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Old 11-07-2008, 10:53 AM   #16
Some Dude
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Just went through this last Friday myself. I fell off one of my dirtbikes well over a year ago and heard a loud pop as I landed with my arm extended trying to prevent some jagged rocks from hitting my goggles. I was able to ride out of the woods, was very sore but had full range of motion.

For 3 months I could not sleep on my left side and had some soreness and such, but it was improving on its own and I had full range of motion w/o tons of pain, so I just let it ride. Well late spring this year I upped my riding and training and I seemed to reach a wall of endurance/stamina and the first thing to go was my shoulders fatiguing making tree avoidance at any speed difficult. So I went to the doc end of this summer and got some PT, it made me incredibly sore and offered no improvement as it was re-aggrevating the initial injury. MRI proceeded and they said I had a very small SLAP tear present.

Surgery last Friday, doc not only found the small section torn away from the bone, but a slit in the base of the tendon that required 3 anchors/sutures to fix it that never showed up on the MRI in addition to the one anchor for the tear they did see. It was done arthroscopically and I have 4 good sized holes in my shoulder as a result. As for pain, I did do the block on their recommendation and from there they had prescribed percocet for 2-3 days following. I took one about 10 hours after the first surgery and they 1 every 5 or so hours after that for only a day. As I was sitting at home on the couch with a whole bunch of pillows it wasn't too hard to get comfy and sleep on and off for a couple hours at a time. Once I tried getting back into a normal schedule though the percocet became more of a necessity in order to get a full 4-5 hours of sleep without interruption I am finding. During the day as I'm on the run quite a bit and in the middle of renovating my rental house, I find Tylenol does ok to keep the pain manageable. The real pain though is setting in though of the atrophy of not using my left arm at all and having a good portion of it's weight sitting on the opposite shoulder which has got me all jacked up in the shoulders. I also get to wear the sling for a month and then have 1-2 months of PT and then re-diagnose from there. I am hoping to be back on a street bike by mid Dec at least and then maybe hit the dirt non-competively in January.
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Old 11-07-2008, 11:21 AM   #17
SEWERMAN
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Thumb Welcome to Rehab

COngrats Mike on your successful surgery:

Being a PT myself and having shoulder issues as well, it sounds like you should be good to go by this spring. The best piece of advice I can give you is dont' push it throgh this vist 6 weeks. Do what your doc and PT say and let that tissue heal, after about 6 weeks most if not all that stuff they stiched back together should be healed after taht it's just slowly increasing the weights and rnage of motion.

Good Luck
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Old 11-10-2008, 12:26 AM   #18
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I had shoulder surgery on 2/22/08 required due to a major wreck while DH skiing. I tore two tendons completely off the bone (subscapular and supraspinatus) and ruptured a third (Bicep tendon). I was in a sling day and night for six weeks but started PT 4 days after the surgery. The PT continued for 4 months @ 3 days a week. Most of the PT time was spent on increasing range of motion and I also did strength training exercises 2x a day at home. It was difficult and very painful at first but after a few months things got a little better. I am 52 and in good shape. I first got back on my bicycle (road) in early June and got back on my 1150GS a week later. I stayed on the asphalt and and took it pretty easy for the first two weeks, but I have been riding ever since without any issues. My shoulder feels pretty good now but there is still some pain and it is still weaker that before the crash. I was told it would be a year or more from the surgery date before I would fully heal and that there was a possibility it would never be 100%. From where I am now that seems pretty accurate. Don't overdo it, Do exactly what the Doctor and the PT tell you and although it will take awhile you will be OK and eventually back on the bike. Good luck.
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Old 11-10-2008, 06:48 AM   #19
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well, also excuse no capitals. had my op 2 weeks ago, 1 week holiday, then back to work. hardest week of my career. doing the basic motion pt at the moment, but given minimal painkillers - had to sort some independently.

failed today - off, i'm sleeping 16 or more hours/day, sort of fitfull - 15 mins then awake for a bit, so not good.

its really good to read i'm not alone and the rehab should have me up for the first event in 09 as a marshal then first entry for easter. feels a lomg way off at the moment though....

who else got good pics and video from their op... mine are quite exciting.
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Old 11-10-2008, 12:39 PM   #20
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I appreciate the info on PT. I go to my follow-up app't on Friday to get the lowdown on my PT and other details. I keep hearing that the first 6 weeks are critical.....I sure don't want to have to go back in for a re-do......so I will follow the instructions.

