It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Shoulder / Rotator Cuff Problems Message Board
Post New Thread   Closed Thread
LinkBack Thread Tools
Old 07-07-2011, 10:19 AM   #1
Newbie
(female)
 
Join Date: Jul 2011
Location: Houston, Texas, USA
Posts: 8
OceanQueen HB User
Wink Rotator Cuff Tear, Cortizone vs. Surgery ?

Hello !

My husband's left rotator cuff has been clicking and hurting for over 3 months now. The pain and discomfort is getting worse over time.
He is a VERY active, sportive 50 yr old.

The MRI was not very revealing, so our Doctor said it is possibly a tear on the INSIDE of the rotator cuff (not very obvious with an MRI),
and a minor bone spur (arthritis?).

The doctor was not very clear as to what the problem really is, so it is hard for my husband to decide what to do:

The Doctor suggested to start with Cortizone injection, see if it works, and if it doesn't he recommended Arthroscopic Surgery - which we understand requires 3 months healing time.

I would appreciate your feedback & advise on this:

1. Prior to deciding on cortizone vs. surgery, should he have an MRI Arthrogram to get a clear picture of what's going on ?

2. Could the cortizone injection heal him, or do you think the Bone Spur will require Arthroscopic Surgery anyway, even if the tear heals ?

3. He is a busy professional. After how long could he go to work, even if he does not use his left hand ?

THANK YOU VERY MUCH FOR YOUR HELP AND SUPPORT !

Last edited by OceanQueen; 07-07-2011 at 10:22 AM. Reason: minor typos

 
The Following User Says Thank You to OceanQueen For This Useful Post:
kolbrun2606 (10-12-2012)
Old 07-14-2011, 10:53 AM   #2
Senior Veteran
(female)
 
Join Date: Jul 2003
Location: Rochester, NY USA
Posts: 950
sawbuck44 HB Usersawbuck44 HB Usersawbuck44 HB User
Re: Rotator Cuff Tear, Cortizone vs. Surgery ?

My husband (54) had the same thing going on. He had xrays that showed some downsloping of his acromion anteriorly. He was started on physical therapy. Did that for a few months with little improvement on pain and popping. Doctor thought he had dislocated his biceps tendon and torn his rotator cuff so he set up an MRI. There was talk of cortisone being only temporary and that he would only get worse.

The MRI showed the ac joint was degenerative, a tear of the anterior supraspinatus with probable tearing of the upper subscapularis and possible longitudinal tearing of the biceps. He had surgery and the doctor started arthroscopically but had to open up the shoulder. He was not able to fully repair the rotator cuff. There was rupture of the biceps tendon (long head) and spurs that were shaved off.

He has been in a sling for a few months. He has taken it out very rarely (it's important to keep it immobilzed while still doing the few motion movements doctor approved). For the first six weeks he slept with it. He was told 3 to 6 month recovery. He just started PT again.

So I guess what I’m saying is, it will only get worse, don't think tendon tears ever heal, and cortisone is temporary. Exploratory surgery (arthroscopic) is what they started with on my husband, then saw the damage and went in to fix it.

Good luck!
__________________
If you open the door even a little bit - the devil will fling it open. Keep it closed with prayer.

Last edited by sawbuck44; 07-14-2011 at 10:56 AM.

 
The following user gives a hug of support to sawbuck44:
OceanQueen (07-15-2011)
The Following User Says Thank You to sawbuck44 For This Useful Post:
OceanQueen (07-15-2011)
Sponsors Lightbulb
   
Old 07-15-2011, 06:32 AM   #3
Newbie
(female)
 
Join Date: Jul 2011
Location: Houston, Texas, USA
Posts: 8
OceanQueen HB User
Re: Rotator Cuff Tear, Cortizone vs. Surgery ?

