Next steps? Shoulder not healing after spactacular fall.

SixPapaCharlie

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2 years ago, I fell while trimming my crepe myrtles.
You can read the story here. Maybe good for a laugh or two:
http://bryansutternonsense.blogspot.com/2012/03/it-was-time-to-trim-crepe-myrtles.html


So I fell and noted over a two month period my shoulder got worse and worse. I had to use my left hand to hold my right hand up to change the radio station in my car. That's true

I kept waiting it out thinking it is going to heal.
8 months later it had healed but not all the way.

I go to a PT guy and it sort of works but when I stop, it comes back
I go get an MRI which comes back inconclusive. He did say two of my bones that should form a straight line connect in more of a V shape making me more susceptible to pinched nerves, etc

He gives me what the medical industry must call the hell-fire injection deep in my shoulder. It did nothing to help but 2 hours after the shot I had to go home from work. Literally 36 years old and tears in my eyes from the pain of the shot.

slooooooooooooooooooooooooooooowwwly, the shoulder has gotten better and better but never fully recovered. It recovered enough that I rarely think about it. I can do whatever and never have pain beyond a 1 or 2

Over the last 3 months, it has slowly been coming back. As of late, it is pretty bad.
If I move it in specific places, I get shooting pain on the outside of the arm from the shoulder to 1/2 way down to the elbow.

I haven't done anything physically to aggravate it.

So what would most people do?
Do I go get a 2nd MRI, Seek exploratory surgery, Faith healer? :dunno:

If any docs here want, I will gladly upload the MRI photos. They are pretty awesome. I dunno, I need to do something but not sure what the next logical step should be.
 
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go find an orthopedic surgeon that specializes in shoulders. at the risk of sounding like your mother, you should have gone to the doctor immediately after the fall. things like this really don't heal well on their own.

The shot was probably cortizone. I'm dealing with a resurgence of knee problems, 4 years after the surgery. wednesday the orthopod suggested a cortizone in the knee. nope, last time I had one, many years ago, I passed out in the doctor's office.
 
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go find an orthopedic surgeon that specializes in shoulders. at the risk of sounding like your mother, you should have gone to the doctor immediately after the fall. things like this really don't heal well on their own.

I know. I am the stereotypical guy that doesn't go to doctors.
My body has never not recovered from something before.
 
go find an orthopedic surgeon that specializes in shoulders. at the risk of sounding like your mother, you should have gone to the doctor immediately after the fall. things like this really don't heal well on their own.

The shot was probably cortizone. I'm dealing with a resurgence of knee problems, 4 years after the surgery. wednesday the orthopod suggested a cortizone in the knee. nope, last time I had one, many years ago, I passed out in the doctor's office.

I think it might have been a shot of plasma. Not blood plasma, but the stuff which composes the sun. It was horrible.
 
Bryan, if your MRI pix are anything like the injury-scene photos on your blog, I say go ahead and load em up. Would love to hear what a Doc diagnoses from them. :D
 
Bryan, if your MRI pix are anything like the injury-scene photos on your blog, I say go ahead and load em up. Would love to hear what a Doc diagnoses from them. :D

I am going through the DICOM images now and one things for certain, My shoulders look delicious. A little more marbling that I would have guessed but now I want a steak.
 
My manly not a medical professional advice is to very slowly start working out. Pushups, if pushups are hard do them standing against a wall(no one will know if you don't tell.) I've taken a bunch of skeletal rearrangement hits over my life without proper medical care and the best thing for pain and mobility has been to stay in decent shape. Start slow, stay slow, don't push to muscle failure.
 
Either a pinched nerve, or a torn ligament that healed with scaring.
 
Whatever the problem is, adding a red tint to the MRI image makes them mouth watering.
Man we are just a pile of steaks walking around. And flying airplanes no less..

999925101682.jpg
 
I am going to call the shoulder doc tomorrow morning.
2 years is a long time to still be dealing with something.
 
I AM NOT AN MD, MY PhD IS NOT IN MEDICINE!

Sorry for shouting. One more opinion; Neurology consult. If you have pain, and no visible tissue damage, and no structural damage, the next thing is nerve bundles that run from C5, and C6 area across your back and into the shoulder, then down into the arm. Nerve damage or impingement can also result in reduced strength, and muscle development.
 
