Shoulder Issues -- Therapies, Surgeries, Etc.

Discussion in 'Health & Fitness' started by Spittle, Feb 3, 2008.

  1. Ano

    Ano Hall of Fame

    Joined:
    Jul 4, 2006
    Messages:
    1,572
    Location:
    Jakarta, Indonesia
    Spittle, does your PT address each of these 10 factors in your rehab? Perhaps you could ask him.

    1. Scapular stability
    2. Thoracic spine range of motion
    3. Glenohumeral (ball-and-socket joint) range of motion
    4. Overall soft tissue quality (especially posterior capsule)
    5. Rotator cuff strength
    6. Cervical spine function
    7. Mobility of the opposite hip
    8. Mobility of the opposite ankle.
    9. Core stability/force transfer
    10. Breathing patterns

    I wish you the best of luck with your recovery.
     
  2. TheShaun

    TheShaun Hall of Fame

    Joined:
    Jun 9, 2007
    Messages:
    2,107
    Location:
    [K]ANADA
    Just got back from a consultation with the doctor. He said the ultrasound I had didn't show anything too abnormal. He recommended that I continue strengthening and working on flexibility of the shoulder area. He also said that prolotherapy may be an option down the road. However there was never any mention of surgery.

    The battle continues....
     
  3. bronco_mba

    bronco_mba Rookie

    Joined:
    Jan 10, 2008
    Messages:
    358
    Location:
    Southern California
    Bummer Shaun.
     
  4. coloskier

    coloskier Legend

    Joined:
    Jul 24, 2007
    Messages:
    5,576
    If it comes back, the guy to go see in Colorado is Dr. Boblick, who works for Steadman/Hawkins (of US Ski Team fame) in Englewood. He does both knees and shoulders. He has done some Colorado Rockies pitchers shoulders and Mike Anderson (of the Broncos) knee, and also my girlfriends knee. Her knee is now stronger than it was before the accident. I also agree that chiropractors can do wonders, especially if you find a sports therapist chiropractor.
     
  5. Spittle

    Spittle New User

    Joined:
    Feb 2, 2008
    Messages:
    45
    Figured I'd give a quick update (i'm the original poster). I had arthroscopic surgery on my right shoulder today and am back home. After over 16 weeks of physical therapy and even more time off from tennis, nothing was improving. So, it had to be done.

    According to Dr. Duralde, he shaved off a bit of bone to give the impinged tendons room to breathe. He also had to repair my frayed labrum as it was well on its way to becoming torn. He was able to do the whole operation through only 2 incisions. The procedure took about 2 hours. I arrived at the hospital at 6am and left at 10am.

    The performed an interscalene block to completely numb the entire arm before the operation. Now, 11 hours after the operation, I still can't feel or move anything from the shoulder down. It's the wierdest sensation. I try to move even a finger and I get feedback that it *should* be moving but it's dead to the world. Once I get some tingling in my thumb, I'm to start taking my percoset pain meds.

    Just wanted to give an update and thank you all for the help/tips/feedback over the previous months. The scary part is over! Now, it's the hard part of rehabilitation - 2-3 months.

    To those of you with budding shoulder issues: PLEASE don't 'play thru the pain'. I did that very thing and it has kept me from the sport for the better part of a year.

    Ray
     
  6. TheShaun

    TheShaun Hall of Fame

    Joined:
    Jun 9, 2007
    Messages:
    2,107
    Location:
    [K]ANADA
    speedy recovery, ray!

    my shoulder seems to be improving slightly thanks to the continued strength training. but i still can't serve more then a handful of balls.
     
  7. Kaptain Karl

    Kaptain Karl Hall Of Fame

    Joined:
    Sep 17, 2004
    Messages:
    5,236
    Location:
    The High Country of Colorado
    Ray - How long did it take to type that report with one hand?

    Follow EVERY instruction during your rehab. They really do know best for post-surgery recovery.

    Keep us posted and best wishes for a smooth recovery.

    - KK
     
  8. Spittle

    Spittle New User

    Joined:
    Feb 2, 2008
    Messages:
    45
    :) Aye, it took quite a while hunting and pecking to type out my previous tome!

    My followup appointment with the doc is this coming Friday where they'll show me exactly what they did (pictures or video) and give me a prescription for PT rehab. So far, I'm to do some exercises on my own twice a day and it seems to be helping by loosening up the shoulder.

