Shoulder Issues -- Therapies, Surgeries, Etc.

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

  1. dtd82

    dtd82 Rookie

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    yup

    Bronco, I agree I'm between the two of you guys......actually, I hope I'm closer to yours! I had general anesthesia when I had the ankle done in March, and man, do I remember the lousy next few days....I confirmed with the Doc today I'm getting the block, so , cool......

    So your thinkin Ambien? Nice idea.......I've got damn near a pharmacy over here, with 3 ADHD kiddies.....

    Urza, sounds like the start of a problem......find your friendly local orthopedic shoulder specialist.......hit the specialist first, save yourself several years of fun....
     
    Last edited: Sep 10, 2008
  2. bronco_mba

    bronco_mba Rookie

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    I think it was Ativan. Anti-anxiety medication. Worked very well and I only took it night before and morning of.
     
  3. dtd82

    dtd82 Rookie

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    Thanks Bronco.....that's a new one - got several of it's class over here in the basket but not that one! The actual surgery doesn't worry me, I'm just over thinking what shape I'll be in when I'm done.....it's been 25 years(ish) since it went out me, and now that it's about to be worked on, seems all the frustration that I've buried all these years is surfacing - the potential of it coming back has me now hyper-focused on it......fortunately there really isn't anything I can do other than deal with it once the surgery is finished, so I'm just itchy.......
     
  4. bronco_mba

    bronco_mba Rookie

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    Forgot to mention that you should also rent a device called a polar care for post-op recovery. Its a sleeve that goes over your shoulder, hooks up to a pump, and constantly keeps the shoulder cold. Great for keeping inflammation down post-op. You'll get sick of it after a while, but the thing works wonders for bringing down recovery time.
     
  5. dtd82

    dtd82 Rookie

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    cool.......

    I like the sound of that one....
     
  6. Spittle

    Spittle New User

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    Good luck with the surgery tomorrow, dtd82! It's a long road of recovery, but I'm getting more range-of-motion and strength almost daily. So, enjoy the drugs they put you on and try not to let the intrascalene block freak ya out too much. I kept having to check my fingers to make sure they were warm (and still there!). :)

    Let us know how it went when you get the chance!
     
  7. dtd82

    dtd82 Rookie

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    Boys, it's done......block hasn't worn off yet, so I'm feeling pretty good....though it's very weird having this piece of meat hanging from my shoulder! Typing isn't good with my left so I'll be short - damage report had a tear in the rotator cuff, repairs in the labrum / cartilage, removal of a bone spur and bone shaving, and repair of a tear in the tendon.....a full rack, but the doc thinks everything went well and is looking to start PT in one week.

    Time to figure out how to find a sleeping position, but I wanted to check in first, and to say thanks to you guys for all the info, and the support....means alot. Now comes then fun part!

    Dave
     
  8. Spittle

    Spittle New User

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    Good to hear it all went fine!

    Aye, I couldn't quite get used to the 15lb piece of warm meat hanging off of my neck either. As far as sleeping goes, my most comfortable position was in a recliner.

    Good luck and have fun doing everything (and I mean EVERYTHING) with one hand! :)
     
  9. bronco_mba

    bronco_mba Rookie

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    glad to hear things went well dtd!

    follow the post-op instructions to the letter and you'll be lightly swinging your arm in no time.

    keep us updated...we'll keep supplying encouragement!
     
  10. dtd82

    dtd82 Rookie

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    Thanks guys.......I'm feeling awfully good - by end of day 1, the arm was back again (no more meat!!)...shoulder feels like someone nuggied it for a few hours, but otherwise, not too bad.....did let the meds lapse a bit fri afternoon and started to hurt 'round the back of the neck, but that's gone now as I've been better with the schedule.......trying to be careful not to let the shoulder move, but as I have unimpeded use of the hand and arm below the elbow, it's hard not to move......typing, eating, writing......no real problems.....doc wants me to get out of the sling a few times a day and move the arm/elbow so it stays loose, actually feel good to do...long as the shoulder doesn't move, everything feels pretty good........

    reality will come I'm sure when the meds go away, and the PT starts......'till then, I'm just happy I'm not pinned down to bed/chairs like I was with the ankle!

