chronic shoulder pain - subacromial decompression - tennis

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miss injury's picture
miss injury

I would like to ask if anyone has had similar injuries as me or if anyone can help/ advise in anyway...

I used to play tennis 5x per week - club level/ training/ coaching. Over the years (im now 26) played various sports & kept fit.

About 3 years ago I had pain in shoulder - outside of arm - but ignored it and played on for about 6 months! I know, I know.....I played on with painkillers as it was time for summer tournament and I wanted to play...however that was the last time I played, August 2002! Regrets now I can tell you.

Since then I have seen Orthopaedic surgeons (I also have knee problems - i have one surgeon for each ailment), physios and have tried every treatment possible to relieve pain. I had at least 6 months physio before 1st op.

I then had an arthroscopic subacromial decompression (Sept 2003) - I had a small bony spur causing impingement of supraspinatus tendon and then more physio to recover after that. However, there was very slight improvement after that op, so my surgeon decided to do the same again - I am now 5 weeks post-op and recovering slowly. I do not feel any better as yet and am now worried that again it hasn't really helped me. :-(

I continue to get pain in the front of the shoulder, possible biceps tendon??, also at the back of the shoulder and radiating down the arm.

However, during the surgery these areas were all looked at and surgeon said they are intact! ?!??!?? I'm very confused - as are my numerous physios.

anyway, just wondering if anyone has had or is suffering similar pains.

Thanks 8)

Re: chronic shoulder pain - subacromial decompression - tenn

JamesWild's picture
JamesWild

miss injury wrote:
I would like to ask if anyone has had similar injuries as me or if anyone can help/ advise in anyway...

I used to play tennis 5x per week - club level/ training/ coaching. Over the years (im now 26) played various sports & kept fit.

About 3 years ago I had pain in shoulder - outside of arm - but ignored it and played on for about 6 months! I know, I know.....I played on with painkillers as it was time for summer tournament and I wanted to play...however that was the last time I played, August 2002! Regrets now I can tell you.

Since then I have seen Orthopaedic surgeons (I also have knee problems - i have one surgeon for each ailment), physios and have tried every treatment possible to relieve pain. I had at least 6 months physio before 1st op.

I then had an arthroscopic subacromial decompression (Sept 2003) - I had a small bony spur causing impingement of supraspinatus tendon and then more physio to recover after that. However, there was very slight improvement after that op, so my surgeon decided to do the same again - I am now 5 weeks post-op and recovering slowly. I do not feel any better as yet and am now worried that again it hasn't really helped me. :-(

I continue to get pain in the front of the shoulder, possible biceps tendon??, also at the back of the shoulder and radiating down the arm.

However, during the surgery these areas were all looked at and surgeon said they are intact! ?!??!?? I'm very confused - as are my numerous physios.

anyway, just wondering if anyone has had or is suffering similar pains.

Thanks 8)

After the first op had not much effect why did you go back to the SAME surgeon and have the SAME op!! I know, i know, its very difficult to know what to do and i do sincerely sypathise with your injury.

Its hard to give people advise on here as more info is needed and without a proper assessment it is hard to tell.

My advise to you would be to try a CHEK Practitioner (preferably level III or higher) and one with orthopedic rehab experience.

www.chekinstitute.com - look for one in your area

James

Well Miss Injury I am facing

pyaire's picture
pyaire

Well Miss Injury

I am facing almost the exact same problem.
I hurt my shoulder while doing exercises at the gym, and I had my (one and only) operation 5 weeks ago with had physio therapy so far.
The Doc gave me a couple of exercises to increase the strength of the blade muscle in order to pull my shoulder down and thus helping the tendon to heal!
I dunno what to do, I am confused too! I am still feeling the pain in my front shoulder and in the biceps, I need a solution ASAP!

Shoulder Pain

mul211's picture
mul211

I'm also having the exact same problem. Has anyone come up with any kind of solution?

It almost seems like a compressed nerve problem. But it doesn't go away.

