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Old 11-03-2010, 06:45 PM   #1
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22yr old with shoulder subluxation

Just diagnosed with subluxia nin rotator cuff area. I have had this condition for about a year almost now, and did physical therapy(undiagnosed) for about 3 months. The therapy helped, but not significantly. Now I am on a self rehabilitation plan prescribed by my sports med. doctor, and after about a week I have been experiencing an even more severe arm pain brought on by exercising. I discontinued the treatment and I'm waiting to hear back about what to do about this, she'll probably tell me I'll have to go easier on myself and execute the exercises at a lower intensity. She explained the pain that is coming from my arm is unrelated to my arm and it's really just my brain signals, which I found a bit confusing. Anyway can anyone who has/had this condition relate, give me advice, this has really been a set back for me I don't exercise really anymore, I want to pursue dancing more seriously and can't, and I feel down perhaps even depressed. I'm quite tired and am in constant pain. I guess I need support from someone who understands this pain.

Last edited by maddyh; 11-03-2010 at 06:49 PM.

 
Old 11-03-2010, 07:25 PM   #2
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Re: 22yr old with shoulder subluxation

Was there an mri performed?
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Old 11-03-2010, 07:36 PM   #3
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Re: 22yr old with shoulder subluxation

I also have shoulder pain. Right shoulder more serious no tears or anything spurs, stenosis, and other problem. however I also have allot of problem with pain in the left shoulder thats neck pain radiating down to the shoulder. May be your problem isn't only in your shoulder. Heat and ice alternate help if you are on no pain medication ask your doctor for topical anesthesia Voltaren Gel. You could have some nerve damage causing the pain. Hope this helps you.
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Old 11-03-2010, 07:39 PM   #4
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Re: 22yr old with shoulder subluxation

Thanks for the reply. No MRI yet. The procedure is expensive, so I was hesitant. I just had X-rays done and my cuff/shoulder seemed to be fine. We looked at it together and she didn't show ant great concern. I saw it myself, nothing appeared to be abnormal.

 
Old 11-03-2010, 07:56 PM   #5
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Re: 22yr old with shoulder subluxation

I have severe migraines, bicep pain, neck pain, collar bone pain, and TMJ on top of that. Heat and ice would be good, I forgot about that! And the topical application sounds like it will bring some relief also. Thanks a lot. I appreciate your recommendations!

 
Old 11-04-2010, 02:14 PM   #6
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Re: 22yr old with shoulder subluxation

an MRI will show alot more than an xray trust me. i have had xrays and bone scans that said there nothing wrong with me. i understand how some doctor's can be but that does not mean that there is nothing wrong with you. they put too much trust in xrays. luckily my doc believed me and sent me for the MRI's that i needed. maybe if your Doctor does no more treatment you may want to seek a 2nd opinion. Only you know how you feel and you know your body better than anyone else. Do you mind if I ask how you were injured?
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Old 11-04-2010, 07:30 PM   #7
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Re: 22yr old with shoulder subluxation

I have minor shoulder subluxations that are genetic. A few years ago, I developed Shoulder Impingement Syndrome because of it. You might try doing research on that.

I too have the TMJ, shoulder, neck, etc... problems. They also diagnosed me with Cervicalgia and Myofacial Pain Syndrome. Basically those are fancy names for all that pain and tightness.

I ended up having surgery to help with my shoulder impingement. Because of the subluxations, every time my shoulder shifted out of place when I moved, it caused the nerves and tendons to become "pinched" and created constant inflammation in my shoulder--bursitis, tendonitis, etc... I eventually lost tons of ROM. The surgery was pretty easy since it just involved "cleaning things up" rather than doing repair.

Manual Physical therapy that is done gently to help release the muscles in the TMJ area, neck, shoulder, back and hips really helps with the myofacial pain. You need to find a good therapist who will do hands-on treatment to help you loosen up. My PT gives me exercises to do at home but spends all my visit doing gentle manipulation and trigger point releases. Orofacial triggerpoint releases work wonders, but do really hurt. Your TMJ is connected with your shoulder though so you will need be addressing both at the same time.

 
Old 11-05-2010, 05:39 PM   #8
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Re: 22yr old with shoulder subluxation

sorry i have not gotten back to you.i was wondering how you injured your arm? I like to say that i would stop any exercise until you have a pray for you that all you neeMRI. Xrays do not always show other more serious injuries believe me i've been through this several times myself. I also would like to add that if your doctor won't send you for the MRI that you seek a second opinion as your injury could be more serious and any exercise could do more harm. My shoulder Xray showed nothing but i'm lucky, my doctor believes me when i tell him that i think there is something else going on, my shoulder MRI came back with severe spurring, arthritis, arthropathicchanges in the acromioclavicular joint,same in tne glenohumeral joint. Supraspinatus and infraspinatus tendonosis and mild subcromial/subdeltoid bursitis but thank God no tear in the rotator cuff,no visible labral tear. There is however a 2mm benign-appearing lesion in the glenoid. So as you can tell this is the exact MRI report that I got after the xrays showed nothing. You know your body better than anyone. If it's not right you know it, don't always assume that doctors are always right, that includes radiologists that read films. I hope that this may help you. I suggest that you get that MRI soon. I'll pray for you that you don't have a tear, but, keep in mind that there is always a light for you, and there is always treatment that will work for you. Just be patient, seek the help and the proper treatment and/or medication will come your way. GOOD LUCK!
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Old 11-06-2010, 02:45 PM   #9
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Re: 22yr old with shoulder subluxation

