Shoulder pain

[Cheib]

goldblum said:

Cheib said:

Bolebroke said:

Dislocated my right shoulder Monday afternoon. Consultant surgeon in Poole says last thing you should do is operate on shoulders - high risk and no guaranteed success...rusty screws and stretched ligatures etc require readjustments. Rest and recover at your own pace for 6-9 months then revisit. He reckoned 90% get full range of movement back once scar tissue has formed and pain dies down. And the 2 inch protruding clavicle on one side is a great talking point!

Bit of a generalisation, shoulder is the most complicated joint in the body and there are many types of injuries!

I've got a labral tear and a large piece of cartilege loose following my dislocation....they wouldn't operate for the latter but the former means I am going under the knife on Wednesday and they will remove the cartilege at the same time.

Bolebroke is right about 'no guarenteed success'. I guess with a labral tear you have no option though.

No....it's of maximising your chances. Whatever the course though it's all about doing physio and rehab properly. Amount of people that you hear say "I've got a dodgy knee/shoulder/ankle....injured it a few years ago and never been right since"....when you ask if they did the rehab it's astounding the amount of people that don't do it.

[goldblum]

Cheib said:

goldblum said:

Cheib said:

Bolebroke said:

Dislocated my right shoulder Monday afternoon. Consultant surgeon in Poole says last thing you should do is operate on shoulders - high risk and no guaranteed success...rusty screws and stretched ligatures etc require readjustments. Rest and recover at your own pace for 6-9 months then revisit. He reckoned 90% get full range of movement back once scar tissue has formed and pain dies down. And the 2 inch protruding clavicle on one side is a great talking point!

Bit of a generalisation, shoulder is the most complicated joint in the body and there are many types of injuries!

I've got a labral tear and a large piece of cartilege loose following my dislocation....they wouldn't operate for the latter but the former means I am going under the knife on Wednesday and they will remove the cartilege at the same time.

Bolebroke is right about 'no guaranteed success'. I guess with a labral tear you have no option though.

No....it's of maximising your chances. Whatever the course though it's all about doing physio and rehab properly. Amount of people that you hear say "I've got a dodgy knee/shoulder/ankle....injured it a few years ago and never been right since"....when you ask if they did the rehab it's astounding the amount of people that don't do it.

"Maximising chances" is one way of looking at it. But once the shoulder's been cut into it's very, very unlikely for someone involved in sport their shoulder will return to 100% function. In fact I know of no one for whom this has happened, but some who can now use their shoulder but with no real strength for sport. For a complete tear obviously surgery is necessary, but I've seen a number of people recover full usage from partial tears in situations where surgery was recommended by specialists.

In situations where there is no other option then surgery, obviously, is necessary. But the current trend in sports injuries involving shoulders is moving away from surgery towards long term physio, wherever possible. It's the same with cortisone injections.

[HumbleJim]

My frozen shoulder started summer 2011, still restricted movement although not nearly as painful as the early days. Aided and abetted by a break of the humeral head winter 2013.

I'm hoping to come through it this yr. My regret is not taking the surgical option at the begining.

[goldblum]

HumbleJim said:

My frozen shoulder started summer 2011, still restricted movement although not nearly as painful as the early days. Aided and abetted by a break of the humeral head winter 2013.

I'm hoping to come through it this yr. My regret is not taking the surgical option at the begining.

Why? If you'd had surgery it might well have taken exactly the same amount of time afterwards for you to recover to where you are now. And don't forget the risks associated with the surgery... .

[HumbleJim]

goldblum said:

HumbleJim said:

My frozen shoulder started summer 2011, still restricted movement although not nearly as painful as the early days. Aided and abetted by a break of the humeral head winter 2013.

I'm hoping to come through it this yr. My regret is not taking the surgical option at the begining.

Why? If you'd had surgery it might well have taken exactly the same amount of time afterwards for you to recover to where you are now. And don't forget the risks associated with the surgery... .

My wife had keyhole (capsular release) surgery. It was very successful, a few physio sessions and some exercises. It took a couple of months to get back to normal.

I decided to "man it out" exercises, several different physios, corticosteroid injections. It's almost 3 yrs now and still poor range of movement and some pain.
At it's worst the pain was excruciating, this made sleeping, dressing, driving amongst other things a challenge.

[goldblum]

HumbleJim said:

My wife had keyhole (capsular release) surgery. It was very successful, a few physio sessions and some exercises. It took a couple of months to get back to normal.

Excellent news. Capsular release is at the less intrusive end of possible shoulder surgery options and has a high success rate.

HumbleJim said:

I decided to "man it out" exercises, several different physios, corticosteroid injections. It's almost 3 yrs now and still poor range of movement and some pain.
At it's worst the pain was excruciating, this made sleeping, dressing, driving amongst other things a challenge.

You have my sympathy. Though manning it out is not really the concept here. Major shoulder surgery can be seriously decapacitating (arm in sling for weeks, time off work, months and months of physio and often people don't return to 100%) so if your job/sport depends on shoulder usage often it's better to avoid shoulder surgery. I've had injections for frozen shoulder as well - they didn't work. I've also had steroid injections in my hip, which did.

[Grandpad58]

And I have ,the doctor gave me some gel to rub on, also recommended to exercise it.

It is now a lot less painful so I must be on the mend.

Thanks.

[Cheib]

goldblum said:

Cheib said:

goldblum said:

Cheib said:

Bolebroke said:

Dislocated my right shoulder Monday afternoon. Consultant surgeon in Poole says last thing you should do is operate on shoulders - high risk and no guaranteed success...rusty screws and stretched ligatures etc require readjustments. Rest and recover at your own pace for 6-9 months then revisit. He reckoned 90% get full range of movement back once scar tissue has formed and pain dies down. And the 2 inch protruding clavicle on one side is a great talking point!

Bit of a generalisation, shoulder is the most complicated joint in the body and there are many types of injuries!

I've got a labral tear and a large piece of cartilege loose following my dislocation....they wouldn't operate for the latter but the former means I am going under the knife on Wednesday and they will remove the cartilege at the same time.

Bolebroke is right about 'no guaranteed success'. I guess with a labral tear you have no option though.

No....it's of maximising your chances. Whatever the course though it's all about doing physio and rehab properly. Amount of people that you hear say "I've got a dodgy knee/shoulder/ankle....injured it a few years ago and never been right since"....when you ask if they did the rehab it's astounding the amount of people that don't do it.

"Maximising chances" is one way of looking at it. But once the shoulder's been cut into it's very, very unlikely for someone involved in sport their shoulder will return to 100% function. In fact I know of no one for whom this has happened, but some who can now use their shoulder but with no real strength for sport. For a complete tear obviously surgery is necessary, but I've seen a number of people recover full usage from partial tears in situations where surgery was recommended by specialists.

In situations where there is no other option then surgery, obviously, is necessary. But the current trend in sports injuries involving shoulders is moving away from surgery towards long term physio, wherever possible. It's the same with cortisone injections.

Well I had the surgery this morning. Discovered that despite my injury only being three weeks ago I had a relatively aggressive case of frozen shoulder given the time frame I.e. It was about to get a lot worse. I had noticed over the weekend my shoulder had felt worse.

So I had a capsular release, bone excision but no labral repair. Consultant said I would have had very poor/restricted movement if he'd done that too. Rehab starts Friday with exercises to do straight away. Been made plain to me that it's one of those things that you can't be half hearted with! I had some very,very painful Physio a few years ago after having a compartment decompression so I know what's coming....

We're going to see how the shoulder behaves and then I may have to have the labral repair at a later stage!