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left shoulder pain

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Old 01-11-2006, 03:36 PM
Julian Julian is offline
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A torn labrum can certainly give similar symptoms although is less common

The labrum is the rim of tissue around the cup of the shoulder socket. The long head of biceps anchors off the superior labrum.

Labral tears are also known as SLAP lesions (superior labrum anterior posterior) or biceps anchor lesions

Diagnosis of SLAP lesions is best made arthroscopically (keyhole surgery) or with an MRI scan

MRI is also the modality of choice for a cuff tear.

Often labral lesions (superior) can remain untreated. In fact they are recently relatively new diagnosis secondary to the advent of shoulder arthroscopy and MRI

Julian
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Old 01-11-2006, 05:07 PM
dcg1952 dcg1952 is offline
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I'm in agreement with Julian's first post---you need to see a physician and get a diagnosis first, THEN decide what treatment is appropriate. I think you are working at this in reverse! My 2 cents! Dr Dave
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Old 01-11-2006, 07:55 PM
EdZ EdZ is offline
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Originally Posted by Julian
A torn labrum can certainly give similar symptoms although is less common

The labrum is the rim of tissue around the cup of the shoulder socket. The long head of biceps anchors off the superior labrum.

Labral tears are also known as SLAP lesions (superior labrum anterior posterior) or biceps anchor lesions

Diagnosis of SLAP lesions is best made arthroscopically (keyhole surgery) or with an MRI scan

MRI is also the modality of choice for a cuff tear.

Often labral lesions (superior) can remain untreated. In fact they are recently relatively new diagnosis secondary to the advent of shoulder arthroscopy and MRI

Julian
It is usually right around the time that I think to myself "hey, I don't need surgery" that I overdo something and it acts up again.

Or if I sleep on a bed that is too firm on my side.

Thanks for the info.

Darn frisbee golf! I remember exactly when I tore it too... ouch!
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Old 01-11-2006, 09:29 PM
Vickie Vickie is offline
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Well, as you keep hearing, a pictures worth a thousand words. A good look at your shoulder would help you make clear and the most effective protocol for treatment. I still always recommend appropriate training to strengthen the problem from it's origin and not just treat the final symptom/injury. I've seen many good surgeries only to manifest a different problem if the training/rehab wasn't complete. Good luck. Man I haven't heard anyone talk about frisbee golf in years; thanks for the memories. Vickie
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Old 01-12-2006, 01:38 AM
Julian Julian is offline
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I agree with Vickie that it is important to train correctly to prevent re-injury or making the problem worse. Almost all medical treatment benifits from maximal conditioning of muscle groups and also stretching to maintain mobility.

Corticosteroid has a bad name in the US and on the internet but if used correctly can be an important diagnostic tool and treatment.

It is not only a painkiller (analgesic) but also an anti-inflammatory. Interestingly it is often used successfully in non-inflammatory conditionss such as cuff tendinosis and tennis/golfers elbow.

The key to steroid is to avoid repeated doses at short interval as they can weaken tissues.

The problem is often the steroids only work temporarily and are then repeated too often causing damage.

Often the condition can get worse in spite of steroid and people often balme the steroid for a deterioration which may have occured anyway.

It is interesting the labral lesion occured suddenly, this is usually the case as is a major cuff tear. Impingement on the other hand often comes after repetitive above shoulder arm use (pay someone else to paint your ceilings)

In summary my advice is try exercises and if non improvement see an expert and have a diagnosis made. Then proceed from least invasive treatments to most invasive until the problem is resolved satisfactorily.

Cheers

Julian
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Old 01-12-2006, 11:36 AM
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drewitgolf drewitgolf is offline
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What's up Doc?
Get to a doctor ASAP. I had a slightly torn left shoulder rotator cuff from throwing snow balls at a tree with my son (stupidly, trying to re-live little league glory days when I was a pitcher); I throw lefthanded, golf right handed. I lost a year of golf in the early 90's because I was too stuburn to go see a doctor right away. After a few months of sleepless nights, I couldn't take it anymore. See a professional .
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Old 01-12-2006, 10:30 PM
Vickie Vickie is offline
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Whew, we have a lot of similar and different opinions and experiences; all valid and still confusing when you're the guy in pain. An MRI will help to put your mind at ease and will give you clarity on choosing your course of action for sure. Follow your heart on this one. Most trainers hate cortisone injections but just like your mind needs to be at ease I find that in highly acute cases the constant pain and inflammation is as big a detriment to recovery as the injury proper. So I agree with Julian that if you are using a holistic approach to good science cortisone can be a useful tool to allow for gently and methodical healing protocols. Let's not forget good old fashioned rest for a few days.

Ofcourse you know from reading anything I write that you need to look at your basic postural alignment and begin some corrections on the foundation while you're making your choices.All the joint specific and sport specific training will not help you avoid an injury if your alignment allows for misagreement in the way your muscles do their job of providing your mobility.

This would all be easier if any two of us had the same genetic, lifestyle, swing style, and historical backgrounds. But alas, the mystery continues to call for group query.

Vik
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Old 01-13-2006, 11:13 AM
mb6606 mb6606 is offline
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All good recommendations but after you see the doctor, get multiple cortisone shots, physical therapy, stretch bands, etc. and still can't throw a ball (as I experienced). Get yourself a hard rubber ball(lacrosse or large super ball), a wall and read Http://www.mypressureproducts.com/pa...ence_chart.htm.

Start working the trigger points several times a day with the ball. Once the trigger point pain resides and your arm feels better buy a speed chain and start exercising the rotator muscles. Figure eights, circles, tennis backhands, overhead throws. Your rotator muscles will be stronger than ever.
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