Thread: Need advice on old injury
10/30/2003 7:52pm, #1
Need advice on old injury
Here we go.
As I already told some of you, I fucked up my shoulder kayaking last summer. I have been to the doctor about the injury (the pain was pretty bad for a while) and after having a CT done, was told that there isn't any serious damage to the joint, that the pain is due to inflamation, and I should just take it easy for a while, take some ibuprofen, and wait for it to go away.
After about two months of not being able to train, the pain more or less subsided. It got to the point that I didn't feel it at all day to day, but would get pretty sharp pain if I pulled my arm back at just the right angle.
At that time I started training again. The problem is that right now, it is still in the same state as it was onths ago. That is, I can train and fight just fine, but I still get sharp jolts of pain when I lift the arm and pull it back at just the right angle. I have gone back to my physician last week and had another CT scan taken, again not revealing any damage to the joint. My doctor suggested that I do physical therapy, but between work and school (both full time) that would mean that I simply souldn't have time to train anymore.
Also, I think that the doctor has no idea of what's actually going on, and is sendyng me to PT more or less out of the blue.
Do any of you have any idea about what this could be, and what kind of strengthening excersizes I can try to do to deal with it on my own? I really don't feel like going to a sports medicine place - getting my insurance to pay for it is gonna be a pain in the ass, and it's really not bothering me enough to justify the trouble. Not yet anyways.You say what about my rice?
10/30/2003 7:55pm, #2
The exact position where it hurts is when I bend my arm behind my head, as in a triceps stretch, and pull back on the elbow. This is the only position when I feel pain, but the pain is pretty sharp.You say what about my rice?
10/30/2003 7:58pm, #3
Physical therapy is a good idea.
It may temporarily take away from training time, but in the long run its worth it.
I'd try a myotherapist.
This trigger point therapy book may help as well:
http://www.amazon.com/exec/obidos/tg...32834?v=glanceThe Wastrel - So attractive he HAS to be a woman.
10/30/2003 8:38pm, #4
- Join Date
- Oct 2003
- Boxing, BJJ
Hapko was it a CT or MRI? Most orthopods use MRI althougha few still do arthrograms. MRI are better at soft tissue in general whereas CT is better for bones etc. Of course not examining you makes it difficult, but my major concerns would be either a tear of the rotator cuff or labrial tear. Hope this helps.
10/30/2003 9:30pm, #5
Hapko: What is your diagnosis.
If you really fucked up that shoulder I would think that CT should show some degenerative changes now over a year post injury. Are you lifting heavy weights?
Rigante: Based on the history given, that the pain went away for a while and then came back as a sharp pain, could it be a little spur or maybe a tiny avulsion?
Also, being as active as he is, would you indicate PT?
Shoulders are really screwed up joints to begin with.
10/31/2003 1:46am, #6
Don't listen to stupid western doctors, just go find some herbal wine to rub on the area. Don't get MRI's because they are bad for chakra
10/31/2003 11:14am, #7
- Join Date
- Oct 2003
- Boxing, BJJ
Usually a plain x-ray of the shoulder should show most of the degenerative changes and would show most fracturesmand its relatively cheap. An MRI also can be usefull with fractures because it identifies the bone edema. I dont know where Hapko's pain is and that makes it real tough to say specfically would be done. My usual procedure is x-Rays first, if physical exam doesnt show any strong signs suggestive of rotator cuff tear then i will proceed with PT and antiflammitories, If after 8-12 PT visits and minimal progress, then I usually go for an MRI. In Hapko case I am assuming he is a young active male and a full court press regarding diagnostics and treatment would be indicated, I hold off on the MRI if the has been previous shoulder surgury as I know the MRI will be abnormal. In that case I do a direct referral to orthopedics because they may want to do an alternative procedure to the MRI.
There are some conditions where an MRI just isnt needed such as an acromiclavicular joint injury. There the joint is close to the surfacce and plain x-rays and exam pretty much tell you what you need to know. Then you procedure with oral antiflammitories and pt, cortisone injection or surgury depending upon what stage of injury it is.
MRI is a great tool albeit an expensive one and have been surprised more than once despite doing a carefull physical exam at what I find.
10/31/2003 11:20am, #8
As I'm sure Rigante knows, but I'm mentioning as a victim of shoulder injury...FULL RECOVERY TAKES FOREVER. You said "months". My shoulder is still not 100%.
Rigante, slow recovery of rotator cuff injuries is partially because of the low blood flow to the area, right?Normally, I'd say I was grappling, but I was taking down and mounting people, and JFS has kindly informed us that takedowns and being mounted are neither grappling nor anti grappling, so I'm not sure what the **** I was doing. Maybe schroedinger's sparring, where it's neither grappling nor anti-grappling until somoene observes it and collapses the waveform, and then I RNC a cat to death.----fatherdog
10/31/2003 11:21am, #9
Amputate! maybe you'll get one of those fancy bionic arms...
I feel your pain...I have a terrible lower back problem and a recurring problem in my neck and trapezius that makes the straight right problematic. It comes and goes..tried creams, yoga, massage therapy, nothing seems to help. I have not tried a chiroquakter but am getting desperate.
I will pray for you.
PS. Face it...you are getting old, like me.
10/31/2003 11:38am, #10
It was definitly a CT. I believe this has to do with my cappy insurance, and the fact that MRIs are more expensive. The strange thing about this injury is that the level of pain has been surprisingly stable. It's not really getting any better after the initial couple of months, and it's not getting aggravated when I train, despite the fact that rolling does put some pressure on the joint. I am trying to be carefull about it, and so far so good.
I think that if I decide to pursue this further, I would have to go to a real specialist in sports medicine or something to that matter. My general doctor more or less demonstrated his inability to deal with this as far as I'm concerned. I would have liked to aviod that, but in any case. I think that unless I start getting better withing a month or so, I will have to go in and see if anything can be done. The pain itself does not bother me much, but I am constantly worried about aggravating the damage.You say what about my rice?