    At this point, I'm able to raise my arm up to get to the keyboard/mouse fairly well while still keeping my elbow attached to the side of my torso. This definitely makes you sit up straighter!

    Oh yah, by the way, the interscalene block on my arm wore off around 11pm the night of the surgery. I practically welcomed the pain as I really didn't like having a 15lb piece of warm meat hanging off of my neck (via sling) that could've just as well been someone else's arm. The percoset they prescribed me really did a good job blocking the pain while I needed it. But, I tried to wean myself off of it as soon as I could (Thursday morning was the last one).

    TheShaun, has your doctor recommended that you keep from raising your arm above shoulder level? That was one of the first things I was warned against doing. In my humble opinion, I think you'd be better off nixing overheads, serves, high volleys and just keeping with groundstrokes. Everybody's situation is different, but I played through my pain because serves "didn't hurt THAT much" and paid for it in spades. Good luck to ya!
     
  9. TheShaun

    TheShaun Hall of Fame

    Joined:
    Jun 9, 2007
    Messages:
    2,107
    Location:
    [K]ANADA
    actually, part of my exercises is to do light serving motions, either with a band or even on court. i tend to do them in the living room with a band knotted at one end and draped over the top of a closed door. i find that if i try to do them on the court, i get carried away and start focussing my serve rather than rehabbing my injury. during my hitting sessions i may hit one or two overheads but nothing more.

    the last diagnosis i received from the sports med doctor was that my injury was the long head tendon that connects from the bicep to the shoulder. so it seems as though it may be different than your situation.
     
  10. rgoodwin13

    rgoodwin13 New User

    Joined:
    Sep 25, 2006
    Messages:
    12
    The best shoulder wrap which combines icing and compression is made by Coldone. They offer a 30 day customer satisfaction guarantee so if you try it and aren't getting positive results you can return it no questions asked.

    Icing and Compression stop pain and inflammation, but for complete healing you have to rest the shoulder (or ankle, elbow, etc.) to let the soft tissue heal; then do gradual strengthening exercises to rebuild the affected muscles.

    You can see the Coldone wrap at: http://www.coldoneinc.com/shoulderwrap.html

    Good Luck
     
  11. bronco_mba

    bronco_mba Rookie

    Joined:
    Jan 10, 2008
    Messages:
    358
    Location:
    Southern California
    Spittle - good to see this thread revived, keep us updated with your progress. Good luck with the rehab process. You'll be back out on court in no time!
     
  12. dtd82

    dtd82 Rookie

    Joined:
    Nov 30, 2006
    Messages:
    126
    Location:
    NJ
    Hey Spittle, congrats and good luck....keep up the info, it's nice to hear how you're doing. Been a long run since the beginning of this thread!

    Also, you've damn near described the procedure I'm in for. I'm scheduled for 9/18 to have Artho done for the two tears in my Labrum - the surgeon also thought he saw partials in the rotator cuff, and thinks it would be good to do the bone-scraping to give me some more room. Gonna use the block and all, so your posts are great reads for me.
     
  13. Spittle

    Spittle New User

    Joined:
    Feb 2, 2008
    Messages:
    45
    Thanks for the well-wishes, folks. Good luck in September as well, dtd82!

    I was wrong in my initial understanding of what was done to my shoulder (I was drugged and suffering from Clenched ********* Syndrome since the wife had to drive me home!). At the post-op appointment, the doc explained that they scraped off some inflammation from the tendons themselves, cleaned up the frayed parts of the labrum, and then use sutures to 'tighten' up my entire shoulder.

    My physical therapy so far has been slow going - just passive exercises, pendulum arm swings, painful stretchings care of the therapist, etc. However, my goal is to be able to move the arm at a 45degree angle both in front of my body and to the side of my body. At my first PT session, I already hit around 23degrees. So, they're happy with my progress.

    I'm still unable to really reach up and wash my hair (unless I bend over something fierce) and sudden movements, like trying to catch something, will make you forget you're recovering and hurt like crazy. But, I'm well on my way. I'm just terribly impatient!

    Will update as things change! Good luck folks!
     
  14. bronco_mba

    bronco_mba Rookie

    Joined:
    Jan 10, 2008
    Messages:
    358
    Location:
    Southern California
    We should retitle this thread "shoulder surgery recoverers and the people who love them."

    I'm nearly 6 months removed from arthroscopic shoulder surgery and doing as well as ever - serving hard and playing pain free.

    Hang in there Spittle!
     
