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angieliu
09-02-2007, 08:20 AM
Hi everyone,

As you know I have sustained two shoulder lesions, possibly a SLAP lesion but not sure or a tendinopathy. All I know is that I have definite shoulder instability.

So I have been rehabbing my shoulder with physio and that has been going well and what has been happening is that certain parts of my shoulder is more tender than others. Apparently this is because of the other muscles over compensating. What is also happening is that if my shoulders are tense then my neck spasms and vice versa. So my physio recommended me considering cortisone injections to reduce the inflammation because it's a bit of a vicious cycle of the shoulder plays up my neck plays up. :( Of course sitting in front of a computer all day long does not help.

What I want to know is for those who have had cortisone injections into the shoulder, has it been of real benefit? My understanding of cortisone injections is really to reduce the inflammation not to help heal and I read in a recent journal article that if can actually slow down tendon healing. So you can understand the whole appeal of cortisone injections is not very high. Cortisone itself is not good for you, and if it gets injected directly into the muscle I'd assume the absorption rate into your body must be very high. It wouldn't be like if you put a topical cortisone cream which would sort of be just absorbed locally in the area.

My current thinking, is that I would only consider a cortisone injection if I was in constant pain and it was interferring with my daily life or if I couldn't sleep because it was painful. And of course because the first diagnosis after the MRI was inconclusive, I'd lean toward getting a second opinion for considering cortison injections.

So far it's not like that. So I'm leaning towards remedial massage to try to reduce the stress around the neck and shoulders. But I'd be interested in when you would consider thinking about getting cortisone injections??

jellybean
09-02-2007, 09:32 AM
Hi Ang,

While the physio/ex rehab seems to be helping, it seems like you are still going around in circles a little.

Make an appointment and go and see Seamus Dalton at North Sydney Orthopedic and Sports Med Clinic (NSOSMC) ? 02 9437 5999 (or another sports physician who specialises in shoulders, but Seamus would be my pick. Why go to someone who might be ok when you know of someone who is definitely top notch!?).

He will give you a thorough exam, recommend any diagnostic tests/scans that need to be done and advise on the best possible course of action for your shoulder. If a cortisone shot is considered the next best step (it is not as if yours is a new injury and you haven?t tried anything else, plus you haven't had any before), so be it. If it isn?t and something else is recommended, at least you?ll be on the right path to a permanent solution.

If you see Seamus and he recommends further scans etc or an ultrasound guided cortisone shot (more expensive than a shot in your shoulder in the docs rooms, but, in my opinion, worth it ? you know it is going in exactly the right spot and that they are aware of any other issues in your shoulder), then try and arrange it so you can get them done there at the imaging section (Castlereagh Imaging) of NSOSMC. They are a bit more expensive than some other imaging places but do an excellent job ? definitely worth the money. (Since my injury hassles started 2 years ago I have had scans etc at four different places ? 2 in Canberra, one on the northern beaches in Sydney and the last ones at NSOSMC in Crows Nest. NSOSMC is the only place I will go back to for any further scans).

Let us know how you go.

Cheers,

JB

P.S. I have given in (have exhausted all other options) and am getting a cortisone shot in my knee next week (my OS is also based at NSOSMC).

angieliu
09-02-2007, 01:17 PM
Hi Ang,

While the physio/ex rehab seems to be helping, it seems like you are still going around in circles a little.

Make an appointment and go and see Seamus Dalton at North Sydney Orthopedic and Sports Med Clinic (NSOSMC) ? 02 9437 5999 (or another sports physician who specialises in shoulders, but Seamus would be my pick. Why go to someone who might be ok when you know of someone who is definitely top notch!?).

He will give you a thorough exam, recommend any diagnostic tests/scans that need to be done and advise on the best possible course of action for your shoulder. If a cortisone shot is considered the next best step (it is not as if yours is a new injury and you haven?t tried anything else, plus you haven't had any before), so be it. If it isn?t and something else is recommended, at least you?ll be on the right path to a permanent solution.

If you see Seamus and he recommends further scans etc or an ultrasound guided cortisone shot (more expensive than a shot in your shoulder in the docs rooms, but, in my opinion, worth it ? you know it is going in exactly the right spot and that they are aware of any other issues in your shoulder), then try and arrange it so you can get them done there at the imaging section (Castlereagh Imaging) of NSOSMC. They are a bit more expensive than some other imaging places but do an excellent job ? definitely worth the money. (Since my injury hassles started 2 years ago I have had scans etc at four different places ? 2 in Canberra, one on the northern beaches in Sydney and the last ones at NSOSMC in Crows Nest. NSOSMC is the only place I will go back to for any further scans).