So far, the pain is very manageable (dull ache) considering the surgery. I am back to work today after 4 days at home. The problem is sleeping. Very difficult getting comfortable sleeping sitting upright with a sling on. Last night I figured out that I can sleep on a couch laying down on my left side (surgery was on the right side) with my back against the back of the couch. That way I don't turn when sleeping. Still waking up multiple times during the night but getting 2-3 hours between waking.
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Old 11-10-2008, 01:42 PM   #21
robtharalson
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January of 2007 I dislocated my left shoulder in a hiking / rock climbing fall so badly the head of the Humerus was wedged under the collarbone. That was a most unpleasant hike 1/2 mile back to the trailhead! Went to the E.R. and they finally managed to put it back in place and immediately scheduled an MRI. The shopping list of damage was really impressive, and the doctor scheduled me for wide open surgery the next week. Nine days after the accident I got back on the bike and took an experimental ride which turned into a three hundred mile weekend on every twisty road I could find. You should have seen the look on the doctor's face when I walked into his office for the pre op exam carrying my helmet! After the exam he said "Damn. There goes the next payment on my Ferrari!" and he cancelled surgery, gave me a Cortisone shot that hurt more than the original injury, and scheduled lots of PT. Just before I left I surprised him again by handing back the unopened bottle of Vicodin he gave me. That's right -- not only did I not take them, I hadn't taken so much as a Aspirin the whole time. If you want to learn my pain control techniques let me know. Four months later I had full ROM and was largely pain free, and it hasn't given me any trouble since. By the way, I was 53 at the time of the accident but in excellent condition, and I'm sure this was a contributing factor in my recovery.

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Old 10-11-2012, 11:23 AM   #22
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It's my turn to go under the knife on the 31st. I biffed and fell on my left arm/elbow pretty hard. Even though I was wearing a pressure suit, I thought I had broken my arm. After spending way too many hours in the emergency room, the x-rays showed I hadn't broken it. I knew something wasn't right, but I had to pack and move over the course of the next few weeks. And as time went on, it got worse and worse.

Did my research and went to see Dr. Joanne Halbrecht in Boulder. An arthrogram and an MRI later, I have a diagnosis of a torn supraspinatus tendon and will also need a subacromial decompression to let the bursa heal. I'm getting a nerve block, a nerve catheter with infusion pump for 3 days after surgery, a mondo-huge ice pack that I'll be wearing when I come to and will have percocet for 5 or six days after. Surgery is on Wednesday; I plan to be back at work on Tuesday. I have a desk job, and if I'm still on Percocet, I can walk to work if I have to. My boyfriend is going to take me to surgery, bring me home and will stay with me for several days.

What I am least looking forward to is the PT following surgery. In June of 2011, I had another getoff that resulted in a right dislocated shoulder, a partially torn labrum, a partially torn rotator cuff and a fractured humerus. I didn't need surgery, surprisingly enough. But the rehab had me in tears at times. It took a year, but I have full range of motion. I was riding again (street) about six or seven months after the injury. Unfortunately, I know what to expect with regard to PT, and I'm dreading it.

I love riding with a passion. But these two shoulder injuries have given me pause. And a few ideas for designing a better pressure suit. The suspension on my bike is being softened. I'm going to be doing some intensive lessons with a friend who is a champion trials rider come Spring. And I'm hoping I can get my head back in the game, 'cause right now the thought of another shoulder injury makes me cringe.

So, if anyone has any words of advice or thoughts over and above what's already been posted, please share. Thanks!
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Old 10-11-2012, 12:32 PM   #23
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Nice find on the old post.

