Oi. Fiz uma reparação do manguito rotador em julho. Estava indo bem até três semanas atrás, quando algo estalou e entrei em uma dor excruciante. Nenhum remédio para dor ajudou. Liguei para o médico e fui orientado a ir para o pronto-socorro. Claro que o pronto-socorro não conseguiu ajudar. Fui ao consultório do médico e, após uma ultrassonografia, ele marcou outra cirurgia para descobrir qual era o problema. Concordei, desde que ele consertasse o que quer que encontrasse. Bem, ele descobriu que meu tendão do bíceps havia saído da fixação que ele havia criado durante a primeira cirurgia. Ele não o reparou. Ele diz que devo me recuperar bem mesmo sem estar fixado. Passei por 6 semanas de terapia e sem melhoras. Ainda estou sofrendo com espasmos musculares e dor. O médico diz que ainda assim tudo ficará bem. Não estou tendo muita fé nisso. Atualmente, não tenho tanta amplitude de movimento quanto outras pessoas que vejo se recuperando de uma reparação do manguito rotador. Alguma sugestão ou comentário?
I know how you feel I had my surgery 8 the April I was doing well until about 6 -7 weeks ago I reached out and picked up a 2 litre of bleach I got acute pain worse than any I.had ever had
I have had cortisone injection which has eased the very severe pain Nights are difficult as I can't lie down
Your situation if your Dr is saying all is well you have to trust that There is time yet for things to improve Take care and good luck
Minha preocupação é que eu estava bem até o tendão do bíceps se soltar. Agora a dor não é aliviada por meio de acupuntura, injeções de corticoides ou medicamentos. Também acho que, se Deus quisesse que meu tendão do bíceps estivesse solto, eu teria nascido assim. Quando ele me abriu e viu isso, ele só limpou e me fechou. É meu braço dominante e eu tenho apenas 46 anos e preciso do uso do meu braço.
I understand what you are saying My surgeon was unable to repair my rotator cuff so just cleaned everything up did a bursectomy as it was very inflamed He also shaved a bit of bone can't remember what it is called to make more space I was optimistic but sadly it has gone wrong I am having some injections called suprascapular block Not sure about that It is to deal with the pain Like you my arm is weak Ironing with my left arm etc is not good. He spoke about a patch but said it could fail so I am a bit scared about that 7 months now and really worse than I was at the outset .
I don't know if it is possible to repair that. Tendon When I had the acute pain my shoulder physio said it could be biceps tendon Anterior and one which is longer He told me that if it goes I would have severe pain and probably some bruising He said not to worry as it might mean less strength in the shoulder but there was nothing to be done about it
I can feel your frustration and your despair I suppose you just have to speak to him again Sue
Was the biceps tendon torn initially? If it was, then is he just giving up? Do you know what kind of repair/technique he used? I don't understand the recovery without it attached part. Ligaments/tendons don't have a chance to heal regardless of age/gender/etc. without proximity of the torn surfaces sans some medical miracle. What good is any amount of physical therapy going to do if you don't have the proper anatomy to exert the forces required for the exercises? Unless the purpose of the therapy is to acclimate to a deficient anatomy. Sounds like he needs to explain why "everything will be fine." What is he judging this on? What criteria?
One glaring problem I see in all these discussions, HUUGEE disparity in patient/doctor power dynamic. You can't blindly trust doctors and rely soley on money to keep them in check to get the results you want. Just because you are paying more doesn't mean you are getting better quality care. You're completely at their mercy if you do. I still kind of believe patient advocacy is going to boom in the coming years.
And I'm sure you are aware, rotator cuffs aren't an easy fix. And it becomes increasingly difficult if not impossible to repair with age.
Tenho 46 anos e fui inicialmente ferido em 20 de maio de 2016. Passei por múltiplas injeções de cortisona e terapia antes de optar pela cirurgia. Durante a primeira cirurgia, eles encontraram vários tipos de rasgos, além de esporões ósseos. Eles realizaram uma tenodesia do bíceps e três dispositivos foram fixados no osso, além de colocar um remendo para ajudar nas reparações. Após a cirurgia, eu estava progredindo bem e gradualmente não estava tomando remédios para a dor. Na terceira semana após a cirurgia, senti algo estourar. Após a segunda cirurgia, o cirurgião disse que o tendão do bíceps havia se soltado completamente do osso e do dispositivo que ele havia colocado. Ele optou por deixá-lo solto e desde então não estou bem.
Há 23 horas
Tenho 46 anos e fui inicialmente ferido em 20 de maio de 2016. Passei por múltiplas injeções de cortisona e terapia antes de optar pela cirurgia. Após a primeira cirurgia, eles encontraram vários tipos de rasgos, bem como esporões ósseos. Eles realizaram uma tenodesia do bíceps e três dispositivos foram fixados no osso, além de colocar um patch para ajudar nas reparações. Após a cirurgia, eu estava progredindo bem e lentamente não estava tomando medicamentos para dor. Na terceira semana após a cirurgia, senti algo estourar. Após a segunda cirurgia, o cirurgião disse que o tendão do bíceps havia saído completamente do osso e do dispositivo que ele havia colocado. Ele optou por deixá-lo solto e eu não estou bem desde então.
Hi there, sorry to hear your frustration. I've had four surgeries on my left shoulder in the last year and a half. I've read a lot of medical journals and talked to a lot of folks so hopefully I can help a bit. The biceps tendon has two attachment points, the long head and the short. The long head is the one that typically gets torn or displaced out of the bicipital groove but most doctors do not reattach it. If they do, it is called a tenodesis, and attached lower down, and not back in its original place at the top of the shoulder capsule. I think it becomes too short and unstable to do that, so they just leave it to "scar-in" on its own somewhere. They say that the long head is not responsible for providing more than 20% of the biceps strength, so unless it's a professional athlete, they tend to leave it alone and most people don't notice the difference. However, the biceps can be a large source of pain, esp if it is flipping back and forth as you rotate your arm. Despite three MRI reports saying my biceps is correctly attached at its origin and in the groove, my dr has never seen it in any of my four surgeries! To him, it has been torn off and he has never gone looking for it, deeming it of no importance. I get nervy pain down the front of my arm along the edge of my biceps, and I can Usually make it go away by rolling a lacrosse ball on it, and using a tens machine. It has been very slow to build back strength, so I can share your frustration. All my therapists joke about my elusive biceps tendon : ).
If if you continue to have pain, it might be coming from a bursa that is inflamed from poor tracking of the shoulder. U could ask to try a cortisone injection?