Acute shoulder injury - Help!

Borrelli

Semi-Pro
Has anyone ever gotten so frustrated that they took a wild swing at the ball trying to smash it out of the park? Well, I was playing yesterday in extremely windy conditions which always frustrates me. I got so frustrated that I tried to just rip the ball as hard as I could (stupid!) with my one handed backhand. Unfortunately it was so windy that I ended up mishitting the ball and felt the worst pain in my shoulder ever, I spun around completely and hit the ground in a loud scream. The feeling I felt was something I've never experienced before, It was almost like my shoulder had popped out really quickly but then as I let the racquet fly out of my hand in pain it's as if it popped back in? Or when I hit the ground maybe it went back in? I'm not sure if it was my shoulder popping out or a tendon or what? I just know that something came out and seemed to return or maybe just broke off entirely?

Anyway I got back up and felt nauseous but not pain. I drove off and have been icing it since. I seem to have full movement but it's pretty sore today.

I know this was an absolute stupid thing to do and I'm kicking myself every second. Has anyone felt something similar or had a shoulder injury that could comment how painful it was during and after the immediate injury to help me maybe compare? I don't have health insurance so my only option is to go to the ER and get a MRI but I'm not in pain so...

Thank you all for the help!
 

floridatennisdude

Hall of Fame
Sounds like a dislocation, which could have a variety of ligament, muscular, and/or cartiledge damages. My initial thought is that you may have pulled the labrum from the scapula. It is a small piece of cartiledge that serves as a shock absorber and also helps stabilize the socket (I'm no doctor, but I've torn mine before along with a cuff).

Just an FYI, the ER is probably not a good plan. They aren't always going to have an ortho readily available and the cost of seeing them is probably going to be 10 times that of an ortho surgeon. An MRI alone, if prescribed, will cost upwards of 10k. However, you'll probably get a general surgeon who will diagnose a sprain and send you off with an rx for pain and muscle relaxers...it won't do anything for cartiledge. You can take a double dose of alleve and Tylenol and get the same effect.

Id call an orthopedic office in your area and explain that you are uninsured and see what their cash policy is. it's better money spent for the expertise alone and you can write off medical bills on your next tax return if you accumulate enough to itemize your deductions.
 

Borrelli

Semi-Pro
Sounds like a dislocation, which could have a variety of ligament, muscular, and/or cartiledge damages. My initial thought is that you may have pulled the labrum from the scapula. It is a small piece of cartiledge that serves as a shock absorber and also helps stabilize the socket (I'm no doctor, but I've torn mine before along with a cuff).

Just an FYI, the ER is probably not a good plan. They aren't always going to have an ortho readily available and the cost of seeing them is probably going to be 10 times that of an ortho surgeon. An MRI alone, if prescribed, will cost upwards of 10k. However, you'll probably get a general surgeon who will diagnose a sprain and send you off with an rx for pain and muscle relaxers...it won't do anything for cartiledge. You can take a double dose of alleve and Tylenol and get the same effect.

Id call an orthopedic office in your area and explain that you are uninsured and see what their cash policy is. it's better money spent for the expertise alone and you can write off medical bills on your next tax return if you accumulate enough to itemize your deductions.
Great, not what I wanted to hear. How much pain were you in afterwards? Did you have full range of motion and for how long was it sore/painful for? Everyday until you had it fixed?

From what I'm reading about dislocations, it seems this probably didn't happen since I wasn't in as severe of pain as I'm hearing as well as having it hanging out the socket, seems more traumatic than what I felt.

Thanks!
 
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Chas Tennis

G.O.A.T.
You should see a Dr now.

With a completely unknown injury never believe that any information from a forum applies to your undiagnosed injury. Otherwise, you'll tend to believe what you want to believe.

My cousin's husband got angry and threw a neighbors trash can out of his driveway. He tore his suprispinatus, the rotator cuff muscle on top. He required surgery.

(MRIs don't cost 10K but they are expensive.)
 

Borrelli

Semi-Pro
You should see a Dr now.

With a completely unknown injury never believe that any information from a forum applies to your undiagnosed injury. Otherwise, you'll tend to believe what you want to believe.

My cousin's husband got angry and threw a neighbors trash can out of his driveway. He tore his suprispinatus, the rotator cuff muscle on top. He required surgery.

(MRIs don't cost 10K but they are expensive.)
This is a known fact. Obviously if I had insurance it might be more urgent for me to run off to the Dr's. Not trying to have the forum diagnose me, just trying to get a idea of what I did if anything at all. Again, I'm not in any form of severe pain, just a bit sore with a slight pain here and there, still full range of movement. I'm going to give it until the weekend to see if it's still sore and painful and if so then I'll see a Dr. Relax!

Also, the pain is more towards the inside (Armpit) part of the shoulder but out infront and not the outside where the rotator cuff pain would be.
 
