Go for steroid injections and expert physio before surgery.
Try and work out specifically whats causing the pain if you can, its a good place to start.
Quote from: fatdoc on April 06, 2014, 08:29:34 pmGo for steroid injections and expert physio before surgery.Personally I'd be wary of steroid injections. I had them for a rotator cuff injury and if anything it made it worse. After seeing a lot of people I had really good success with an osteopath rather than a physio. Try and work out specifically whats causing the pain if you can, its a good place to start.
The only other thing I'd add is that you need to be doing the shoulder exercises religiously if you've a history of shoulder pain, not just as a recovery plan. It's a pain in the backside, but you can't get away with not doing them or it'll just recur.
oa in my ac joint
NICE guidelines and experience opinion.. Usual Internet consultations ts and cs apply :Go for steroid injections and expert physio before surgery.
Quote from: shurt on April 06, 2014, 11:12:34 pmQuote from: fatdoc on April 06, 2014, 08:29:34 pmGo for steroid injections and expert physio before surgery.Personally I'd be wary of steroid injections. I had them for a rotator cuff injury and if anything it made it worse. After seeing a lot of people I had really good success with an osteopath rather than a physio. Try and work out specifically whats causing the pain if you can, its a good place to start.Osteopathy? Mostly quackery, like all complementary and alternative medicines. Steer well clear. Listen to fatdoc, he is after all, a doctor.At the risk of injecting yet more anecdotal evidence, I have acquaintances who've had good outcomes with surgery.
Quote from: Lund on April 07, 2014, 09:59:13 amQuote from: shurt on April 06, 2014, 11:12:34 pmQuote from: fatdoc on April 06, 2014, 08:29:34 pmGo for steroid injections and expert physio before surgery.Personally I'd be wary of steroid injections. I had them for a rotator cuff injury and if anything it made it worse. After seeing a lot of people I had really good success with an osteopath rather than a physio. Try and work out specifically whats causing the pain if you can, its a good place to start.Osteopathy? Mostly quackery, like all complementary and alternative medicines. Steer well clear. Listen to fatdoc, he is after all, a doctor.At the risk of injecting yet more anecdotal evidence, I have acquaintances who've had good outcomes with surgery.So the only opinion that anyone should take any notice of is a doctor? I thought the idea of the tread was asking people about their experiences of shoulder injuries?I have learned to manage my shoulder injury as Duncan mentioned. The only person who offered any help with that was an osteopath (who are available on the NHS btw) I didn't find physios any help including the then GB climbing team physio...
So the only opinion that anyone should take any notice of is a doctor?
The use of osteopathy is not always based on science, and there is limited evidence that osteopathy is effective in treating any medical condition other than lower back pain.[2][3] In the UK, the National Institute for Health and Care Excellence only recommend osteopathy for the treatment of persistent lower back pain. There is no good evidence that osteopathy is effective for non-musculoskeletal conditions and limited evidence that osteopathy is an effective treatment for neck pain, shoulder pain, or limb pain.[3]
Quote from: shurt on April 07, 2014, 01:36:56 pmSo the only opinion that anyone should take any notice of is a doctor? That's not what I said though is it? I said osteopathy is mostly quackery.Wikipedia has its flaws, butQuoteThe use of osteopathy is not always based on science, and there is limited evidence that osteopathy is effective in treating any medical condition other than lower back pain.[2][3] In the UK, the National Institute for Health and Care Excellence only recommend osteopathy for the treatment of persistent lower back pain. There is no good evidence that osteopathy is effective for non-musculoskeletal conditions and limited evidence that osteopathy is an effective treatment for neck pain, shoulder pain, or limb pain.[3]That's why it's on the NHS: for lower back pain. Anything else is, according to current scientific opinion, a waste of money and time.
Doctors [...] don't fix everything all the time...
QuoteDoctors [...] don't fix everything all the time...This I think is the problem with so many of our injury problems.Some things just can't be fixed. What is wrong with your shoulder, exactly? It's likely that nobody knows, not exactly. Even if they do, they don't know how to fix it perfectly. It's too complicated, too hard, too uncertain.If it were your car, you wouldn't stand for it. What do you mean, you can't fix it?Imagine experiencing a lack of acceleration in third gear. You take the car to the garage. They keep it for two weeks, and then you get it back. You look inside the bonnet, and they've "fixed" it by taking a part from another car that was in a major accident and ended up on fire. They've cut directly into the gearbox using a welding torch, pulled some of the gears out, and rammed in gears from the dead car. Then they've taken some metal from the door, and used it to patch the gearbox closed. It still doesn't fix the problem properly. For the first two months, you've got to drive in first or second gear, and then after that only going into third for limited periods for another two months. Finally you can use all the gears, but fifth is very dodgy, it crunches every gear, and you have to double de-clutch to go into reverse. In another couple of years you'll probably have to have the clutch replaced in the same manner as a result. Forever, every day you've got to put a pound coin into a slot by the steering wheel, or the new cog will somehow cause the entire car to simply stop working.Unfortunately, that I think is the reality of medicine. Yes, it's much better than years ago - putting horses blood into a human is known not to work now - but it's not a car. You can't fix it perfectly, we don't know exactly how it works everywhere, and the option of writing it off when things just can't be fixed isn't a palatable option.At some point, you just have to realise, like Duncan, that your car is fucked, it's not as good as the new models, but there's no way to trade it in. You've just got to take care of it.I guess the problem is that fundamentally the human body isn't designed to dangle from small edges on a 45 degree bit of marine ply four times a week. Doing so fucks it up, and it can't always be fixed.If you don't believe any of the above, weight until you're north of 35, and then unless you're lucky, you will then.