Impingement

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Topic Title: Impingement
Created On: 05/21/2005 08:42 AM

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 05/21/2005 08:42 AM

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johancaset

Posts: 1

I'm a 42 year old teacher of physical education at a secondary school in Belgium. My weekly programme : gymnastics, dance, judo, circus (age 15-18).After almost two years of pain in miy left shoulder( scans, x-rays and echoes showed nothing abnormal, got an injection twice which gave a temporary relief ) I finally came across an orthopedic surgeon who is specialised in the upper body part. Problem : impingement of the tendon of the supraspinatus muscle. Solution : arthroscopic surgery ( two 1cm incisions on the backside of the shoulder ). Seems the tendon of the muscle was very much swollen and was rubbing against the bottom side of the acromion with every move the arm made. The tendon was being torn to shreds. So, bone of the acromion was scraped to widen the canal. Surgery was done on august 29. Before, I couldn't bring my arm forward upward, and in sideways position with the elbow in 90 degrees I could not tilt my hand backwards. Had to teach keeping arms crossed. Now, one month later, I'm ahead of schedule in therapy : can lift upward, sideward, put hand on the back, behind the neck, have done breaststroke and freestyle in an easy manner, hope to be able to do a handstand within 4 weeks. Will mail again at the end of october. groetjes ! (greetings)
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 05/21/2005 08:43 AM

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Val2004

Posts: 3

Hello, I would also like exercise sites. I noticed you thanked someone for them, but couldn't find the actual sites listed. Apparently impingement is pretty common, and incredibly painful. I am hoping for the surgery soon, but my insurance takes months. Thanks in advance.
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 05/21/2005 08:43 AM

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cecilp

Posts: 5

don't get to excited over shoulder surgery. I had what was suppose to be impringement surgery in November '03. My pain is greater today than every before. Don't know if it was doctor or what but I sincerly wish I would never have had it done.
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 05/21/2005 08:43 AM

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Val2004

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Hello Cecil, Now that the shoulder surgery hasn't helped, what is your next move? Was your surgery done arthroscopically?
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 05/21/2005 08:43 AM

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cecilp

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was suppose to have been (got trhee nice little holes and a picturee of the inside of my shoulder). ended up with three incissions about three inches long each. Doctor has been truethful with me. Getting med. file to take to another doctor. This one says it was not due to work related incident but I think so and the referring doctor thought so. Present doesn't really want to co-operate (must have somethiing to hide. Will see what nest doctor has to say.
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 05/21/2005 08:43 AM

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ABICHE

Posts: 255

Know your rights under Worker's Compensation. Do not let them push you around. If your injury was due to work, then they are responsible for it and must cover your medical treatment! Speak with an attorney and know your rights! Good luck!
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 05/21/2005 08:43 AM

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cecilp

Posts: 5

this is true!!BUT the examining doctor (which says "impringement) and the doctor that I was sent to by company doctor (which examined originally) don't agree. It's all in the incident/accident report which says "shoulder popped when bolt broke that was being pulled on". Operating doctor says "no way it was work related". can't find a lawyer that will take case unless paid "up front". thanks cecil
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 05/21/2005 08:43 AM

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michaelweinstein

Posts: 9

Can you update us on results of acrimioplasty from earlier this year. I have been diagnosed with impingement in left shoulder(based on ortho specialist observation but no an MRI) and am beginning some P/T. The discomfort in shoulder area and down the underside of left arm but it is not severe. But there's no way I can move the arm behind the back without pain. I am already dealing with a SLAP lesion II in my right shoulder, but that hast stabilized without surgery. The left shoulder issue seems more like a surgery candidate. Please describe recovery from acrimioplasty surgery and whether the impingement has been relieved.
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 05/21/2005 08:43 AM

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michaelweinstein

Posts: 9

Currently suffering from impingewment in left shoulder. Starting a P/T reigmen, but I know from problems in right shoulder that P/T may not be the solution. How did you handle impingement? Surgery or more non-invasive approaches. Acromioplasty is an option, but people who have this procedure seem to havee mixed results.
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 05/21/2005 08:43 AM

