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      TOPIC: Arm pain and slap tear

      Arm pain and slap tear 7 years, 12 months ago #11103

      • boomchuck
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      Brand new here as you can tell by looking at the number of posts.

      I'm not much of an athlete unless you count recreational biking and boomerang throwing, but regardless, I am right handed but my tear is in the left shoulder. No injury or anything I can relate this to.

      My pain started in November when I was putting in a wood floor. No real serious heavy lifting that I remember. Toward the end of the project I started getting pain in my shoulder blade. Later it began to migrate down my left arm. I started getting severe pain in my left bicep, elbow, forearm, and numbness and tingling down to my little, ring, and ringside of my middle finger. Doctors, local at at the health science university, have done x-rays, CTs, 5 MRIs and a MR Arthrogram. Diagnosis has included brachial plexus entrapment and nerve inflammation. I've done PT and prednisone IV treatment with no help. I'm on serious pain meds but still the pain is there, and worse lately.

      A recent MRI showed a slap tear. MR Arthrogram last week showed it up even better. I visit an Orthopedic dr next monday and my neurologist on thursday.

      What bugs me is that if this is a tear in the rotator cuff then why does it not hurt, at least not much, in the shoulder but rather down the arm. And the pain there is often sharp like a jolt or continuous severe pain that can be irritated with rubbing. Why the bouts of numbness in the fingers? And why does neck movement (lean to the right or chin to the neck) also bring out the pain? I'll talk to the dr about it and hopefully get some good answers.

      My concern is that this looks like pretty major surgery and it may just fix something that has been there for a long time and isn't causing the pain.

      Does anyone else experience this kind of arm pain and lack of serious pain in the shoulder?

      Thanks folks.

      Re:Arm pain and slap tear 7 years, 12 months ago #11104

      • sskylor
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      SLAP tears are not RC tears just so you know. You have a classic ulnar nerve pain pattern. This nerve has neural contributions from C7 C8 and T1. Have any of the MRI's been done down to this level. I have not seen a SLAP tear ever cause this kind of impingement so please someone is barking up the wrong tree with the SLAP as being the source of your pain. You should be getting an EMG on various points of this nerve for starters and why have they not tried an epidural at any of the above named discs. You are so correct to question all of this. Yes you may have a SLAP tear but I do not feel this is your issue so do not be pushed into a operation that will likely cause considerable down time and no reduction of symptoms. Sharon

      Re:Arm pain and slap tear 7 years, 12 months ago #11119

      • boomchuck
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      Thanks for the quick reply. X-rays and MRI have shown a slight bulging in the disks, C7 & 8 I think but not sure, but they didn't think this was sufficient to cause the pain. I have been to a neurologist, a couple times, who did the needle and shock tests and didn't find anything wrong other than a slight carpal tunnel.

      Original diagnosis was that this was an Ulnar nerve issue, but then nobody has been able to find a place where it was being impinged, so they've looked at everything else. Getting very tiring and frustrating.

      I'll print this off and take it along to my appts this next week. I know that an email response is not the same as a dr diagnosis, but you're affirming my concerns about whether they are looking in the right place.

      But again, nobody has actually told me that the SLAP tear (and I definitely do have one per 2 sets of MRIs) is causing this pain. It may just be one of those things that they find when they start looking.

      Thanks again Sharon.

      Dean

      Re:Arm pain and slap tear 7 years, 5 months ago #14086

      • gary23
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      boomchuck wrote:
      Brand new here as you can tell by looking at the number of posts.

      I'm not much of an athlete unless you count recreational biking and boomerang throwing, but regardless, I am right handed but my tear is in the left shoulder. No injury or anything I can relate this to.

      My pain started in November when I was putting in a wood floor. No real serious heavy lifting that I remember. Toward the end of the project I started getting pain in my shoulder blade. Later it began to migrate down my left arm. I started getting severe pain in my left bicep, elbow, forearm, and numbness and tingling down to my little, ring, and ringside of my middle finger. Doctors, local at at the health science university, have done x-rays, CTs, 5 MRIs and a MR Arthrogram. Diagnosis has included brachial plexus entrapment and nerve inflammation. I've done PT and prednisone IV treatment with no help. I'm on serious pain meds but still the pain is there, and worse lately.

      A recent MRI showed a slap tear. MR Arthrogram last week showed it up even better. I visit an Orthopedic dr next monday and my neurologist on thursday.

      What bugs me is that if this is a tear in the rotator cuff then why does it not hurt, at least not much, in the shoulder but rather down the arm. And the pain there is often sharp like a jolt or continuous severe pain that can be irritated with rubbing. Why the bouts of numbness in the fingers? And why does neck movement (lean to the right or chin to the neck) also bring out the pain? I'll talk to the dr about it and hopefully get some good answers.

      My concern is that this looks like pretty major surgery and it may just fix something that has been there for a long time and isn't causing the pain.

      Does anyone else experience this kind of arm pain and lack of serious pain in the shoulder?

      Thanks folks.


      This pain sounds exactly like i have. I was told i have a slap II tear and im in pt for it. the pt is not helping. i was told the slap tear should not cause the other pains. but i dont want surgery if its not gonna help the neck pain and bicep and elbow and the finger tingle. i want to find out the problem. so what do i do or ask my ortho for next? any advise?

      Re:Arm pain and slap tear 7 years, 5 months ago #14087

      • sskylor
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      You should ask your MD for an EMG test and talk about getting a diagnositc epidural injection. You should be seeing a nerurologist or spine specialist. My opinion is that the SLAP tear is incidental, not causative, so do not let anyone talk you into shoulder surgery.

      Re:Arm pain and slap tear 7 years, 5 months ago #14089

      • gary23
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      This is very frustrating, take away the trap, neck, low bicep, elbow, tingling in fingers, I could live with the shoulder. The shoulder pain is not that bad. Is just all those other pains and the overall weak feeling of the arm that gets me. My ortho told me that alot of athletes and people that have worked out have slight labrum tears that dont require surgery
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