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Shoulder / Rotator Cuff Problems Message Board
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Old 10-25-2012, 10:58 AM   #1
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Question separated clavicle/surgery now frozen shoulder

I had a class iii separated shoulder last year and underwent surgery. that seems to be fine but now have limited rom and still some pain in upper shoulder. I went to original surgeon and two others for independant opinions.

First one said I had post surgical athritus, second said same thing and frozen shoulder with possible cuff tear (MRI's are not always conclusive) Doctor said he would repair at same time if needed.

Third doctor said only problem was frozen shoulder and would do arthro to free it up. I asked him about the athritus and he didn't think it was problem but would perform mumford procedure if I insisted on it.

The third doctor said doing the cuff tear and corrrecting the frozen shoulder would not be advisable since the post op therapy is different. Frozen shoulder correction requires immediate pt and moving to prevent from freezing again while cuff tear requires immobility for some time.

My problem is determining which one is right and how to proceed.
Can the frozen shoulder surgery and cuff tear be done together and still have a good outcome. The second surgeon said he would do both??? I would like to have everything done in one hospital trip if possible but also want it to be successful.

Thanks,

Last edited by dave4934; 10-25-2012 at 11:02 AM.

 
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Old 10-25-2012, 05:47 PM   #2
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Re: separated clavicle/surgery now frozen shoulder

are any of these docs shoulder specialists? I would avoid a surgeon who says he would do a surgery if the patient insists.

 
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Old 10-25-2012, 06:21 PM   #3
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Re: separated clavicle/surgery now frozen shoulder

oh my what a pickle, so sorry. There are different theories as to when to start PT after cuff repairs. I had one in May and didn't start PT for 3 weeks and the PT was NOT happy. I ended up w/ partial frozen shoulder and had to have MUA (Manipulation under anesthesia) in July (btw also have osteo in the shoulder and he did scraping and stuff when he did the repair).

There were other people at my PT who began their PT the next day after their cuff repair.

I would look up PT for each procedure and compare them. PT after a frozen shoulder you have to really move it around to retain the ROM you gained during surgery or MUA. I think PT RIGHT after a tear repair would be minimal. Have they talked injections for the frozen shoulder I have heard of that to help.

what about trying an injection with some PT before any surgery? You could get ultrasound to help too. Just my opinion. I would also request a TENS unit at PT to help get thru the pain, I got one but not til near the 2nd half of PT, wished I'd had it in the beginning. reallly helps.

Cathy

 
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Old 10-25-2012, 09:43 PM   #4
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Re: separated clavicle/surgery now frozen shoulder

Quote:
Originally Posted by galalena View Post
are any of these docs shoulder specialists? I would avoid a surgeon who says he would do a surgery if the patient insists.
All three suspose to be. The last two that saw me were sports medicine who do most ortho and suppose to be shoulder specialists. Third one made the statement when I said that two others I had been to recommended mumford procedure.

In summary: original doc: only need mumford procedure

doc two: mumford and free up frozen shoulder with possible cuff tear

doc three: free up frozen shoulder and said i did have cuff tear but didn't advise doing both procedures as post op therapy for each are counter productive...

I was hoping to get two of the three to agree completely on what needs to be done.

Symptoms are limited rom in shoulder and some pain in ac joint.

 
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Old 10-26-2012, 01:42 PM   #5
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Re: separated clavicle/surgery now frozen shoulder

Symptoms are limited rom in shoulder and some pain in ac joint.

It is all up to you, of course, but any surgery has risks. If some of your limited ROM is due to scar tissue, more surgery, even arthroscopic, can aggravate it and make it worse. "Some" pain would not convince me-would have to be pain all the time. It does not happen all the time, but if you get into that scarring cycle, no surgery is ever going to solve the problem, and may make it worse. I do speak from experience as my shoulder is totally wrecked and there is no way out.

 
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Old 10-26-2012, 02:54 PM   #6
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Re: separated clavicle/surgery now frozen shoulder

Quote:
Originally Posted by galalena View Post
Symptoms are limited rom in shoulder and some pain in ac joint.

It is all up to you, of course, but any surgery has risks. If some of your limited ROM is due to scar tissue, more surgery, even arthroscopic, can aggravate it and make it worse. "Some" pain would not convince me-would have to be pain all the time. It does not happen all the time, but if you get into that scarring cycle, no surgery is ever going to solve the problem, and may make it worse. I do speak from experience as my shoulder is totally wrecked and there is no way out.
Could you please elaborate on what all you have had done and reasons why, fall or injury? I separate in motorcycle accident am trying to get as close to "normal" as I can get. My initial surgeon is recommending just the mumford procedure which would very minor and allow more room between clavicle and acromion. Perhaps he is recommending this stay away from further scarring with soft tissue as he did suggest that any additional surgery could do more harm than good. I am amazed at the differing opinions of surgeons but I also realize this is what they do for a living so recommending surgury results in money in their pocket. I hope there are some out there still that have the patients best interest at heart...
Thanks for response!

 
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