Let us know how you go.

Cheers,

JB

P.S. I have given in (have exhausted all other options) and am getting a cortisone shot in my knee next week (my OS is also based at NSOSMC).

Hey JB,

Physio and rehab are going well and I guess you have to think that when you do rehab other parts of the shoulder will play up or be really tense... So to address that H and I thought we'd try some remedial massage to see if we can loosen the tension. H had asked me before if I had gone to get a cortisone injection but really by the time I got treatment I was not in as much pain as I was in the States. I'm also going to see my acupuncturist who did some good work when I got back from overseas and it took away some of the inflammation. As you can tell. I'm not really into the whole idea of injecting cortisone into my shoulder and prefer alternative treatments. hehehe:D

As for going to see Seamus.. I haven't ruled out going to see him. I was told to trial physio for three months and see how I went. So far so good and I'm noticing some results. I just want to really trial resting it properly and have actually stopped dancing for awhile. Last time I tried to book in to see Seamus, I was on told he was on holidays and I think he's still on holidays till mid February.

I have also been looking at who else is in canberra who specialises in shoulders and I have been told David Hughes is excellent, Greg Lovell (AIS) and Chris Robbin who is an OS. Unfortunately the sports doc who I saw didn't specialise in shoulder injuries which I guess when you are desperate you go to see anyone who will fit you in. Do I risk going to see someone in CAnberra again or go straight to Seamus? I have a feeling what your answer would be...

Also sorry to hear that your knee is playing up again. Hope the cortisone injections will help. Well I was younger I had really bad knees (bow knees) and saw an OS after trying acupuncture about my knees and he recommended physio. In the end, I don't suffer from knee problems. Don't know how.. I attribute it to growing out of it.. ;)

angieliu
09-02-2007, 01:24 PM
Actuallay I tak that all back. Booked in for 2nd week of March should give me plenty of time to trial massage to try to loosen up tension and also give more time to see.. Got to get a proper diagnosis.

A

caolino
09-02-2007, 06:14 PM
well...i dont know about you guys but i am really sick of the sports physician nut huggers who come here and advise the same repetitive thing again and again. i am in the same position a angieliu and was the pondering the same questions. if you read her thread she asks about your experiences with the cortisone shot.

jellybean
09-02-2007, 10:24 PM
well...i dont know about you guys but i am really sick of the sports physician nut huggers who come here and advise the same repetitive thing again and again. i am in the same position a angieliu and was the pondering the same questions. if you read her thread she asks about your experiences with the cortisone shot.


Caolino,

Did anyone ever tell you that you have a wonderful way with words?

A few quick points (although I almost can?t be bothered responding to your post):

1. I have made several posts about my experience with a cortisone shot in the shoulder, one as recent as a few days ago (Frozen shoulder) ? given Ang visits this site pretty regularly and is very thorough in her research there was no need to repeat those comments again. I figured she would have seen it.

2. The response was written for Ang, not some unknown person with a chip on his shoulder (maybe if you remove that you'll have no need for a cortisone shot?).

3. Before you consider a cortisone shot you need to know exactly what is wrong and whether that is the best option. Ang doesn't know exactly what's wrong with her shoulder, hence the suggestion to get the diagnosis - first things first. Sorry, but you need a good sports physician for that.

If you are going to sort out your own shoulder you might have to get over your aversion to sports physicians. Good luck!

jellybean
09-02-2007, 10:44 PM
Hey JB,

Physio and rehab are going well and I guess you have to think that when you do rehab other parts of the shoulder will play up or be really tense... So to address that H and I thought we'd try some remedial massage to see if we can loosen the tension. H had asked me before if I had gone to get a cortisone injection but really by the time I got treatment I was not in as much pain as I was in the States. I'm also going to see my acupuncturist who did some good work when I got back from overseas and it took away some of the inflammation. As you can tell. I'm not really into the whole idea of injecting cortisone into my shoulder and prefer alternative treatments. hehehe:D

As for going to see Seamus.. I haven't ruled out going to see him. I was told to trial physio for three months and see how I went. So far so good and I'm noticing some results. I just want to really trial resting it properly and have actually stopped dancing for awhile. Last time I tried to book in to see Seamus, I was on told he was on holidays and I think he's still on holidays till mid February.

