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65,622 Views | 545 Replies | Last: 17 days ago by aggiederelict
aggiederelict
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Based on your presentation it sounds like surgery is your best option at this point. I know it sucks, I started with a patient today who just had surgery to repair a SLAP tear. It's a slow process but sometimes it is needed. Your future self will thank you.
Na Zdraví 87
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AG
What kind of surgery and rehab can I expect. Just got MRI results.
aggiederelict
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You tried any PT? Did anything traumatic happen? Need some more context.
Ragoo
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AG
Have a question. I think I have bicep tendinitis. Range of motion in my arm is fine with palm down, slight pain rotating behind my body, but as soon as I rotate my palm up it hurts like a b/tch.
Na Zdraví 87
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AG
Yes. Riding my bike. Went down and caught myself with my left arm and hurt my shoulder when it jammed. Hurts like hell when I make certain moves. Can't lift anything up. Wakes me at night sometimes.
No PT.
aggiederelict
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At the shoulder or the elbow?
Ragoo
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AG
Shoulder
aggiederelict
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Might be worth some PT but it sounds like surgery is in your future. What did the ortho say?
Na Zdraví 87
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AG
Yep. Surgery. What kind of rehab time can I expect?
aggiederelict
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4-6 months for full recovery.
Na Zdraví 87
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AG
Thanks for the reply. Oh well.
10andBOUNCE
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AG
Couple questions…mainly centered on what I would consider muscle soreness beyond what is normal.

I don't have a PCP (will work on that next year) but would like to get a blood panel done and have someone look it over. Any recommendations without actually finding a doc, going in, etc?

Other than just a good thing to do regularly at my age (39), it came about as I continue to struggle with recovering from traditional back squats - usually when going a little heavier. But it's nothing out of the normal for me as I have been in the gym for many years at this point.

For example, I squatted last Friday. Moderately sore this past weekend. Yesterday I am doing a workout focused on shoulders (OHP) and arms. While sitting on a bench and doing heavier "cheat" dumbbell raises, both of my hamstrings/inner thigh area completely seized up - similar to one of those bad calf cramps I can get randomly in bed and have to jump out and walk it out. This time a much larger area and both legs. Pretty painful to be honest! This morning I feel pretty good overall, but obviously something is going on.

I am persuaded a blood panel might reveal an imbalance potentially. Otherwise I had read a study on some neurological elements that are tied to this kind of thing.

Anyways, curious your thoughts and much thanks in advance.
aggiederelict
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Hard to really know what's going on without your blood panel results and without seeing you squat. Do any other exercises bother your hips? What kind of mobility work do you do on your off days?
10andBOUNCE
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AG
Actually had 6 sessions with a PT to work on hip strength and mobility, so that is improving I think. I can likely improve more of the mobility part of it going forward.

We did talk briefly about this topic and said to watch out for excessive water intake which will flush my body of all the electrolytes and other stuff I need before it can be absorbed. I do drink a lot of water.

I will work on getting some blood panels done in early January.
Swarely
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Hey derelict,

Was snowboarding yesterday and long story short, I slammed into a tree going fairly quickly. I hit on the bottom of my board directly under my left ankle.

This is the same ankle I had anterior tibialis surgery on and same ankle I sprained bad last year and split a tendon in.

There currently isn't any swelling or lingering pain. But, if I step wrong, it hurts like the blazes. Dorsiflexion is pretty bad too.

Thoughts?


ETA that the pain is centered in and around the little knobby bone that sticks out on the inside of my ankle.
aggiederelict
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Any bruising? Is it on the bone or just to the inside of it? Does the pain feel deep in the ankle or near the surface?
Swarely
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Still no bruising and barely any swelling. Pain has significantly decreased. May try for a little jog tomorrow. Will probably text you in the afternoon if that's cool.
Crazy Ag 97
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AG
Had a laminectomy at T12 and L1 to remove a tumor from the nerve root at L1 on 12/18 and the a second surgery on 12/27 to redo the suture due to a csf leak. The second surgery was closed up by the plastics team after the Neuro team found the leak, and they did a lot of work to relayer the muscle in probally. Recovery is going well (though tougher than I think I was originally thinking), and I'm convinced my overall health and condition pre-op has significantly helped with postop and recovery. Doc did say recovery would be a little longer than typical due the extensive work by the plastics team, but long term it would be better.

I'm curious, what kind of PT I can do at home to help with recovery. Obvious anything I do at the moment will be small movements, as I still limited to no bending, twisting, or lifting. But I thru my PT on my knee, I learned that small daily movements can have a huge affect in the long term.
aggiederelict
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Is your doc going to refer you to PT?
Crazy Ag 97
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AG
PT came by daily while I was in the hospital, but that was more to just get me moving again after the surgery, but that's been it. They didn't seem overly concerned at the time as I was up and walking (including stairs) within 48 hours. I was super lucky, we found the tumor before I had any neurological declines, so my recovery is just the recovery from the surgery, and not trying to regain lost motor skills. My biggest concern as it heals is regaining the strength in my back and I want to make sure I do it properally with risking injury, especially the first 3-6 months.

I had a tele-visit yesterday and forgot to ask, but I have an in person post op with him this week so I will definitely ask.
aggiederelict
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You still need PT after surgery. I would make sure to ask for it despite your case not being a normal one for back issues.
 
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