Fucked up shoulder

[Bunion 2020]

^^^ What they said.

I did a few really stupid things like rotating my truck tires and repairing a garage door opener when I was still healing. Didn't do any damage but both were setbacks. As for the sling, my doc was adamant that I should wear it when I was in crowded situations where some dumb-ass might run into me and to gradually get used to being without it.

You do you.

[yeahman]

Hang in there WRG. Time heals.

[Dantheman]

Sorry to hear your still dealing with covid shit on top of this. Try not to focus on the day to day, weeks and months is where you're going to see progress.

Unfortunately I may be joining the shoulder surgery club. Backstory is that I was in the middle of a big scrambling route last summer, had a wet foothold slip while holding a fat jug with my right hand, arm shock loaded and my shoulder popped right out. I was able to self-reduce without much trouble, finished the route, and then spent the next few months rehabbing and got back to what felt like 100%.

Fast forward to mid-April. I was hustling through the tram maze since the doors were just about to close. I slipped on a wet spot, fell backwards, and on the way down instinctively grabbed the hand rail. Shoulder popped out, then popped back in when I stood up. Fuck. Shockingly it didn't feel that bad the next day and seemed to be fine within 3-4 weeks.

Skiing last Sunday I unexpectedly caught a big sticky roller ball with my inside ski during a moment of flat light when a cloud passed overhead. Took a backwards twisting fall, landed on my right side with my arm stretched out. Shoulder subluxed pretty hard. Didn't stay out but definitely came all the way out before it went back. It's been really sore all week and often makes some really funky clicks and pops, though that has improved some throughout the week.

I just switched jobs so I need to wait a few weeks before I can see my ortho. My crystal ball says he's going to want to get an MRI which is going to showed a fucked up labrum that needs a surgical fix. Even if I could rehab the current injury back to no pain, I think I've crossed a stability threshold and without fixing it I'm going to keep popping it out and doom myself to osteoarthritis and an eventual joint replacement.

[Bunion 2020]

@WRG.

Been trying to get out on my Mountain Bike. The soreness in the shoulder is to be expected and I can work past that. What has really surprised/disappointed me is my loss of base fitness and especially aerobic fitness. I was off of all bikes for about 8 months and then I started riding flat asphalt/gravel. Did what should have been an easy climb today and got my ass handed to me.

But you are 20+ years younger and don't have some of my bad habits. Hang tough.

[Dantheman]

Almost popped it out while digging up some sprinkler line in my yard. Awesome.

[Bunion 2020]

^^^ Shit. Sorry to hear it.

Best of luck with your Ortho when you see them.

[Dantheman]

Weirdly it actually feels kinda great today.

[east or bust]

IME how it feels doesn’t translate to any real improvement in stability. Take that from someone who has been dealing with this shit for about 12 years. But you have probably figured that out already.

Really need to see a professional but don’t even know where to begin. I had an MRI arthrogram about 6 years ago that lead nowhere and haven’t seen a doc since.


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[Touring_Sedan]

@WRG.

Been trying to get out on my Mountain Bike. The soreness in the shoulder is to be expected and I can work past that. What has really surprised/disappointed me is my loss of base fitness and especially aerobic fitness. I was off of all bikes for about 8 months and then I started riding flat asphalt/gravel. Did what should have been an easy climb today and got my ass handed to me.

But you are 20+ years younger and don't have some of my bad habits. Hang tough.

FWIW, RE: fitness, I installed a mountain bike shifter on the stem of my gravel bike so I could one-arm it on the trainer. Worked great and kept me sane during recovery.

[californiagrown]

Almost popped it out while digging up some sprinkler line in my yard. Awesome.

Ha! yep. I cant count the amount of subluxations i had doing benign things like brushing my teeth, grabbing something from a cabinet, sleeping in the middle of the night, using a shovel that deflects off a root, etc. Its the situations where you arent consciously bracing the surrounding musculature that gets ya. Each tweak/sublux/shock adds up to arthritis. IME, it went from annoying but i was able to fully function as a super fit/strong early 30s dude, to completely unable to use the arm above shoulder height as a 35 yr old. Basically it took 20 years to go from 100%-85%, and then it took about 2 years to go from 85%-10%.

IME how it feels doesn’t translate to any real improvement in stability. Take that from someone who has been dealing with this shit for about 12 years. But you have probably figured that out already.

