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  1. Backdraft is offline

    Senior Member

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    Jun 2006
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    UmeŚ, Sweden/ Paris, France
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    Posted On:
    12/27/2006 12:16pm


     Style: Shootfighting

    --
    Hell yeah! Hell no!

    Bum shoulder, would appreciate advice.

    Okay, so here's the deal:

    I've had a bad right shoulder for a couple of years now, wich basically was unstable in rotational movements, and would "pop" at extreme angles, but never dislocate. It never really hurt either, but the movement itself sorta scared me. Recently, I finally got medical exams on it, and whoopdeedoo, docs can't tell what it is. I also got to talk to a physiotherapeut, who gave me rehab exercise that target the rotator cuffs. He also told me to do basically all arm exercises with dumbbells instead of rods. (So as to get stability training at the same time, I suppose.) So it's been like 2 months, and the shoulder is getting better, but the docs said that they'd like to open the shoulder and examinate it surgically, with a tube-camera. (I don't know the correct term.)

    My question is, should I undergo that surgery, or place my hopes on the rehab-exercises?
    I don't really want to be out of training at all because of my shoulder, but at the same time I don't want my shoulder to be bad the rest of my life either.
    Do you guys have any good advice? Maybe some of you have been in a similar situation and have a good idea of what to do. I'd like to know. Thanks.
  2. Roidie McDouchebag is offline
    Roidie McDouchebag's Avatar

    Injury Waiting To Happen

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    May 2002
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    Kamloops, BC
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    Posted On:
    12/27/2006 12:19pm

    supporting member
     Style: Snatch Wrestling

    --
    Hell yeah! Hell no!
    I'd say stop training, much as that sucks.
  3. Tom Kagan is offline
    Tom Kagan's Avatar

    Dark Overlord of the Bullshido Underworld

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    New York, NY USA
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    Posted On:
    12/27/2006 12:47pm

    supporting member
     Style: Taai Si Ji Kung Fu

    --
    Hell yeah! Hell no!
    If it were me, I wouldn't get cut if it doesn't hurt, doesn't dislocate, and it has full passive range of motion. But that's just me.

    Work with some resistance bands and/or tubes, too. They are good stuff for improving stability.

    Also, people rave about this book:
    http://www.amazon.com/7-Minute-Rotat.../dp/0944831257

    Good luck.
    Calm down, it's only ones and zeros.

    "Your calm and professional manner of response is really draining all the fun out of this. Can you reply more like Dr. Fagbot or something? Call me some names, mention some sand in my vagina or something of the sort. You can't expect me to come up with reasonable arguments man!" -- MaverickZ

    "Tom Kagan spins in his grave and the fucking guy isn't even dead yet." -- Snake Plissken

    My Bullshido fan club threads:
    Tom Kagan's a big hairy...
    Tom Kagan can lick my BALLS
    Tom Kagan teaches _ing __un and bigotry?
    Tom Kagan: Serious discussion here
    Lamokio asks the burning question is Tom Kagan a ***** or just cruising for some
    I'm Dave the gay Kickboxer from Manchester and I have the hots for Tom Kagan
    TOM KAGAN, OPEN ME, THE MKT ARE COMING FOR YOU ! ARE YOU MAN ENOUGH TO MEET ?
    ATTN TOM KAGAN
    World Dominator 'Kagan' in plot to lie about real Kung Fu and Martial Arts
    Tom Kagan just gave me my third negative rep in a day
    I am infatuated with Tom Kagan
    Tom Kagan is a fat balding white guy.
  4. Bang! is offline
    Bang!'s Avatar

    Light Heavyweight

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    Apr 2003
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    Posted On:
    12/27/2006 1:52pm

    supporting memberBullshido Newbie
     Style: Wu Style TCC + BJJ

    --
    Hell yeah! Hell no!
    http://www.eorthopod.com/eorthopodV2...e65a29f/area/6

    Odds are you've stretched or partially torn RC ligaments and/or your labrum. A full tear (which you don't have) would necessetate surgery. I think you're best off with a good rotator cuff rehab program and a lot of patience. Then again, I'm not a doctor, am I?
  5. TCDD is offline
    TCDD's Avatar

    Registered Member

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    313

    Posted On:
    12/28/2006 5:49pm


     Style: FMA/MT

    --
    Hell yeah! Hell no!
    it doesnt mean you have done your rotator cuff, my surgeon was convinced prior to my mri, when that ame up negative they had a look, apparently its quite common, but it may be a SLAP tear, either google it or look at www.slaptear.com (really)
  6. bob is offline
    bob's Avatar

    Prophet of Apathy

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    Jan 2006
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    Sydney, Australia
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    897

    Posted On:
    12/28/2006 8:20pm


     Style: MMA

    --
    Hell yeah! Hell no!
    Quote Originally Posted by Backdraft
    Okay, so here's the deal:

    I've had a bad right shoulder for a couple of years now, wich basically was unstable in rotational movements, and would "pop" at extreme angles, but never dislocate. It never really hurt either, but the movement itself sorta scared me. Recently, I finally got medical exams on it, and whoopdeedoo, docs can't tell what it is. I also got to talk to a physiotherapeut, who gave me rehab exercise that target the rotator cuffs. He also told me to do basically all arm exercises with dumbbells instead of rods. (So as to get stability training at the same time, I suppose.) So it's been like 2 months, and the shoulder is getting better, but the docs said that they'd like to open the shoulder and examinate it surgically, with a tube-camera. (I don't know the correct term.)