Dearest Sawbuck44,

Thank you SO MUCH for your most useful advise.
Your case resembles ours, and your comments confirmed
thoughts we had about cortisone, treatment etc.
My husband was asked to start cortisone treatment for a few months,
see how it goes and then proceed with the surgery. We read so many things about cortisone on the internet, so your comments that it didn't really help,
was received with relief, as we decided to skip this part and proceed with the surgery option.

Wishing your husband a speedy recovery.

P.S. I love your quote on not letting the devil in !
!

 
Old 07-15-2011, 06:41 AM   #4
Newbie
(female)
 
Join Date: Jul 2011
Location: Houston, Texas, USA
Posts: 8
OceanQueen HB User
Re: Rotator Cuff Tear, Cortizone vs. Surgery ?

Dear Sawbuck44,

PLEASE ADVISE: HOW MANY MONTHS AGO WAS YOUR HUSBAND OPERATED?

WISHING YOUR HUSBAND A SPEEDY RECOVERY, AND NO MORE PAIN AND DISCOMFORT.

Last edited by OceanQueen; 07-15-2011 at 06:42 AM.

 
Old 07-16-2011, 05:47 PM   #5
Newbie
(female)
 
Join Date: Jul 2011
Location: Houston, Texas, USA
Posts: 8
OceanQueen HB User
Re: Rotator Cuff Tear, Cortizone vs. Surgery ?

Dearest Jen,

Thanks SO MUCH for sharing your experience with us.
I understand your situation and how emotionally and physically painful it can be to have problems after surgery.
We 've been trying to gather knowledge from the Internet, especially this wonderful blog, where people "with our health issue" gather.
I wish I knew the right thing to do - my husband will finally decide what is best for him.

Most people that used cortizone complain about severe pain, lack of long-term results (a minor healing is usually followed by a larger tear a few months later), a lot of side-effects, like mood disorders, hormones imbalance, and increased weight.

We found on the Internet a recent scientific research, according to which the results of rotator cuff surgeries are optimum when people are operated within a year of the tear.

Honestly, any decision related to rotator cuff treatment seems so difficult.

WE WISH YOU A SPEEDY RECOVERY AND LACK OF PAIN.
THANKS FOR YOUR MESSAGE.

Last edited by OceanQueen; 07-16-2011 at 05:58 PM.

 
Old 07-17-2011, 02:30 PM   #6
Senior Veteran
(female)
 
Join Date: Jul 2003
Location: Rochester, NY USA
Posts: 950
sawbuck44 HB Usersawbuck44 HB Usersawbuck44 HB User
Re: Rotator Cuff Tear, Cortizone vs. Surgery ?

two months ago
__________________
If you open the door even a little bit - the devil will fling it open. Keep it closed with prayer.

 
Old 07-19-2011, 02:20 PM   #7
Senior Veteran
(female)
 
Join Date: Oct 2006
Location: highland park, il 60035
Posts: 2,484
debbie g HB Userdebbie g HB Userdebbie g HB Userdebbie g HB Userdebbie g HB Userdebbie g HB Userdebbie g HB Userdebbie g HB Userdebbie g HB Userdebbie g HB Userdebbie g HB User
Re: Rotator Cuff Tear, Cortizone vs. Surgery ?

try the cortisone anyway is my opinion. if it does not work then surgery would be the answer. i am not quite 4 months recovery with that surgery. torn rotator cuff, bone spurs and tear of the bicep. it was the most pain i had after surgery. i am still in pt, but i feel great. the bicep is still tight and i still do get some pain. hope you are seeing a shoulder specialist.

 
Old 10-16-2011, 01:25 PM   #8
Junior Member
(male)
 
Join Date: Sep 2011
Location: canada
Posts: 17
nfld HB User
Re: Rotator Cuff Tear, Cortizone vs. Surgery ?

i was just wondering about the cortizone injections as well. I heard that after a few injection in the shoulder the injections start to weaken the soft tissue (not sure if its true or not....just wondering if its fact or fiction) also i was wondering how much the injection itself hurts when you get it?