Continuing pain

colinux's picture
colinux

I had this operation about 9 weeks ago and although I seem to have about 80% of my mobility back, I suffer from constant pain including a horrible aching all the way down my arm.

Originally I was diagnosed with a SLAP leision but the doc told me that during the op it looked like the cartilige had "stuck itself back together", so he decided to do this "decompression" op. Well, i'm now in 10 times the pain I was in before the op, especially at night when it aches so badly I can't sleep.

For anyone that is considering having this operation, PLEASE PLEASE consult a Doctor of TCM or a Physio first, as once this op has been done there is no turning back.

Way too often surgeons do these things but don't really know the possible negative outcomes.

I wish so much that I still had the pain that was present before it was "FIXED" by this appalling operation.

shoulder pain

sacbaby's picture
sacbaby

hi, i have just had surgery 4 days ago to repair my tendon and remove calcification on my right shoulder. I went to the doctors about 18 month ago to be told it was frozen shoulder and was given quartizone injections. Over the months the pain in my should, down my arm and into my elbow and shoulder blade. In december 09 i was finally sent for an xray as my movement so very limited, i couldnt raise my arm, washing was a no no and dressing was very difficult with 1 arm. I was told i had a calcification but it needed open surgery. I had this done this week and apparently when they opened me up it was a right mess, and for an operation that should of took 1 hour, took 4. Now lots of pain, physio every hour and i can move my arm better than i could before i went in. So my advise to everyone, dont wait until your in that much pain before asking for an xray or a second opinion, if i had insisted 12 months ago mine would not of been so bad, keyhole surgery would of done the job. I know of 3 people including my own doctor that has had the same op done and he has got 90% of his movement back, i have been told no pain no gain, its got to hurt before it gets better. So if you need open surgery go for it, painfull but it has already improved my quality of life and its only been 4 days. Good luck to you all.

Shoulder de-compression & rotator cuff repair

mikejl's picture
mikejl

Having had both of the above in Dec 2009, I am still having physio every week at the hospital. The exercises have really helped in giving me a lot of movement back in my shoulder but, I have this feeling of something moving in my arm, between the elbow and shoulder joint, when I reach out in some positions and not necessarily the same position each time. The physio says he thinks it is probably reflective pain from my op, but this is not pain as such, it really feels like something twanging back into place.I still take painkillers at night to assist sleep, although a post op frozen shoulder did not help matters.
Has anyone had similar problems and if so, what was the outcome?

Without the ability to

Renewed Myo Therapy's picture
Renewed Myo Therapy

Without the ability to physical and visually asses you (miss injury); there may be other possibilities.
From what you described, the possibility may be that the problem is not in your shoulder but rather in your neck. You may be suffering from tight restricted scalene muscles. They are three muscles found on both sides of your neck; originating from the vertebrae from C2-C7 and inserts to the first and second ribs. When they are tight or restricted they can trap nerves between bony structures or smother nerves if affected by scar tissue. This can also be known as a form of thoracic outlet syndrome or TOS. The scalene muscles are extremely challenged in athletes like runners and tennis players; because they are involved in the moving of the neck and breathing elevating the first and second ribs with every breath. With the constant excessive breathing of these athletes the scalene muscles becomes dysfunctional; and as said before trapping nerves and arteries causing pain and numbness from the shoulders, down the arm and fingers. A massage therapist train in deep massage, MyoSkeletal Alignment Techniques (MAT), PNF stretching, ART (Active Release Therapy) and or Trigger Point Therapy can be very helpful. While surgery may be needed in some circumstances; muscular skeletal condition caused by the overuse, over trained, repetitive motion and in some cases even injuries of an athlete may be better severed through manual therapy. Surgery should only be used as a last resort after all else have failed; once, twice or maybe three times.

These are just my opinions given without the benefit of being able to physically or visually asses you. Seek the help of a health care professional trained in two or more of the therapies I've mentioned.

I wish you well in your pursuit to wellness
Ray Mingo CMT, PT, CMAT

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