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Val2004

Posts: 3

Hi, I have had an MRI and am currently dealing with a frozen shoulder. I am doing physical therapy on my own to loosen the shoulder, and then will decide the next option. Surgeon said he can't move forward until the frozen shoulder is resolved. Be sure to keep up the physical therapy so you can avoid frozen shoulder. Valerie
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 05/21/2005 08:43 AM

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staffy

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hi there, i had an acromioplasty on my right shoulder on 3/11/04 for bursitis & impingement syndrome, before surgery i had months of p/t which didn`t seem to make much difference i have worked on a production line doing repetitive work for the last 14 yrs, since surgery i have been in constant agony i used to think i was in pain before surgery but that was like a bad toothache compared to what i`m going through now ,from the time i get out of bed in the mornings(which is the worst apon waking in the morning)to the time i go to bed. its been 2 months and i still feel like it was yesterday that i awoke from surgery, i`ve been to my doctor i don`t no how many times because i just can`t handle the pain. my doctor told me to contact my specialist which i did 3 times and they basically said excercise,excercise,excercise well i have not stopped excercising and it doesnt seem to make any difference so i went back to my doctor with electrocuting pain shooting straight down my arm to my elbow and he rang the specialist and amazingly i got in the very next day. the specialist basically manipulated my arm to get a full range of motion and said i wasnt having the correct p/t so he put me into some1 else that ive seen twice now he told me that the electrocuting pain shooting down my arm was a tethered nerve which would heal with the correct excercise.(aparently its like a dropped stitch when knitting is how they described it whatever that means) im at my wits end stuffing my mouth with pain relief every 4 hours using heat packs,hot showers and heat rub constantly(specialist says ice packs are a big no no, only to be used for first week after surgery then heat im starting to feel like there is something seriously wrong like dr maybe stuffed up but i read some of the messages on here like yours and realise that there are a lot of us in the same boat trying to put my arm behind my back makes me want to passout its all getting to me and i feel so depressed how long does it normally take to get over something like this. my advice to anyone out there considering surgery for bursitis & impingement syndrome is to think very carefully this procedure is definately not a quick fix. i just cant wait to be normal again this thing is ruining my quality of life thanks for reading just my opinion jody
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 05/21/2005 08:43 AM

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Ginger33

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I am a massage therapist and wanted to pass along some info.to you that I learned about in continuing education for massage therapy. Repetiteve Use Injury TherapyTM by Michael Young. His e-mail address is: Michael@MRTherapy.com also to order his material the web site: www.mrtherapy.com He uses and teaches a muscle release technique that is very effective for many chronic muscle problems.
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 06/04/2005 10:12 PM

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janepm

Posts: 75

Hi Barb: I have heard that having cortisone shots is not a good idea, and yes, there is a maximum per year you should have. However, each time I visit the Doc's over my shoulder problem, they sure like to ask me to do a shot. I say no every time. I had one and for me, it didn't really help all that much, however, I heard you have to really not use that shoulder for a couple of days afterwards and I did not do that. Anyway, this is for anyone out there, too:I woke up 7 months ago with a really hurt shoulder. It used to come and go but this time, it stayed for months. I finally got authorization to have x-rays, mri's, and see specialists. Every single one says something different and I could sure use some assistance in sorting this out.Ortho says that I need subacromial decompression with distal clavicle surgery. Rhematologist says that no, it's arthritis that I have vs. impingement and to take celebrex. Pain Management MD says no, it was frozen shoulder, don't need surgery but I need PT and ergonomic lessons. Another Doctor says no frozen shoulder, basically anatomical defect with my sloping clavicle and have calcium problems. She wants to do acupuncture.Needless to say, I could use some guidance here. I'd rather not do surgery unless I have to. Ortho says that if I don't, I could tear my rotator cuff and right now, there are no tears. I only hurt when I do a lot with shoulder now and when I sleep on that side. It was debilitating for months before, though. OUCH!JaneCalifornia
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 06/04/2005 10:15 PM

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janepm

Posts: 75

I understand. Believe me, and you are not alone with the Doctor things. I took a class in how to deal with HMO's and the medical profession, it was part of a study they were doing. I found out a lot. You have to persevere, you have to push, you have to be nice but do your homework and keep on asking. You have to keep taking care of yourself. If you don't feel well enough to, ask someone that you trust to go with you and ask and help you out. Since I've been doing that, things go a lot better. They sure put a lot of resistance up, though, especially with an HMO!JaneCalifornia
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 08/30/2005 08:33 PM