    My question is, should I undergo that surgery, or place my hopes on the rehab-exercises?
    I don't really want to be out of training at all because of my shoulder, but at the same time I don't want my shoulder to be bad the rest of my life either.
    Do you guys have any good advice? Maybe some of you have been in a similar situation and have a good idea of what to do. I'd like to know. Thanks.
    You don't specify what exams you had - was it an MRI, an Ultrasound or just physical examinations?

    Generally a skilled sports doctor/orthopaedic surgeon or physio will be able to tell at least whether your shoulder is structurally stable (ie no major ligament/labrum/tendon tears that will compromise the ability of the shoulder to remain firm in the socket) from a physical examination. If they feel there is some structural instability there then rehab exercises alone will never fix it and you'll probably need surgery. If they're operating because they don't have a clue what's wrong I'd stick with the rehab program. Again, they should have explained the difference - and note that there is a difference between not knowing exactly what structure is damaged and not having a clue if there is any major damage.

    You don't necessarily have to rest completely but you should modify your training for a while, particularly avoiding any overhead movements.

    The symptoms you describe sound like you could have what's called 'global hypermobility syndrome', which basically means that your ligaments are a lot looser than they should be - can you bend your thumb down to touch your wrist, can you grasp your hands behind your back with one hand going over your head and one hand under? If so, you may just be unlucky in your genetics and will have to be careful with your shoulders - you'll probably have to do the stability exercises for as long as you continue to train.
  7. Backdraft is offline

    Senior Member

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    Posted On:
    12/29/2006 5:37pm


     Style: Shootfighting

    --
    Hell yeah! Hell no!
    Oh crap, I forgot to say what exams I've had. X-ray twice, and docs felt my shoulder up too.
    I just tested the thumb thing, and I can't do it. I can grasp my hands behind my head in the way you described though, so yeah, I'm hypermobile. The docs already said something about the labrum, but they were very vage, so I did'nt really pickup on it.

    Now regarding rehab, I'm already doing that, and it has been working, that's fine. And I am careful with my shoulders, I don't stress them more then I have too. Since I'm a pure grappler at the moment, all I really have to be careful with is shoulderlocks, too.

    My number one question, and I'm sorry if it did'nt come clear across in my first post (not native speaker) is this: Should I get an examinative surgery on my shoulder, or just go on with my stability exercises?
    Thanks everyone for the tips and websites, by the way.
  8. Bang! is offline
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    Light Heavyweight

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    Posted On:
    12/29/2006 7:33pm

    supporting memberBullshido Newbie
     Style: Wu Style TCC + BJJ

    --
    Hell yeah! Hell no!
    I probably would have the surgery, with the full expectation of being disappointed with the doctor's clarity of conclusions.
  9. Hands is offline

    Registered Member

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    Minnesota
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    322

    Posted On:
    12/29/2006 8:21pm


     Style: Mongolian

    --
    Hell yeah! Hell no!
    My suggestion is to see a specialist in shoulder surgeries, they can tell if the instability could be helped or not. I had a similar problem where my anterior capsule was stretched out. The capsule is the sheath of tendons around the ball and socket shoulder joint. Working on stabilizers like the rotator cuff will protect this area and will help. I had surgery done without and exploratory work. Don't let anyone do orthascopic surgery on you unless they specialize in shoulders.

    After I had my surgery it was 2 months before I could really do any training. Expect 6 months before you get 100% mobility. You can still train in the 2-6 month period. I do a lot of locks and throws so I think its a good benchmark for a similar surgery.
  10. bob is offline
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    Prophet of Apathy

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    Sydney, Australia
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    Posted On:
    12/30/2006 3:39am


     Style: MMA

    --
    Hell yeah! Hell no!
    Quote Originally Posted by Backdraft
    Oh crap, I forgot to say what exams I've had. X-ray twice, and docs felt my shoulder up too.
    I just tested the thumb thing, and I can't do it. I can grasp my hands behind my head in the way you described though, so yeah, I'm hypermobile. The docs already said something about the labrum, but they were very vage, so I did'nt really pickup on it.

    Now regarding rehab, I'm already doing that, and it has been working, that's fine. And I am careful with my shoulders, I don't stress them more then I have too. Since I'm a pure grappler at the moment, all I really have to be careful with is shoulderlocks, too.

    My number one question, and I'm sorry if it did'nt come clear across in my first post (not native speaker) is this: Should I get an examinative surgery on my shoulder, or just go on with my stability exercises?
    Thanks everyone for the tips and websites, by the way.
    I wouldn't have surgery without an MRI at the very least. Pure XRay is next to useless in this case.
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