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      TOPIC: Manual Manipulation

      Manual Manipulation 2 years, 8 months ago #30698

      • FeDawn
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      Hello everyone,
      I wanted to see if I could get some advise from you guys in regards to manual manipulation. I will be 3 months post-op August 9th (follow up surgeon apt on August 7th). I have been going to physical therapy weekly and been doing my at home exercises daily. I have been working a lot on my ROM because it is not where it is supposed to be and I continue to have a lot of pain. Today during PT I was told that during my follow up surgeon apt that beside the surgeon not being happy about my progress with the ROM (which I have known for awhile), that there's a chance he may recommend manual manipulation. I was wondering what everyone's thoughts were on this, if anyone has had it done, how they felt afterwards, and what type of recovery there was for this. I am supposed to be going back to work on the 11th so besides being nervous about this possibly having to happen, I am a little nervous about how it will affect my return to work. Any thoughts, advice, suggestions, etc would be appreciated. Thank you!!!!

      Re: Manual Manipulation 2 years, 8 months ago #30699

      • Liam
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      Probably doesn't help you much as I didn't get it done but I was told to expect manual manipulation or surgical adjustment of my right shoulder following circumferential separation and it being way too tight initially after arthro repair. Really pushed me to adhere to physio 2-3x week and home stretches/exercises 3x a day to pain levels where strange salty water was coming out of my eyes uncontrollably, but I trusted my treatment and body and it came good without requiring it. Pain didn't really leave til about 6 months post-op and still stirs a bit 12 months out (recent injury and recon to left not withstanding).

      From what I've heard it is a bit more time in a sling (and prob set you back a month or so) but if you aren't able to improve any further your surgeon and physio (and/or additional specialists) should be able to help you make the best decision - everyone's injury and body is just that litle bit different.

      Re: Manual Manipulation 2 years, 7 months ago #30707

      • COgirl
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      I've never had it done, but I can see where it could be useful in your situation. I'd do it if it would help me, but it won't. Hasn't even come up. Only a total shoulder replacement and I'm planning to do that in November. I can only imagine the pain you're in.
      3/2010 Slap Tear Repair, Biceps tenotomy
      8/2012 Latarjet
      11/14 Total shoulder replacement

      Re: Manual Manipulation 2 years, 7 months ago #30715

      • FeDawn
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      Liam,
      That's great that you were able to avoid it. I knew that my ROM and pain in General was a lot worse because I was in the sling for a long period of time. I have been trying to push myself at PT and at home. But apparently it just isn't enough. I went today to PT again and instead of the "there's a chance you will have to do it", my PT said "I'm almost positive your surgeon will have you do it". I was sort of prepared for that, but it still set me back. I have done some research and it seems that there is definetly pros and cons to doing it (maybe in my case, the pros outweigh because I'm 29), but it's still a scary thought to have to go back under general and to have my arm pushed to it's limits... I guess only time will tell. I have my apt with the surgeon Thursday... By the way, I loved your description of crying haha! I have definetly had that experience more than once. Thank you for the positive vibe about this though.

      COgirl,
      Thank you for always being encouraging. I do think it may be the best bet and possibly assist with the constant pain I'm having. I can't even imagine going through what you're going through, makes me feel like a weenie haha! But I can honestly say that this whole experience has finally taken it's toll on me mentally. I thought it wouldn't, but it's very difficult and draining to constantly be going through this. I hope that for your the upcoming surgery makes all the difference in the world.

      Re: Manual Manipulation 2 years, 7 months ago #30716

      • riderk
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      I did not have MUA, but did have a lysis of adhesions about 7 months after cuff surgery. My OS was too worried about a re-tear to do the manipulation. I did have a ton of scar tissue that he cleared out. Too bad to came back, and then some.

      I do not think there is any sling involved as the point is to get you moving and keep you moving. I had an immobilizer overnight. The OS said to stretch as much as i could as the ROM i got then would be what I could expect.

      Re: Manual Manipulation 2 years, 7 months ago #30718

      • FeDawn
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      Riderk,
      Yes I am glad to hear no sling. That's what my PT said and it makes sense. The whole thing freaks me out and I was trying to research (which could be a problem lol) and ask him. But again I need the final say so by the surgeon. One of my concerns was that it would tear something else and my PT said that he has never seen it happen, but now that you brought it up I'll be sure to double check with my surgeon if we have to go that route. I just don't want to do something that is going to cause more damage. But at the same time I am very tired of going to bed in pain and waking up in it (as I'm sure you are on a completely worse level). Just frustrating overall. All I want is to be able to be able to out regular clothes on (without winching or steaming because it hurts to get in or out of), be out of pain, have rom back, and be active again. Looking forward to yoga or Zumba or something fun haha!
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