 
Old 10-16-2011, 10:37 PM   #9
Facilitator
(female)
 
MountainReader's Avatar
 
Join Date: May 2006
Location: Out West
Posts: 3,664
MountainReader HB UserMountainReader HB UserMountainReader HB UserMountainReader HB UserMountainReader HB UserMountainReader HB UserMountainReader HB UserMountainReader HB UserMountainReader HB UserMountainReader HB UserMountainReader HB User
Re: Rotator Cuff Tear, Cortizone vs. Surgery ?

I had a cortizone shot in my right shoulder that was actually diagnostic in nature. It hurt for a couple days, but that goes away. In my case it worked well, but when the pain came back, I went in for arthroscopic surgery.
__________________
Asthma, Allergies, severe LPR/GERD, TMJD, Hearing Loss, Ulnar Impaction Syndrome, Shoulder Impingement, Plantar Fasciitis, DeQuervains, Hypermobility, possible Ehlers Danlos Syndrome

 
Old 10-18-2011, 05:55 PM   #10
Junior Member
(male)
 
Join Date: Sep 2011
Location: canada
Posts: 17
nfld HB User
Re: Rotator Cuff Tear, Cortizone vs. Surgery ?

Thanks for your reply.It was very helpfull but unfortunitly i am scared to death of needles. I watched a video on how the injection is given(not sure if that was a good idea or not lol) and im not sure if i can let any1 stick a needle that big in my shoulder unless it means life or death lol. It looked like it hurt like hell!!!!. I was wondering if u had an injection yourself and where were injected because i know there are a few diff entry points for a shoulder injection. Im not sure if i even want to know but how bad was the pain of the injection itself?? and be honest lol.....im scared to death anyway,man imust sound like the biggest baby ever lol

Last edited by mod85; 10-21-2011 at 05:15 PM.

 
Old 10-18-2011, 08:31 PM   #11
Facilitator
(female)
 
MountainReader's Avatar
 
Join Date: May 2006
Location: Out West
Posts: 3,664
MountainReader HB UserMountainReader HB UserMountainReader HB UserMountainReader HB UserMountainReader HB UserMountainReader HB UserMountainReader HB UserMountainReader HB UserMountainReader HB UserMountainReader HB UserMountainReader HB User
Re: Rotator Cuff Tear, Cortizone vs. Surgery ?

I've had 5 cortizone shots over the last 3 1/2 years. I'd have to say that the discomfort of the actual shot has a lot to do with the skill of the doctor. My shoulder shot was barely noticable.
__________________
Asthma, Allergies, severe LPR/GERD, TMJD, Hearing Loss, Ulnar Impaction Syndrome, Shoulder Impingement, Plantar Fasciitis, DeQuervains, Hypermobility, possible Ehlers Danlos Syndrome

 
Old 10-19-2011, 07:09 AM   #12
Inactive
(female)
 
Join Date: Aug 2007
Location: NYC
Posts: 1,434
jenj770 HB Userjenj770 HB Userjenj770 HB Userjenj770 HB Userjenj770 HB Userjenj770 HB Userjenj770 HB Userjenj770 HB Userjenj770 HB Userjenj770 HB Userjenj770 HB User
Re: Rotator Cuff Tear, Cortizone vs. Surgery ?

Also, if you want to go the injection route, I think it would probably be fine to take a couple tylenol or a Vicodin prior. You could ask the doc. But, really, to me,it was a momentary sensation. I think it would help a lot if you could try to soften your muscles in that area as the doc is getting ready to insert. If you tense, it will be more painful to insert the needle.

 
Old 10-21-2011, 04:23 PM   #13
Junior Member
(male)
 
Join Date: Sep 2011
Location: canada
Posts: 17
nfld HB User
Re: Rotator Cuff Tear, Cortizone vs. Surgery ?

first of all, thanks every1 for your input its been really helpfull. I just got my call today for my mri. The date is set for dec 2 the only bad thing is that i have to get an arthrogram b4 the mri and i was afraid of the cortizone shot....this needle and or precedure almost made me go in my pants when i found out what it was. Now im more scared then ever....i know i sound like a baby but i have a pretty big fear of needles and the actual process of the procedure freaks me out more then the pain aspect, just knowing whats going on and how far in the needle is going just makes me want to pass out. If any of you guys have any helpfull input i would appreciate greatly.

thanks guys

Last edited by mod85; 10-21-2011 at 05:15 PM.