  15. dtd82

    dtd82 Rookie

    Joined:
    Nov 30, 2006
    Messages:
    126
    Location:
    NJ
    Bronco, great to hear you're still doing well. Feel like I'm playing catch-up ball!

    Spittle, thanks......keep posting - impatience is my middle name......
     
  16. tennistim777

    tennistim777 Rookie

    Joined:
    Jul 15, 2006
    Messages:
    114
    Hello, everyone. Add me to the list of shoulder procedures. It's been 2 months since surgery and I have almost full movement, but my pain persists. :cry::cry:I am very disappointed at this moment. I feel the very similar pains at the stenching limits as I did before surgery. No rotator cuff surgery, just arthroscopic and clavicle bone shaved. I just started second month of PT. Boy, I sure am praying that this surgery worked. Just very nervous it didn't. Maybe I'm just expecting too much too soon. Doctor said 3 months until a can hit a ball again, so that would be one month from now.
    2 things that bothered me the most were overheads and trying to sleep with my arm above my head, straight up with pillow between my arm and head.

    1) Did anyone have the similar pains during the PT process that you had before surgery, and if so, when did they go away?

    Thanks everyone!!
     
  17. bronco_mba

    bronco_mba Rookie

    Joined:
    Jan 10, 2008
    Messages:
    358
    Location:
    Southern California
    Let me first say that everyone's situation is different. A lot of how you progress following surgery has to do with, at minimum, your age, physical conditioning, skill of the surgeon, skill of the physical therapist, how extensive the impingement was, and how closely you follow your post-op PT regime.

    In my experience, I had discomfort and range of motion issues for about 6 weeks doing day-to-day activities. At about 2 - 2.5 months, I was able to start sleeping on the side with the bad shoulder, and by that time I was back to playing tennis. It took another month or month and a half (about 3 - 3.5 months post-op) before I really felt like I was fully recovered from the surgery, and in fact, felt better than ever. I'm now close to 7 months post-op now and the only reminder I have of the surgery are the scars from the arthroscope and my doctor's constant reminder to "hit the gym and strengthen the shoulder."

    Perhaps some of the other posters can come by and comment on their experience.
     
  18. Spittle

    Spittle New User

    Joined:
    Feb 2, 2008
    Messages:
    45
    I'm at 1 month post-surgery and definitely have limits as to what my shoulder can do. Among the things I'm unable to do yet are: sleeping on that side, raising my arm above the level of my shoulder, etc. Once in a while, I really wonder whether or not the doc 'fixed it' but I know that it's still way too early to tell.

    My belief is that as my range of motion improves, my shoulder/back muscles will have to relearn everything all over again. I'm definitely Mr. Impatient. But, to be honest, I have no other choice but to stick it out and go slow with it. I see small improvement day-by-day, but I'm still MUCH worse than I was even before surgery.

    So, tennistim777, all I can say is try not to get too discouraged. Unfortunately, it's going to take time. Possibly longer than the standard "3 months" depending on what procedures the surgeon completed while working on you. In my case, I'm *probably* looking at having some added rehab time because of my shoulder instability (fixed via 'capsular imbrication' - sewing tissue tight to decrease the gap in my shoulder).

    Definitely ask your therapist and doctor what stage you should be at in your progress. I'm sure they'll get that question quite a bit.

    Good luck with it and hopefully you'll be feeling/playing great soon and be able to rub it in like bronco_mba does every chance he gets! :)
     
  19. bronco_mba

    bronco_mba Rookie

    Joined:
    Jan 10, 2008
    Messages:
    358
    Location:
    Southern California
    hey, i thought was providing some encouragement!
     
  20. MTChong

    MTChong Professional

    Joined:
    Jun 21, 2005
    Messages:
    1,473
    Hey Spittle, I'm sorry to hear that you've been having shoulder issues. Can I ask what type of PT your doc had you do for the impingement? I've been having my fair share of shoulder issues, too, that have been plaguing me for about a year now.
     
  21. Spittle

    Spittle New User

    Joined:
    Feb 2, 2008
    Messages:
    45
    Well, the PT that I was doing *before* surgery was targeted mainly at strengthening the muscles that support my scapula to help the shoulder stay in place (think: pivot point) while I move my arm around. Farther back several pages I think refer to some of the exercises I was doing at the time. Presently, my exercises are pretty much just stretching and moving the shoulder around to stop too much scar tissue from forming.
     