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Chas Tennis

G.O.A.T.
I do not know if this information is accurate.

I played tennis with a guy. He said that he had torn completely off one of his bicep tendons that originates above the shoulder. At first he was not sure of what happened and began to realize that it was a serious injury and then saw a Dr. I guess it was about 2 weeks after the injury. He told me that the Dr told him that it was too late to operate to correct it. What he said regarding the short time did not sound correct to me, then or since. He seemed genuine in telling me about his injury. I will look into how correct his information is. But if my bicep tendon visibly curled up in the top of my arm I would see a Dr immediately.

A tennis instructor at our club had the same injury. He saw a Dr and elected not to have it operated on. Missing one of the two bicep tendon origins he has probably lost some functions or strength in his upper arm permanently.

Their injury -
http://orthoinfo.aaos.org/topic.cfm?topic=a00031#Treatment

Regarding tendon injuries I read that tennis elbow if it is played on after an acute injury for more than a "few weeks" may cause the torn tendon to heal in a disorganized way resulting in a chronic condition. I believe in that point of view and would assume that it applies to other tendons as well. Since the shoulder has so much leverage it would be easy to stress the injured area.

I try to minimize the risk of developing chronic injuries after an injury by stopping all stressful activity and seeing a Dr. No pain killers.
 
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Borrelli

Semi-Pro
I do not know if this information is accurate.

I played tennis with a guy. He said that he had torn completely off one of his bicep tendons that originates above the shoulder. At first he was not sure of what happened and began to realize that it was a serious injury and then saw a Dr. I guess it was about 2 weeks after the injury. He told me that the Dr told him that it was too late to operate to correct it. What he said regarding the short time did not sound correct to me, then or since. He seemed genuine in telling me about his injury. I will look into how correct his information is. But if my bicep tendon visibly curled up in the top of my arm I would see a Dr immediately.

A tennis instructor at our club had the same injury. He saw a Dr and elected not to have it operated on. Missing one of the two bicep tendon origins he has probably lost some functions or strength in his upper arm permanently.

Their injury -
http://orthoinfo.aaos.org/topic.cfm?topic=a00031#Treatment

Regarding tendon injuries I read that tennis elbow if it is played on after an acute injury for more than a "few weeks" may cause the torn tendon to heal in a disorganized way resulting in a chronic condition. I believe in that point of view and would assume that it applies to other tendons as well. Since the shoulder has so much leverage it would be easy to stress the injured area.

I try to minimize the risk of developing chronic injuries after an injury by stopping all stressful activity and seeing a Dr. No pain killers.
Thanks Chas.
 
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floridatennisdude

Hall of Fame
Great, not what I wanted to hear. How much pain were you in afterwards? Did you have full range of motion and for how long was it sore/painful for? Everyday until you had it fixed?

From what I'm reading about dislocations, it seems this probably didn't happen since I wasn't in as severe of pain as I'm hearing as well as having it hanging out the socket, seems more traumatic than what I felt.

Thanks!
With my labrum, I was symptomatic for around 6 months before I did anything. I had crappy imsurance that required me to be seen by my GP prior to getting to a specialist. 2 months and three prescriptions later, I finally got into the ortho. 2 weeks later I had the MRI to confirm it was the labrum. Surgery was arthroscopic and took the guy 30 mins to do. Recovery was 6 or 7 months until I could actually swing overhead again. 9 months post up, I was playing league again.

The worst part about the months where I was symptomatic was sleeping. I would wake up every couple hours with a shooting pain down my arm. If not for that, I'd have never gotten surgery.

Like the other posters and I said, go see a doc. I really recommend an actual orthopedic surgeon over an ER doc or a GP.
 

Borrelli

Semi-Pro
With my labrum, I was symptomatic for around 6 months before I did anything. I had crappy imsurance that required me to be seen by my GP prior to getting to a specialist. 2 months and three prescriptions later, I finally got into the ortho. 2 weeks later I had the MRI to confirm it was the labrum. Surgery was arthroscopic and took the guy 30 mins to do. Recovery was 6 or 7 months until I could actually swing overhead again. 9 months post up, I was playing league again.

The worst part about the months where I was symptomatic was sleeping. I would wake up every couple hours with a shooting pain down my arm. If not for that, I'd have never gotten surgery.

Like the other posters and I said, go see a doc. I really recommend an actual orthopedic surgeon over an ER doc or a GP.
Cool. Thanks for the helpful info. Again, just trying to compare my symptoms to possible causes. At the moment I have full range of movement and no severe pain. I will give it a week and see what happens, maybe just strained it? Certainly no shooting pains. If it doesn't clear up by Monday then I'll see a Ortho and pay the bucks for a MRI.

If anyone else has anything to add It's appreciated, if not I'll update you guy's on Monday.

Thanks!
 
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