Really need to see a professional but don’t even know where to begin. I had an MRI arthrogram about 6 years ago that lead nowhere and haven’t seen a doc since.

similar. Had my most recent XRAY/MRI dpne about 2 years ago, and saw two separate orthos. Both declined to surgically fix the soft tissue damage because they thought it would just exacerbate the onset of the sever arthritis the joint presented with. So, now im kinda back at square one thinking i should go back in and see if we can come up with a game plan to better manage symptoms, or try the wacky/woowoo shit like PRP, stem cells. or if aggressive PT and massage would be of significant help. But its a little nerve wracking that their might not be a path forward, other than replacement.

[Bunion 2020]

Played 9 holes on a real course today. Consciously swinging easy and trying to keep expectations low.

I dropped 15 mgs of Meloxicam prior and it helped. When I got home I had to ice as the shoulder was a bit tight. Try and get 18 in Thursday.

[Dantheman]

Ha! yep. I cant count the amount of subluxations i had doing benign things like brushing my teeth, grabbing something from a cabinet, sleeping in the middle of the night, using a shovel that deflects off a root, etc. Its the situations where you arent consciously bracing the surrounding musculature that gets ya. Each tweak/sublux/shock adds up to arthritis. IME, it went from annoying but i was able to fully function as a super fit/strong early 30s dude, to completely unable to use the arm above shoulder height as a 35 yr old. Basically it took 20 years to go from 100%-85%, and then it took about 2 years to go from 85%-10%.

That's definitely the path I fear and why I'm motivated to deal with it soon.

IME how it feels doesn’t translate to any real improvement in stability. Take that from someone who has been dealing with this shit for about 12 years. But you have probably figured that out already.

Totally. I'm happy to not be in pain but not delusional.

[Whiteroom_Guardian]

DTM yeah it sounds like you need it fixed. I got two years out of mine with lots of gym time and PT, but it was beyond the point of strength holding it in anymore this past winter.

PT is going well so far post surgery and at 6 weeks I am out of the sling a good part of the day. Still wearing it to sleep. Overall feels more stable already despite the still apparent weakness. I am treating this one as practice for my other shoulder which will probably have to get work done to it sooner than later.

Also, if you are a dentist and can afford to have someone mow the lawn and do all that shit for 2+ months after surgery....do it. In an ideal world I wouldn't be doing as much as I have been the last few weeks.

[Dantheman]

Ortho appt scheduled for the 25th. Been doing some reading and I'm pretty sure I'm looking at a Bankhart repair.

[I Skied Bandini Mountain]

Fucking shoulders, man...

[east or bust]

Knew I shouldn’t have posted in this thread. Dislocated mine again on Saturday playing fucking kickball. FTS


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[Dantheman]

Here's my MRI report from last week. Labrum is proper fucked. Follow up with the ortho tomorrow morning.



Rotator Cuff: There is tendinosis of the supraspinatus with subtle partial undersurface tear.

Labrum: There is tearing within the anterior inferior labrum, inferior labrum, posterior labrum. There is prominent contrast extending at the chondral labral junction along superior glenoid. This may represent labral tearing versus prominent labral recess.

Biceps: No signal abnormality or tear.

Bone: There is a Hill-Sachs fracture deformity with marrow edema consistent with prior anterior dislocation.

Glenohumeral Joint/Cartilage: Intact. No cartilage abnormalities.

Acromioclavicular Joint: There is mild degenerative change in the acromioclavicular joint.

Soft Tissue/Musculature: No intra-articular body. Muscle bulk is normal.

[tgapp]

Here's my MRI report from last week. Labrum is proper fucked. Follow up with the ortho tomorrow morning.



Rotator Cuff: There is tendinosis of the supraspinatus with subtle partial undersurface tear.

Labrum: There is tearing within the anterior inferior labrum, inferior labrum, posterior labrum. There is prominent contrast extending at the chondral labral junction along superior glenoid. This may represent labral tearing versus prominent labral recess.

Biceps: No signal abnormality or tear.

Bone: There is a Hill-Sachs fracture deformity with marrow edema consistent with prior anterior dislocation.

Glenohumeral Joint/Cartilage: Intact. No cartilage abnormalities.

Acromioclavicular Joint: There is mild degenerative change in the acromioclavicular joint.

Soft Tissue/Musculature: No intra-articular body. Muscle bulk is normal.

Dude I am so sorry DTM, sending ++++vibes to you. You'll get this sorted and fixed in no time!

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[californiagrown]

Here's my MRI report from last week. Labrum is proper fucked. Follow up with the ortho tomorrow morning.



Rotator Cuff: There is tendinosis of the supraspinatus with subtle partial undersurface tear.

Labrum: There is tearing within the anterior inferior labrum, inferior labrum, posterior labrum. There is prominent contrast extending at the chondral labral junction along superior glenoid. This may represent labral tearing versus prominent labral recess.