  22. Cindysphinx

    Cindysphinx G.O.A.T.

    Joined:
    Aug 31, 2006
    Messages:
    15,093
    Hey, Spittle. I'm just chiming into wish you the best and say that I found your predicament fascinating. Good luck!!

    PS. What's your USTA level with your non-dominant hand? :)
     
  23. danix

    danix Semi-Pro

    Joined:
    Apr 6, 2004
    Messages:
    515
    Location:
    SF Bay Area
    Add me to the list. 37, 3.5ish player.
    Woke up one morning and my shoulder/upper arm hurt. I was suddenly unable to sleep with my right arm tucked under my pillow.

    I rested it a bit, pain persisted. Went to see my GP, who sent me to physical therapy.

    After about 3 weeks, I went to an orthopedist. He gave me a cortisone shot. 4 days later, there was zero pain. The next day, the pain returned.

    Kept up the PT and went back to ortho. He "shot the AC joint" and that hurt like hell. I guess it helped a little, but not 100%.

    I had exhausted my PT visits, so I called the orthopedist's office and asked for an MRI. This morning I went to review the results.
    Partial rotator tear, impingement, cyst.

    So...the orthopedist recommends surgery. Shaving of the impingement, and trimming of the clavicle (I think thats the term).
    General anaesthesia, says if I do it on a Thursday, most likely I can return to work Monday. As far as tennis, he said when I am comfortable, but maybe 3-4 weeks before light groundstrokes.

    I'm reluctant to do this surgery but I've been dealing with pain for months now. The shoulder has gotten better with PT, but I'm at about 85-90% now, and while I am back to playing without major pain, it's still tight and I find I'm seeing other effects, like wrist strain (probably overcompensating for the shoulder) and even my left side now seems tight.

    When to do it? Not sure. I've already bowed out of USTA combo leagues and I suppose I could look forward to mixed in January if I'm ready.

    I appreciate all the info in this thread. Guess I will be another data point for future sufferers.

    PS - I too have taken to playing left handed when needed, and can play at around 2.5-3.0 :)
     
  24. bronco_mba

    bronco_mba Rookie

    Joined:
    Jan 10, 2008
    Messages:
    358
    Location:
    Southern California
    Sounds like my pre-op condition. PT failed; cortisone injection failed; surgery seemed the most viable option to get back to pain free. The surgery you describe (called sub-acromial decompression and distal clavicle resection or SAD/DCR) is exactly what I had done. I think 3 - 4 weeks post-op to groundies is overly optimistic, IMO.
     
  25. tennistim777

    tennistim777 Rookie

    Joined:
    Jul 15, 2006
    Messages:
    114
    Not sure what your job is but there's was NO WAY I could have returned to work in a few days as soon as your doctor said. I was in my sling for a week, out of work 3 weeks. My doctor told me no tennis for three months, and then just light groundies, no over heads. I'm sure there are many factors that come into play when it comes to heal time. Believe me, it's been 2 months since my surgery and I'm dieing to go out and hit, but I must be patient. I'm watching a lot of The Tennis Channel while I do my PT. It helps. Good luck, and keep us posted. I will do the same. :)
     
  26. danix

    danix Semi-Pro

    Joined:
    Apr 6, 2004
    Messages:
    515
    Location:
    SF Bay Area
    See, that's the kind of thing I wonder about. I specifically told him that when I had a hernia repair done, the dr. had undersold the recovery time and amount of pain. He also said that I didn't need to do PT for recovery (but could continue doing the exercises since I already know them).

    If this weren't a top ranked surgeon, I would be looking for a 2nd opinion. Maybe I should anyway.
     
  27. bronco_mba

    bronco_mba Rookie

    Joined:
    Jan 10, 2008
    Messages:
    358
    Location:
    Southern California
    Different surgeries (and surgeons) have different recovery periods. A rotator cuff repair procedure is going to take a lot longer to heal than a straightforward decompression/impingement procedure. I'd venture to guess those that had rotator cuff repairs weren't anywhere near a tennis court for at least three months, whereas the SAD/DCR'ers may have been back playing league and tournaments in that span of time. So, it depends a lot on what the surgeons find and the extent of the repair.
     
  28. danix

    danix Semi-Pro

    Joined:
    Apr 6, 2004
    Messages:
    515
    Location:
    SF Bay Area
    Thanks bronco, your experience and input have been helpful.