RE Mtn Reader: Wow are you in pain all the time too. I'm sorry to hear about your / condition. The TMJ must be related because it set on right as the arm( audible popping)/ shoulder (audible popping)/back/neck/ collar bone (audible pooping) pain did. Did your surgery allow for relief and progress in healing? I definitely need to look in to the conditions you mentioned. I had a physician tell me this case never really clears up and you just have to adjust you daily life around it and continue with therapy. Is this true? DO you wear a night guard for your TMJ or are you just doing the PT treatment? I did PT and I'm in debt with the co. by a couple hundred dollars, but hope to return soon. I do recall the physical hands on appoach gave much more relief than the weight exercises themselves. With all of this treatment what kind of success level have you achieved- are able to perform any kind of movement you please or are you limited in specific range of motion? Sorry last question what if ib prouffen doesn't cut it in regards to inflammation is this the limit also I hear taking too much of this can cause liver harm which concerns me.

RE Pandora 55: I worked at a cafe doing long hours and very laborous work, developed muscles that spawn out of the tops of my shoulder and base of my neck as my muscle began to lose function in my arms. I did this for the 2yrs. the last 6 mos became very severe and I quit not mention emotional abuse by my bipolar boss who used to take out his frustrations on me. Out of work now, but luckily supported by family members and loans trying to get out of this weird physical segment of my life. I think you're right about getting a second opinion.. Ironically I'm actually taking a modern medicines course now in school that has taught me the value of this and the notion of ones fate of their health must be taken in to your own hands and docs should not be so easily trusted.

Thank you for reaching out you two. I really appreciate advice that is emperical and based off experience.

Last edited by maddyh; 11-06-2010 at 02:47 PM.

 
Old 11-06-2010, 03:37 PM   #10
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Re: 22yr old with shoulder subluxation

I think I had TMJ for many years before I knew what it was so I can't tell for sure if they set in at the same time.

I found out I have hypermobile shoulder joints. The PT sessions really didn't help at all. I tried going that route for 4-5 mos. Gradually, I lost ROM. At it's worst, I couldn't put my hand behind my back at all and it really really hurt to lift my arm up past shoulder height. I ended up having Arthroscopic Shoulder Decompression surgery. They went in and shaved down the underside of my clavical bone. They also cleaned up some "debris" in my rotator cuff. I started PT right after surgery. Within about 3 months, I had full ROM back. My surgery was in 2008. I still get some muscle twinges sometimes when I overdo, but otherwise, no shooting pains anymore.

I've had constant muscle tightness from my shoulder to neck/upper back for about a year before shoulder surgery and in the years since. I always attributed it to the shoulder issues. Come to find out it is a combination of that and my TMJ. What really has helped me more than meds is a combination of trigger point massages/ orofacial releases for the TMJ/ manual physical therapy. With TMJ, the jaw is out of alignment. When that occurs, it throws the entire body out of alignment. Those treatments have helped release muscle tightness/spasms and worked to gently align my body back up. As a topical for the shoulder and neck, I've found that Biofreeze is awesome. You can often find it at local chiropractors, PT's, medical supply places, etc...

For my TMJ, it took a while to get a good treatment. It is hard to find a good TMJ specialist. I ended up finding one who is a functional orthodontist and knows neuromuscular dentistry and works with orofacial pain (see the sticky at the top of the TMJ board). Through testing, he developed a treatment plan for me. For most people, he recommends a lower mandibular repositioning splint to begin with. Because my problems are so severe, I use that during the day and a custom designed nighttime orthotic that keeps me from bruxing and still holds my jaw in the proper TMJ position. (I'd worn a night splint my dentist customized years before and found out by my TMJ specialist that it had been causing my jaw to fall in an incorrect position and making the TMJ worse even though it protested my teeth.) If you do seek out TMJ treatment, please make sure your dentist has training in the areas listed above. Many dentists who treat TMJ can do more harm than good. (There are stories on the TMJ board regarding that.) The downside of things is that most insurance companies don't cover TMJ so I'm very slow in my treatment since I can't afford to do everything at the same time.

 
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Old 11-06-2010, 04:04 PM   #11
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Re: 22yr old with shoulder subluxation

Hyper mobile joints is what my sports doctor suggested I had, and I've experienced what you have pretty much verbatim regarding the PT (no significant relief after 4-5 mos of treatment) and the immobility. I hear wearing a sling with icing helps with inflammation from a chiropractor have you had personal experience with this technique?

I have seen 3 different specialists for TMJ treatment, one seemed promising and legitimate, but wanted to charge me $5,000 for a 6 month TMJ treatment. (like you said insurance does not cover this) So I ordered a splint (which should arrive soon) from a lab and I plan on wearing during the day and at night kind of similar to your plan. I'm definitely going to give biofreeze a whirl thanks for the suggestion.

