the shizzle > diet, training and injuries

Full tear rotator cuff.

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Andy W:

--- Quote from: sheavi on March 24, 2024, 11:23:57 am ---Hi

I'd take Duncan's advice and certainly note Matt's experience.  I've seen many patients post repair (months/years after) and the results are mixed.  Also re-tears post-surgery are quite common but appear not to cause symptoms necessarily. Far more important than any scan is how your function is. If you can boulder without pain except slapping - then perhaps surgery is unnecessary at present.  Instead a structured course of rehabilitation is first required. No doubt surgery does have its place and many people report positive outcomes.  The sceptic in me does wonder if that is always to do directly with the surgery or perhaps the time spent afterwards in rest and rehabilitation, not the mention the powerful effect of expectations/mind/placebo etc. that surgery can bring.

You mention that perhaps the bursa may be the source of symptoms which is touched on in the first link below.


Here's some links that may be useful.

https://www.thesports.physio/rotator-cuff-tears-cables-and-crescents/

https://www.thesports.physio/a-hole-in-the-blanket/

Good luck.

--- End quote ---

Thanks for the reply. The links make for good reading and confirm a few thoughts I'd been having but couldn't really back up. The present shaped attachment of the tendon, makes sense. That would account why I have relatively good function still. The hole in the blanket metaphor is much more optimistic than the hanging on by a thread one. Strange how interpretation/perception can alter how we think of such things.

Andy W:
Little update. After a particularly comic visit to a French Sports physio, he set me up with a TENS machine and an ice pack, after thirty mins he said next visit we will do some exercises...I said er I will call you.

I've spent a lot of time looking and trying different approaches and I think, going back to basic mobility has worked well, I focused too soon on strengthening and stretching. The upshot is I'm still climbing and nothing appears to getting worse.

I followed this chaps mobility stuff.....     https://www.youtube.com/@RehabScience

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