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post #1 of 27 (permalink) Old 08-08-2007, 06:03 PM Thread Starter
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Rotator Cuff

So I was told by my Orthopedic Surgeon and I have a major bone spur in my right shoulder that is pinching my rotator cuff. I was told I have a couple option.


1. Rest it and try and strengthen the rotator cuff.
2. Cortazone shot to help reduce inflammation.
3. Surgery to shave down the spurt.

Now I have been doing rotator cuff exercises for the past 3 months, but I have not been resting. This combination has not really helped. Just curious if anybody else has encountered this, and if "resting" really helps. I am not one to not work out, and I play basketball regularly as well. I am almost leaning towards the surgery because the spur can eventually lead to a tear which i definitely don't want.

Any experiences oh CLSB brethren.

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post #2 of 27 (permalink) Old 08-08-2007, 06:04 PM
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i cant imagine anything other than removal will make it better long term. Once you have a spur you have a spur, no?

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post #3 of 27 (permalink) Old 08-08-2007, 06:06 PM Thread Starter
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i cant imagine anything other than removal will make it better long term. Once you have a spur you have a spur, no?
Yeah thats true. The doctor is saying if I strengthen my rotator cuff it will pull down the socket and reduce the pinching. Though I think it is bs, i saw the MRI there isn't any room and it is a sharp pointy spur.

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post #4 of 27 (permalink) Old 08-08-2007, 06:07 PM
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seriously, anyting other than grinding it off is going to be either short term or masking the problem. Bummer man. I'd tough it out till the cold months if possible, not much to do in winter.

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post #5 of 27 (permalink) Old 08-08-2007, 06:09 PM Thread Starter
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seriously, anyting other than grinding it off is going to be either short term or masking the problem. Bummer man. I'd tough it out till the cold months if possible, not much to do in winter.
Exactly what I was thinking. Apparently this is "common in body builders" although i don't consider myself one. Makes me wonder what my other shoulder looks like.

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post #6 of 27 (permalink) Old 08-08-2007, 06:10 PM
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Deal with it the best you can rest it when it hurts I have almost none in my left shoulder and the right is not much better.

Don't do the cortizone in the long run it weakens it after like 3 treatments.

Get some anti inflamatories and use them when it acts up.

Dont do stupid things that make it worse.

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post #7 of 27 (permalink) Old 08-08-2007, 06:11 PM
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Choppy choppy. I don't know how strengthening the shoulder would pull it away...usually it does the opposite.
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post #8 of 27 (permalink) Old 08-08-2007, 06:11 PM Thread Starter
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Deal with it the best you can rest it when it hurts I have almost none in my left shoulder and the right is not much better.

Don't do the cortizone in the long run it weakens it after like 3 treatments.

Get some anti inflamatories and use them when it acts up.

Dont do stupid things that make it worse.
So you would say no to shaving the spur down? To hopefully prevent further injury?

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post #9 of 27 (permalink) Old 08-08-2007, 06:12 PM Thread Starter
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Choppy choppy. I don't know how strengthening the shoulder would pull it away...usually it does the opposite.
I am with you, but the out of shape doctor said so.

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post #10 of 27 (permalink) Old 08-08-2007, 06:13 PM
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I would say no.

Can they blast it with ultra sound to break it up?

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post #11 of 27 (permalink) Old 08-08-2007, 06:15 PM Thread Starter
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I would say no.

Can they blast it with ultra sound to break it up?
Never was given that as an option, what would happen to the particles then? I don't understand why you would say no though, specially considering you are living with the rotator cuff pain for a while. Its pretty damn restrictive if you ask me

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post #12 of 27 (permalink) Old 08-08-2007, 06:16 PM
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Quote:
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I am with you, but the out of shape doctor said so.
One of those guys also told me my back is injured because it's weak.

Everything I've ever read has said that strengthening muscle shortens tendons and ligaments...
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post #13 of 27 (permalink) Old 08-08-2007, 06:19 PM
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My friend had it done the recovery takes a long time and it still pains him. About a year just to get back to his original range of motion. Plus it was the one he used to wipe his ass and he had to figure out a whole new way to do it.



I had a bone spur in my femur they treated that way I don't know what happens to the particles

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post #14 of 27 (permalink) Old 08-08-2007, 06:23 PM Thread Starter
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My friend had it done the recovery takes a long time and it still pains him. About a year just to get back to his original range of motion. Plus it was the one he used to wipe his ass and he had to figure out a whole new way to do it.



I had a bone spur in my femur they treated that way I don't know what happens to the particles
Good info to consider, thanks. I thought the recovery would be quick, just wait for the swelling to go down, as I don't have a tear yet, just a lot of pinching pain and soreness.

