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  Topic Review (Newest First)
06-07-2014 07:40 AM
West Baden Iron I went back to the dr on Wednesday. We had a long discussion and he is a little hesistant to do surgery at this point. He thinks I am causing myself pain (mostly in my shoulder blade area) because I am overcompensating for the bicep tendon tear.

He gave me a steriod shot in the tendon and wants to see how that affects my pain. I am scheduled to go back in 2 weeks to make a decision the future. 2 days later and my shoulder is almost pain free. I worked fairly hard at work yesterday doing things I never could have done last week. I didn't push it, I just had much better movement and seemingly more strength, especially extended reach strength.

I'm hoping this will be part of the solution along with some PT, rather than surgery. I guess in a few weeks I will find out what the doctor thinks. I am trying to schedule an appointment with another doctor in the sports med clinic, but I can't get in for a month or so as of now. I'll probably wait until my next appointment to decide if I will get a second opinion, especially if the first opinion says surgery is the next step.
05-31-2014 05:11 PM
West Baden Iron Thanks for all the replies guys. I will have a long talk with the surgeon on Wednesday and see what he thinks the next steps will be.

There is another sports medicine clinic close by, so I may get a 2nd opinion from them, if I'm not satisfied after talking to my surgeon.
05-31-2014 08:12 AM
Argo Viola is a fellowship trained hand surgeon and ortho trauma surgeon. He is great at those. His partners specializing in shoulder sports medicine are Peter Millet and Tom Hackett, all of which I work with regularly. Hackett is the.US snowboard teams surgeon and actually has a line of Burton jackets named after him. Both are amazing shoulder sports medicine guys....

I could not classify your injury in the same fashion as a BT/RC tear..... We also see tons of proximal humerus fractures during ski season and Randy is great with those broken bones!
05-31-2014 08:01 AM
purekarma I destroyed my shoulder 14 months ago. Severe dislocation, pulverized the humerus, and torn labrum. I was treated by Dr. Randy Viola, of the Steadman clinic, who is one of the best around. I did not have to have surgery, but because of the severity of the fractures I was in a sling for 2 months. When I got to take that sling off and start PT I had horrible muscle atrophy, only 7 degrees of movement in the shoulder.

I really don't know what to tell you when it comes to the surgery. I am 38 years old, and can tell you that you need to be prepared to put some serious time in with you PT I and strength training if you want that shoulder to be back to what it was. I did 7 months of rehab on mine to get it to 90%, and still go 3 times a week with a strength coach. I would say I am at 95% right now, in way better shape, and much stronger than I have ever been. You need to be very dedicated to your rehab, and be prepared to have lots of down time.
05-31-2014 07:55 AM
racer357 When I quit racing MX, my shoulders were junk. I had dislocated both of them so many times without rehabbing they would basically fall out if I sneezed wrong.

My doctors thought that if they tightened them where they were coming out, they would just go out the other direction.

Two years of bi weekly PT and they were strong again and haven't came out since 2000.

I am 41 yo, and if one was to dislocate today, I would have surgery and be done with it by the time next season starts.
05-31-2014 02:07 AM
rambob Welcome to the world of: 'I have a F'd Up Shoulder'..... The shoulder is by far the worst/complex of all the major 'hinges' (knee, hip, ankle) to fix and in turn rehab. I'm not a Dr and I dont play one on the interweb, but I've got one partial joint replacement in my right shoulder and a left one that we (me and my ortho surgeon have kind of written off cause 'I can live with it (the discomfort). My perspective is no matter what course you take it will take a long time to get your shoulder back to a good level of comfort/performance/strength or whatever you use as a measure. I also feel that once you substain a injury (no matter how or what you do to fix it) it will get hurt easier: Most Drs I've talked to believe this as well. l also believe in 2nd, 3rd , and 4th opinions on surgeries, PT, rehab, diet and anything else that relates to the body part that is hurt. Me and my insurance companies have spent about $200k on my shoulders on and off since I initially did my first 'big hurt' in 95 and the will never be 'as good as they were before'. Good Luck and have patience!
05-31-2014 01:10 AM
Mizu Kuma Like Argo suggested, I'd go and get the surgery done!!!!!

Whilst I'm no medical expert, I'm pretty sure any torn tendon is not goin to heal if you continue to mobilise it????? Much like a bone repairs itself when it's immobilised, tendons and ligaments are no different!!!!!

When I dislocated my shoulder I luckily kept it immobile until I had the Doc pop it back in properly!!!!! Whether you did further damage by tryin to use it is anyone's guess, but it's too late for assumptions like that anyways!!!!!

Based on my Achilles (I'm guessin that all tendons will behave in a similar way), I'd get it all stitched and anchored, then keep the shoulder COMPLETELY immobile for at least 8 weeks!!!!! From that point, it'll all be about gettin movement back by stretching the very same ligaments and tendons back to where they will give you complete movement to how it used to be!!!!! This can be the hardest and the most painful part of the process, as this is where the extent of you're recovery is completely up to you!!!!!

The healing stage is the most important period though, as I've seen so many of my mates think that it was okay to use their broken wing on the odd occasion, and some to the point where they were then facin another bout of surgery due to the tear not only bein unable to heal properly, but in most cases reopening and puttin everythin back to where they started!!!!!

Maybe a load of rubbish in there, but I wish ya a full recovery whatever way ya read it!!!!!
05-30-2014 11:55 PM
Originally Posted by West Baden Iron View Post
Thanks. Definitely a lot of injury talk lately.

I want to get this done and be ready for the start of next season if possible.
Same here my season ended due to a work injury the beginning of march... been in PT for about 3 weeks now and hate to say it but actually looking forward to going back to work in 6 weeks.... if lucky... being active the hardest thing has been not being able to get around like normal.... Just looking forward to next season for sure, I bet you'll be back at it next season stay positive and listen to the docs!
05-30-2014 09:44 PM
West Baden Iron
Originally Posted by Northriver1 View Post
WBI... Good luck and hope you have a speedy recovery! Seems like injuries are kinda the theme around here lately...
Thanks. Definitely a lot of injury talk lately.

I want to get this done and be ready for the start of next season if possible.
05-30-2014 09:43 PM
jml22 Nah, it's ok to ask. It's your body. You need to question people.
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