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Shoulder / Rotator Cuff Problems Message Board
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Old 03-18-2011, 11:53 AM   #1
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Misdiagnosis?

Hi everyone, hopefully someone can shed some light on this for me.

Late January, I was walking home from class on my university campus and another student, who must've been rushing for the bus, ran past me. In order to make sure his body dodged me, he quickly darted to the side. As he did, the backpack he was carrying over one shoulder swung out and collided with my anterior shoulder on the left side. Judging by how heavy it was, he must be a science student or something. It was powerful enough to knock me backwards into the boy walking behind me who promptly used the heels of both his hands to catch me. His hands grabbed my shoulders from behind. I was nearly in tears as it hurt so terribly, but because it was late and I had homework to do, I went back into my residence building and just took some advil and put a warm beaded bag on it. When I woke up the next morning I was in searing pain and knew it was worth than I had originally assumed. I went to the clinic.

The doctor I saw felt around, lifted my arms, made me cry in pain, and told me it was sublexed. He told me to take more advil, gave me a sling and suggested physiotherapy.

Here's the problem: I've been going to physio for a few weeks, and they've been working on my shoulder. I had an appointment on the Monday, however on the night after, while carrying my Brita filter in that hand, a shock started in my shoulder, flew through my arm and my hand released the Brita uncontrollably. It did that twice more that night and I feel it in the core of my bone and tingling in my fingers and hand.

I went to the physiotherapist the next day for a previously scheduled appointment and complained about the incident. Wide-eyed, she looked at me and said, "well, that's not good". We did the normal machines but with a very light setting. Afterwards, she touched my shoulder, and I complained of the same feeling. She was forced to send me to the Sports Med doctor across the hall, who has now ordered an MRI, concerned that I may have a separate issue with my nerve endings or, possibly, I may have torn part of the muscle. It may be both. He says its for sure not my rotator cuff, so that's out. Both specialists were curious as to who the original doctor was that diagnosed me.

What is going on? Who is right? From my description, who can tell me what maybe has happened? I will take any educated guess.

Last edited by KaylaElysia; 03-18-2011 at 11:55 AM.

 
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Old 03-18-2011, 12:51 PM   #2
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Re: Misdiagnosis?

You need that MRI to see what is going on inside your shoulder. A subluxation is a dislocation....it may have dislocated when you were hit and then popped back in by itself but it did damage while out. If it subluxated, it may have damaged one of the nerves going down the arm and that can take months to heal(like 6-8 months). If there are torn muscles or ligaments or tendons, that may take a long time to heal as well. Having had rotator cuff surgery, it was 3 months before I was even allowed to try lifting anything. I do mean it takes TIME.

But since you can't see what was hurt or torn, you need the MRI to try to figure it out. A lot of structures in the shoulder. I don't know that anyone can guess what exactly happened to you.

But you now have a good doc and once you get the MRI, you'll know and know if it can heal on it's own or needs to be fixed surgically.

Let us know what the MRI says.

hugs..........Jenny

And if you have a tear, it may need to be fixed through surgery.

 
Old 03-20-2011, 03:45 PM   #3
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Re: Misdiagnosis?

the mri and a shoulder specialist. go for the best

 
Old 03-21-2011, 11:26 AM   #4
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Re: Misdiagnosis?

Quote:
Originally Posted by KaylaElysia View Post
Hi everyone, hopefully someone can shed some light on this for me.

Late January, I was walking home from class on my university campus and another student, who must've been rushing for the bus, ran past me. In order to make sure his body dodged me, he quickly darted to the side. As he did, the backpack he was carrying over one shoulder swung out and collided with my anterior shoulder on the left side. Judging by how heavy it was, he must be a science student or something. It was powerful enough to knock me backwards into the boy walking behind me who promptly used the heels of both his hands to catch me. His hands grabbed my shoulders from behind. I was nearly in tears as it hurt so terribly, but because it was late and I had homework to do, I went back into my residence building and just took some advil and put a warm beaded bag on it. When I woke up the next morning I was in searing pain and knew it was worth than I had originally assumed. I went to the clinic.

The doctor I saw felt around, lifted my arms, made me cry in pain, and told me it was sublexed. He told me to take more advil, gave me a sling and suggested physiotherapy.

Here's the problem: I've been going to physio for a few weeks, and they've been working on my shoulder. I had an appointment on the Monday, however on the night after, while carrying my Brita filter in that hand, a shock started in my shoulder, flew through my arm and my hand released the Brita uncontrollably. It did that twice more that night and I feel it in the core of my bone and tingling in my fingers and hand.

I went to the physiotherapist the next day for a previously scheduled appointment and complained about the incident. Wide-eyed, she looked at me and said, "well, that's not good". We did the normal machines but with a very light setting. Afterwards, she touched my shoulder, and I complained of the same feeling. She was forced to send me to the Sports Med doctor across the hall, who has now ordered an MRI, concerned that I may have a separate issue with my nerve endings or, possibly, I may have torn part of the muscle. It may be both. He says its for sure not my rotator cuff, so that's out. Both specialists were curious as to who the original doctor was that diagnosed me.

What is going on? Who is right? From my description, who can tell me what maybe has happened? I will take any educated guess.
Kaylaelysia. My educated guess would be that the shoulder you have should be examined properly and in theory your PT having gone to school for many years should be the person to be able to do this. However you mention the "normal machines", this makes me uneasy, ice maybe, but most machines like ultrasound are probably useless. The machine which will tell you most is a diagnostic ultrasound. MRIs are the favourate on this site and as I have said before show you all sorts of useless information. Get you doctor or PT to tell you if you have a capsular pattern of stiffness in your large shoulder joint, ie each joint movement will be more or less compared to another of three movements. Test for muscle weakness and if it is found it will tell you where the nerve is damaged. If there is weakness it can be a nerve or it can be a torn muscle or tendon or even ruptured. Your PT should have the knowledge to tell one from another much better than the average PCP. The picture is complicated as there are more than one joint in the shoulder complex. Also there are bursae whixh can be irritated. It is the interpretation of all these factors which will give you the diagnosis and the ability to have it treated properly.
James

 
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