    Back to the doc on Tuesday....I'll keep ya all posted.

    Dave
     
  11. dtd82

    dtd82 Rookie

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    update...

    Ok, been a week.....saw the doctor yesterday and got a rundown on what he did - the labrum was "chewed up". and couldn't hold a stitch, so those areas were removed......the bursa had become thickened and hard, so he shaved it down and got it back moving.....there was a bone spur on the front of the shoulder hitting the bicep tendon causing tears....removed the spur, fixed the tears......shaved the underside of the bone...

    I'm out of the sling, cleared for 3 days PT for 6 weeks...another visit, go easy another 6 weeks, cleared for full return at 3 months.....pain is way down, range of motion is very good considering..I'm being slow and careful, minimal weight, but life is fast approaching normal....kinda weird after all the time and buildup....I'm feeling pretty lucky..
     
  12. bronco_mba

    bronco_mba Rookie

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    ...yeah, but can you wash your hair with your bad arm yet?

    Best day for me, recovery wise, was when they took the big surgical dressing off and let me take a shower.
     
  13. dtd82

    dtd82 Rookie

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    well....

    not quite...! but, I can get it up to brush hair / teeth.....all I have are three tiny incisions where the scopes went in....I was able to shower next day, as they put tape / gauze on the cuts, and a big waterproof sheet-thingie over the whole site......I swear it's surreal....I'm doing most things normally....yeah, being very careful with the shoulder, but the range of motion gets better seemingly hourly, and the pain's just a dull roar......going to PT tomorrow, we'll see how I feel after that!
     
  14. danix

    danix Semi-Pro

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    Looks like I'm up next. Surgery scheduled for 11/6.
     
  15. danix

    danix Semi-Pro

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    When I went in to schedule, they gave me a sheet saying that they recommend this device but that insurance may not cover it, and they will call me a few days before surgery to see if I want it. Is it worth a $200 rental fee? I wonder if some pharmacies rent this out locally...
     
  16. Kaptain Karl

    Kaptain Karl Hall Of Fame

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    Yes ... so long as it works. My wife had the Knee version after her surgery. It didn't work. They didn't have any more in stock. It took five hours to schedule time to have her dressings re-done without that thing incorporated into it.

    - KK
     
  17. Spittle

    Spittle New User

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    Sigh... looks like my rehab is going to take a bit longer than I had anticipated. I'm progressing just fine, but I had a procedure called 'capsular imbrication' performed since my shoulder was so loose. I have about 80% motion now.

    Trying not to be bummed about the whole thing. I just wish I had better communication from Mr. ShoulderSurgeryGod. Hell, the last time I was there, I waited 1.5hrs to see him for 15 minutes during which he fielded 2 personal phone calls from his lunch date. So, since I've been going to therapy twice a week, I'm going by what these folks say. Still debating whether I go back to Duralde again at all, to be honest.

    Good luck to all that are recovering from and scheduling for surgery!
     
  18. princemidplus

    princemidplus Rookie

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    i am sorry i only came across this now and not earlier. i see a lot of cases where the physiotherapists just seem to want to poke at sore points rather than leaving them alone when needed. if somethingis inflammed or irritated, poking it can only make it worse - common sense really. arm pain in the deltoid insertion is fairly common though so it is difficult to give one a diagnosis without doing tests myself and unfortunately can even take several months of rest and very gentle exercises (not pushing through the pain) to recover.

    After surgery however, it is important to get back range of motion as quickly as possible otherwise it gets very stiff. unless the surgeon/consultant specifically orders immobilisation, i am surprised that some of you struggled with movement (even though painful) after the operation.
     
  19. dtd82

    dtd82 Rookie

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    Well, maybe I'll be the new poster-boy for this stuff going well......three weeks out from surgery, all's well....PT has me at 1 per week rather than the original 3, as my range of motion was only 30 degrees off the other, and I could move easy through all the exercises...getting measured again today...I'm doing them at home, but other than it feeling tender, and definitely in need of TLC, it's as if it wasn't done.....but I can tell from the limited over-the-head movements I have done, the "hurt" is gone.....not at all sure what that really means, as until I hit a few who knows what it will feel like or be able to do, but for right now, anything different-feeling there is good....