 
Old 10-30-2011, 11:05 AM   #14
Member
(female)
 
xilch's Avatar
 
Join Date: Oct 2011
Location: USA
Posts: 99
xilch HB Userxilch HB Userxilch HB Userxilch HB Userxilch HB Userxilch HB User
Re: Rotator Cuff Tear, Cortizone vs. Surgery ?

Hello Sawbuck44,
From what I read above, you are receiving some excellent thoughts. Tears in a rotator cuff do NOT fix themselves and the surgeon will eventually (some year?) say he/she cannot guarantee results if left too long. Always try the least invasive first like cortisone -- but most likely it will just be temporary. I am recuperating from July 28, 2011, rotator cuff surgery and although I am still in extreme levels of discomfort, progress is being made. They are guessing (for my situation) I will have 3 to 5 months of serious discomfort left to go. It's a big decision for your husband because of his career as this surgery is not a 'quick fix'. I wish him good fortunate with his decision and his chosen treatment. IF surgery is decided, the person you desire to be superior in their work is your chosen PHYSICAL THERAPIST. Do not be shy about switching -- as this person will be 'learning your body' -- deciding how fast/slow things should be going, etc. They get one sentence guidelines from the surgeon --and then it is their expertise that guides them with the type of exercises, the variety, etc. I BLAB long and hard to my excellent therapist every session -- and she adjusts my day accordingly. Be good to this person -- make them cookies; follow their directions. Best Wishes...

 
Old 10-09-2012, 09:35 AM   #15
Newbie
(male)
 
Join Date: Oct 2012
Location: halifax, nova scotia CANADA
Posts: 1
agnesofdog HB User
Re: Rotator Cuff Tear, Cortizone vs. Surgery ?

hi--i had rotator cuff surgery almost 3 years ago on my right shoulder, adn physio post op--no pain now, but the only problem i find is that i am kayaker and after i have paddles for about ten strokes my right shoulder simply freezes and will not move to take another stroke--strangest feeling --strange esp now as i have a rotator cuff tear onteh left and am querying surgery on it..

 
Closed Thread

Similar Threads
Thread Thread Starter Board Replies Last Post
Elbow pain/weakness with rotator cuff tear RiderJen Shoulder / Rotator Cuff Problems 18 08-13-2012 03:38 PM
Rotator cuff tear not responding to therapy RiderJen Shoulder / Rotator Cuff Problems 13 10-19-2011 04:03 AM
rotator cuff surgery necessary? please help Citycyclegal Shoulder / Rotator Cuff Problems 33 07-15-2011 08:19 AM
Scared & worried full thickness rotator cuff tear surgery whoknowsthedeal Shoulder / Rotator Cuff Problems 22 05-03-2011 03:00 PM
Rotator Cuff Symptoms?? michlei Shoulder / Rotator Cuff Problems 14 01-23-2011 05:41 PM




Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off




Join Our Newsletter

Stay healthy through tips curated by our health experts.

Whoops,

There was a problem adding your email Try again

Thank You

Your email has been added








TOP THANKED CONTRIBUTORS



galalena (57), MountainReader (15), james079 (15), rainbowsrock (13), maggietaz (12), jerry890 (12), noevr (10), jennybyc (9), xilch (9), feelbad (7)

Site Wide Totals

teteri66 (1166), MSJayhawk (1000), Apollo123 (898), Titchou (833), janewhite1 (823), Gabriel (758), ladybud (747), sammy64 (668), midwest1 (665), BlueSkies14 (610)



All times are GMT -7. The time now is 09:36 PM.



Site owned and operated by HealthBoards.comô
Terms of Use © 1998-2014 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!