Rotator Cuff Surgery?

   / Rotator Cuff Surgery? #1  

QRTRHRS

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Nov 25, 2005
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Liberty, Kentucky
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Been thinking about biting the bullet and getting my shoulder repaired. I am concerned about the downtime both short term and long. By short term I mean being able to toss a bale of hay down from the mow, etc. with my good arm of course. My insurance is going up from 30 bucks a specialist visit to 40 in 2011. Think the doctors will allow me one visit a week if I work it out on my own? No way I want to go the usual three times a week at 40/per. I have been through knee surgery under workmans comp and they let me go with once a week when they saw I was doing good by myself. Any hints on what will help me recover? Thanks.
 
   / Rotator Cuff Surgery? #3  
I'd see a physical therapist before I did the surgery. They can work wonders.

In my case, I found I was misdiagnosed and did not need surgery.
 
   / Rotator Cuff Surgery? #4  
Was looking at some of the links that Bird posted, I had forgotten about the "OUCH" thread and can update it some. Since then, I have learned that what I had was drastic compared to most RC repairs. In addition to the tear, I had an AC resection, the way it was explained to me, where the collar bone attaches to the shoulder at one time had an injury that I don't even remember. The end of that bone was dead and had to be trimmed back to fresh bone so it would heal.
About 5 wks after the surgery, I was coming out of the walk in garage door, it didn't shut on its own so I reached out to the side with my left arm and shoved the door shut, I knew immediately that I reinjured the shoulder. I kept telling the Dr. that I had pulled something loose, in Nov '04, he finally agreed to go in with a scope and repair it. I went through therapy again after the second surgery, but it didn't improve from before the scope. I was in a lot of pain and finally he just said he could do nothing else. I finally had my family Dr. refer me to a pain clinic. They really tried to help me, over the next two years, trying different hard drugs that would work. Anybody that has been there, knows that there are lots of side effects and over time, the hard stuff affects attitude, emotions and eventually takes a toll on others. My angel wife kept insisting that there was something that could be done so there was scheduling appts. with other Orthopedic Drs and then the disappointment with the same answer, "there's nothing we can do". After three other specialists, looked like what I was doing was about all the choice I had, things didn't look too rosy from where I sat.
My son in law is a sports nut and thinks he can play with the early 20 year old boys. He ripped his shoulder up playing ball and the Dr he used, fixed it and he went back to playing ball. The wife nagged me to go see him, I finally agreed to face one more disappointment. This was 4yrs since the original surgery, and one look at an Xray, he pointed to a spot and said, "That's not supposed to be there", a piece of bone. He went in with a scope and repaired it. The therapy was a breeze compared to the original and I haven't had a problem with it since. I then went through the process of getting off the Morphine, that was a rough month. The Dr. has since done my right rotator cuff and then had to fix another tear, then my right knee.
Long post just to say, rotator cuff surgery with a scope is not bad to get through considering the alternative is living with pain. The meniscuous (SP) tear repair was not as bad as the shoulder, but for me, it's not working, the joint is worn out and next week I get to see if my hip joint is going to have to be replaced. Now you know why some old men are CRANKY old men.:(:(
 
   / Rotator Cuff Surgery? #5  
Everything you said is true... many Docs will not take on or follow another Docs work.

Some of the Sports injury guys can do miracles because they are up on all the latest procedures/techniques.

Pain Clinics can do wonders in the short term... long term it's often a different story.

We see patients with chronic pain on meds that would put down a horse... over years, they require more to get relief.

The Hospital where I work has great orthopedic surgeons and pain Docs... that said, every procedure has risks...
 
   / Rotator Cuff Surgery? #6  
They cut me 4 times in one session, also cleaned up some burcitus., It was pretty much okay after a month, no pain pills. I only went to 6 therapy sessions at 40.00 apop. Then I followed up at home, Nearly 8 mos later, I feel like they might have missed a muscle, or I have damaged another one.It only hurts at certain angle, so i "don't do that"..Jy.
 
   / Rotator Cuff Surgery? #7  
I was lucky to have mine solved with therapy. We are fortunate to have Notre Dame University in town. They support some really good sports medicine Dr.s :thumbsup:
 
   / Rotator Cuff Surgery? #8  
went to see a doc. at the V.A. yesterday and he scheduled me for a new hip in June.Not looking foward to it but am tired of the pain.Bad knees too but the hip is worse.too many jumps out of airplanes,too many miles running and old age all caught up to me.the doc. said I can't run no more so I gotta figgur someway else to exercise. russ
 
   / Rotator Cuff Surgery? #9  
I'm a still a hockey player and familiar with the locker room stories about rotator cuffs, knees, shoulders, hips, bypass and stents. All seem to agree: a Sports Medicine doctor does things different than a regular fixer upper. I've have the shoulder repair (removed the 'capsule'), both knees miniscus tear repair, and a broken arm or two.

Those with cuff repair wait until its completely torn through until surgery. Then its a 6 month standoff until back on the ice, back in the mow, or back painting walls. Therapy consists of manipulation and repetition (which you and your s.o. can do for free. Hips take less time. Knees seem to be the fastest if you are in shape. Several guys in my league here have had both knees replaced and back on the ice in 4 months. Our team's leading scorer has had a hip done less than a year ago. Don't take this lightly.

For some reason complete rotator repair seems to take the longest to heal, though. Sports medicine tries to get you back in action asap instead of waiting a fixed period of time before you can start using the limb. Different casting, sutures, and therapy. There are different pain tolerances expected, too.
 
   / Rotator Cuff Surgery? #10  
a Sports Medicine doctor does things different than a regular fixer upper

I don't know how much different, if any, but the group of orthopedic doctors we've used also are into sports medicine and are the team doctors for the local high school football team. My wife saw one of them a few years ago for a back problem. I saw two of them later for plantar fasciitis, which I'd never heard of at the time and was afraid I was going to have a bone spur and require surgery, but did not. Then when I had a shoulder problem for some months and wondered if I might need rotator cuff surgery, the doctor in that group gave me 2 prescriptions and an exercise routine that pretty well fixed the shoulder problem without surgery, for which I was grateful. For the knee, the doctor did try other things first, but finally did the surgery and replaced the right knee.
 

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