    Danix, good luck...hey, where are you? Saw your comment that the doc worked with the Giants....if your in the NNJ area, and still thinking of a 2nd opinion, I had mine done in Ridgewood (Valley Hosp)....can refer the docs if you want.

    Spittle, keep at it.....looking back over the posts, time does go by and things do finish.....your thread has done alot for everyone.
     
  20. danix

    danix Semi-Pro

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    I'm in the San Francisco area. So, the other Giants ;)
    I wonder if I should get a 2nd opinion before surgery or not. Now I'm wondering...
     
  21. dtd82

    dtd82 Rookie

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    oops...! 2nd opinion....(a) always a good idea....(b) I didn't....
     
  22. benne

    benne Semi-Pro

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    My advice is to make sure your toss is in front of you when you serve. Hitting a flat or slice serve when it's behind you will tear your cuff and cause pain. I used to do this until I literally would have a "thrown out Shoulder" after every time I played for a day, until it was warmed up again and I continued to do it.

    My pain would cause my to drop objects in specific positions only at 1 point. felt like I'd get stabbed everytime i tried to shake someones hand.
     
  23. bronco_mba

    bronco_mba Rookie

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    Said the same thing to me - and insurance covered it after all. Policies/plans may differ - but I'm sure it cut down my recovery time (and time in PT/rehab) significantly. Count me as a believer - my surgeon highly recommended the device.

    My polarcare was just a removable sleeve with hoses connecting to the machine - it went over the surgical dressings. No need to incorporate it into the dressings.
     
  24. danix

    danix Semi-Pro

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    Surgery center (which is in the same building as the ortho office) is not in network for insurance. Now they tell me. The dr. has an alternate site but he does it on Mondays, which means time off from work. Rescheduled for later in November, but now I am wondering about 2nd opinion since I have time...
     
  25. danlalane

    danlalane Rookie

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    Thanks all for this info. I have struggled with shoulder pain since 1/1/08. I have tried every damn thing in the "conservative" treatment category. Chiro, PT, Massage, Acupuncture, my own strength regiment, Tumeric, Ginger, etc - still in pain.

    Dr 1 - you have bursitis, do pendulum exercises. No help. Cortisone shot in bursa. No help - just burned like a mofo for two weeks. MRI. AC joint inflamed - spurs. Cortisone shot 2 in AC joint. Burned like hell for two weeks, improvement of about 30-40%.

    Dr 2 - the supposed shoulder guy in Boston. Fellow said, tight capsule - PT will fix. SHouldergod - you have a SLAP Tear. PT - no improvement in pain, just strength and flexibility improvements

    Dr 3 - New England Patriots and Boston Red Sox Surgeon. "This is a very obvious case of a SLAP tear. You have done all the conservative treatments possible, surgery is the only thing that will help."

    Surgery Scheduled 1/6/09.........

    What a pain in the butt this whole process has been. I will post back with surgery results.
     
  26. princemidplus

    princemidplus Rookie

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    ^^^ if it is a SLAP lesion then at least 9/10 SLAP lesions need surgery to correct - unless you looking at not playing tennis again. It is the serve action primarily that gives the problem.

    do you get a lot of clicking in your shoulder and does it feel unstable? the best test for SLAP lesions is done passively by DR/PT with 90 degree shoulder abduction and then compression combined with internal and external roation. Called Grind test. clicking/grinding/clunk indicates possible SLAP lesion.

    all the best with the surgery
     
  27. princemidplus

    princemidplus Rookie

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    in UK we call this thing a cryocuff (sleeve filled with ice cold water). would really recommend it to help with pain and swelling post op. Usually most effective immediately after surgery for up to about 2-3 weeks.
     
