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Rotator cuff injury question...

 
Azila_Again
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User ID: 70580194
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02/14/2016 01:15 PM
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Rotator cuff injury question...
In November I was involved in an auto accident. Sharp shoulder pain. X-ray was done and showed nothing.

I've been in PT since the accident and was finally cleared for an MRI. PT gets results and says I have a partial tear and another full tear in the rotator cuff. He sends me off to an orthopedic.

Before leaving he tells me to protect the arm as to not cause further damage or tears.

The PT he had been doing was not physical in any way . Laser, sono, heat, cold.

I get to the ortho, she jabs a cortisone shot in the joint and says start moving and exercising now to rebuild my strength.

Two very different things being said. Can a full tear heal itself? Seems unlikely to me.

Anybody else have a cuff injury.?

Last Edited by Azila_Again on 02/14/2016 01:15 PM
If they say it's true, it probably isn't.
Anonymous Coward
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02/14/2016 01:27 PM
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Re: Rotator cuff injury question...
If you don't move it around, it will freeze up. I just had this happen to me as well. I have impingement of my shoulder joint also.
I didn't think the cortisone shot did much. I finally took the prednisone and my arm feels great again.
Dr who gave me the shot said same thing. Dangle arm loosly and even use a weight while doing it. I saw a guy who had it get stuck and he cant even lift his shoulder now... has to have another surgery. Just don't do over head stuff or lift anything too heavy. You have to stretch it out tho.
Anonymous Coward
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02/14/2016 01:31 PM
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Re: Rotator cuff injury question...
From my experience 1/3 or 2/3 tears can heal on their own, obvioulsy the worse the longer it takes. The PT and Doc is doing the standard protocols so you are good their. However many patients often need a surgical suturing of full tears to aid the healing process. Yes they can heal if they are along the length of the muscle belly, but horizontal full tears are surgical. The timing of healing will be a long process 6 weeks minimum with deficits afterwards that PT or Chiro may need to aid in recovery. They can be very tricky when they are full tears.
Azila_Again  (OP)

User ID: 70580194
United States
02/14/2016 01:31 PM
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Re: Rotator cuff injury question...
If you don't move it around, it will freeze up. I just had this happen to me as well. I have impingement of my shoulder joint also.
I didn't think the cortisone shot did much. I finally took the prednisone and my arm feels great again.
Dr who gave me the shot said same thing. Dangle arm loosly and even use a weight while doing it. I saw a guy who had it get stuck and he cant even lift his shoulder now... has to have another surgery. Just don't do over head stuff or lift anything too heavy. You have to stretch it out tho.
 Quoting: Anonymous Coward 70835810


Did you have a tear? And what exactly is an "impingement" of the shoulder?

Thank you for your responsehf
If they say it's true, it probably isn't.
Azila_Again  (OP)

User ID: 70580194
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02/14/2016 01:36 PM
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Re: Rotator cuff injury question...
From my experience 1/3 or 2/3 tears can heal on their own, obvioulsy the worse the longer it takes. The PT and Doc is doing the standard protocols so you are good their. However many patients often need a surgical suturing of full tears to aid the healing process. Yes they can heal if they are along the length of the muscle belly, but horizontal full tears are surgical. The timing of healing will be a long process 6 weeks minimum with deficits afterwards that PT or Chiro may need to aid in recovery. They can be very tricky when they are full tears.
 Quoting: Anonymous Coward 19375683


Thanks for that. One full one partial. One thing I keep noticing is a popping in my shoulder. When I asked they said it was the partial not attached fully to bone, and snapping when stressedwtf

It's already been since November. Cortisone definitely helped, but still have sharp and aching pains.

Sigh, and we're getting snow tomorrow. I won't be able to shovel. Not like I want to though....
If they say it's true, it probably isn't.
Amazng1

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02/14/2016 02:07 PM
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Re: Rotator cuff injury question...
Mine was torrn and got tired of the pain and ended up getting it fixed. It's long recovery process so don't expect a quick recovery.
Azila_Again  (OP)

User ID: 70580194
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02/14/2016 02:14 PM
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Re: Rotator cuff injury question...
Mine was torrn and got tired of the pain and ended up getting it fixed. It's long recovery process so don't expect a quick recovery.
 Quoting: Amazng1


Fixed, as in surgery?

Ortho said even a complete tear could heal. A partial, I can see but a complete tear repair itself without surgery?

Was yours a complete tear?

They're probably delaying, just to milk more $$.
If they say it's true, it probably isn't.
Anonymous Coward
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02/14/2016 02:17 PM
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Re: Rotator cuff injury question...
Mine actually healed up - I thought it never would! Very encouraging.

Ck with your doc, but there is a gentle exercise you can do in a doorway - stretch your arms out and place hands/wrists on either side of the doorway, then lean gently forward. Basically like those stretches in high school sports where a buddy pulls your shoulders back. Feels pretty good, and gently stretches. It helped me, but again, ck with your doc for your particular tear to make sure it's cool, I'd say.
Anonymous Coward
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02/14/2016 02:22 PM
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Re: Rotator cuff injury question...
took a year and a half for mine to heal but i exercise by gardening.
El Penguino

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02/14/2016 02:27 PM
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Re: Rotator cuff injury question...
For a partial tear rest about a week but maintain mobility by moving your shoulder moving around. Since a rotator cuff is a tendon, use light-moderate weight resistance bands and do lateral raises to promote blood flow to the tendon. Do resistance band exercises for the shoulder about two weeks. Taking rest days in between. Incorporate dumbbell shoulder shrugs light weight of course to build up strength. Dont forget to move your shoulders around as well to maintain ROM/mobility

Full tear. Surgery
Azila_Again  (OP)

User ID: 70580194
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02/14/2016 06:07 PM
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Re: Rotator cuff injury question...
Thank you everyone. This gave me a ton of insight. I know the healing will be slow, with or without surgery. Having done this in November and here it is February I've not seen much change.

Thank you everyonehf
If they say it's true, it probably isn't.
Anonymous Coward
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02/14/2016 06:09 PM
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Re: Rotator cuff injury question...
i got a lot if relief and faster healing time with an infrared heating pad.
Azila_Again  (OP)

User ID: 70580194
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02/14/2016 06:13 PM
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Re: Rotator cuff injury question...
i got a lot if relief and faster healing time with an infrared heating pad.
 Quoting: Anonymous Coward 54513945


They've actually been doing that in therapy. It helped with the tense muscles but gave no relief to the sharp pain when I move wrong.

Hoping they can fix it. Hard to live alone and be limited physically all the sudden.

It's amazing how quickly ones life can change.
If they say it's true, it probably isn't.





GLP