I had bad experience with a Lincoln resulting full thickness tears, torn labrum & separated shoulder.

Have your Doc write the pain & muscle relaxer Rxs before the surgery so you can pick everything up while you are in good shape. Stopping on the way home is not the best choice don't ask me how I know.

Check at the pharmacy for one of the freezer belts for shoulders. If it gets cold enough you forget about some of the pain. Sleeping the first three days was tough but the cold helped knock the edge off. Take the pain pills do not tough it out as said by others. Same with muscle relaxers, they work.

PT is key. If you do your home exercises from the get go and stretch, stretch some more and if your eyes aren't watering up you doing something wrong. Swearing profusely seems to help as well: I liked SOB you miserable Fn whore; experiment see what works for you. Technique matters, if you do the PT half hearted or cheat you will pay on the back side with range of motion and power.

I work for myself, so no option on not going back to work at a desk job. Very doable even on day 2 if your instrument is a keyboard or phone.

The bike is doable after 8- 10 weeks if you are careful and have your head on straight. My Doc took pity on me, 54 at the time, when I explained that I love my wife but having her drive me everywhere was taking it's toll plus I felt safer on the bike. PT wasn't happy but I was.

Two years down stream no pain and range of motion is as good as it ever was. No regrets here.

Good luck with the surgery.
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Old 10-11-2012, 12:42 PM   #24
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I got mine cut on several years ago, torn rotator cuff, bone spurs.

I was riding the next week, no sling or anything after the first couple days, started PT almost immediately, maybe 3 or 4 days after surgery. Something fused back together, and they had to knock me out and "manually manipulate" my shoulder, which consisted of spinning my arm around like Pete Townsend on the guitar. My whole shoulder was blue/yellow when I woke up, and it was sore.

Here it is, several years later, it's about 80% of what it used to be before it was screwed up, I guess that's the way it's going to stay.
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Old 10-14-2012, 03:46 AM   #25
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Screw the icepack. Have them give you something even better:
Linky

You fill the cooler with ice and water and a pump circulates the water through the pack on your body part. They are available for shoulders because the doc that did my surgery sent one home with me. I wouldn't have been able to function without it for the first week after the cutting. The pain relief was almost instantaneous once it got turned on and I ran it until the water got warm. But if you do get one, leave the sleeve part on your shoulder for the first day or so, rather than taking it off and on. It's easier and less painful that way.

For the first couple weeks or so of PT, take a pain pill before you go. My PT recommended this to me and it was a great suggestion. Turned the PT from a screaming painfest into an annoying achefest. Also, look into pool PT. It's way better than being in an office and being tortured.

And it pays to find a good PT. Mine was absolutely awesome and I think that's why I only had to do 4.5 months of PT after the surgery. I also invested in a pulley (they're less than $20) that I used at home a lot. Definitely do your home exercises-it makes a big difference.

I wish you speedy healing.
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shelion screwed with this post 10-14-2012 at 03:52 AM Reason: temporary insanity
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Old 11-06-2012, 02:56 PM   #26
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Had my surgery. Final tally: left shoulder arthroscopy, arthroscopic repair of the supraspinatus, subacromial bursectomy, depridement of type 1 SLAP lesion, chondroplasty glenoid. I had a Moog Auto Infuser dispensing Ropivacaine at the surgery site for three days. It made an unbelievable difference in terms of pain management rather than just a nerve block the day of the surgery. I was petrified about the nerve block, and needn't have been. I must have been awake enough to help the anesthesiologist identify proper placement, but I don't remember a thing about it.

Surgery took about 2 hours. I had both IV and gas anesthetic, as well as being intubated. I awoke to a very sore throat, and feeling very woozy. I don't remember a whole lot about the rest of the day. I took percocet for the breakthrough pain and am now only on it in the evening. During the day, ibuprofen is sufficient. I ice every four hours or so. Oh, and be sure to take lots of stool softeners and/or laxatives. Geez, Percocet is an effective plug.