Biceps: No signal abnormality or tear.

Bone: There is a Hill-Sachs fracture deformity with marrow edema consistent with prior anterior dislocation.

Glenohumeral Joint/Cartilage: Intact. No cartilage abnormalities.

Acromioclavicular Joint: There is mild degenerative change in the acromioclavicular joint.

Soft Tissue/Musculature: No intra-articular body. Muscle bulk is normal.

Cuff is good, bicep tendon is good, none to negligible arthritis. Those are all big wins, especially the arthritis- that's something you don't come back from.

Most of your tearing is anterior, which i have no experience with. Im no doctor, but something i would be concerned about with a surgical fix, because there is front and back tears, is that the shoulder joint gets tightened up too much and you lose some ROM. If you arent a throwing/overhead athlete it might not be a big deal to you.


Because the shoulder joint is such a weak/fragile joint it relies uber heavily on musculature to support it. DO NOT skimp on prehab and rehab. More than any other joint recovery, getting the surrounding musculature firing and strong is super duper important here.

Good luck on you consult with the ortho. It also might be worth it to ask about PRP and stem cells to aid recovery and healing of the sutured labrum.

[Bunion 2020]

DO NOT skimp on prehab and rehab. More than any other joint recovery, getting the surrounding musculature firing and strong is super duper important here.

Shout that from the rooftops. I am 16 months post op from similar work. ROM is now 97% +-, strength is maybe 95%. My Ortho and PT both say the same thing. Plan on working on that joint for the rest of your life if you want it to continue to function at a high level. If I blow off a week of strength work my shoulder does not like me.

[Dantheman]

Yes, thankfully this is a fixable problem even if the solution sucks. 1 month in a sling, 3 months to light lifting and road biking, 5 months to real skiing.

I don’t do any throwing or overhead sports in any serious capacity. I want to be able to throw passes to my kid in the yard but ski/ride/run is the priority. I also have really good shoulder mobility already so I'll be starting ahead of the game.

After the tram line incident I picked up my PT routine from last year so I've already been prehabbing since late April. Surgeon thinks I'm plenty strong already. Post-op, I know the drill with PT and treat it like a second job.

[californiagrown]

Yes, thankfully this is a fixable problem even if the solution sucks. 1 month in a sling, 3 months to light lifting and road biking, 5 months to real skiing.

I don’t do any throwing or overhead sports in any serious capacity. I want to be able to throw passes to my kid in the yard but ski/ride/run is the priority. I also have really good shoulder mobility already so I'll be starting ahead of the game.

After the tram line incident I picked up my PT routine from last year so I've already been prehabbing since late April. Surgeon thinks I'm plenty strong already. Post-op, I know the drill with PT and treat it like a second job.

Youre gonna crush it. Being highly trained already means you will heal quickly from the surgical trauma and your muscles will respond really well to PT... it also means that you already have a place in your life carved out for training so you are much more likely to stick with PT protocols and maximize recovery. While it still really fucking sucks that you have to deal with this, you also have a bigass bright light at the end of this tunnel to work towards.


Also, and this is entirely case-by-case, but ive heard the same thing from a few others. When i had my labrum and shoulder capsule done (18 years ago), it was hellaciously painful. Ive dealt with broken bones, and had numerous other surgeries and my shoulder surgery blew them all away... in no small part because there was simply no possible way to get comfortable, but also just the straight up throbbing pain was brutal. Sleeping in a recliner was the best, but damn, it was real real rough. Stay on top of the meds- less pain means lowered stress, which is key to improved recovery.

[Dantheman]

18 years ago would have been an open procedure? Mine is all going to arthroscopic and I think the suture anchors are a fraction of the size of what they would have used back then. Still going to hurt, but should be better than what you went through.

[tgapp]

18 years ago would have been an open procedure? Mine is all going to arthroscopic and I think the suture anchors are a fraction of the size of what they would have used back then. Still going to hurt, but should be better than what you went through.

I had a nearly identical repair of my labrum in 2019. It still sucked, sometimes really badly (couldn't sleep lying down for a month). Cryo cuff, heat pad, and a SUPER active recovery carried me through. Now in hindsight, I've had two other surgeries that were more painful - but shoulder still sucked.

here i am climbing theatre of shadows at ~5 weeks. Just stay as active as possible.

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[californiagrown]

18 years ago would have been an open procedure? Mine is all going to arthroscopic and I think the suture anchors are a fraction of the size of what they would have used back then. Still going to hurt, but should be better than what you went through.

It was scoped. But i had issues in the week after surgery (may have torn some sutures slipping in the shower), and then did a horsehit job of rehab.