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post #15 of 27 (permalink) Old 08-08-2007, 07:52 PM
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Quote:
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Good info to consider, thanks. I thought the recovery would be quick, just wait for the swelling to go down, as I don't have a tear yet, just a lot of pinching pain and soreness.
rotator cuff surgery is one of the longest recoveries. my mother had hers done 2 yrs ago. she still can't lift a tray when she is serving a table. the strength is not there like it used to be, BUT she also slacked off on physical therapy and all that. if you keep up with that, you should be back to normal in a decent amount of time and the strength can/will be there. from what i've read, you seem like the type that would make sure you do the proper exercises.

massage also helps big time 6-8wks after the surgery. keeps the scar tissue down, lessens the pain and assists with flexibility.

good luck with whatever you decide to do.

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post #16 of 27 (permalink) Old 08-08-2007, 08:46 PM
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for what it's worth Eve this type of surgery should be far different than other rotator cuff procedures. grinding off spurs is a common practice, you can get bone spurs pretty much anywhere.

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post #17 of 27 (permalink) Old 08-08-2007, 09:09 PM
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option #3. get it over with!!!
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post #18 of 27 (permalink) Old 08-08-2007, 09:20 PM Thread Starter
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Quote:
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for what it's worth Eve this type of surgery should be far different than other rotator cuff procedures. grinding off spurs is a common practice, you can get bone spurs pretty much anywhere.
Yeah that is why I was thinking. The surgery will be different as I don't have a tear yet, just pinching, I want to prevent the tear.

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post #19 of 27 (permalink) Old 08-09-2007, 10:43 AM
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post #20 of 27 (permalink) Old 08-09-2007, 11:03 AM
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Quote:
Originally Posted by HEESH View Post
Yeah that is why I was thinking. The surgery will be different as I don't have a tear yet, just pinching, I want to prevent the tear.
my mistake. definitely do whatever you can to prevent the tear.

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post #21 of 27 (permalink) Old 08-09-2007, 11:25 AM
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Learn from my errors. Do the surgery early. If I did that vs. try to rehab it I would have all my clavicle, no titanium, much better function, and a whole lot less ongoing pain. Fixing a bone spur these days is no big deal. Just do it.

There is nothing firm, nothing balanced, nothing durable in all the universe. Nothing remains in its original state, each day, each hour, each moment, there is change. Change is the essence of life. Embrace change as you do life. To fight change is to live in the past.
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post #22 of 27 (permalink) Old 08-09-2007, 12:28 PM
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cortizone ftw
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post #23 of 27 (permalink) Old 08-09-2007, 12:32 PM
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Quote:
Originally Posted by Vcook View Post
for what it's worth Eve this type of surgery should be far different than other rotator cuff procedures. grinding off spurs is a common practice, you can get bone spurs pretty much anywhere.
+1 there is no cartilage, or tendon damage- shave it this winter, I bet the recovery time is minimal.

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post #24 of 27 (permalink) Old 08-09-2007, 12:36 PM
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DON'T DO CORTIZONE!!! It's only a short term solution and you can't have too many treatments or else it will weaken and possibly deteriorate your muscles... I had them in my wrist so that I could ride without all the pain and it ended up fucking me up even worse... I lose complete feeling and control of my wrist at times which the dr thinks is from the shots...

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post #25 of 27 (permalink) Old 08-09-2007, 01:18 PM
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My doc hit me with roids first. Waste O Time and by postponing the surgery to see the effect may have caused more damage.

Just geterdone.

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post #26 of 27 (permalink) Old 08-09-2007, 02:32 PM
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Its a bone spur, not a tear. Cortizone, I have had a bone spur/growth on my bicep (looks like a shark tooth) for years bothered me at first but doesn't anymore. If it bothers you real bad then get surgery but if not, I wouldn't because once you go under the knife (I DON"T CARE WHAT ANYONE SAYS) you will never be 100% as it once was!
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post #27 of 27 (permalink) Old 08-09-2007, 03:19 PM Thread Starter
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Quote:
Originally Posted by norton View Post
Its a bone spur, not a tear. Cortizone, I have had a bone spur/growth on my bicep (looks like a shark tooth) for years bothered me at first but doesn't anymore. If it bothers you real bad then get surgery but if not, I wouldn't because once you go under the knife (I DON"T CARE WHAT ANYONE SAYS) you will never be 100% as it once was!
I agree on the not being 100%, but I think 90% without the spur to prevent the tear is better then the 50% if the tear occurs.

I think I am going to wait it out and try to rehab and take it easy till riding season is over and I will look into a second opinion in the meantime and just probably get it done.

Thanks for the input everyone.

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