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josh
22-11-2003, 11:00 AM
has anybody who has had a shoulder injury, baffled doctors, because the injury was really miner but it did so much damage? if so could you reply and tell me what happened and if you fixed it or not?

injuryupdate
22-11-2003, 10:30 PM
has anybody who has had a shoulder injury, baffled doctors, because the injury was really miner but it did so much damage? if so could you reply and tell me what happened and if you fixed it or not?

Over the internet it is impossible to be sure of the likely cause of the injury may be in such a case. Shoulder tendon problems are probably the most likely with no history of major trauma, as they can come on gradually but cause a lot of pain. Tests like an ultrasound or an MRI scan can help pinpoint the diagnosis in such a case. Treatment may require shoulder strengthening exercises, cortisone injections and possibly a shoulder arthroscope. The arthroscope is often a good way to treat shoulder injuries and also to help diagnose a problem that is causing a lot of pain but where the standard tests can resolve where the pain is coming from.

josh
23-11-2003, 11:25 AM
Over the internet it is impossible to be sure of the likely cause of the injury may be in such a case. Shoulder tendon problems are probably the most likely with no history of major trauma, as they can come on gradually but cause a lot of pain. Tests like an ultrasound or an MRI scan can help pinpoint the diagnosis in such a case. Treatment may require shoulder strengthening exercises, cortisone injections and possibly a shoulder arthroscope. The arthroscope is often a good way to treat shoulder injuries and also to help diagnose a problem that is causing a lot of pain but where the standard tests can resolve where the pain is coming from.

yes the doctors did a mri, ultra sound and x-rays, not to mention roughly 5 to 6 months(which i am still doing) of phsiotherapy and nearly 2 months of hydrotherapy. the shoulder specialist also injected a local anisthetic into my ac joint and bursar to see if that was the problem. and the pain left but my movement in my arm stayed the same. (i can't get my arm up to my shoulder height, because it locks and the pain is incredable) now i'm to have a blood test, bone scan and an arthroscopy. but the doctor doesn't really want to do one because of two things , one is i'm 14 years old and two if the problem is a pain syndrome the arthroscopy will only make it worse. and pain killers and anti-inflamitrys don't work. so i was just woundering if anybody has had such a problem and had it fixed??

injuryupdate
23-11-2003, 01:55 PM
yes the doctors did a mri, ultra sound and x-rays, not to mention roughly 5 to 6 months(which i am still doing) of phsiotherapy and nearly 2 months of hydrotherapy. the shoulder specialist also injected a local anisthetic into my ac joint and bursar to see if that was the problem. and the pain left but my movement in my arm stayed the same. (i can't get my arm up to my shoulder height, because it locks and the pain is incredable) now i'm to have a blood test, bone scan and an arthroscopy. but the doctor doesn't really want to do one because of two things , one is i'm 14 years old and two if the problem is a pain syndrome the arthroscopy will only make it worse. and pain killers and anti-inflamitrys don't work. so i was just woundering if anybody has had such a problem and had it fixed??

It sounds as if the doctors are investigating the problem well, but doesn't sound as though you have a structural injury. The blood tests are important. You may have a rare condition such as a shoulder joint infection or a rheumatological condition (e.g. rheumatoid arthritis). The fact that local anaesthetic blocked your pain indicates that there is something wrong in the shoulder joint - to me this doesn't suggest you have a pain syndrome, but there is something actually wrong inside. However, with normal MRI and normal ultrasound (I presume) I am concerned about infection and rheumatoid diseases as possibilities. I think a shoulder arthroscope would probably help as well, but if you haven't had blood tests done then I would go for these if the doctor is offering.

josh
25-11-2003, 08:39 PM
just say the blood test comes back normal and they find nothing on the bone scan or arthroscopy, (where the doctor injected the anesthetic wasn't in my shoulder joint.) because i was told the arthroscopy looks inside the shoulder, so could a arthroscopy detect if there was a rheumatoid disease or possible infection?

injuryupdate
26-11-2003, 05:51 AM
just say the blood test comes back normal and they find nothing on the bone scan or arthroscopy, (where the doctor injected the anesthetic wasn't in my shoulder joint.) because i was told the arthroscopy looks inside the shoulder, so could a arthroscopy detect if there was a rheumatoid disease or possible infection?

Yes, especially since you are young, the arthroscopy should look very 'clean' and if there was lots of scarring or even fluid in the shoulder then it would point to a rheumatoid disease for example. Another advantage of arthroscopy is that it is not very invasive. If you have a pain syndrome it will probably get slightly worse temporarily after surgery but since the cuts are very small it won't cause that much trauma.

josh
26-11-2003, 07:35 PM
Yes, especially since you are young, the arthroscopy should look very 'clean' and if there was lots of scarring or even fluid in the shoulder then it would point to a rheumatoid disease for example. Another advantage of arthroscopy is that it is not very invasive. If you have a pain syndrome it will probably get slightly worse temporarily after surgery but since the cuts are very small it won't cause that much trauma.

i know it is only a possibiltity but what are the effects of rheumatoid disease.

injuryupdate
27-11-2003, 05:21 PM
i know it is only a possibiltity but what are the effects of rheumatoid disease.

Very little is known about what causes rheumatoid diseases, so prognosis (consequences) are hard to predict. The bad news is that they may last for life. The good news is that medications (strong anti-inflammatories) despite strong side effects may be able to improve symptoms substantially.

josh
27-11-2003, 06:54 PM
Very little is known about what causes rheumatoid diseases, so prognosis (consequences) are hard to predict. The bad news is that they may last for life. The good news is that medications (strong anti-inflammatories) despite strong side effects may be able to improve symptoms substantially.


oh okay... I had my bone scan today and the results came back and there is nothing wrong with my bones. so now the only thing left is the arthrocopy.

injuryupdate
30-11-2003, 08:07 PM
oh okay... I had my bone scan today and the results came back and there is nothing wrong with my bones. so now the only thing left is the arthrocopy.

It sounds as though this is a good move. Good luck with it, I hope they discover the problem and fix it.

Unregistered
22-07-2005, 09:24 PM
It sounds as if the doctors are investigating the problem well, but doesn't sound as though you have a structural injury. The blood tests are important. You may have a rare condition such as a shoulder joint infection or a rheumatological condition (e.g. rheumatoid arthritis). The fact that local anaesthetic blocked your pain indicates that there is something wrong in the shoulder joint - to me this doesn't suggest you have a pain syndrome, but there is something actually wrong inside. However, with normal MRI and normal ultrasound (I presume) I am concerned about infection and rheumatoid diseases as possibilities. I think a shoulder arthroscope would probably help as well, but if you haven't had blood tests done then I would go for these if the doctor is offering.

I went to a pediatric neurologist and he did the wierdest thing, he actually admitted to not knowing what was wrong... ( I know that my seem rude, but i've been sent to a pychologist after being accused of being lazy, attention seeking and not wanting to go to school, even after that they still accused me of it being in my head). Fibromyalgia; is this a possibility? The pain isn't just in my shoulder anymore.It's in my legs ( predominatly knees and ankles, sometimes i can't walk because of the pain) my other shoulder, neck and entire back all feel excrutiatingly painful. My brothers have Chronic Fatigue Syndrome and my elder brother has fibromyalgia (I don't know if that's of any significance). Also i've got a really bad cough that i get when i'm in a lot of pain and i've been told it sounds like whooping cough, but i only get it when the pain is everywhere and really bad. The pain also causes severe headaches and foggy vision/thought. i don't know if that's very useful... when it happens it makes it hard to concentrate, when i try and push past it (in class) it makes me drowsy and blurs my vision oh so slightly every now and then.