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tradmanclimbs
Ice climber
Pomfert VT
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Jan 11, 2015 - 07:04am PT
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It's important to have a doc who is not just in it for the $$$$$ I was essentualy cripled. Working with one hand. had my boss known how screwed up I was I would have been layed off for certain.. My doc told me that rehab from shoulder surgery would be at least 3 months before i could do construction work so why nott give me a giant shot of cortezone and try the rehab first. it worked. Obviously what he saw in the MRI helped him make that decision.
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LilaBiene
Trad climber
Technically...the spawning grounds of Yosemite
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Jan 12, 2015 - 08:48pm PT
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Today my PT figured out why I've been howling -- she said that the problem isn't actually my shoulder (that's doing great! woohoo!), but rather my neck. Apparently the nerves in the neck and shoulder can gang up on you, leading to muscle spasms that pop up all over the place. (I'll never forget waking up in the middle of the night and feeling the golf ball spasm in my bicep just above my elbow -- I have practically no bicep left, but it managed to curl itself into a rather sizeable knot anyway.) Turns out that the sling caused the problem with my neck -- go figure.
She gave me some neck and wing-span-type stretches against the wall, and, wow, what a lifesaver. My hope has returned. ") (And, thankfully, my sense of humor, too.)
In the meantime, I ordered the Back Buddy thing from Amazon to use with the Trigger Point Therapy manual -- it looks truly medieval -- but it worked on one knot already. I begrudgingly ordered Cramp911, too, as oppressively priced as it is, just for emergencies, because it actually works.
I really appreciate all of the thoughtful and great advice. Going to pick up a different tens unit -- the one I have has set programs that are just a little too aggressive for my shoulder to take just yet. Today they upped me to 4 pads @ PT with ice, and I've been pain-free nearly all day (no Advil, either!).
My other approach has been to optimize my nutrition -- I picked up a slow cooker last week and have been drinking / eating bone broth soup with lots of anti-inflammatory seasonings and high nutrient veggies. I was pretty skeptical until this morning when my PT showed me that I have great range of motion -- I think it's really helped to be consuming the basic healing building blocks. And...I don't "juice," but a few months ago I did pick up a killer blender on deep discount on amazon (it even makes hot soup!!!) and try to drink a big bottle of healthy pureed fruits and veggies (the more colorful, the better) together with anti-inflammatory spices and such (e.g., turmeric, cinnamon, kelp, cayenne, hot curry, fresh ginger, resveratrol, flax & chia seeds, etc.).
I'm going to get in the pool tomorrow morning and use the kickboard for a good bit, which should help flush a lot of the cortisol and other garbage that's built up in my system the last few weeks. Usually helps tone down the muscle spasms, too.
Hey -- thanks, again, for all the input and support -- that's helped me immeasurably, too. ")
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blahblah
Gym climber
Boulder
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Jan 29, 2015 - 05:50pm PT
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I had surgery two days ago to fix the damage I sustained in a fall six weeks ago.
The surgeon thinks it went well--everything got attached to to where it's supposed to be.
Now six weeks in a sling, and we'll go from there.
My surgeon is young, which I know doesn't always correlate to the best outcomes. But he's a sports medicine guy, got good training (fellowship at Kerlan-Jobe, which I see did a good job for ksolem), is motivated and conscientious, and what can you say, everyone has to get experience.
Hope you're all doing well. This stuff isn't always easy to deal with, but I'm grateful to get good medical care that at least gives me a shot for a good recovery. If nothing else, I've developed a lot more sympathy for injured people and especially people who don't get the medical care that they need.
Here my MRI summary--the surgeon had a busy afternoon working on me:
Impressions
1. Complete tear, with retraction, of the distal supraspinatus and infraspinatus tendons. Strain and partial tear of the infraspinatus muscle and mild strain of the supraspinatus. There is also strain of the teres minor.
2. Capsular injury, with tear of the humeral attachment of the inferior capsule and inferior glenohumeral ligament, anterior and posterior band.
3. Severe partial tear of the long head biceps tendon both in the bicipital groove and intraarticular and a portion appears subluxed over the anterior superior subscapularis tendon.
4. Evidence of tear in the posterior superior labrum in the 10 to 12 o'clock position and at the biceps anchor. There is also a probable nondisplaced or partial tear of the anterior inferior labrum.
5. Moderate degenerative change acromioclavicular joint, with bone marrow edema indicating an acute component to the arthropathy or injury.
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Ksolem
Trad climber
Monrovia, California
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Jan 29, 2015 - 06:45pm PT
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Christ Blah, You might have even out done me with that mri report. Just remember the guys who write those reports are in the business of "hanging the curtains" to lower your expectations. Your Doc came out from the best learning environment IMO. There are places that are better at degenerative joint problems, auto immune joint problems, the list goes on. But for traumatic sports injuries that group is the best (YMMV.)
Get on the therapy when you're cleared for takeoff. I was climbing easy in 6 months. After a year it felt like it never happened and still does. Something about a trip around the sun...
I stalled out at the strengthening phase of rehab (after ROM,) but Pilates won the day. But to each their own.
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