Recovering from Hemi-Replacement...

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Topic Title: Recovering from Hemi-Replacement...
Created On: 12/12/2005 01:04 AM

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 02/26/2006 09:16 AM

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slushystx

Posts: 5

I have posted here a few times and now have some questions. My short history is that I am a 49 year old male. I was in a snowmobile accident 5 years ago and landed on my shoulder after hitting a ditch at 50mph thus smashing my shoulder. I had lots of soft tissue damage and ended up with a hemi. I was told back then that the head was "pinned" to the "rod" thereby limiting my ROM to 90 degrees max. I was in PT for 11 months; I trust my therapist with my life. I was back to see him after a couple of years for a "tune up" and now I am ready for another one but before my surgeon would give me a script, he wanted to see me. I guess I wanted to see him, too because after all this time I had some questions for him. I have had chronic pain in my shoulder since the accident. The Doc says the pain and lack of ROM is due to scar tissue. After x-rays, he says there's "no mechanical reason" that I cannot go past 90 degrees ROM. He also says there is nothing "major" they can do for me but to increase the ROM to "some degree", they could send me to PT, they could perform a manipulation and maybe they could perform arthroscopic surgery to get rid of some of the scar tissue. So off I went with my script and went directly to my Therapist to set up an appointment. We chatted for a bit and he was as confused as I, as we both thought my prosthesis was "pinned". He said he would call my surgeon and that PT could definitely loosen some of that scar tissue up for me, thus gaining more ROM. No, I am not what I used to be "pre-accident" and do not anticipate I will ever be. I have learned to live with the daily aches and pain (I normally take nothing but take 800mg in one dose of Motrin on occasion if I need it). I bowl and golf (although not with the same swing)... I know what I "have" and what my limitations are. As for manipulations, do they work/help? What kind of pain was involved in the shoulder after the manipulation? How long did the pain last and did it go away? The surgeon absolutely does NOT recommend cortisone because of bacteria on the needle (and we all know that would be disastrous) but yet they don't mind doing the arthroscopic. My PT says maybe because the needle goes right into the joint whereas the arthro doesn't necessarily. I didn't ask the surgeon but as long as I'm under general anesthesia for either the manipulation or arthroscopic, why not do both at the same time? I know no one can make my decisions for me, but I know there are "posters" who have hit a few bumps in the road along the way. I do not know at what point I make any of these "leaps" because I do not know what the risks or exact rewards will be. Anyone's insight is appreciated. Thanks.
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 01/20/2006 03:02 PM

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kryckert

Posts: 9

Hi Tom,I thought that was you. I am so glad to hear from you again, but I am sorry it is under these circumstances.Things with my left shoulder are great. I could not be happier with my girdle and Dr. Hawkins. Unfortunately, my right shoulder is giving me problems now. I think I told you I fell down my outside stairs in December 04' and of course protected my left shoulder, which messed up my right one. I already had an anchor in there from a labral tear, so I knocked that loose and retore my labrum and cuff. I found a surgeon nearby and he removed the anchor and fixed the tears in April 05'. I went back to see him a few months later because I was still in pain, but his answer was the pain was all in my head. I made it through the summer in pain, but then could not go any further, so I decided to see a different doctor in Denver. He sent me for an MRI, then after seeing my surgical history, told he didn't want to touch me because he was uncomfortable with the fact that I have had 31 surgeries on my left shoulder and 4 on my right. He suggested I see his partner, but he said the same thing. I was ready to give up, but I don't want to live on drugs the rest of my life, so I managed to get a hold of Dr. Hawkins. He suggested I see Dr. Peter Millett, who happens to be featured on this site, which is strange but cool. He reviewed my information and agreed to take me on as a patient. Otherwise, I was going to fly to South Carolina and see Dr. Hawkins again. I have surgery on January 27th and hopefully he will be able to fix me up. I have a lot of faith in Dr. Millett; he has some similarities to Dr. Hawkins. I am looking forward to sleeping without pills for the first four hours, then lying awake and in pain for the next four hours. I am sorry to hear you are still in pain. I can't imagine what would be causing it, but it sounds like you have found a good doctor finally.Keep in touch, Kirsten


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Have a Great Day!