  28. danlalane

    danlalane Rookie

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    Yeah I suppose I could get by without surgery. But I am 34, love tennis, basketball, throwing the baseball with my kids, lifting, And brushing my teeth without pain. SO surgery it is...... And, yes I have clicking, rubbing, grinding etc. Thanks for the sleeve advice I will ask my surgeon. Also, I read from Dr Weil that it is good to load up on Vitamin C before any surgeries. Worth a shot.
     
  29. Ultra2HolyGrail

    Ultra2HolyGrail Hall of Fame

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    How did your injury occur?
     
  30. dtd82

    dtd82 Rookie

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    update....

    Thought I'd throw in an update...saw the doctor today, roughly 7 week out. Cleared to stop PT formally, just keep at strengthening the whole shoulder...Told me to keep away from any stressful uses, ie, no tennis or throwing, until Jan 1, then clear to full normal.

    Other than spot pain in the front of the shoulder where the bone spur was removed, and where one of the tools went in, there's no pain - I have full range of motion, and most of the time forget it was done....I can be patient 'till Jan, given it's been 20 years since it's worked right, but man, I can't wait to swing out at a serve....! Starting to look at new rackets.........!

    Good luck Danlalane.....I miss the fun of grossing people out by rolling my shoulder around and making it sound like a chainsaw, but not that much! Best not to wait as long as I did.....
     
  31. bronco_mba

    bronco_mba Rookie

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    Dave,

    Excellent news re: the most recent office visit. I'm still pain free, serving better and harder than ever, and just won my first NTRP tourney here in So Cal (4.0 doubs).

    I am tinkering with different (lighter) racquets that I think might be better for my shoulder. My RDS001 MPs weigh in at 12.7 oz strung and I'd like to bring that down closer to 11 oz strung or less, if possible. I've been demoing the Pure Drive Std (11.4 oz) and the Pure Storm (10.8 oz). Need to get out and try a few more before settling on one.

    My physical therapist thought the lighter weight would produce less stress on my shoulder when I'm trying to serve the felt off the ball, now that I can do that.

    Has anyone with shoulder problems had less pain/greater comfort going to a lighter frame? My experience suggests the answer is yes, but would like to hear from others.
     
  32. luishcorreia

    luishcorreia Professional

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    I had a shoulder injury about a year ago. I went through almost everything you describe. The problem in my case was that the MRI gave a false negative. There was a problem but it didn't show up on the MRI.
    Fortunately I saw an Orto doctor that is a world class specialist on shoulder.

    He operated on me (May 13th) and I’m starting to play again 5 months later. When he opened me up he saw that the injury was more extensive that he anticipated. I also had several months of fisio before the surgery and it just made it worse, because I was working on something that was broken.
    I'm not saying to get surgery, but get a second opinion and get a VERY GOOD doctor.

    Good luck
     
  33. bronco_mba

    bronco_mba Rookie

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    Second this. The MRI I had completely missed partial fraying to the labrum which required clean up.
     
  34. kelz

    kelz Professional

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    physio? no?
     
  35. dtd82

    dtd82 Rookie

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    thx..

    Bronco, congrats on the win - and nothing better than doubs....

    I've done a lot of thinking re the frame weight and the shoulder, without much hard science or results to back one argument or the other.....but...the "fact" that has me itchy is what happened to me last November....I'd moved down weight for years to help the arm/shoulder....wasn't playing much, so lighter felt better, and Wilson had a bunch of stiff / light frames which I liked....when I started to play more again a year or so ago, I liked the Kfactor, but went with the Team version rather than the regular, as it was noticeably lighter....worked great until I got a cortisone shot in the shoulder........testing out the shoulder a week after the shot, I played hard (!) couple of hours Mon, Wed, Sat...woke up the next Wed with the worst tennis elbow I've ever imagined...I've played for 35 years, never a twinge............ok, out of shape, too much pressure on the arm without good run-up first.etc...fine, but I'll tell you the real culprit was the light racket.....the best analogy I have is the effect throwing a tennis ball hard has on your arm versus throwing a baseball hard.....the heavier ball provides an offsetting resistance to the effort of the motion......so, I'm going back to a heavier racket when I'm cleared......I'm working now to build up the muscles, and get into whatever shape a 48 yr old can get to, and I'll initially start with the Kfactor regular until I decide on another.....actually looking forward to the testing process, hell, it's been years.....if I can't find the touch I'm looking for, I just might have to re-string a few of the old Maxplys I still have in the basement....
     