I have also been looking at who else is in canberra who specialises in shoulders and I have been told David Hughes is excellent, Greg Lovell (AIS) and Chris Robbin who is an OS. Unfortunately the sports doc who I saw didn't specialise in shoulder injuries which I guess when you are desperate you go to see anyone who will fit you in. Do I risk going to see someone in CAnberra again or go straight to Seamus? I have a feeling what your answer would be...

Also sorry to hear that your knee is playing up again. Hope the cortisone injections will help. Well I was younger I had really bad knees (bow knees) and saw an OS after trying acupuncture about my knees and he recommended physio. In the end, I don't suffer from knee problems. Don't know how.. I attribute it to growing out of it.. ;)


Hi Ang,

'Sounds like you are doing all the right things (good physio, ex's, rest from dance) and the remedial massage certainly can't hurt - it is not until something goes wrong in your shoulder (well, anywhere) that you realise how much everything is interlinked. Acupuncture is also worth trying (when I did my shoulder I initally had quite bad bursitis as well as the SST tear and frozen shoulder and acupuncture got rid of the bursitis completely). Remedial massage also helped (my acupuncturist is also an awesome masseur, I used to see him regularly when I was still riding alot). I am definitely like you in that I'll try every other option before touching cortisone (having said that, when I had finally exhausted all other options I was glad I had the shot in my shoulder - I had alot of pain, minimal sleep and was desperate for a break from it. It worked).

'Glad you've also made the appointment with Seamus (you were right with what I'd say ;) ) - if things really improve with the other measures then you can always cancel. If not, you have an appointment.

Keep us posted.

Cheers,

JB

kjwilkin
10-02-2007, 07:43 AM
Hey JB,

Physio and rehab are going well and I guess you have to think that when you do rehab other parts of the shoulder will play up or be really tense... So to address that H and I thought we'd try some remedial massage to see if we can loosen the tension. H had asked me before if I had gone to get a cortisone injection but really by the time I got treatment I was not in as much pain as I was in the States. I'm also going to see my acupuncturist who did some good work when I got back from overseas and it took away some of the inflammation. As you can tell. I'm not really into the whole idea of injecting cortisone into my shoulder and prefer alternative treatments. hehehe:D

As for going to see Seamus.. I haven't ruled out going to see him. I was told to trial physio for three months and see how I went. So far so good and I'm noticing some results. I just want to really trial resting it properly and have actually stopped dancing for awhile. Last time I tried to book in to see Seamus, I was on told he was on holidays and I think he's still on holidays till mid February.

I have also been looking at who else is in canberra who specialises in shoulders and I have been told David Hughes is excellent, Greg Lovell (AIS) and Chris Robbin who is an OS. Unfortunately the sports doc who I saw didn't specialise in shoulder injuries which I guess when you are desperate you go to see anyone who will fit you in. Do I risk going to see someone in CAnberra again or go straight to Seamus? I have a feeling what your answer would be...

Also sorry to hear that your knee is playing up again. Hope the cortisone injections will help. Well I was younger I had really bad knees (bow knees) and saw an OS after trying acupuncture about my knees and he recommended physio. In the end, I don't suffer from knee problems. Don't know how.. I attribute it to growing out of it.. ;)

Hi Ang,

I understand how frustrated you must be right now. On Thursday I'm seeing Greg Hoy for a second opinion on my shoulder. I've been doing conservative treatment for about 3 years now and am getting really sick of it. Greg Hoy is meant to be one of the best for shoulders. He operated on Andrew Symonds the Australian cricketer who just tore his bicep tendon.

David Hughes specialises in shoulders and would be worth while seeing. He is based at Deakin Sports Therapy Centre in Canberra. The number is 02 6281 5999. I used to see him when I lived in London for my shoulder and had some great ideas. After about a year of rehab he suggested that I would probably benefit from shoulder stabilisation on my left shoulder. I had that in September 2003 and have had no problems since. Just need to sort out the right shoulder now.

Like you, I've been weary of having cortisone injections but have had a few over time. It helped settle down my pain so that I was able to do my rehab with my shoulder.

