RE: Shoulder injury

RE: Shoulder injury (Full Version)

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ShaharThorne -> RE: Shoulder injury (2/22/2012 9:27:53 PM)
hands over $600 just to screw the white cock Happy now? Sweets, I got a heel spur that I did therapy for. It was caught on x-ray. The cause of it was walking down 11 flights of stairs during a bomb threat (I was working for the state then) in heels. Now, I refuse to wear heels but my foot no longer hurts. I had to make a lifestyle change (and made Bo upset because he loved me in heels and stockings). My recent round of x-rays shows compression in my lower back. MRI shows swelling in the 3rd and 4th lumbar region (and a cyst in my pelvic area). I get to see the spine specialist on Monday for possible injections (I hate getting up in the mornings in pain and taking Vicodin). I will probably get to go back to a chiropractor if there is any misalignment.

slvemike4u -> RE: Shoulder injury (2/22/2012 9:56:34 PM)
quote: ORIGINAL: Hillwilliam quote: ORIGINAL: slvemike4u Yanno how you just know someone is full of shit,he was a really good ortho guy,but I just knew he would cut...sure enough when I cam out of that anesthesia he's there telling me about the sizes of the spikes he found in my shoulder. I am telling you there is no way in hell I could have been less surprised....lol. They had to screw my bicep tendon back into my shoulder because it had basically been severed by a bone spur among other damage. I was looking at the bill and the damn screw was over $600. I said "Doc, next time I get a $600 screw I wanna be awake for it." He just kinda gave me a blank stare like huh? Good surgeon, no sense of humor. And here I am,with a great sense of humor(I thought that was hilarious) but I'm probably a lousy surgeon.....lol.

Iamsemisweet -> RE: Shoulder injury (2/22/2012 10:14:23 PM)
Hmm. Thanks for the suggestion about the MRI before PT. I am going to call my doctor about that one. I have never done therapy before, it seems unbelievable that they would have you do things that make your injuries worse, wouldn't the pain be unbearable? I don't want to take chances, and the MRI was exactly the kind of suggestion I was looking for. God I hate my HMO. The doctor really should have suggested an MRI.

slvemike4u -> RE: Shoulder injury (2/23/2012 6:40:48 AM)
Why would an insurance co. approve an expensive test like an MRI,which just might show conclusive evidence of the need for even more expensive procedures ? Certainly not based on plain and simple medical need ?

Iamsemisweet -> RE: Shoulder injury (2/23/2012 9:47:33 AM)
True, I am not 22 anymore. But I am not 82, either. I believe that if this injury can be treated in a sound manner, I have 10-15 pretty athletic years left. No way am I going to start living like an old lady. quote: ORIGINAL: LookieNoNookie You ain't 22 anymore. Learn about "prominent calcifications" and do things that either make those go away, minimize same....or stop doing things that when you get thrown from a horse....due to "prominent calcifications"..........are going to fucking hurt! (Clue store....open M-F, standard business hours....occasional holidays).

AttitudyJudy -> RE: Shoulder injury (2/23/2012 11:12:15 AM)
quote: ORIGINAL: Iamsemisweet Hmm. Thanks for the suggestion about the MRI before PT. I am going to call my doctor about that one. I have never done therapy before, it seems unbelievable that they would have you do things that make your injuries worse, wouldn't the pain be unbearable? I don't want to take chances, and the MRI was exactly the kind of suggestion I was looking for. God I hate my HMO. The doctor really should have suggested an MRI. GOOD physical therapists don't have you do things that make your injury worse. Just like there are crappy doctors out there practicing medicine, there are crappy PT's. Make sure who ever you go to has a good reputation, if you can ask around. They shouldn't be doing much early on, when the injury is still "hot". You'll probably just get some e-stim and/or ultrasound treatments followed by an ice pack to reduce inflammation. After a week or two of that, they'll start with gentle stretching and strengthening exercises, and they'll ease into it, not start in with a vengeance. Those can hurt, but are absolutely necessary for healing, getting back full strength and range of motion, as well as trying to prevent injury in the future. With a shoulder injury, one of the big concerns is the shoulder locking up, becoming a "frozen shoulder". It's human nature to want to baby and protect the injury, but that's detrimental in the long run. Part of what they will do is stretching and loosening the shoulder joint, and that can get painful, yes. But it's a necessary evil. That's after you've been having treatment for a couple weeks, they shouldn't be doing that right away. The PT's job is to restore you to as close and full-function as they can. They will be hurting you some, but they should never harm you. Also key in your healing process is following the home exercise stretching program they'll be giving you. A lot of people don't follow the program and then complain because PT isn't helping them. Gotta be compliant! (I used to work in a physical therapy clinic a few years back)

ShaharThorne -> RE: Shoulder injury (2/23/2012 11:34:15 AM)
Judy is right. I wanted to baby my shoulder after I hurt it (you should of seen the bruising) but 6 weeks of working it, I have about 98% of my range of motion. My arm gets tired when I am pulling yarn out of the skeins while I am crocheting. I am not really complaining about that because I can still throw a wicked left curve when playing catch.

