Hi i was involved in a hit run car accident Nov 09, i had various injuries involving broken vertebraes & ribs, they've healed but the 1 injury that is still giving me problems is my left shoulder.The shoulder bore the brunt of the hit but despite receiving deep cuts the shoulder wasn't scanned.My Physio seemed to think @ the time that i'd ruptured my AC joint & that it will heal in time .I've been in pain since, i haven't swam since & the pain is getting worse. I've had xrays & an ultra sound & a cortisone injection but this did nothing,i'm booked into see a surgeon on the 31/1/2011 & was wondering what peoples thoughts/advice as to the best soloutionto to fix this up. the scan results read as "There is an 8mm bursal partial thickness tear involving the supraspinatus.The tear is about 12mm from the biceps.The bursa is thickened in keeping with bursitis.There is evidence of bursal bunching"... The physio says an mri is definate & that surgery will occur. Has anyone had surgery?? what's involved & what is the recovery ??.I can't continue with this, i can't benchpress, or do pushups, & i'm starting to get restricted in work activities as well as everyday life.I'm 39 years old & want it sorted .
If your sub acromial bursa is inflammed, then cortisone is usually injected into the joint space to reduce its size which will create more space in this already narrow joint. Usually cortisone is administered and followed by physiotherapy strengthening exercises for the rotator cuff muscles to improve stability of the joint and avoid the impingement associated with movement. If this does not solve the problem, then the next step is surgery which usually takes a further 3 months to recover. It is always best to treat it conservatively first. For more information on physiotherapy management of shoulder conditions see below.
Last edited by fineformphysio; 06-06-2011 at 11:54 AM.
wceagles i am enquiring as to how you are now with your shoulder injury? i have just had a acromio clavicular joint excision it is now march 2012 i am 11 days post op. hope to hear from you. am using one had to type and making it as easy as possible.
The muscles include the supraspinatus, infraspinatus, teres minor, and subscapularis. Activation of the rotator muscles results in movements of abduction, internal rotation, and external rotation. These muscles also function as stabilizers by depressing the humeral head in the gleniod fossa during motion about the joint.