I suffer from multi-directional instability and also get a tight capsular with my right shoulder. You may want to think about having a shoulder hydrodilation injection. I had my second one yesterday as my shoulder capsule was extremely tight, had a lot of pain and was finding it extremely difficult to do many of my exercises. They do it under xray to guide where the injection should go. They inject some local anaesthetic, saline and cortisone too. It may just be worth giving it a go.

In addition to my shoulder pain I also get a really tight upper back and neck too. It's all inter-related. My physio has been doing a lot of work on my upper back and neck too to release it. I also do dry needling twice a week with my sports physician. You may also want to try that. I find it really effective and a great way to help manage my shoulder pain. A lot of sports physician do it. It's quite different to acupuncture as they are treating the trigger points with dry needling. I also do pilates twice a week with a physio and have my own individualised program. It has really helped build the muscles up around my shoulder. There's lots of things you can do without putting the shoulder under too much stress. You can just work around you own capabilities. Ask your physio about whether he knows of any physios that do pilates classes. I'm sure there would be places in Canberra without a doubt.

Good luck and let us know how you go !!!

kjwilkin
10-02-2007, 07:49 AM
Caolino,

Did anyone ever tell you that you have a wonderful way with words?

A few quick points (although I almost can’t be bothered responding to your post):

1. I have made several posts about my experience with a cortisone shot in the shoulder, one as recent as a few days ago (Frozen shoulder) – given Ang visits this site pretty regularly and is very thorough in her research there was no need to repeat those comments again. I figured she would have seen it.

2. The response was written for Ang, not some unknown person with a chip on his shoulder (maybe if you remove that you'll have no need for a cortisone shot?).

3. Before you consider a cortisone shot you need to know exactly what is wrong and whether that is the best option. Ang doesn't know exactly what's wrong with her shoulder, hence the suggestion to get the diagnosis - first things first. Sorry, but you need a good sports physician for that.

If you are going to sort out your own shoulder you might have to get over your aversion to sports physicians. Good luck!

Hi Caolino,

I totally agree with JB.

Over the last 12 years I have seen a lot of doctors and physios about my patella instability so the suggestions I've made regarding sports physicians are based on experience and recommendation by my physio.

I've found that my sports physicians have been able to give me the best advice on appropriate treatment when I have injuries. They also often think of things that a GP wouldn't even think of.

As a matter of fact a lot of Orthopaedic Surgeons use Sports Physician as their Assistant Surgeons as they have a really good understanding of injuries. Also Sports Physicians have access to the best Orthopaedic Surgeons and will know which Orthopods aren't as good.

So, I think you need to swallow your pride and why not go to see a sports physician next time you have an injury !!

angieliu
10-02-2007, 09:12 AM
Hi Ang,

I understand how frustrated you must be right now. On Thursday I'm seeing Greg Hoy for a second opinion on my shoulder. I've been doing conservative treatment for about 3 years now and am getting really sick of it. Greg Hoy is meant to be one of the best for shoulders. He operated on Andrew Symonds the Australian cricketer who just tore his bicep tendon.

David Hughes specialises in shoulders and would be worth while seeing. He is based at Deakin Sports Therapy Centre in Canberra. The number is 02 6281 5999. I used to see him when I lived in London for my shoulder and had some great ideas. After about a year of rehab he suggested that I would probably benefit from shoulder stabilisation on my left shoulder. I had that in September 2003 and have had no problems since. Just need to sort out the right shoulder now.

Like you, I've been weary of having cortisone injections but have had a few over time. It helped settle down my pain so that I was able to do my rehab with my shoulder.

I suffer from multi-directional instability and also get a tight capsular with my right shoulder. You may want to think about having a shoulder hydrodilation injection. I had my second one yesterday as my shoulder capsule was extremely tight, had a lot of pain and was finding it extremely difficult to do many of my exercises. They do it under xray to guide where the injection should go. They inject some local anaesthetic, saline and cortisone too. It may just be worth giving it a go.

In addition to my shoulder pain I also get a really tight upper back and neck too. It's all inter-related. My physio has been doing a lot of work on my upper back and neck too to release it. I also do dry needling twice a week with my sports physician. You may also want to try that. I find it really effective and a great way to help manage my shoulder pain. A lot of sports physician do it. It's quite different to acupuncture as they are treating the trigger points with dry needling. I also do pilates twice a week with a physio and have my own individualised program. It has really helped build the muscles up around my shoulder. There's lots of things you can do without putting the shoulder under too much stress. You can just work around you own capabilities. Ask your physio about whether he knows of any physios that do pilates classes. I'm sure there would be places in Canberra without a doubt.

