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Old 12-19-2010, 10:59 PM   #1
fongman
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Originally Posted by steveooo View Post
....Best thing you can do is let the body try to repair the damage on its own initially. For shoulders, this usually means to immobilize it, which is a pain in the butt, but effective. You can buy a shoulder sling at walgreens for pretty cheap. I'd get one that supports the shoulder, as well as straps it to the body. You use your arm so much in the day, it's too easy to cheat with the ones that don't have the body strap. Even sleep with it, I'm sure you've already woken yourself up with shooting pain from moving your arm around a night? I know I do when I re-injure mine. Strap your arm up with your hand elevated higher than your elbow. For the first week, do ice only for about 20 min, 5X a day.

After the week of rest, light movement is good. Your body will tell you what is appropriate. Like Andy said, you can switch between heat and ice now, and start looking at some PT....
Be careful if you decide to immobilize your shoulder. A few years back I had a skiing accident and had a slight tear of the labrum. I had previous experience with shoulder problems and PT, so I thought I would immobilize it and then do some of the exercises I used before. Unfortunately, it didn't take very long before I had a frozen shoulder.

I was covered by Sharp PPO and they were great. I got a referral to a Orthopedic surgeon, got an MRI, and was given a surgery date. I decided I didn't want to be cut, so they gave me a cortizone shot and I started PT therapy 3 times a week, plus at home while watching TV. It took 2 years to get full mobility back.

Brian, I know what you are going through with Kaiser. One of the guys I worked with was having shoulder problems at the same time as me, but he had Kaiser and the doctors wouldn't let him have an MRI until he had x number of cortizone shots. The treatment wasn't helping, but they still wouldn't do the MRI. Good luck with your injury......and with Kaiser!
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Old 12-22-2010, 01:01 PM   #2
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Well good news! I went to the docs yesterday expecting to get a referal, but Kaiser actually has specialists working with their doctor staff during the day. The doctor brought in a sports medicine specialist and he ran me through a rigor of tests (all movement, nothing fancy). He said since I didnt have any pain that he doesnt think there is any tears, just that I stretched out the superspanateous (sp?) and that it will just take a while to (6-8 weeks) to get back to normal. He didnt feel or see anything that would warrant an MRI at this point. As far as the weakness he is sending me off to a nueorlogist to see what is going on with the nerves. He said the superspanateous may have rolled out of place and is pinching a nerve causing me to loose grip strength.

He actually gave me an exercise called a beer can exercise. And yes its in the paperwork! WOOHOO! I told him I dont like canned beer and he said a bottle would be ok too. That and I should be getting massages! all in the paperwork! Had to show the wife. Told her I would start off with the 12 oz exerciese and work up to 16, then 22s.
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Old 12-22-2010, 01:12 PM   #3
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Was there anything in there about sitting on the sofa on Sundays watching NFL? Or getting help loading/unloading the kayak?
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Old 12-22-2010, 02:34 PM   #4
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If you have dislocated you shoulder more than once in the past then you'll need surgery. If you're having dislocating problems I'd pay outta pocket for the MRI's. If they end up doing the surgeries then I'm sure they will eventually comp you for it, although every Ins. company I've had (anthem and Kaiser) have been complete scum and will do anything to get out of paying....really pretty sad. Just be diligent with the paperwork and jumping through their hoops, eventually they will have to pay or face a bad faith lawsuit.

Having had extensive shoulder surgeries in the past, and one recently I can safely say that the doc's don't know sh!t until they do the MRI...after a year or so of being past around my sports doctors telling me to "rest it" and getting shots I finally figured out that my PPO ins allowed me to get an MRI without a doctors request.

After bringing the MRI's to one of the better doc's, he said something about looking like Evel Knienevil's shoulder and I was under the knife with-in a month. My shoulder is much better than before....almost 100%.

FYI: the shoulder MRI cost to the Ins. company was under $600
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Old 12-23-2010, 08:15 AM   #5
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Was there anything in there about sitting on the sofa on Sundays watching NFL? Or getting help loading/unloading the kayak?
LOL...the first clause was written into my prenuptuals with my season tickets.

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If you have dislocated you shoulder more than once in the past then you'll need surgery. If you're having dislocating problems I'd pay outta pocket for the MRI's. If they end up doing the surgeries then I'm sure they will eventually comp you for it, although every Ins. company I've had (anthem and Kaiser) have been complete scum and will do anything to get out of paying....really pretty sad. Just be diligent with the paperwork and jumping through their hoops, eventually they will have to pay or face a bad faith lawsuit.

Having had extensive shoulder surgeries in the past, and one recently I can safely say that the doc's don't know sh!t until they do the MRI...after a year or so of being past around my sports doctors telling me to "rest it" and getting shots I finally figured out that my PPO ins allowed me to get an MRI without a doctors request.

After bringing the MRI's to one of the better doc's, he said something about looking like Evel Knienevil's shoulder and I was under the knife with-in a month. My shoulder is much better than before....almost 100%.

FYI: the shoulder MRI cost to the Ins. company was under $600
He did mention the MRI, but wants to do an EMG (nerve study) before since it is all weakness now and not pain. I actually went out last night on a buddies boat and pulled some hoops and it felt fine. It seems to be the fine motor skills of my hand that are problematic. I could pull the nets, but when I have to cut the zip ties at the end of the night to get my bait cages out, I had to use both hands. But I feel good today. Gonna get on my yak next week...I think that will be the real test.
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Old 12-23-2010, 10:44 AM   #6
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.....HOBIE?......
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Old 12-23-2010, 12:09 PM   #7
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LOL...the first clause was written into my prenuptuals with my season tickets.



He did mention the MRI, but wants to do an EMG (nerve study) before since it is all weakness now and not pain. I actually went out last night on a buddies boat and pulled some hoops and it felt fine. It seems to be the fine motor skills of my hand that are problematic. I could pull the nets, but when I have to cut the zip ties at the end of the night to get my bait cages out, I had to use both hands. But I feel good today. Gonna get on my yak next week...I think that will be the real test.
This is Kaisers Standard M.O. My wife was having issues also in her shoulder with similar to what you are talking about and they scheduled her the same way to rule out Nerves. However the process is not fun, you are going to get shocked my friend. They hit you in various parts of your arm, hand, and shoulder area to see what's going on.
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