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SLAP tear

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Wallyd

Wallyd

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Dec 10, 2013
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I fell about a month ago & hit my head & left shoulder on the way down. A goose egg popped up on my head which had went away & returned to normal, well as normal as a head like a watermelon can get.

I’ve went to physical therapy 5x now. Finally had an X-ray done & met with urgent care doctor to get the results. She tells me there’s 3 parts to the rotator & 2 of the 3 have tears. I’ve also tore the labrum.

Fast forward to today & I visit with orthopedic surgeon to go over the MRI results. He tells me if the rotator is still attached they don’t worry about it & I’ve probably had those tears for awhile. He tells me most men over 40 have them & don’t even know it. He goes on to say we all have labrum tears if over 40 it’s just that some of them hurt. All in all he’s really down playing everything.

He recommends a cortisone shot to help with the labrum. He tells me it will never actually heal but the shot can help make it better as far as living with it goes. I agreed to the shot but at this point I’m not really noticing much. The gal that gave it acted like it should be immediate relief.

I saved the best for last, this is a workman’s compensation case. I feel like they are downplaying it & trying to weasel out of it as cheap as possible. If it’s not going to ever heal on its own am I going to go around worrying about ripping it worse from now on? My job is pretty physical not to mention going to them gym.

Curious what you all think. Is cortisone just masking the injury? Is this a normal procedure? I’ve never dealt with any of this before.
 
W

Wilson6

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Dec 17, 2019
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I fell about a month ago & hit my head & left shoulder on the way down. A goose egg popped up on my head which had went away & returned to normal, well as normal as a head like a watermelon can get.

I’ve went to physical therapy 5x now. Finally had an X-ray done & met with urgent care doctor to get the results. She tells me there’s 3 parts to the rotator & 2 of the 3 have tears. I’ve also tore the labrum.

Fast forward to today & I visit with orthopedic surgeon to go over the MRI results. He tells me if the rotator is still attached they don’t worry about it & I’ve probably had those tears for awhile. He tells me most men over 40 have them & don’t even know it. He goes on to say we all have labrum tears if over 40 it’s just that some of them hurt. All in all he’s really down playing everything.

He recommends a cortisone shot to help with the labrum. He tells me it will never actually heal but the shot can help make it better as far as living with it goes. I agreed to the shot but at this point I’m not really noticing much. The gal that gave it acted like it should be immediate relief.

I saved the best for last, this is a workman’s compensation case. I feel like they are downplaying it & trying to weasel out of it as cheap as possible. If it’s not going to ever heal on its own am I going to go around worrying about ripping it worse from now on? My job is pretty physical not to mention going to them gym.

Curious what you all think. Is cortisone just masking the injury? Is this a normal procedure? I’ve never dealt with any of this before.
I'd get at least two more opinions from orthos that deal with masters athletes, esp ones that are lifters themselves. See if they all align or if you get different opinions relative to treatment. I always get 4 opinions. Too many orthos have become technicians, assembly line minded thinking. They figure if you're over 40 you should be retired and not doing anything physical anymore.
 
Wallyd

Wallyd

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Dec 10, 2013
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I'd get at least two more opinions from orthos that deal with masters athletes, esp ones that are lifters themselves. See if they all align or if you get different opinions relative to treatment. I always get 4 opinions. Too many orthos have become technicians, assembly line minded thinking. They figure if you're over 40 you should be retired and not doing anything physical anymore.
I kind of feel like that’s the way this guy thinks. Oh well he’s old, he will never miss the strength & mobility. Like it’s just a new way of life.
 
Yano

Yano

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Sep 18, 2022
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My ol lady went through the torn labrum thing but in her hip. Shots helped for a while then they went in an did some work on it. She scoots around pretty good now even with her other issues.
 
Yano

Yano

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Sep 18, 2022
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They figure if you're over 40 you should be retired and not doing anything physical anymore.
No shit ,,, they told me all kinds of shit after the stroke ,, wouldnt walk right , wouldnt talk right , couldnt do this or that ... they all tried to treat me like I was made of fucking glass. I might not ever be 100% again but I'm still on the green side of the grass damn it and their aint no flies on me yet.
 
