it may be a frozen shoulder (otherwise known as adhesive capsulitis or primary or secondary capsulitis depending on whether it just happened or happened in conjunction with something else, e.g. a rotator cuff tear) or it may be something else.

In order to get a correct diagnosis (and subsequently the correct treatment) you need to go and see a sports physician, ideally one who specialises in shoulders (depending on where you are someone here may be able to point you in the right direction). Do not rely on the guidance of a gp or general physio. Similarly, when you get to a point where physio is useful, make sure you go to a physio who understands frozen shoulders (if that is what you have). (The ideal is a sports physio who also has a manip therapy qualification - I found with the FS I got lots of upper back muscle spasm which, in turn, seemed to mess my back up and cause more pain. The manipulation, on top of normal physio - mobilisation etc - really helped).

If you do have a frozen shoulder, I sympathise, I've had one and they're not much fun (understatement). Having said that (something to cheer you up) they do eventually get better, so there is a light at the end of the tunnel.

I found that understanding what was happening to my shoulder helped. The following website provides some simple info (make sure you click on the links at the bottom of the first page to check out "symptoms" and "treatment")
http://www.so.com.au/Patient_information/conditions/shoulder/Adcap/frozen_shoulder.htm

There is also plenty of other info on the 'net if you Google "frozen shoulder" or "adhesive capsulitis" "capsulitis".

It seems that frozen shoulders vary from person to person in terms of severity but they typically seem to go through three stages - freezing, frozen and thawing. The first, freezing stage is definitely the most painful and is when your range of motion decreases (this stage is really resistant to any form of treatment and, if you have a FS, may be why the shot didn't work - another possibility is if the shot wasn't ultrasound guided then they may not have hit the right spot. Any cortisone shots for this condition should, in my opinion, be ultrasound guided - i.e. the doc uses ultrasound to guide him/her to the right spot to inject rather than just sticking the shot in your shoulder in their rooms). In the second, frozen stage, your range of motion (ROM) is at it's worst but the pain starts to decrease. In the final stage, the pain continues to decrease and you start to get your range of motion back (2 and a bit years down the track I have full ROM back in all planes except internal rotation - hand up behind my back - it's about 20 degrees short but this doesn't stop me doing anything).

I didn't have a cortisone shot until near the end of the freezing stage. It gave me six weeks of pain relief (I as also "wired" the night after having the shot) and I then started to get some useful gains with physio. [N.B. In terms of your doc's advice post cortisone shot - I was advised to stick to gentle ROM exercises for the first two weeks post shot before resuming the theraband (strengthening) ex's. This was to avoid, I assume, any damage (e.g. tendon damage) to the shoulder by trying to do too much too soon afterwards (not uncommon with cortisone shots)].

Anyway, 'hope you've managed to wade your way through that (I wrote more than I intended!?) and that it's helpful.

Let us know how you go.

Cheers,

JB

moord
14-02-2007, 11:56 AM
Hey JB & KJ
Thanks heaps for the info and sympathy. I've only just remembered to look back here. Fortunately I got to see Specialist a week earlier due to a cancellation which cheered me up lots & that was late yesterday. Sp diagnosed FS. He seems ok & gave me good info. Wants me to wait 4 wks, then go back to see about rehab. Gave me anti-inflam & pain killers. Said to continue as I've been doing for last 3 wks.

My brother has had treatment on both shoulders in last couple of yrs & says that a spur could still be the cause. His didn't show up on xray or ultrasound - only when he had a biopsy. If this IS the case with me - I'll be having problems for a while yet. Thinking positive is the key to most things though. I'll try to keep in touch thanks again !

Moord

kjwilkin
14-02-2007, 07:56 PM
Hey JB & KJ
Thanks heaps for the info and sympathy. I've only just remembered to look back here. Fortunately I got to see Specialist a week earlier due to a cancellation which cheered me up lots & that was late yesterday. Sp diagnosed FS. He seems ok & gave me good info. Wants me to wait 4 wks, then go back to see about rehab. Gave me anti-inflam & pain killers. Said to continue as I've been doing for last 3 wks.

My brother has had treatment on both shoulders in last couple of yrs & says that a spur could still be the cause. His didn't show up on xray or ultrasound - only when he had a biopsy. If this IS the case with me - I'll be having problems for a while yet. Thinking positive is the key to most things though. I'll try to keep in touch thanks again !

Moord

Hi there,

Good luck and let us know how you go.

Tomorrow I'm seeing Greg Hoy for a second opinion. Hope to get some answers. Sick of dealing with my crap shoulder !!