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Old 01-06-2010, 11:35 AM   #1
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Help me

hello i really need help i have injured my left shoulder i am a pro cage fighter and got slammed about 2 months ago and got it looked at that night in the er they told my i broke my clavical to take 5 weeks off.I did and it was feeling ok but still had some minor discomfort i recently sighned a huge fight so have been training very very hard about 6 hours a day and the pain is getting worse it is right at the top of my shoulder and it hurts to throw a jab or anything and i am very weak.It does not feel broken just very sore and swollen almost feals brused if anyone can help please do thank you very much. Billy

Last edited by william34; 01-06-2010 at 11:36 AM.

 
Old 01-07-2010, 08:54 AM   #2
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Re: Help me

did they ever actually do an MRI of your shoulder/rotator cuff area? if not, you should probably get one now. there are just so many tendons and ligemants and that joint itself that have to all be fully intact to really move that shoulder in all the many many ways it just can move(it is the most mobile joint in our whole body). so even a tear to one of the tendons there can start to impair your ROMS and create alot of ongoing pain as well. and given what you recently experienced along with all that very hard training, if something DID get torn and this can also be a 'cumulative" injury as well, it would definitely be showing itself.

i went thru a complete tear of that very top tendon that runs along the very top(supraspinatus) and also a partial tear to the tendon directly under it a couple years ago. it was extremely painful when that top tendon just snapped on me one morning and i also immediately lost the ROM to just 'lift up" anything? it snapped in mid lift and i dropped the thing i was holding onto right then and there(only weighed about 10 little lbs?). i would wager a guess here that the very same tendon, that supra? is possibly the one that is giving you some problems from what you described up there. it is also the MOST commonly torn of all the tendons IN that rotaor cuff area too. it just gets used and abused more.

if you already have a good ortho who possibly did your clavical set i would see him about that shoulder. but you can obtain the referral for the MRI from your primary doc first, just to really see what is or is not a problem or damaged in that area. its just much quicker getting the MRI done thru the primary. the thing here is if you actually do have some level of real tearing going on, you do NOT want to let it go till it snaps completely like mine did. it is just a much more in depth type of surgery along with more pain and alot more healing time and PT to get it all back and running again. trust me on that one. but i would NOT wait to get that 'look' inside with the MRI.

the thing is, if you actually did break that clavical, if there was also a good level tear present, which the tendons help to just keep everything where it is supposed to be, it may not be healing correctly either. have you had at least a follow up x ray on that area to really see if things have fully healed back together? its just that clavical attaches to the shoulder there too? either way here you just DO need a good MRI and an eval by a good ortho to really just know anything about whats going on in that shoulder area now. i just would not wait to much longer if i were you. just considering what you actually do for a living,things would become worse not better with time. hopefully things are not to bad in there. good luck, FB
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3-22-01,herniated C-6-7
11-20-01,placement of hardware for failed fusion
9-22-03,removal of cavernous hemangioma that was inside spinal cord. Neuro damage to L hand L leg and R leg.

 
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Old 01-07-2010, 01:45 PM   #3
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Re: Help me

thank you very very much for all of your help and info and they did do a mri.They said i had a small tear that it should be healed within the time of the clavical and it felt great up untill training how long did it take you to recover because what you described is the same thing i have going on sometimes i cannot even put my shirt on and should i ice it for now i mean i dont know how it all works i probly sound like an idiot but thats what my trainers tell me do i need ice or heat? Thank you so muck WB

 
Old 01-09-2010, 10:46 AM   #4
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Re: Help me

your not an idiot, you just are not a doc like i am not either. i learned by experience, which IS by the way a VERY good teacher but on the downside, you end up 'learning' by some pretty crappy stuff just happening to you along the way to even GET there,ya know?

just how large was/is that actual tear and in what particular tendon('small' tear is just pretty general and could mean from mms to actual inches depending)? do you have a copy of your own MRI report in your posession? if not, get one just so you have it, but more importantly to read thru it yourself just to see all the possible findings that would be listed in that very end of the report in the 'summary' at the very end? you can obtain a copy either from your primary doc or the actual place where it was done at, even if it was done at the ER the day of injury?