    I'm going to run the MRI diagnosis past my PT and GP and see what they say. The report says impingement with rotator cuff tendinosis, undersurface partial tear of the subraspinatus tendon, marked cystic degenerative change. Mild AC joint degenerative change.

    The procedure you had sounds exactly like what my guy is proposing.

    This is who I am thinking of using. It seems he's literally written the book:
    Dr. Eugene Wolf is a graduate of University of Bordeaux School of Medicine in France and completed his orthopedic surgery residency at the National Orthopedic and Rehabilitation Hospital in Arlington, Virginia. He is recognized for his pioneering work in the development of minimally invasive arthroscopic surgical techniques for the knee and shoulder. He is an active contributor in the Arthroscopy Association of North America, the American Academy of Orthopedic Surgeons, and a Master Instructor in Arthroscopic Surgery at the American Academy's Orthopedic Learning Center. Dr. Wolf also serves as the Director of the St. Mary's Medical Center's Sports Medicine and Shoulder Fellowship Program in San Francisco. He is also Co-Chairman of the annual Shoulder Surgery Controversies Meeting in Newport Beach, California.
     
  29. dman72

    dman72 Hall of Fame

    Joined:
    Nov 7, 2006
    Messages:
    1,997
    Location:
    Long Island, NY
    Hey guys, slightly off topic, but what were your serves like for all of you with shoulder issues? Did you serve "correctly"? Did you "back scratch"? I've been very lucky with my shoulder considering that my serve is a complete hack and I've been swinging very hard for years. I can't tell you how many times I've framed one and thought "damn, that did damage" for it to never really become chronic.

    I've always done shoulder work with dumbells since I was about 13 years old, so maybe that has something to do with staying relatively injury free? I think it's a good topic for preventative purposes, especially for all the kids on this board. I'm 36, so I count my blessings that my shoulder and elbow are in decent shape.
     
  30. tennistim777

    tennistim777 Rookie

    Joined:
    Jul 15, 2006
    Messages:
    114
    Wow, he certainly sounds qualified. I can only relate my experience. I MAY be able to do light groundies now, but a won't even try. I can forget about serves or overheads. Good luck and keep us posted.
     
  31. tennistim777

    tennistim777 Rookie

    Joined:
    Jul 15, 2006
    Messages:
    114
    Your dumbbell exercises certainly hasn't hurt anything. Keep it up!! I have to continue my PT to strengthen my shoulder muscles and try a swing correctly.
     
  32. danix

    danix Semi-Pro

    Joined:
    Apr 6, 2004
    Messages:
    515
    Location:
    SF Bay Area
    I have very good form on all my strokes. I just woke up one day, and realized it hurt when I tried my normal sleeping position (arm crooked under my pillow).
     
  33. Spittle

    Spittle New User

    Joined:
    Feb 2, 2008
    Messages:
    45
    Danix, while I was stubbornly toughing out my shoulder pain (pre-surgery) I ended up developing some kind of tennis/golfers elbow because I was overcompensating for the shoulder pain on various strokes (high volleys, serves, overheads). Heck, I even developed some kind of weird wrist trauma because I was twisting the racquet (subconsciously) during strokes as well. My whole right side was a complete mess!

    It seems like the MRI was pretty conclusive. If you have doubts about the surgeon you've spoken with, you can probably check out your MRI and bring it to another surgeon for a second opinion. It may be worth your time. The only reason I mention this is because of the '3-4 weeks until light groundstrokes' comment. I'm 5 weeks post-op and ANY motion above my shoulders or quick reaction movements will put me in a good amount of pain. There's no way I would even attempt tennis in this state. The most I can do at the moment is bowling on the Wii (highly recommend it by the way - PT even said it was good exercise for me).

    For those of you that are unable to play due to injury, the Virtua Tennis 3 game for the PS3/XBOX360 will keep you happy for a while. The bowling game that comes with the Wii is a decent distraction as well. :) Also, I believe your local library may have some tennis dvd/vhs that you could watch when the tennis bug strikes. Netflix has many tennis DVDs for rent as well (search on Wimbledon or French Open, etc).

    I actually ended up deciding to forgo the 'playing tennis with my off-hand' idea. A big reason for that is I kind of... um... 'dispatched' my racquets back in February when I decided to do something about the constant pain in my shoulder. I knew that as long as I had ANY racquets in my possession the siren cry of tennis would keep calling.