Good luck and let us know how you go !!!

Hey KJ,

I think with cortisone injections, well they will be a last resort and really I'm not in a great deal of pain like I said. It doesn't disrupt my sleep or anything in my daily life so conservative treatment is the way at the moment.

As for physio, I'm seeing someone at the AIS and he's is amazing and he's trained in clinical pilates and manipulative physiotherapy so most of my exercises are pilates based. I also jump on the pilates machines when I'm there.

I am interested however in the concept of 'dry needling' I've never heard of it before. How does it work?

With regards going to see a sports physician.. Well I'm going to wait and see how things go again after my first experience. I have seen too many people who have offered a million theories.. I've made an appointment with Seamus in about a months time and if things don't settle and I still remained baffled, I'm just going to see him. As for David Hughes, I've heard that he has done good things for other people but unfortunately my view of sports physicians in canberra have been tarnished. :(

Goodluck with your appointment with Greg Hoy.. Hope he has some more creative solutions for your other shoulder.

angieliu
10-02-2007, 09:18 AM
well...i dont know about you guys but i am really sick of the sports physician nut huggers who come here and advise the same repetitive thing again and again. i am in the same position a angieliu and was the pondering the same questions. if you read her thread she asks about your experiences with the cortisone shot.

Ok now really caolino, is there a need for this? People come to this place for insight to what other people have experienced with their injuries. For me, this place has been of great benefit because otherwise I would have not found a great physio or even been able to find articles on different treatments for shoulder injuries.

Despite your contorted view of how sports physicians work, with the way medicine works these days. It's a hit or miss and finding a good sports physician normally works through word of mouth or from people's experiences with good physicians.

angieliu
10-02-2007, 09:21 AM
Hi Ang,

'Sounds like you are doing all the right things (good physio, ex's, rest from dance) and the remedial massage certainly can't hurt - it is not until something goes wrong in your shoulder (well, anywhere) that you realise how much everything is interlinked. Acupuncture is also worth trying (when I did my shoulder I initally had quite bad bursitis as well as the SST tear and frozen shoulder and acupuncture got rid of the bursitis completely). Remedial massage also helped (my acupuncturist is also an awesome masseur, I used to see him regularly when I was still riding alot). I am definitely like you in that I'll try every other option before touching cortisone (having said that, when I had finally exhausted all other options I was glad I had the shot in my shoulder - I had alot of pain, minimal sleep and was desperate for a break from it. It worked).

'Glad you've also made the appointment with Seamus (you were right with what I'd say ;) ) - if things really improve with the other measures then you can always cancel. If not, you have an appointment.

Keep us posted.

Cheers,

JB


Hey JB,

Yeah I'm glad I've made the appointment to see Seamus.. and you're right I can always cancel if things get better.

It is also comforting to hear that acupuncture also helped with your bursitis when you had your frozen shoulder because that was also one of my inclings to go and see a good acupuncturist to try to increase some of the blood flow in the muscles (as they are very tense) and it did offer quite a bit of pain relief when I first hurt my shoulder.

Cheers matey,

Angie

kjwilkin
10-02-2007, 03:47 PM
Hey KJ,

I think with cortisone injections, well they will be a last resort and really I'm not in a great deal of pain like I said. It doesn't disrupt my sleep or anything in my daily life so conservative treatment is the way at the moment.

As for physio, I'm seeing someone at the AIS and he's is amazing and he's trained in clinical pilates and manipulative physiotherapy so most of my exercises are pilates based. I also jump on the pilates machines when I'm there.

I am interested however in the concept of 'dry needling' I've never heard of it before. How does it work?

With regards going to see a sports physician.. Well I'm going to wait and see how things go again after my first experience. I have seen too many people who have offered a million theories.. I've made an appointment with Seamus in about a months time and if things don't settle and I still remained baffled, I'm just going to see him. As for David Hughes, I've heard that he has done good things for other people but unfortunately my view of sports physicians in canberra have been tarnished. :(

Goodluck with your appointment with Greg Hoy.. Hope he has some more creative solutions for your other shoulder.