LookieNoNookie -> RE: Shoulder injury (2/23/2012 7:54:20 PM)
quote: ORIGINAL: Iamsemisweet True, I am not 22 anymore. But I am not 82, either. I believe that if this injury can be treated in a sound manner, I have 10-15 pretty athletic years left. No way am I going to start living like an old lady. quote: ORIGINAL: LookieNoNookie You ain't 22 anymore. Learn about "prominent calcifications" and do things that either make those go away, minimize same....or stop doing things that when you get thrown from a horse....due to "prominent calcifications"..........are going to fucking hurt! (Clue store....open M-F, standard business hours....occasional holidays). I just looked up my last name on Ancestry.com....according to them I have about a week or so left.

kdsub -> RE: Shoulder injury (2/23/2012 8:59:27 PM)
Don't pay a bit of attention to what anyone says here...Get a second or even a third opinion...see a specialists. Butch

angelikaJ -> RE: Shoulder injury (2/24/2012 7:29:50 AM)
quote: ORIGINAL: Iamsemisweet I have always been really healthy, and have never been seriously injured either, despite a pretty active life. A month or so ago, though, I tripped and fell in my barn. I thought I was OK at first, but my shoulder has become progressively more painful, and I have lost a lot of range of motion. I went to my HMO doctor, who predictably wanted to treat with muscle relaxants and pain killers. She did order an Xray that showed "prominent calcifications" in my shoulder, whatever that means. Maybe I am misinterpreting what that means, but I am thinking I must have had a problem for a while, since I have a hard time believing anything "prominent" would have occurred over the last month since my injury. Then, last night my horse bucked me off, and slammed me into the wall on that shoulder. So, now, I am really screwed up and my shoulder hurts in more places. It is still important to me to treat the cause, not the symptoms though. My doctor takes the position that at my age, I have to expect some physical problems. I don't accept that. I want to go back to her with a plan of action for how to treat this that will return me to the condition I was in before. Anyone have a similar issue? The Xray did not show a break or dislocation (altho who knows now, after my spill last night). Any suggestions I can run past my HMO doctor? I have found in the past that if I am pretty assertive about what I want, she will usually do it. So what you need is information: about the "prominent calcifications, your second injury and a plan of action. I had a partially separated shoulder in 2004 from a fall. Anti-inflammatories, and PT. AttitudyJudy laid out the PT pretty well. I did E-stim with a steroid twist and worked with resistance bands in addition to wall creeping type stuff. Recovery for me was slow but orthopedic things usually are. And my shoulder is really good now. So, get a referral to a good orthopedist and do what the PT tell you afterwards.

Hillwilliam -> RE: Shoulder injury (2/24/2012 7:44:04 AM)
quote: ORIGINAL: kdsub Don't pay a bit of attention to what anyone says here...Get a second or even a third opinion...see a specialists. Butch That's exactly what some of us said to do. Especially the specialist.

slvemike4u -> RE: Shoulder injury (2/24/2012 8:01:23 AM)
Hey Butch,none of us who have went thru shit like this would suggest any other course of action [8\|] Sheeeesh [:)]

Iamsemisweet -> RE: Shoulder injury (2/24/2012 8:21:33 AM)
I have an HMO, getting a second, let Aline a third opinion isn't quite that easy. My email to my doctor about an MRI was basically blown ff. She did say the calcification was from tendenitis from long term causes. Guess I will need to make another appointment with her to discuss an MRI in person. Hard to believe I pay 500 bucks a month to get treated like this.

