Glad you found out what is going on so now you can get it fixed!! That is good news.

Thanks Colleen, I'm not too happy about surgery #3 but I can stay in this pain either.

Sharon-Have you heard of this impingement?

Karen

I have spoken to my OS about this type of impingement and he indicated that at the moment there only one group in orthopaedic field reports this... there are papers about this impingement and post surgery studies on PubMed...

Still from talking to therapists they feel that it is real and see patients with pain along coracoid process which resulted from narrowing the space between humeral head coracoid process
http://www.springerlink.com/content/h1510222uh667586/

I hope this surgery will be an answer and will resovle your pain.

Alex.

Alex I think the link research is refering to C-A ligament which I don't believe is the responsible impingment structure for Karen. There are many different reasons for impingement, Type II acromium, SS tendon, biceps tendon are the most typical. In this case the impingement is between the coracoid process and the humeral head as you suggested and C-A ligament is over the acromium, to of the shoulder and would present with a painful arc.

No karen I have not seen this particular impingement but it does seem likely following shoulder procedures. The OS diagnosed you very quickly. What was the definitive test? It should be the Kennedy Hawkins with shoulder flexion, adduction and medial rotation. I would have a follow up and have him inject it with
lidocaine like the following article suggests just to be certain of the diagnosis. It sure would not hurt to get a definitive further sign. You may find this article interesting. www.jbjs.org.uk/cgi/reprint/72-B/2/314.pdf

Thanks Alex and Sharon.

Sharon-Positive on both. I had a cortisone shot a couple months ago. The first hour my shoulder felt great no pain at all. Once the the numbing medicine wore off, the pain was back. The doctor I saw is in Boston and takes care of the Redsox. His assistant told me if nothing has worked so far then surgery is the last step. I have also started taking aleve but it doesn't do anything for the pain. I'm hoping once this procedure is done I can get my life back. I guess I will have no ski season again this year

Karen

Karen,
They released my coracoaromial ligament during the last surgery so would I still get pain there if the ligament is gone? I know something is not right with mine but it is next to impossible to get anyone to listen. Best of luck to you on your surgery.