Surgery is a big decision did you get multiple recommendations before going through with it? Did you seek guidance from chiropractor or orthopedic doctor? Insurance cover any of it, sounds like an expensive procedure.. (don't answer if it's too personal) Has their been more improvement as time goes on? You mentioned you can overdo it, so I'm assuming no dance company future for me... Are you able to be pretty physically active because currently even arm movement running has caused painful effects.

Thanks again.

Last edited by maddyh; 11-06-2010 at 04:06 PM. Reason: error

 
Old 11-06-2010, 06:11 PM   #12
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Re: 22yr old with shoulder subluxation

My dad had some shoulder problems years before and his doc had recommended a good orthopedic doc who specialized in shoulders. Turns out he even treats many of the professional athletes in our area. Because my insurance allowed it, I self-referred myself to him. Based on his initial exam, he knew exactly what my problem was. He was the one who explained the joint hypermobility to me and exactly what was wrong with my shoulder. I did have an x-ray and MRI. They confirmed exactly what he suspected.

About 6 months after surgery, I was mostly pain-free. Any pain I have now is muscular/spasms when I overdo. I will always have the hypermobility. Things like sitting in a meeting at a table writing for hours will trigger spasms because it throws my shoulder out of alignment.

I didn't get a second opinion because I had such trust in this specialist. Because I didn't have any tears in my tendons, it was a fairly straight forward surgery. By being Laproscopic they made two tiny incisions that only had steri-strips on them after the surgery. I only wore a sling for a couple days. Mostly when I slept to keep from moving my arm too much.

I wouldn't say that a sling would probably help too much if you have the same thing I did. Icing can help. Fill one of those paper dixie cups with wax on the outside about 2/3 full with water and put in the freezer. Then peel the top 1/2 of the cup away from the ice. This leaves the bottom of the cup handy for you to hold the ice. Rub the ice back and forth over the inflammed area for about 10 minutes. I've had several PT's and docs all recommend this. (I have some elbow tendonitis right now and my PCP just recommended the same thing again.) He also did recommend the NSAIDS as needed, but I try to stay away from them because of stomach/asthma issues.

TMJ treatment can be very expensive. Be careful with OTC splints. They could help a bit, but they could also cause more problems. I had to spend about $700 for my initial TMJ treatment, but I was able to get two custom repositioning and bruxing splints for about $1700. Phase II will be my biggest cost because it will involve braces and/or crowns since I've worn some of my back teeth flat with the grinding over the years. I need to get my bite back in the correct position and height though. You might try visiting the TMJ board. There are a lot of recommendations of specialists on there.

 
Old 12-21-2010, 09:48 AM   #13
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Re: 22yr old with shoulder subluxation

Quote:
Originally Posted by MountainReader View Post
I have minor shoulder subluxations that are genetic. A few years ago, I developed Shoulder Impingement Syndrome because of it. You might try doing research on that.

I too have the TMJ, shoulder, neck, etc... problems. They also diagnosed me with Cervicalgia and Myofacial Pain Syndrome. Basically those are fancy names for all that pain and tightness.

I ended up having surgery to help with my shoulder impingement. Because of the subluxations, every time my shoulder shifted out of place when I moved, it caused the nerves and tendons to become "pinched" and created constant inflammation in my shoulder--bursitis, tendonitis, etc... I eventually lost tons of ROM. The surgery was pretty easy since it just involved "cleaning things up" rather than doing repair.

Manual Physical therapy that is done gently to help release the muscles in the TMJ area, neck, shoulder, back and hips really helps with the myofacial pain. You need to find a good therapist who will do hands-on treatment to help you loosen up. My PT gives me exercises to do at home but spends all my visit doing gentle manipulation and trigger point releases. Orofacial triggerpoint releases work wonders, but do really hurt. Your TMJ is connected with your shoulder though so you will need be addressing both at the same time.

THIS EXACT THING HAS PLAGUED ME MY ENTIRE LIFE1 Thank GOD I FOUND THIS SITE!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

My whole life I have had double jointed shoulders, severe tmj in both sides, joints clocking, abnormal height, long wingspan, curved spine poor eyesight, a sunken chest, subluxation, random stretch marks and severe wrist tightness. Either I have Marfan or just hypermobility. These last two years my left arm has started to deteriorate. First my elbow tore. It healed in three weeks. Then my left shoulder started to ache. After a year of stretching, two cortisone shots, anti-inflammitories, two orthopedic specialists, three physical therapist, six weeks of physio, three massages and a year later it hasn't healed. The shoulder has gotten worse. The things has been impinged and every time it pops out of the socket, it feels worse. The shoulder cannot function and is in constant pain. The pain has radiated down to my back, causing spasms.

CAN YOU PLEASE GIVE ME ADVICE ABOUT SURGERY?!?!?! I'm desperate. Thanks!

Last edited by jazzyteach65; 12-21-2010 at 09:56 AM.

 
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