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nancy49

Posts: 33

ABICHE, I'm wondering how long you have had "chronic impingement" in your left shoulder...I have had frozen shoulder in my right shoulder for almost a year, and was diagnosed with impingement in the left shoulder in March, but it had been developing since November (2004). My Frozen SHoulder is slowly improving, but the impingement is now almost more painful/frustrating than the FS. I've been doing exercises for about 6 weeks that I was told would help - they're supposed to strengthen the other muscles so that the swollen tendon can relax..but it doesn't seem to be working so far. Did you try exercises and did they help at all? What have doctors suggested? What is your pain level and ROM? Also, what caused your impingement, if you know that? Mine is from overuse due to compensating for the other arm being immobile with pain from cervical radiculopathy, initially, followed by frozen shoulder.I noticed your post is dated May 21st, so not sure if you still visit this site. WOuld love to hear more of your experience, or from anyone else who is currently dealing with this frustratingly debilitating problem.Thanks!
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 09/01/2005 02:48 AM

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irenekitsap

Posts: 6

You've been suffering 3.5 years and more PT does not sound like the answer you seek. I don't have the expertise but from my own searching (re: Frozen Shoulder, no impingement that I know of) I found something you might take a look at. I got a book from the library that I heard about on this website. The author's bio really melted my skeptism, as his own chronic shoulder pain led to his discoveries that inspired the book (and a career change for himself, at age 60). Book: The Trigger Point Therapy Workbook by Clair Davies. And you don't have to believe you can or should do it all yourself. You can look for a massage therapist who is well-trained in trigger point technique. Since you describe yourself as having visible 'knots' you are probably a good candidate for this technique and a professional can find even those deeper trigger points that may not be so evident to touch or sight. Just a thought--I can't feel your pain, literally, but have felt my own (for months, not years) and have made progress. At my request, my doctor wrote me a prescription for 8 trigger-point massage therapy sessions. However, I'll really be paying for them myself (or any extra sessions i get from a second therapist who doesn't do insurance billings), because I have a high-deductible health plan. I won't let the cost stop me. Likewise, I decided buying the aforementioned book (after sampling it from the library), is a lifelong investment, and buying the tool it recommends for self-treatment, likewise. But I hope you get painkiller prescription you seek, too. My doctor understood the need--he's had FS himself and learned what shoulder pain can be. Obviously, yours goes well beyond the shoulder; your body is crying out for help it hasn't gotten yet. You deserve answers and I hope you find them: sooner, not later.


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***imua***
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 01/05/2006 03:59 AM

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janedoe

Posts: 6

I feel for you! I had shoulder pain, then a frozen shoulder in'99. Manipulation & release, Acromionoplasty, and arthroscopic surgery in '00. Returned to work in a year and a half. A year and a half later (03), everything went way wrong washing my hair one AM. No one can fix me. Now I rely on Kaiser and Vicodin. Considering ESWT. $3500 and only on East Coast. PT almost cleared up my probs but when I tried to do normal things (file papers, clean,etc.), it got worse than before. Any ideas? Is anyone out there? Help?
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 12/17/2009 06:35 AM

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MICHELYNEMIDGE

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I was also facing some problems with my shoulder but then I went to orthopedic surgeon and he suggested me some rehabilitation exercises. Now I’m absolutely fine. Shoulder rehabilitation exercises have magical results. http://www.orthopedicspecialistsofseattle.com/
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 12/17/2009 07:21 AM

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swank

Posts: 307

Physical Therapy works for some people with minor injuries. For others their shoulders are too far gone for it to ever really help much. I had injuries and conditions that never get better. Physical therapy before surgery was useless for me.
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 12/21/2010 02:54 PM

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mictim

Posts: 3

Can impingement pain be severe at times and then ok ?? when i don;t have pain i have pretty good movement in my shoulder but then i can get sharp pain and a popping just putting on a coat !!then i have episodes where my shoulder is oooo achey and can't do simple tasks withour real sharp pain !! the other day i was making cany bark and it was hard to break apart and it actuall hurt my shoulder not my hand !! any relp would help !!


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