Hi Ang,

It's great you've got onto a really good physio in Canberra. He sounds fantastic. Great that he's trained in pilates too.

I don't think you should let the one experience blind your vision of sports physicians in Canberra. David Hughes is a great sports physician that specialises in shoulders. However the one you went to see previously obviously didn't specialise in shoulders. I can't stress how important that is. David also works a lot with the big rugby clubs and has been involved with the Australian team I think at some stage. I'm sure that he'd be able to point you in the right direction. It would probably be a lot easier that he's in Canberra too.

As for dry needling, they basically target the trigger points that are active and may be causing you pain. It helps to release the tension and is supposed to relieve the pain. It's definitely worth giving a go. Your physio in Canberra may do it, but the sports physicians tend to be better at it as they tend to do it more often.

Good luck and will let you know how I get on with Greg Hoy later in the week.

caolino
10-02-2007, 08:57 PM
whoah i cant believe i got a nasty message from jellybean. is it really necessary?

firstly, the reason why i posted was because i read most of the threads, not just this one and not just to angeliu. and i saw that jellybean was quick to offer the advice of seeing a sports physio regardless of what the threadstarter said. and more often than not, further posters are side tracked to what the original thread is about. which basically makes a thread completely useless!

the reason why people post on these forums is to ask for advice steming from personal experiences. NOT EVERYONE can goto a top sports physio for financial or insurance reasons. And no one sports physican or ortho has a miracle cure for our problems, hence why we rely on other things such as these forums.

heck, if your $300 per hour sports physician is so damn good then why bother coming to a forum like this?

some of you names drop your doctors as its some sort of status symbol. anyone new to the forum would think they are some sort of mythical godlike creatures. for your info a friend of mine saw seamus dalton for an uunstable shoulder, and he flicked her off pretty quickly. shes seeing another doctor. nothing wrong with mentioning a doctor.. but must it be repeated in every thread??

sorry to rant but had to get it off my chest.

jellybean
11-02-2007, 03:10 AM
Caolino,

Prior to yesterday I?ve never heard of or communicated with you yet you?ve now made two posts and both have been aggressive and insulting personal attacks. Can you please find some other outlet for your anger? In over two years of reading this forum yours are the first posts that I have seen like this. People come to this forum for a variety of reasons but I can assure you that NO ONE comes to the forum for personal attacks.

In light of your comments I just checked the last 25 or so posts that I made and, with the exception of the comments to Ang (who, in her initial posts asked for advice as to who to see, and who has obviously benefitted from the advice given), I?ve only once recommended that someone see a sports physician (no names mentioned) and not once have I recommended a sports physio, so I?m not sure which posts you?ve been reading? Your ?every thread? comment seems to be related to a small number of shoulder injury threads?

As for any advice that I?ve ever offered or recommendations of sports med personnel ever made, ALL were based on personal experience and I?ve only ever mentioned people who have provided EXCELLENT advice/support/treatment to me for the particular injury outlined. (The list of people I wouldn?t recommend is far longer). But, you?re right, no one medico will fix all problems.

I can fully appreciate that some people can?t afford to see medicos for financial or insurance reasons and most advice that I have offered in the past has included things other than seeing a medico. The sad fact, however, is that any significant injury will require some sort of medical intervention if it is going to be rectified and the quicker you identify the best person for your injury and get it correctly diagnosed and treated, the less time and money you waste and the less pain and frustration you suffer. (It is pointless to guess at what might be wrong). Many people come to this site for that reason and people here who have been through the mill offer advice and recommendations in an effort to help. Doing nothing or seeing a gp for a sports injury is a false economy. There are plenty of posts on this forum to verify that. Another significant value of this site is the support that people offer each other in dealing with injury.

If you cannot afford to get medical advice for whatever problem it is you have then I am sorry to hear that but it is not my fault, so please direct your anger elsewhere or, even better, do something positive to resolve your injury issues. Launching personal attacks on people you don?t even know is not going to get you any advice that will help you resolve your problems.

angieliu
11-02-2007, 11:54 AM
Hi Ang,

It's great you've got onto a really good physio in Canberra. He sounds fantastic. Great that he's trained in pilates too.