2 years ago, I fell while trimming my crepe myrtles.
You can read the story here. Maybe good for a laugh or two:
http://bryansutternonsense.blogspot.com/2012/03/it-was-time-to-trim-crepe-myrtles.html


So I fell and noted over a two month period my shoulder got worse and worse. I had to use my left hand to hold my right hand up to change the radio station in my car. That's true

I kept waiting it out thinking it is going to heal.
8 months later it had healed but not all the way.

I go to a PT guy and it sort of works but when I stop, it comes back
I go get an MRI which comes back inconclusive. He did say two of my bones that should form a straight line connect in more of a V shape making me more susceptible to pinched nerves, etc

He gives me what the medical industry must call the hell-fire injection deep in my shoulder. It did nothing to help but 2 hours after the shot I had to go home from work. Literally 36 years old and tears in my eyes from the pain of the shot.

slooooooooooooooooooooooooooooowwwly, the shoulder has gotten better and better but never fully recovered. It recovered enough that I rarely think about it. I can do whatever and never have pain beyond a 1 or 2

Over the last 3 months, it has slowly been coming back. As of late, it is pretty bad.
If I move it in specific places, I get shooting pain on the outside of the arm from the shoulder to 1/2 way down to the elbow.

I haven't done anything physically to aggravate it.

So what would most people do?
Do I go get a 2nd MRI, Seek exploratory surgery, Faith healer? :dunno:

If any docs here want, I will gladly upload the MRI photos. They are pretty awesome. I dunno, I need to do something but not sure what the next logical step should be.


Back in 1978 I tore my meniscus in my knee from college football. To diagnose that, they didn't want to operate, as the arthroscope was only used for seeing a problem. They couldn't operate through it like they do today.

Because cartilage doesn't appear well on X-rays, they did an arthrogram. Never heard of that procedure? Neither did I, because I think they stopped it during the Inquisitions.

They injected my knee with die. Then they injected the knee with air, so it blew up like a balloon. Then they took about 30 x-rays of it from every different angle, twisting and pulling on it so they could see the meniscus tears. Then they put another BIG needle in to drain the air and remainder of the die before sending me home.

I'll tell you this defensive tackle just redefined my pain threshold with that procedure. And it was way above that. So I feel your pain, 6PC.
 
Back in 1978 I tore my meniscus in my knee from college football. To diagnose that, they didn't want to operate, as the arthroscope was only used for seeing a problem. They couldn't operate through it like they do today.

Because cartilage doesn't appear well on X-rays, they did an arthrogram. Never heard of that procedure? Neither did I, because I think they stopped it during the Inquisitions.

They injected my knee with die. Then they injected the knee with air, so it blew up like a balloon. Then they took about 30 x-rays of it from every different angle, twisting and pulling on it so they could see the meniscus tears. Then they put another BIG needle in to drain the air and remainder of the die before sending me home.

I'll tell you this defensive tackle just redefined my pain threshold with that procedure. And it was way above that. So I feel your pain, 6PC.

Ahh, the good old days. I had about a dozen arthrograms in the 70's. Had over 20 knee surgeries. Now I'm sporting two metal knees and pretty much disabled.

Football was not a good choice.
 
Ahh, the good old days. I had about a dozen arthrograms in the 70's. Had over 20 knee surgeries. Now I'm sporting two metal knees and pretty much disabled.



Football was not a good choice.


You're a bad ass. Weren't those fun?

My first knee surgery, I was in the hospital for 6 days. My last knee surgery, I walked in at noon, and walked out at 3:00. Different worlds.
 
Whatever the problem is, adding a red tint to the MRI image makes them mouth watering.
Man we are just a pile of steaks walking around. And flying airplanes no less..

I have also had six shoulder surgeries. :D

Your AC joint (just above the shoulder joint) is a mess. Looks like the acromioclavicular ligament is torn.
 
You're a bad ass. Weren't those fun?

My first knee surgery, I was in the hospital for 6 days. My last knee surgery, I walked in at noon, and walked out at 3:00. Different worlds.

My first one in 1974 was 10 days. Thought I was gonna die.

I'm having arthroscopic surgery to remove bone chips in my ankle on Wednesday. They are leftovers from a break when I was nineteen. I'll be eating chili dogs within an hour of being let out. :D
 
My first one in 1974 was 10 days. Thought I was gonna die.



I'm having arthroscopic surgery to remove bone chips in my ankle on Wednesday. They are leftovers from a break when I was nineteen. I'll be eating chili dogs within an hour of being let out. :D


Good luck with that.