    Good luck to all of you with shoulder issues! This isn't a path that I would want to travel down again. But, having friendly help and tips from fine folks like bronco_mba, dtd, and Ano definitely made it more palatable. I'll keep you updated with my progress in hopes that it helps others that are going through the same ordeal.
     
  34. bronco_mba

    bronco_mba Rookie

    Joined:
    Jan 10, 2008
    Messages:
    358
    Location:
    Southern California
    Qualifications sound good, but I don't know what any of those associations mean. Some of them require extensive training and experience (I think the American Academy of Orthopedic Surgeons fits that bill).

    Has your PT had any of his patients? The PT's will tell you who's patients recover the fastest with the fewest complications.

    Do you know if this guy is on the medical staff of any professional sports teams (especially baseball teams)? I ask because that's a great way to find the very best orthopedic surgeons in your area. The guy I went to is on the San Diego Chargers medical staff and had worked on Philip Rivers' knee the week before I went in.
     
  35. bronco_mba

    bronco_mba Rookie

    Joined:
    Jan 10, 2008
    Messages:
    358
    Location:
    Southern California
    I want a Wii, but not to continue my physical rehabilitation. I need something do on that one or two days a year it actually rains in Southern California.

    Hope you are progressing Spittle!

    Let me also add that MRI's don't always show the full extent of the injury. My MRI was relatively clean (except the impingement), but when the surgeon went in to do the surgery, he found the rotator cuff was partially frayed. I guess what I'm saying is just because the MRI is clean doesn't mean there isn't an issue (potentially big) lurking. I apologize that this isn't exactly reassuring, but honesty is my policy.
     
  36. danix

    danix Semi-Pro

    Joined:
    Apr 6, 2004
    Messages:
    515
    Location:
    SF Bay Area
    PT says he's well regarded, if not the top guy in the area. His partner is the team dr for the Giants but he only does knees (I've seen him before too). And according to the photo on the wall, Mary Jo Fernandez has been there, though that could have been just a fan signing ;)
     
  37. bronco_mba

    bronco_mba Rookie

    Joined:
    Jan 10, 2008
    Messages:
    358
    Location:
    Southern California
    ...well, there you go. Good luck!
     
  38. dtd82

    dtd82 Rookie

    Joined:
    Nov 30, 2006
    Messages:
    126
    Location:
    NJ
    Mri

    Let me echo Bronco's comment that MRI's are not always, um, clear........I had two done last fall - one on my ankle, one on my shoulder. Ankle MRI showed a tear in tendon, shoulder showed 2 tears in the labrum....ankle addressed first, in boot to see if the tears would heal; if not, surgery. After 6-ish months, no healing, decided surgery. Open it up, find out it's completely ruptured (severed)...never would have healed....asked why the MRI did not show what I assumed was very visible, they said, MRI's only 80%....so makes me wonder about the shoulder.....scheduled for Sept 18, the doc say he doesn't need to redo the MRI, "hell, they're not too accurate anyway".......he re-assured me they'd go in and fix everything they found, whether it's on the MRI or not! Nice to have a doc with a sense of humor.........but he did see in the MRI a partial tear in the rotator cuff that others have missed.....he laughed, that he'll be at it all day........thrilling, I tell ya, thrilling.

    Spittle, continued good luck - Bronco, keep telling us it's still working..........oh, and welcome Danix...!
     
    Last edited: Aug 4, 2008
  39. Teyko

    Teyko Banned

    Joined:
    Jan 27, 2008
    Messages:
    277
    Torn Rotator Cuff Question

    I had a nasty fall in march of this year. At that point however I was simply diagnosed with a fractured radial head. At the end of the six weeks however, when I tried to resume normal activities, (light lifting and tennis) I could not.

    Initially my doctor said it was simply deconditioning from not playing for six weeks, then he said bursitis, then he got an x-ray (over a month and a half after my initial complaint) and finally an MRI. It turned out from the MRI that I had a torn rotator cuff and possible labrum tear.

    My question is if I will be able to return to a pre-tear level of play. I am immensely worried about this and quite afraid that it will not let me resume normal activities and the quality of activity that I have worked so hard to achieve (I have had two tibial tubercle osteotomies for lateral displacement of the right and left patella).

    Any experience or help is appreciated.
     