Kirsten
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 01/09/2006 11:47 PM

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Baulkham

Posts: 12

Hey Kirsten, How are things going? Am really glad that you wrote as I lost your email address and miss our chats. Have been on a break for the past 3 weeks from therapy or any movement of my shoulder...the doctor wanted the pain to ease up a bit and let the inflamation ease up a bit. Unfortunately there really hasn't been much relief with the rest and I keep waking up in during the night with these sharp grinding pains in my shoulder area. I am prepared for the long haul and the long period of therapy. I guess my concern is that after 7 surgeries and several doctors that I will soon be on my own and this doctor will say eventually..theres no need to come back. I guess I was traumatized earlier on from getting passed from doctor to doctor who said there was nothing they could do for me..or some who said there was nothing wrong with me..guess they were mistaken I am finally with someone I have all the confidence in the world in, but besides the physical pain...emotionally I am just sort of treading water and unsure of what happens next. Does that make any sense? I am a bit affraid of being dropped again and them saying I am on my own. I mean, who will help me manage things and keep an eye on things? What if this doesn't work short or long term? Just struggling...TomPS. Kirsten..drop me an email..would love to catch up.
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 01/09/2006 11:42 AM

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kryckert

Posts: 9

Hi Tom,I have had 30 surgeries on my left shoulder, including 2 failed replacements. The first was a hemi, I ended up with a frozen shoulder so they tried to put the socket replacement in a while later. I ended up getting a staph infection and had to have the whole thing removed a year later. My second replacement was a total, but it didn't work either. I ended up with a frozen shoulder for almost 2 years and finally found a specialist that helped me. I have what is called a girdle, I have no humeral head or socket joint, just synthetic tissue that allows the scar tissue to build up. I am happier than I had been for 8 years and am not in any pain with my left shoulder.With my hemi, I was sore down into my elbow for about 4 months after my surgery. I thought it was strange, but considering what they do to you when they replace a joint, it isn't strange to have pain down your arm. Your biceps is probably sore because they have to move it and then re-attach it. I was bruised down my entire arm for about a month and a half after my hemi. After my second TSR, I was bruised for a good month. I think it just takes time to heal and it depends on how hard they had to hammer on the replacement when they put it in. Keep up with your meds, and most importantly, keep up with your PT. That is the only thing that will help make things better. One of the things that really made things easy for me during my recovery was a pool at my PT. They keep it heated to 80 degrees, and it made moving my arm around a lot easier with the warm water. If your PT doesn't have a pool, check around your area and find out if there is a pool that the ederly use for therapy. We have a Easter Seals pool in my area.Good Luck,Kirsten


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Have a Great Day!

Kirsten
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 12/12/2005 01:04 AM

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Baulkham

Posts: 12

Good evening, Was wondering if anyone could share their experiences/offer advice on their recovery. Quick history...I have congenital glenoid hypoplasia..have had 7 surgeries on my shoulder..the last being in October where they performed a hemi. They couldn't do a total because my bone structure was too brittle and couldn't attach the socket part without becoming more drastic. So, they bore a whole in the area to fit the ball. Arthritis and inflamation have been big problems all along. That being said..I have struggled since coming home with pain, not only in my shoulder but in the biceps and radiating down to my elbow. Everyone seems fairly happy with the movement they get when they move my shoulder, although things have slipped back a bit over the past week. I am just having a difficult time with the pain level..its more than anything I have ever experienced previously...and I thought that was bad. Just wondering if this sounds somewhat normal and what might be going on or what I should discuss with my doctor when I go in for another followup.ThanksTom
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