wandersalone -> RE: Shoulder injury (2/24/2012 8:59:19 AM)
Generally, unless there seems to be clear evidence pointing to the need for an MRI the doctor will initially suggest conservative treatment including anti-inflammatories, rest and seeing a physio as mentioned previously for more passive treatments such as TENS machine, passive assisted exercises, heat, gentle massage, short term imobilisation, possibly strapping, very gentle stretches after a week or two and so on. Hydrotherapy could be suggested once some progress is being shown. If the symptoms are continuing, generally the physio will suggest that the person be referred for further scans to rule out a tear or fracture Ifractures do not always show up on erays immediately if there is marked swelling hence a person sometimes having a delay before being x rayed after an injury. The doctor will then generally refer you for further scans such as an MRI and possibly/hopefully also reffer you to an orthopaedic surgeon for a review. The ortho will not be interested in seeing someone who has not tried conservative treatment first unless there is an obvious significant injury eg. you heard a snap or crack as you injured your shoulder, extremely limited range of movement, crunching in the joint, significant levels of pain and so forth. Specialists have no qualms about telling doctors that they should have tried x, y or z (conservative treatment) before referring a patient if it does end up being something fairly simple. No I am not a doctor and do not play one on tele but my dad is one and I have worked in the rehab area for many years. I also had a soft tissue shoulder injury and had treatment on and off for a number of years of all of the above and more! :) As someone else said, shoulder injuries can be tricky so if seeing ann ortho, look around for one that specialises in shoulders.

angelikaJ -> RE: Shoulder injury (2/24/2012 10:48:22 AM)
quote: ORIGINAL: Iamsemisweet I have an HMO, getting a second, let Aline a third opinion isn't quite that easy. My email to my doctor about an MRI was basically blown ff. She did say the calcification was from tendenitis from long term causes. Guess I will need to make another appointment with her to discuss an MRI in person. Hard to believe I pay 500 bucks a month to get treated like this. Well, since the calcifications may be causing you an issue *and since she can't do surgery*, perhaps she can refer you to an orthopedist to discuss your options?

kalikshama -> RE: Shoulder injury (2/24/2012 6:26:45 PM)
And the ortho might be more open to the MRI...

angelikaJ -> RE: Shoulder injury (2/24/2012 6:46:15 PM)
Uh huh [;)]

wandersalone -> RE: Shoulder injury (2/25/2012 6:49:19 AM)
quote: ORIGINAL: kalikshama And the ortho might be more open to the MRI... I know in Australia there is a particular scan that I need to have for my yearly reviews and only a specialist can request them so he usually posts me my scan referral two months before my appointment so I can have it done before he sees me. Is it possible that the doctor you see cannot request MRI's?

mnottertail -> RE: Shoulder injury (2/25/2012 6:58:47 AM)
quote: ORIGINAL: Iamsemisweet I have an HMO, getting a second, let Aline a third opinion isn't quite that easy. My email to my doctor about an MRI was basically blown ff. She did say the calcification was from tendenitis from long term causes. Guess I will need to make another appointment with her to discuss an MRI in person. *Hard to believe I pay 500 bucks a month to get treated like this.* Ja, but think about it mouthpiece, here she is treating you as the 'all around pro', much like you would treat a guy in a divorce case, they dont get the gimmick on what to and not to do. Same with an optometrist. Fancy jargon, and you know it. Tell the fucking cunt you are paying her, and here's how that works..... I pay a voicebox, I am gonna get some info on what is going on and why, same with the eyefucker, and the same with the chankre mechanic, cuz we are talking about someones life and money I know..... Hey, if you somehow got in a beef, you would go to another lawyer but by god you would be involved, *and you wouldn't hesitate to get a second opinion*, and you talk over with other eagles you ain't in an adversarial contest right now with even now for the occasional insight, don't ya? It don't cost her a shekel to refer you, now does it, goddammit!!! ??? Cuz if she says nah, fuck it, and it goes south you let her know you are gonna throw that ambulance chasers card on the table.. Do it longhand, this is just like work, write it, mail it, and have justification for your view, and solicit her opposing view. That paper everyones gotta live with, emails are not always so great.

Iamsemisweet -> RE: Shoulder injury (2/25/2012 10:21:09 AM)
I think they get bonuses for keeping referrals to specialists and for tests to a minimum. The HMO wants them to keep costs down. I have learned to be pretty assertive, which is why I am going to see the doctor in person. That's American health care for you quote: ORIGINAL: wandersalone quote: ORIGINAL: kalikshama And the ortho might be more open to the MRI... I know in Australia there is a particular scan that I need to have for my yearly reviews and only a specialist can request them so he usually posts me my scan referral two months before my appointment so I can have it done before he sees me. Is it possible that the doctor you see cannot request MRI's?

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