  36. bronco_mba

    bronco_mba Rookie

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    I've been cheating on my RDS001 MPs with a few lighter frames, i.e. Pure Drive (10.6 oz), Pure Storm (10.2 oz), and MG Radical MP (10.6 oz) for the past couple of weeks. Playing doubs last night and my shoulder starts hurting. Of course, part of that could be that I was playing terrible. Pulled out the RDS001 MPs (mine weigh in at 12.7 oz) and instantly started playing better, and the shoulder pain went down a little. So, DTD, maybe you're right. Lighter is not necessarily better. I'll continue to tinker, but my initial hypothesis might be misplaced.
     
    Last edited: Nov 14, 2008
  37. TheShaun

    TheShaun Hall of Fame

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    For any of you, with your consultations with the doctors was there ever any mention of posture being part of the problem.

    For me, I've heard a few times that my slumping shoulders are part of the problem. I have been working on keeping my shoulder blades back to lesson the impingement.

    I've now been told to take 600mg of ibuprofen 3 times per day, regardless of pain or no pain. And I've been told to do this for a couple months. I guess the idea, is to have any inflammation down wile I'm working on it.
     
    Last edited: Nov 15, 2008
  38. samster

    samster Legend

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    Yes, I saw an orthopod once and he told me that my slumping posture contributes to shoulder impingement. He told me to keep my head up and stand up straight.
     
  39. bronco_mba

    bronco_mba Rookie

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    Agree. Part of my post-op rehab included weight training my back muscles in an effort to bring the shoulders back. I definitely notice the pace on my serve dip when I've missed a few back workouts at the gym.
     
  40. dtd82

    dtd82 Rookie

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    Bronco, since you're playing and I'm still sidelined, keep posting the rackets you're trying......feeds my curiosity, gives me homework material, and I'm sure will help me when it's my time to experiment........I think we'll do better by working on strengthening the arm/shoulder and using a heavier racket, versus the lighter/protect mode....there are some other echoes of this on the boards if you search for reviews/results of the Kfactor Team model....interesting the frequency of "I love this racket" shifting later to "it hurt my arm"......seems light / stiff is a dangerous combination, especially for those of us who are getting dinged up or older, but still go out and swing and play hard.....

    I have to work on my posture / back muscles also....what exercises have you found help?
     
  41. heycal

    heycal Hall of Fame

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    I haven't read the thread, just the OP, so forgive me: But are you saying you were in incredible pain and having trouble with movement and an MRI and arthography revealed basically nothing? Strange...

    I wish you luck. I'm having shoulder twinges, and have bigger problems with them in years past, and a long battle with TE as well. Sometimes I think time is the only thing that works in the end.
     
    Last edited: Nov 17, 2008
  42. bronco_mba

    bronco_mba Rookie

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    I'll try to keep you updated on my demo experiments, but I think I'm back with the RDS 001 MP for the time being. When I'm moving well, I really strike the ball well with the RDS 001 MP. The one that had me closest to switching was the Babolat Pure Storm (10.4 oz strung). I was never able to get comfortable with the K6.1 95 team. I swung it a few times and put it down. Swung way too light for me - its rare I'm way in front of a ball, but I was, with a great deal of regularity. I really wanted to like the Dunlop Aerogel 3Hundred, but the head shape and balance just seemed off for me - didn't feel headlight to me. I was serving absolutely lights out with it though.

    Others that I have tried: Babolat Pure Drive w/ Cortex (Std), Head Microgel Prestige MP, Head Microgel Radical MP, Head Microgel Extreme (Std), Dunlop Aerogel 5Hundred (Std), Prince Speedport White. Of those, the Head Microgel Radical MP came closest to getting me to switch, but I was also having a bit of shoulder pain playing with it - so out it goes.

