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      slap tear, pain down arm into elbow..rehab/surgery
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      TOPIC: slap tear, pain down arm into elbow..rehab/surgery

      slap tear, pain down arm into elbow..rehab/surgery 5 years, 7 months ago #22538

      • greenietx
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      Hi, I have been suffering with shoulder pain for seven months. It took that long to get a diagnosis. I have suffered with muscle spasm up my neck and around the scapula and into the back. I have also had pain down my arm, with a horrible ache in my elbow. Has anyone else had these types of symptoms?I also have glenohumeral internal rotation deficit. My doctor wasn't sure about why I had all of those pains, but states 95% of his patients do well with physical therapy. Does anyone have any success rate numbers on physical therapy?

      Re:slap tear, pain down arm into elbow..rehab/surgery 5 years, 7 months ago #22545

      • johnt0148
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      Yep! I was 2 months Post-op on my second slap tear surgery when I began experiencing symptoms similar to yours. My PT said it was a herniated disk, so I tried just about everything to relieve the constant chronic pain associated with a herniated disk. Eventually I had surgery on my C7-T1 Vertibrae where a neurological surgeon found a bone spur cutting my nerve to ribbons. Surgery and only surgery could have fixed this problem as the surgeon removed the bone spur and I could finally find pain-free time again.

      The pain that I experienced was a 12 on a scale of 1 to 10. It started at my neck and radiated accross the scpapula, the shoulder and down the arm to my left pinky and ring finger which were numb.

      btw PT for this was worthless. Steriodial injections = worthless. Chiroprator - worthless. Acupuncture - worthless.

      John

      Re:slap tear, pain down arm into elbow..rehab/surgery 5 years, 7 months ago #22546

      • Cavitator
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      johnt0148 wrote:

      btw PT for this was worthless. Steriodial injections = worthless. Chiroprator - worthless. Acupuncture - worthless.

      John


      Hi John,

      Don't throw the baby out with the bath water. All of the professions you just tanked have varying value for discretionary issues. A C7-T1 symptomatic spur causing C8 radiculopathy is exceedingly rare and would only have been picked up with MRI on far-lateral sagittal views if anyone cared to look, CT scanning in a bone window on reformatted images or by a very keen eye on oblique plain films. EMG/NCV would have helped discern a C8 root issue from ulnar neuropathy but would have been ordered late in the game.

      All of the professions you just trashed help more things than they don't. When you are old and got a bone spur stabbing a nerve root, surgery is about the only thing that will help if a C8 selective nerve root block fails.
      3/51 Bilateral VIII C.N. complete neurectomy
      2/60 Failed Supratentorial electrotherapy w/subsequent pancerebral resection
      2/89 Bilateral aqueous humor drainage w/complete retinectomy
      3/02 Quadralateral proximal extremity resection from gestational thalidomide exposure

      Re:slap tear, pain down arm into elbow..rehab/surgery 5 years, 7 months ago #22549

      • riderk
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      I've mentioned it before, a chiropractor is the only medical professional who would order the MRI that showed the extent of the damage to my shoulder. I saw an ER doc, primary care, OS (Why should I spend $2000 on you) and shoulder specialist OS who refused. So I have a soft spot in my heart for them.

      Re:slap tear, pain down arm into elbow..rehab/surgery 5 years, 7 months ago #22550

      • johnt0148
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      Cavitator,
      I do believe I said that PT for this was worthless. I did not say PT was worthless. I believe that it is very important to be truthful and honest about these things and I specified what condition could not be helped by these professions. I have posted hundreds of recomendations for Pre-op PT and other modalities that work, and when they don't work I feel the readers here should know it!

      BTW, I had Xrays and MRIs on my neck and no bone spur was found. My surgeon said that he does several of these types of surgeries a week, so it is not as rare as you think.
      John

      Re:slap tear, pain down arm into elbow..rehab/surgery 5 years, 7 months ago #22551

      • Cavitator
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      Hi John,

      Your right about your statement on PT for your spur. I misread it. You did say "for you," thanks for clarifying. The wording was unclear regarding epidurals, acupuncture and chiropactic; I just wasn't sure on those three. Thanks!

      And I do agree about the difficulty in missed imaging findings. Happens a lot due to technical inadequacies and interpretation error. Pathology between slices on CT and MRI stands a high probability of not being seen. Probably most imaging facilities do not run their axial images down thru the C7-T1 plane so therefore would be missed unless by chance one aught a peek of it on sagittal images. Plain film just simply is less sensitive overall.

      And I am sure your surgeon does perform several foraminotomies per week...just not all at C7-T1. All references will agree that C7-T1 (C8 root)issues are very uncommon but here are the incidence of spur formation per level just for fun:

      C4-5 2%
      C5-6 19%
      C6-7 69%
      C7-T1 10%

      Your case is very interesting. Since you stated that a spur was not seen on imaging, how did your surgeon arrive at the correct diagnosis? myelogram?
      3/51 Bilateral VIII C.N. complete neurectomy
      2/60 Failed Supratentorial electrotherapy w/subsequent pancerebral resection
      2/89 Bilateral aqueous humor drainage w/complete retinectomy
      3/02 Quadralateral proximal extremity resection from gestational thalidomide exposure
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