I start PT on Thursday, one week after surgery. It won't be a lot, but it will keep my shoulder from freezing. I'm in a SuperSling for 30 days. Assuming all goes as planned, I'll be full rehabbed in time for spring riding in Moab. In the meantime, it's a pain to get dressed, drive and shower. Not bad, considering.
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Old 11-11-2012, 08:56 AM   #27
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Quote:
Originally Posted by shelion View Post
Screw the icepack. Have them give you something even better:
Linky

You fill the cooler with ice and water and a pump circulates the water through the pack on your body part. They are available for shoulders because the doc that did my surgery sent one home with me. I wouldn't have been able to function without it for the first week after the cutting. The pain relief was almost instantaneous once it got turned on and I ran it until the water got warm. But if you do get one, leave the sleeve part on your shoulder for the first day or so, rather than taking it off and on. It's easier and less painful that way.

.
What Shelion said. I had my rotator cuff repaired arthroscopically in late July, and that machine was worth its weight in gold.

I had a 3 1/2 cm tear; Milo Sewards at Temple Sports Medicine in Philadelphia repaired the tear, ground off a bone spur. I told the anesthesiologist I'd wait and see on the nerve block; that was a mistake. I woke up in bad pain, thrashing around with nurses holding me down. They gave me the spinal block and it all went away, no more pain.

I went into the surgery in good shape (I'm in the gym 4 - 5 times a week) and that helps a lot with the eventual outcome. I did the PT at Temple Sports Medicine, and 14 weeks postop I've pretty much got full mobility in the shoulder, and the strength is returning pretty fast. I'm 62 years old; I think being in really good shape going into the surgery makes a huge difference in the outcome. If you need this surgery, hit the gym hard for a few weeks beforehand and get into good overall physical condition. You'll be glad you did.
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Old 11-15-2012, 11:13 AM   #28
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My surgeon won't use the active ice machines. She's had patients that have developed burns from improper use. I was given a shoulder ice cuff with two ice packs. The thing is huge, but I'm able to get ice exactly where I need it and it's worked beautifully.

I'm two weeks out post-surgery and down to ibuprofen for the pain, except after PT. Those nights, I need to take a Percocet to be able to sleep. I expect to taper off it completely in the next week or so. I've been getting therapeutic massage to deal with the strain of wearing the sling and to relax very sore muscles. I expect to make a full recovery. I am, however, looking at options for more shoulder padding to go under my Rockgardn pressure suit.
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Old 11-15-2012, 11:46 PM   #29
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Don't skip on the PT.
In Dec of 05 I had 2cm of my right clavical removed because I had no cartilage left in my right AC joint. They ended up having to cut the top of my shoulder open to get the bone chunk out then found my bicep tendon was detached at the shoulder and all the connective tissue in the back was free floating. 80 internal stitches later I woke up after a 45 minute 'scope job turned into 4 hours of major surgery. To this day I can't lift shit, in varying degrees of pain (nerve damage from bone on bone contact), I have 95% of my range of motion back which was more than the surgeons expected. Driving still hurts enough to be uncomfortable but riding in a standard, sport touring or adventure riding position is completely pain free.
For the record I was driving and riding my bicycle after a month but at the time I was 18 and 240lbs of power lifting, jogging 5 miles a day in way under an hour teenage idiot.
Not a lot of people know that's one of the reasons I choose to ride year round. I could ride my monster for about 4 hours before I needed to stretch, 8 hours before I was done (but not from shoulder pain). The Multistrada? Barring my ass getting sore I can ride all damn day. I can't drive for more than an hour before I'm squirming and needing to get out of the drivers seat.

Worst part was sleeping in a damn chair for 3 months, sleeping seated sucks. I actually went to a salon to get my hair washed because I couldn't lift my arm above my head for a month. That was almost orgasmic.
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Old 11-22-2012, 04:05 AM   #30
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Since someone revived my old post, I'll add that my right shoulder has rehabbed fine. I was diligent with my PT and I have great flexibility, strength and range of motion. Only issue is that now at 54, the left shoulder is starting to give me some problems (similar pain as the first one that needed repairs).

Ah, the pleasures of getting older!!
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