    As for back exercises that have helped, lat pull downs, rows, single arm rows, bent over rows, reverse cable flys, push ups and pull ups have all been used interchangeably with good results. I also work in some movements with exercise tubing. My doc recommended 3 sets x 3 exercises x 15 reps/set x 2 times (or 3 preferrably)/week, which is really quite hard when your back is weak.
     
  43. dtd82

    dtd82 Rookie

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    nice..!

    Bronco, you are a fountain of knowledge! Thanks for the rundown on the rackets - I understand exactly what you mean re the team, it does swing light. I'll move to the regular version when I restart, but I'll give the RDS 001 MP a try...haven't hit with it, so I'm curious...

    And thanks for the rundown of exercises - I've been doing cardio for the last month to try to get some semblance of wind back, and will gear up to weights in December...I don't want to be starting from scratch when I'm cleared in January - and I hate to admit how weak the shoulder and back have become, though I think they'll come back quickly....
     
  44. bronco_mba

    bronco_mba Rookie

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    One thing I wish I'd done while waiting for my shoulder to heal is focus on strengthening my legs and core. Having a strong core and lower half can really take some of the strain off the shoulders and arms when you get back to playing. I'd integrate some exercises for the legs and core into the cardio you're already doing. You'll be in far better position to make a come back in January. I would have done this, but I didn't have access to a gym during my rehab.

    I did hit the K6.1 95 Std. I found it to swing too heavy for me (and I'm a former PS 6.0 85 and PSC 6.1 95 user). The RDS001 MP felt and swung just right for me. There are many fans of the RDS001 MP - reviews over in the racquets forum.
     
  45. dtd82

    dtd82 Rookie

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    yup...

    Couldn't agree more...I've been doing 40 mins + on an elliptical machine with arms, some running, etc...cut 10 lbs so far, need 10 more to hit the right measure there....can feel my wind is better, though only playing will really tell me that. I was never one for weights, but I can tell the whole of my upper body has suffered from lack of toughness and ...gulp...age.....

    The K6.1 95 Std only got my attention 'cause I felt it to be "bright" hitting, versus the dull feel I get from alot of other frames..I still like the "ping" and stiff hit that so many today seems to dislike....I'm pretty sure all bets will be off when I actually move from mental to physical...
     
  46. Spittle

    Spittle New User

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    Hola folks! Original poster here!

    After my 6 months of pre-surgery therapy, after my shoulder surgery/capsular imbrication surgery, after another 6 months of post-surgery therapy, I am FINALLY getting extremely close to being fully healed and having full range of motion without pain!

    I still have maybe 5% range-of-motion to do yet and definitely a Winter's length of muscle building. But, I'm actually able to do light weight training now and was able to do my first pushup last night *without pain* for the first time in over 15 months!

    Wow, what a long, drawn out, patience-testing experience this has been... My plan is to strengthen my entire body before I even touch a racquet. I definitely don't want to go through this again.

    What advice can I give after going through all of this? Keep a level of strength training in your tennis regimen - especially for weekend warriors. As you get older, you may think you're just as limber and 'ready to go at a moment's notice' as you were 5 years ago, but you're not! :) My mistake was throwing myself back into tennis 140% without preparing physically and I paid the price. And, get your shoulders diagnosed early folks! Nip the problem in the bud BEFORE you need surgery!

    Good luck to all,
    Spittle
     
  47. dtd82

    dtd82 Rookie

    Joined:
    Nov 30, 2006
    Messages:
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    Location:
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    congrats

    Spittle, great to hear things are coming around! Been a long road........and a lot of pages!
     
  48. danix

    danix Semi-Pro

    Joined:
    Apr 6, 2004
    Messages:
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    SF Bay Area
    I'm going in for my surgery tomorrow, and hoping for something less than 15 months before I can do full pushups :)

    Good feedback on lower body work and core, and shedding pounds. I was planning on that myself (we'll see how long that lasts...)
     
  49. TheShaun

    TheShaun Hall of Fame

    Joined:
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    Best of luck danix, and speedy recovery! Keep us updated...
     
  50. dtd82

    dtd82 Rookie

    Joined:
    Nov 30, 2006
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    NJ
    luck...

    Good luck Danix.....we'll be looking forward to your updates..!
     

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