I don't think you should let the one experience blind your vision of sports physicians in Canberra. David Hughes is a great sports physician that specialises in shoulders. However the one you went to see previously obviously didn't specialise in shoulders. I can't stress how important that is. David also works a lot with the big rugby clubs and has been involved with the Australian team I think at some stage. I'm sure that he'd be able to point you in the right direction. It would probably be a lot easier that he's in Canberra too.

As for dry needling, they basically target the trigger points that are active and may be causing you pain. It helps to release the tension and is supposed to relieve the pain. It's definitely worth giving a go. Your physio in Canberra may do it, but the sports physicians tend to be better at it as they tend to do it more often.

Good luck and will let you know how I get on with Greg Hoy later in the week.

Dear KJ,

Thanks for your advice. You are right in that the sports physician I saw did not specialise in shoulders. She specialised in triathlete related injuries but I had heard good things about her which is why I went and plus I could not get into see David till mid january when I was booking to see him.

For the time being I'm going to wait and see. Like I said the appointment with Seamus is one which I am going to keep and if I don't feel any better with my shoulder then I will go and see him. this is not to say that I don't think David is very good I have heard good things about him as he was the one who diagnosed my friends neck problem.

Will see how things go.

angieliu
11-02-2007, 12:07 PM
whoah i cant believe i got a nasty message from jellybean. is it really necessary?

firstly, the reason why i posted was because i read most of the threads, not just this one and not just to angeliu. and i saw that jellybean was quick to offer the advice of seeing a sports physio regardless of what the threadstarter said. and more often than not, further posters are side tracked to what the original thread is about. which basically makes a thread completely useless!

the reason why people post on these forums is to ask for advice steming from personal experiences. NOT EVERYONE can goto a top sports physio for financial or insurance reasons. And no one sports physican or ortho has a miracle cure for our problems, hence why we rely on other things such as these forums.

heck, if your $300 per hour sports physician is so damn good then why bother coming to a forum like this?

some of you names drop your doctors as its some sort of status symbol. anyone new to the forum would think they are some sort of mythical godlike creatures. for your info a friend of mine saw seamus dalton for an uunstable shoulder, and he flicked her off pretty quickly. shes seeing another doctor. nothing wrong with mentioning a doctor.. but must it be repeated in every thread??

sorry to rant but had to get it off my chest.

Caolina,

Can I just say that it is not worth venting your anger at JB. If you have had bad experiences with sports doctors, well then I'm sorry to hear that. I like many others who come to this forum look to see if we can find some common ground on people's experiences and also to find out people' s experiences with different types of treatments.
I came to this forum to find a good physio and sports doctor because the treatments I had sought did not offer any insight to my problem and the sports doctor who I saw knew very little about shoulder injuries. In this context, people come here to find out who is really good and who isn't.

The referrals I have been given have been very good so it's best not to be quick to judge about others on this forum. In fact the physio JB referred me to is excellent and so far the physio has been more helpful than any other allied health professional has been able to offer me about my shoulder injury.

Also you must bear in mind that each person's experience with doctors and allied health professionals is different. No one is alike. Some may have better experiences than others. I don't think that it has anything to do with status of the person recommending a sports doctor. It's about people's experience and benefit they have had when they saw someone. I'm sorry to hear that your friend didn't have a good experience with Seamus but that does not mean that others have not had good outcomes from seeing him.

kjwilkin
14-02-2007, 07:58 PM
Dear KJ,

Thanks for your advice. You are right in that the sports physician I saw did not specialise in shoulders. She specialised in triathlete related injuries but I had heard good things about her which is why I went and plus I could not get into see David till mid january when I was booking to see him.

For the time being I'm going to wait and see. Like I said the appointment with Seamus is one which I am going to keep and if I don't feel any better with my shoulder then I will go and see him. this is not to say that I don't think David is very good I have heard good things about him as he was the one who diagnosed my friends neck problem.

Will see how things go.

Hi Ang,

Good luck with your shoulder. I'd be interested to hear how you get on. Seeing Greg Hoy tomorrow and can't wait. Just sick of my crappy shoulder and it not functioning properly !

angieliu
15-02-2007, 09:21 AM
Hi KJ,

Thanks for that. Will keep you posted with how things go and I feel for you with about being sick of a crappy shoulder. I've just got back from the physio and things are looking good in that I'm actually starting to build some more muscle where I hurt my shoulder so I'm pretty happy about it.

Good luck with Greg Hoy.

A