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Old 06-26-2012, 09:19 PM   #76
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Re: Surgery Monday the 14th

Just thought I'd provide an update, At week 6 now, PT tried starting me on some of the equipment like the arm bicycle and I couldn't do it my arm won't reach out that far. I did do the "over the door" pulleys thing ok I think. She did tell me she didn't think I'd get full ROM back since its been so long from my surgery. Still lots of pain at night, really aches. Long road still. cj

 
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Old 06-26-2012, 10:33 PM   #77
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Re: Surgery Monday the 14th

That's not good news!! I don't understand why you didn't start therapy sooner? I highly reccomend prrt therapy combined with other no pain therapy. Try to find someone in your area that is certified. It works. I am almost full motion. So sorry you are hurting.

 
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Old 06-26-2012, 10:52 PM   #78
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Re: Surgery Monday the 14th

Hi I just read up on prrt some and I think I'm going to try and see if I can find
someone tomorrow. This is a small town though so I'm not sure if I will be able to but will try. I have PT again tomorrow at 3 and will ask them about it as well (ha, see how that goes, right?) I know everyone's case is different. My surgery was pretty extensive according to the PT and dr. I am still going to have to have replacement done down the road. The dr. said I am most likely NOT going to get rid all of my pain w/ this surgery. This isn't good for me because I have a low pain tolerance and fibromyalgia and those don't help at all.

thanks for your concern I'm going to check it out!

CJ

 
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Old 06-27-2012, 04:05 AM   #79
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Re: Surgery Monday the 14th

No34
It will get better. Six weeks is still pretty early in terms of time for aches and pains. As far as range of motion, I was only doing pendulum swings till six weeks and I had a torn labrum. I started formal PT at six weeks. My shoulder froze, so that has been my issue, but that is almost better, and I am back to about 70%of range and expect to get it all back and am six months out.

 
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Old 06-27-2012, 04:57 AM   #80
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Re: Surgery Monday the 14th

CJ - I hope things get better for you asap. Sorry you're going through that.

I would like to get everyone's opinion on something. (Maybe I should make a new thread since what I'm talking about isn't regarding surgery yet? If I need to, sorry about posting it here. But y'all may know anyway. If you think I should repost in a new thread, please let me know.) Like I was saying, back in 2009 I had a MRI of my left shoulder. Surgeon back then wanted to do surgery. Just got my results back from my MRI from last Monday and the results seem to have changed. I'm so confused. My pain doc said that from the first MRI results I had a 75% tear. Now it looks like to me (but what do I know) that I don't actually have a tear at all??? Here are the two reports findings:

DATE OF SERVICE: 04-03-2009
INDICATIONS: Shoulder pain.
TECHNIQUE: Magnetic resonance imaging of the left shoulder was performed with multiple sequences through the left shoulder in multiple planes.

FINDINGS: There is moderate supraspinatus rotator cuff tendinitis with a small focus of intermediate-grade partial-thickness bursal surface tear of the distal supraspinatus portion of the rotator cuff tendon that may traverse up to 75 percent of the thickness of the tendon over a small region without full thickness tear, cuff rupture or retraction.

There is mild glenohumeral and acromioclavicular osteoarthritis with some inflammatory changes of the acromioclavicular joint producing what may be borderline findings of rotator cuff impingement associated with some mild subacromial-subdeltoid bursitis. There is also minimal proximal bicipital tendinitis and tenosynovitis. There is no acute or active bone process.

IMPRESSION:
1. SUPRASPINATUS ROTATOR CUFF TENDINITIS ASSOCIATED WITH A SMALL FOCUS OF INTERMEDIATE-GRADE PARTIAL-THICKNESS BURSAL SURFACE TEAR OF THE DISTAL SUPRASPINATUS TENDON WITHOUT CUFF RUPTURE, RETRACTION OR FULL-THICKNESS TEAR.
2. MILD ASSOCIATED SUBACROMIAL-SUBDELTOID BURSITIS, BICIPITAL TENOSYNOVITIS AND MILD INFLAMMATORY CHANGE OF A MILDLY DEGENERATED AND HYPERTROPHIC ACROMIOCLAVICULAR JOINT WITHOUT FINDINGS OF ACTUAL CUFF IMPINGEMENT.
**************************************** **************************************** ****
DATE OF SERVICE: 06-18-12
INDICATIONS: Left shoulder pain.

TECHNIQUE: Magnetic resonance imaging of the left shoulder was performed with multiple sequences in multiple planes. The study included T1 and T2 imaging through the left shoulder in sagittal, axial, and coronal planes. Fat-suppressed techniques were employed.