Halo

Halo

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Jul 5, 2011
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I agree with Wilson it can't hurt to get a few opinions and try to explain you're an athlete. I know most of them can't get that it's just not in their wheelhouse but the right doc will get it and probably approach the situation differently. Both of my rotators are torn from football baseball softball wrestling and surfing. I've always been my best following those injuries when I put muscle on in the surrounding and stabilizing areas. I prefer not to get surgery for as long as possible. Now saying that, I'm a retard and I've been in chronic pain for 24 years so I might not be a reliable source of advice. I just know that every time they've told me to stop doing shit that hurts everything systemically get's exponentially worse and now I'm paying for that down time. I hope to not have to do that again.
 
BovaJP

BovaJP

Senior Moderators
Staff Member
Feb 15, 2013
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Hey Wallyd, yea i'd get another opinion or two. Cortisone helped my knee and shoulder, but it wears off. And it was pretty much immediate.
I'd be curious what another ortho surgeon says.
Yikes man, good luck brother.
 
T

Therealkiller

VIP Member
Sep 18, 2019
50
62
Def get another opinion. Look for an orthopedic group that works with a professional our a big college program, even if you have to travel a bit. Make an appointment with there shoulder specialist. I would not put much faith in the orthopod you saw. He is right, many of us older guys do have some tears that would show up in an MRI in our rotator cuffs, but if there is no dysfunction, then no big deal. With dysfunction, then obviously that is a problem. Drs like yours really piss me off. Even if an older person who just wants to live a normal life, a tear can make activities of daily living a challenge.
As BovaJP said, a coritsone shot is a temporary fix. It is a band-aid approach.
If you would like, post or PM me the MRI summary.
 
Wallyd

Wallyd

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Dec 10, 2013
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Def get another opinion. Look for an orthopedic group that works with a professional our a big college program, even if you have to travel a bit. Make an appointment with there shoulder specialist. I would not put much faith in the orthopod you saw. He is right, many of us older guys do have some tears that would show up in an MRI in our rotator cuffs, but if there is no dysfunction, then no big deal. With dysfunction, then obviously that is a problem. Drs like yours really piss me off. Even if an older person who just wants to live a normal life, a tear can make activities of daily living a challenge.
As BovaJP said, a coritsone shot is a temporary fix. It is a band-aid approach.
If you would like, post or PM me the MRI summary.
 

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Therealkiller

VIP Member
Sep 18, 2019
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Regarding the partial thickness tears, the Dr is right. Many of us have them and would only be an issue if there was pain/dysfunction. The surgery for that is easy, just a little trim. The SLAP tear is an issue with people like us. Is it causing pain? It is also one of those injuries that pain/dysfunction can happen over time as it causes instability of the glenohumeral joint. The surgery would to anchor the labrum back together with a 6 month post op recovery time. The long head of your biceps is good which is great! The surgery for that is cutting the long head of the biceps and anchoring back into the humeral head. The only exp I have with that procedure is mine, which was my 3rd left shoulder surgery, along with a supraspinatus repair which did not go well.
 
Wallyd

Wallyd

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Dec 10, 2013
1,414
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Regarding the partial thickness tears, the Dr is right. Many of us have them and would only be an issue if there was pain/dysfunction. The surgery for that is easy, just a little trim. The SLAP tear is an issue with people like us. Is it causing pain? It is also one of those injuries that pain/dysfunction can happen over time as it causes instability of the glenohumeral joint. The surgery would to anchor the labrum back together with a 6 month post op recovery time. The long head of your biceps is good which is great! The surgery for that is cutting the long head of the biceps and anchoring back into the humeral head. The only exp I have with that procedure is mine, which was my 3rd left shoulder surgery, along with a supraspinatus repair which did not go well.
So if it is causing pain you agree it should be fixed. I don’t mean a lifetime of cortisone shots either, like really fixed.
 
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