Discussions By Condition: Shoulder conditions

Some advice plz on shoulder injury!!!

Posted In: Shoulder conditions 3 Replies
  • Posted By: Anonymous
  • March 22, 2007
  • 09:08 AM

This seems to be a popular place to get some good advice on what may be going on.....so...6 weeks ago I was playing basketball game for a league through my university when I took a dive for a live ball. I landed with my arm extended in an attempt (successfull lol) to save my face from hitting first. Felt a giving sensation, but it wasn't quite like a seperation or dislocation. My main complaint was that I had an enormous amount of weakness immediately, the pain did not set in until I got off the floor and calmed my heartbeat. Any movement for the first 10 days was hindered by an unimaginable amount of pain. First attempt to see the doctor in the ER was unsuccessful, I just got dismissed with a possible rotator cuff tear and some ibuprofen...lol. Went to my regular doc and he ordered and MRI and Arthrogram. In the meanwhile, pain subdued (never had any tenderness, only had a pain deep inside shoulder), restored movement. Any outward (sideways) motion causes tremendous pain at about 30degrees. I am able to lift my arm frontwards with some pain....however when lowering my arm to the side it catches badly and is relieved with a pop. MRI and Arthrogram results just got in....6 weeks down the road due to scheduling dillemma. It showed a labrum tear.....SLAP tear (biceps tendon still attached) and a partial thickness supraspinatus tendon tear. Doctor told me that it is standard for Physical Therapy to be first option, however surgery is optional. I have been doing exercises to maintain motion, and frankly have no faith in Physical Therapy due to past injuries. I am not discounting the need for PT specialist, however, I am a 21 yr old athlete, who has no problem restoring strength, provided my pain is minimal. I had a Knee partial reconstruction, MCL replacement with ACL reco., Meniscal repair, LCL recon. and did all the therapy myself, once the problem was fixed.

However....I am no shoulder expert. As I stated, my concerns are returning to an active lifestyle asap. Should I attempt to try PT, or opt for arthroscopic surgery for quick return to normal activity.

Please....any responses welcome, also anyone with a similar injury please contact me with your status...opinions.....etc...

Thanks....

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3 Replies:

  • I feel for you. I had my arm almoest ripped off in an accident and had to have surgery to correct it. Problem I encountered was that I also had a very aggressive PT who never headed my cryouts of extreme pain. End result was after 3 months of rehab and a descent recovery, she took it too far one day and broke the anchor in my shoulder which sent me right back on the surgeons table for a second time and 5 more months of rehab. Personally I would let them cut and be done with it. Good luck
    Anonymous 42789 Replies Flag this Response
  • here is a more on what is goin on.....Does anyone have understand what a SLAC (Superior labrum, anterior cuff) lesion that involves an association of anterior-superior labral tear with a partial supraspinatus tear actually is? How it is caused? I have recently been notified that this may be what happened to myself....as described above? How it is best treated.....? The only thing that I really do understand is that it is associated with throwing athletes....which is odd because I was pretty sure that I haven't done alot of throwing in my time,,,....especially with my non-dominant arm.....however....the Dr.....thinks it may be what is going on. is there any different treatment than the typical SLAP lesion????? I do know that my acomion, which seems to contribute to such an injury, is flat on the undersurface, however it was noted that it has an exagerrated angulation toward the posterior side....which could cause some bad contact with my partial thickness torn supraspinatus at the critical zone.....let me know what yall think...?????? thanks in advance
    Anonymous 42789 Replies Flag this Response
  • This seems to be a popular place to get some good advice on what may be going on.....so...6 weeks ago I was playing basketball game for a league through my university when I took a dive for a live ball. I landed with my arm extended in an attempt (successfull lol) to save my face from hitting first. Felt a giving sensation, but it wasn't quite like a seperation or dislocation. My main complaint was that I had an enormous amount of weakness immediately, the pain did not set in until I got off the floor and calmed my heartbeat. Any movement for the first 10 days was hindered by an unimaginable amount of pain. First attempt to see the doctor in the ER was unsuccessful, I just got dismissed with a possible rotator cuff tear and some ibuprofen...lol. Went to my regular doc and he ordered and MRI and Arthrogram. In the meanwhile, pain subdued (never had any tenderness, only had a pain deep inside shoulder), restored movement. Any outward (sideways) motion causes tremendous pain at about 30degrees. I am able to lift my arm frontwards with some pain....however when lowering my arm to the side it catches badly and is relieved with a pop. MRI and Arthrogram results just got in....6 weeks down the road due to scheduling dillemma. It showed a labrum tear.....SLAP tear (biceps tendon still attached) and a partial thickness supraspinatus tendon tear. Doctor told me that it is standard for Physical Therapy to be first option, however surgery is optional. I have been doing exercises to maintain motion, and frankly have no faith in Physical Therapy due to past injuries. I am not discounting the need for PT specialist, however, I am a 21 yr old athlete, who has no problem restoring strength, provided my pain is minimal. I had a Knee partial reconstruction, MCL replacement with ACL reco., Meniscal repair, LCL recon. and did all the therapy myself, once the problem was fixed. However....I am no shoulder expert. As I stated, my concerns are returning to an active lifestyle asap. Should I attempt to try PT, or opt for arthroscopic surgery for quick return to normal activity. Please....any responses welcome, also anyone with a similar injury please contact me with your status...opinions.....etc...Thanks....Your case is the perfect one to try proliferant therapy with, go to www.getprolo.com -;read what it is all about but it has worked well for many I know
    Anonymous 42789 Replies
    • November 8, 2007
    • 00:32 AM
    • 0
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