FINDINGS: Mild degenerative arthrosis at the AC joint. Thickening and intermediate signal intensity supraspinatus tendon compatible with intermediate-grade tendinosis. There is no evidence of rotator cuff tear. The small partial tear described previously not as well delineated on today’s exam. There is mild subacromial and subdeltoid bursitis. There is mild tenosynovitis long head biceps tendon. There is no evidence of detached labral tear. Muscle bulk is intact.

IMPRESSION: INTERMEDIATE-GRADE TENDINOSIS SUPRASPINATUS TENDON. THERE IS MILD SUBACROMIAL-SUBDELTOID BURSITIS. THERE IS NO EVIDENCE OF FULL-THICKNESS ROTATOR CUFF TEAR. MILD TENOSYNOVITIS LONG HEAD BICEPS TENDON. MUSCLE BULK IS INTACT.

Am I just misunderstanding what I'm reading? Anyone have any input on this?

 
Old 06-27-2012, 07:58 AM   #81
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Re: Surgery Monday the 14th

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We used to live right down the road from Sun City.

I'm not sure if they will do surgery on my shoulder before we move but I sure hope someone does it soon! Glad you're doing better.
Just wanted to chime in we just moved from Phoenix to central CA. Sun City is a nice place to retire I agree, no schools or tax for them so it is a bit cheaper for the over 55 and very nice and clean. Lots of golf carts on the streets. lol
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Old 06-27-2012, 08:12 AM   #82
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Re: Surgery Monday the 14th

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Just wanted to chime in we just moved from Phoenix to central CA. Sun City is a nice place to retire I agree, no schools or tax for them so it is a bit cheaper for the over 55 and very nice and clean. Lots of golf carts on the streets. lol
Yeah! And a lot of "Sunday drivers"! LOL!

 
Old 06-27-2012, 11:11 AM   #83
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Re: Surgery Monday the 14th

Sounds like what I had!!! Easy recovery!!! Need a good clean out of joints!!!! Congrats.

 
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Old 06-27-2012, 11:23 AM   #84
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Re: Surgery Monday the 14th

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Sounds like what I had!!! Easy recovery!!! Need a good clean out of joints!!!! Congrats.
Are you saying that I have what you have? Or are you talking to someone else? LOL! Sometimes I can be quite clueless!

 
Old 06-27-2012, 01:30 PM   #85
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Re: Surgery Monday the 14th

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Are you saying that I have what you have? Or are you talking to someone else? LOL! Sometimes I can be quite clueless!
Sure sounds like it!!! I did have a bone spur and they shaved off some of my collarbone after they were inside. 3 scope incisions. I had a lot of bursitis too. Good luck!! I was so lucky. Better every day. I feel so much better than before surgery!! I can lift my arm over my head and do my own hair. ))

 
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Old 06-27-2012, 04:02 PM   #86
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Re: Surgery Monday the 14th

Conclusion sounds good. However this means you´ll have to exercise under supervision of a PT because this small degradation might have had impact on the rotator cuff muscle system. You need to strengthen this, the equilibrium between muscles needs to be restored. They´ll need to do athroscopia but is minor surgery.

 
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Old 06-27-2012, 04:40 PM   #87
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Re: Surgery Monday the 14th

I have had two MRI's and two RTC surgeries in the first MRI it said I had a partial tear, impingement, etc..., and my dr scheduled me for laprascopic surgery then they get in there and find 1 massive tear of supraspinatus and 1 small tear of infraspinatus and the dr ended up having to open up my shoulder to repair.
2nd instance 6 mos later tossed my purse in car and heard it tear (same arm)
that MRI report was so bad they sent me to a surgeon that was specialist in shoulder instability that did grafting. The dr said it may be irreparable but would try when he got in their it wasn't as bad as report stated and no grafting was needed and dr was able to perform surgery laprascopicaly. I say all this to say that the radiologist reading these MRI's are human and therefore open to human error and interpretation. I also had an MRI done on knee and radiologist reading it didn't see Necrosis which my dr had clearly seen on xray. So I take all mri reports with a grain of salt.
Good luck.
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Old 06-27-2012, 06:24 PM   #88
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Re: Surgery Monday the 14th

Thank you all for your input!!! Y'all are awesome! I'll let you know what my doc says on the 5th.

 
Old 06-28-2012, 06:13 AM   #89
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Re: Surgery Monday the 14th

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Thank you all for your input!!! Y'all are awesome! I'll let you know what my doc says on the 5th.
Just wondering what most think about PRRT therapy?

 
Old 06-28-2012, 06:31 AM   #90
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Re: Surgery Monday the 14th

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Just wondering what most think about PRRT therapy?
I'm kind of confused as to what it is...? I'm seeing that it's for cancer?
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