  40. danix

    danix Semi-Pro

    Joined:
    Apr 6, 2004
    Messages:
    515
    Location:
    SF Bay Area
    Teyko, sounds like you have a pretty unique set of circumstances there. Drawing from experiences in this thread I would say:
    - find a good orthopedist
    - find a good physical therapist and start therapy
    - rest

    Other than that, I doubt anyone here can give you any specific advice, but we're here for moral support :)
     
  41. bronco_mba

    bronco_mba Rookie

    Joined:
    Jan 10, 2008
    Messages:
    358
    Location:
    Southern California
    Second all of that, and as to the second point, I would add, "follow the rehab process strictly."

    Given the extent of your injuries, and that its unlikely to get better on its own, what exactly do you have to risk by opting for the procedure? With all of that going on (torn cuff and labrum), I doubt you're going to be playing much at all. Given the right surgeon, PT, etc., you may be back to playing at full strength or beyond.

    That being said, we're all here to support and offer our 2 cents.
     
  42. Kaptain Karl

    Kaptain Karl Hall Of Fame

    Joined:
    Sep 17, 2004
    Messages:
    5,236
    Location:
    The High Country of Colorado
    I'm not a doctor ... and I've never played one on TV

    Yikes! What a list of ailments.

    24 years ago I was told by the Denver Nuggets' Ortho "You need surgery on that shoulder right away." (I've never gone under the knife. I'm serving and playing as good as ever....)

    After several years as a Workers' Comp Consultant, I'd say ... IF you need surgery, make sure to go to the surgeon all the W/C Inscos *hate*. (Because that doc has probably done tens of thousands and won't be surprised by what you present on the table.)

    The problem is ... that same surgeon who is so accomplished tends to be "trigger happy" and sees every problem as a surgical one.

    So ... make sure your doc (or docs) is highly regarded by athletes who have been under his/her knife. (As posted above) ask good sports-oriented PTs who the best surgeons are, too. Hopefully, some docs will appear on both groups' lists. Go to him/her.

    Post surgery ... do *exactly* what your Rehab Therapist says. Their word is golden.

    Good luck. Keep us posted....

    - KK
     
  43. tennis_nerd22

    tennis_nerd22 Hall of Fame

    Joined:
    Sep 7, 2005
    Messages:
    3,239
    Location:
    Canada
    i just found out i have a rotator cuff problem today.. its not that great lol

    the doctor said its tendonitis in my deltoid muscle :|

    has anyone else had this injury before? if so did you make any equipment changes? im using a prince 03 tour MP at the moment and it seems fine for me so i dont think that it would be a problem.. right now its strung with a multi but i broke it and am soon restringing with poly.. (dont know if ill still do that)

    but yea anyone have experience with this??
     
  44. danix

    danix Semi-Pro

    Joined:
    Apr 6, 2004
    Messages:
    515
    Location:
    SF Bay Area
    Straight tendonitis can be helped/cured with cortisone shot, rest, and strengthening.

    As part of all this, I did make an equipment change. I went back to my old Volkl Tour10 MP (actually bought some new ones TW got in from under a rock somewhere) and for the first time ever, used gut. The gut is too soft for my taste so I will try hybrid next. I'm not sure how stiff the 03Tour is, but if it's not a harsh hit, it has enough weight where it should be OK for your arm. I think the really light frames are capable of causing more damage.
     
  45. dtd82

    dtd82 Rookie

    Joined:
    Nov 30, 2006
    Messages:
    126
    Location:
    NJ
    Spittle..update!

    Hey Spittle, chime in and give us an update! I'm due in on 9/17, and thinking a lot about the recovery time frames...
     
  46. Spittle

    Spittle New User

    Joined:
    Feb 2, 2008
    Messages:
    45
    Meh.

    I'm trying to keep a positive outlook on how wonderful all this physical therapy is and how absolutely perfect my shoulder will end up. It's just getting a bit hard to do, to be honest. :)

    It's been just over 10 weeks post-op for me. Each week I have better range-of-motion, but it's definitely slow going. The PT's are quite happy with my progress and say that I'm doing well. Up to this point, they've pushed my stretching/extending *up to* the 'wall'. But for the next few weeks, since my tissue/etc has healed, I have to push *through* the wall (of pain, that is) to get my full range of motion back. I guess you could compare the pain (and effort) to trying to do the splits by going further and further down just past the point of serious ouchie and eventually being able to *do* the splits, but only after weeks of gradual and increased stretchings.

    It's amazing how 'tight' my shoulder is. So, after a few more weeks of fantabulous stretching, I will begin doing strength exercises to train the muscles how to move my shoulder again. According to the PT, I have another 3 months or so of this crap to go through.