you just DO have the right to obtain your own copies of any and all medical records anytime and also the very crucial test results of any test done on you too. you just really need this in order to find out the very minimum of the extent of injury you had/have and just how extensive in size that actual tear is in what i am just assuming based upon what i mentioned before, would be the most likely torn and given your symptoms, that supraspinatus tendon like i tore in half?

the one huge thing about tears in any tendon or actual damge or even surgical cutting into any muscle is they both have a much more limited blood supply. what this means as far as healing is a more loner time frame since that crucial blood supply is simply NEEDED to heal. tendons have even less real bloodflow than muscle does. i am just really wondering about this actually 'healing' on its own? like i mentioned before,ALOT of how this will heal depends upon many different factors and how large and close togehter the torn edges really were/are together to even ALLOW true solid contact at least long enough to attatch themselves together at all TO heal.

the thing about any level of true tearing within a tendon like what just makes up mostly the top tendons in the rotator cuff is what would be referred to as more of a 'cumulative/repetive' ongoing type of tearing which is exactly what my little tiny tear that would have started MY snapping in half realistically would have started out as? over time anD repetitive use and wear and tear, espescially with what you have to do for your job and the constant straining and impact upon what IS supposed to be healing for you, i just really cannot see how that could actually happen? ESPESCIALLY IF THIS ACTUALLY is THAT VERY TOP TENDON THAT REALLY REALLY GETS OVERLY USED IN MOST OF US DAILY.BUT LIKE I MENTIONED WITH your ONGOING TRAINING AND JUST WHAT TAKES PLACE 'DURING' YOUR TYPE OF JOB? WELL YOU KIND OF HAVE TO LOOK AT THE OVERALL BIGGER PICTURE HERE? sorry, hit that stupid caps lock and i do not have the time right now to go back and change it.

personally given what you mentioned as symptoms here, i just really do think that that tear, instead of really healing itself, when you restarted training, actually could have torn even more? it can just happen, its just the way torn tendons can be. ice is what i used for my pain after the surgery but you also need some heat to just get that blood supply TO the tendon too? alternating ice for 20 minutes of an hour, then doing the very same thing with heat the next usually is a good way to kind of achieve the best of both? but in all honesty here if you are actually having what you stated just trying to put on a shirt? i really do think getting another follow up MRI really would be in YOUR best interest right now. it would show how well that clavical has pulled together and healed and more importantly show any further advancing of what was considered a 'smaller' type tear initially. it just needs some monitoring from here on out unless you just opt to have it sutured back togehter now? if this get done NOW vs waiting til you just cannot stand it anymore and the tearing just doing what it would naturally do in this type of situation, continue to just keep tearing, it would be just a matter of a good ortho going in with only a small scope right now and placing sutures in it and waiting for like maybe six weeks then doing some restrengthening types of PT to get it up and running to full capacity. if you let this go to the point the tearing either becomes very extensive or actually snaps on you like mine did( and you will NOT feel it comin til it just happens like mine did?) that becomes a much more in depth and more painful surgery/recovery only becasue the true extent of the whole injury. ya know what i mean?

i would really just obtain that follow up MRI right now and truely let that be your guide as to what the next step should be. you just NEED to know what you are dealing with right now. your total future in this whole thing kind of rides just upon YOU being IN the very best shape possible to DO your job. anything compromising that, which this type of injury would just do if left not sutured, would impact this greatly. it would be a very simple procedure now vs waiting ya know? just get this MRIed agin and see whaere you are REALLY at william. please let me know what you find out,K? good luck, FB
__________________
3-22-01,herniated C-6-7
11-20-01,placement of hardware for failed fusion
9-22-03,removal of cavernous hemangioma that was inside spinal cord. Neuro damage to L hand L leg and R leg.

 
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