Did I describe the arthrogram correctly?

For my last surgery, the very young doctor looked at my two three inch scars on each side of my knee, and asked "What's that from?" I said "minisectomy, circa 1978." It was almost like he didn't believe me.
 
Good luck with that.

Did I describe the arthrogram correctly?

For my last surgery, the very young doctor looked at my two three inch scars on each side of my knee, and asked "What's that from?" I said "minisectomy, circa 1978." It was almost like he didn't believe me.

Oh, yeah, you did. Blown up like a balloon and farting when it moved...needles six inches long...Brrr!
 
Mrs. Steingar has been having trouble with trigger finger. The hand doc recommended a cortisone shot, which she described in the exact same terms as yours. Yesterday was the first day in the month since that she said she had a diminution in the pain. The trigger finger is still there.
 
get another cortisone shot.

Maybe that is the solution.
The shot is so painful that when it quits hurting, you feel much better and realize the original pain was not so bad.

The medical version of "Ill give you something to cry about"
 
Cortisone is really a short term fix, it can cause long term problems like osteoporosis (weakening of the bone) and other problems if it's used too much.

Maybe an MR arthrogram might help, it's possible you have a small labral tear, which can be hard to see on a normal MRI.

Just shooting from the hip, so take with the appropriate grain of salt
 
I am putting all the MRI pics on a CD and I am going to locate a specialist this morning.
I am at the point where I will do whatever is needed. I am at the point where I have pain at any range of motion where the arm is raised past 90 degrees.

I can lift a bowling ball off the ground no problem but if I raise my arm out laterally and rotate my arm as if I am going to say "How" like an Indian in a racially insensitive movie from the 1960's, there is this sweet spot on the top that hurts like hell.
 
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Shoulder pain is not specific, but maybe read up on subacromial impingement syndrome.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3395987/

"Although impingement symptoms may arise following trauma, the pain more typically develops insidiously over a period of weeks to months. The pain is typically localized to the anterolateral acromion and frequently radiates to the lateral mid-humerus. Patients usually complain of pain at night, exacerbated by lying on the involved shoulder, or sleeping with the arm overhead. Normal daily activities such as combing one's hair or reaching up into a cupboard become painful. Weakness and stiffness may also be encountered, but they are usually secondary to pain."
 
Whatever the problem is, adding a red tint to the MRI image makes them mouth watering.
Man we are just a pile of steaks walking around. And flying airplanes no less..

999925101682.jpg

What you are looking at there is better served as jerk meat than steaks.

Not an MD and only have cursory familiarization at reading that, but I see the same thing in you that is called 'arthritis' in mine. Welcome to getting old. Continued motion through the pain is the only thing I found that eventually brings relief.
 
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I broke my shoulder (along with the 7 top ribs and throw in a finger) falling off a roof years ago. Got crappy treatment from a lousy doctor and never been the same. One thing that helped me with the pain was acupuncture. It's obvious you need more, but that might help you cope. Just get a good one, I know of one doctor that would do a couple 15 minute treatments at a time and double bill the insurance. You really need full hour treatments to be effective, at least that is what I have been told. Hope this helps.
 
Nah, just not thick enough for steaks. When our alien overlords come to harvest their crop, the gym rats will be the first to harvest.:D
Maybe. They are kind of gamey and not well marbled. The free-range types might be preferable because they are "natural".
 
Just scheduled an appt. with an Orthopedic Surgeon for Wed.
I really hope the pain is not permanent. I am 37 which means I am just now getting past the point of believing I am invincible.

Hopefully with the help of knives and fancy tools, they can undo what ever I did when I fell.
 
Just scheduled an appt. with an Orthopedic Surgeon for Wed.
I really hope the pain is not permanent. I am 37 which means I am just now getting past the point of believing I am invincible.

Hopefully with the help of knives and fancy tools, they can undo what ever I did when I fell.

:rofl::rofl::rofl: You're never watched an orthopod work have you? Hammers and chisels brother, hammers and chisels.:rofl:
 
Just scheduled an appt. with an Orthopedic Surgeon for Wed.
I really hope the pain is not permanent. I am 37 which means I am just now getting past the point of believing I am invincible.

Hopefully with the help of knives and fancy tools, they can undo what ever I did when I fell.
Quick to go for the knife imo. Your shoulder so your choice. To a surgeon everything is a nail. Not saying the homeopathic folks aren't nuts cause they are, but there are some exercise related cures that may work.
 
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