    Definitely losing my patience! Luckily the job has been keeping me too busy to really think about all the tennis I've been missing. Even after almost 3 months, I still can tell I have a long way to go.

    However, don't let my whining get ya down! The recovery time will heavily depend on what procedures they perform on your shoulder. In my case, it was the shoulder 'tightening' that increased my projected recovery from 3 months to 6.

    Ask your doctor if he can give you an 'interscalene block' before the surgery. It only took half a minute (needle inserted where your neck meets your shoulder) but it numbed the entire arm for about 12-14 hours after surgery. I actually felt very little pain at all after the procedure. So, if it's an option, it might be worth it.

    Good luck, dtd82!
     
  47. dtd82

    dtd82 Rookie

    Joined:
    Nov 30, 2006
    Messages:
    126
    Location:
    NJ
    thanks....!

    Spittle, thanks for the update, and you have my best wishes....I'm sure that after enough time, and PT work goes by, the shoulder will be back to normal.....ok, now then.....man, sounds like it sucks! I've got little to no patience also so I completely understand the fun your having....can't not do it, but if there was anything else....which is why I'm itchy about mine.....I know I have to, know it'll be better, but I'm praying it won't suck...much! I kinda like Bronco's story better!

    I'm pretty sure I'm getting the interscalene block - least I do remember hearing I'm not getting full anesthesia. And, I don't think I'm getting "tightened"....the list as I know it is 2 labrum tears to stitch, partial tear in the rotator cuff to fix, shaving the acromion bone (subacromial decompression)...and as he put it..."anything else I find I'll fix"....somehow they'll deal with the tendentious and bercitious, but not sure how......

    In the back of my head I keep thinking I'll side past this ok - the action of the shoulder, the muscles, etc are very strong and I don't think need work - things seem to be centered on the "parts" inside....labrum, tendons, etc......if I'm right, once they're repaired, things should heal quick (I do heal quick thank god) and hopefully I'll have my shoulder back..hell, only been 20+ years....

    Oh, I'm now six months past the ankle repair.....other than an occasional ping, everything's back to normal....other than an 8 inch zipper scar running around and up my ankle and leg......but the kids think that's cool, so.....
     
  48. bronco_mba

    bronco_mba Rookie

    Joined:
    Jan 10, 2008
    Messages:
    358
    Location:
    Southern California
    Dtd - Sounds like you're somewhere between my procedure and Spittle's. I had a little fraying of the labrum, but nothing that needed to be stitched.

    You are lucky to be getting the block instead of general anesthesia, which I had. I wasn't in pain so much following surgery, but complete and utter nausea. If you end up with general, ask for something for the nausea ahead of time. You'll be happy you did.

    Another tip, if you suspect you may get a little anxiety and have difficulty sleeping the night before surgery, ask for something from the doc ahead of time. I did, and had much less anxiety going into the surgery.

    Spittle, I'm sorry to hear that things aren't progressing as fast as you would hope. Stay patient, and keep us up to date.
     
  49. Urza187

    Urza187 New User

    Joined:
    May 25, 2006
    Messages:
    58
    I've recently gotten a shoulder problem so I figured i'd post it here...

    My shoulder has been aching for the past few weeks, and last night it finally got to the point where it was like, "Ow, I can't serve anymore." The pain starts to occur at the end of my takeback, and can definitely feel it when I move the arm forward with my swing on my right hand forehand. It finally doesn't feel like anything once the arm reaches my side, and forward from that point. I do not really feel anything when I use my 2-handed backhand.

    It also hurts when serving, definitely where the most pain occurs, as i'm throwing the arm up, accelerating to hit the ball. It's not like a sharp, sudden pain, but I can feel it hurt for awhile. It isn't just a sharp sudden pain, and then it goes.

    The arm also hurts while throwing a football. Similar, when my arm hits the point to where I stop when I take it back, to accelerating forward with it and the pain disappears when my arm reaches about halfway through my throw.

    I was actually thinking that the injury might have stemmed from throwing around a football recently, while also serving as well. Does anyone know what kind of problem I have? Is it serious? Does anyone know any good rehab exercises? It's been going on for a few weeks, and I tried to let rest do its work, but last night it came back and enough was enough. Any help is appreciated!
     
  50. mrw

    mrw Semi-Pro

    Joined:
    May 31, 2005
    Messages:
    674

    sounds like MRI time.
     

Share This Page