Physical Rehabilitation Medicine/injuries not healing



I am a 45 year old male, fairly fit, eat moderately well, & exercise moderately. I cannot figure out why my injuries do not seem to heal.  Sometimes simple sprains and strains are lingering for months and sometimes years.  Both shoulders hurt for last 2 years.  Strained my forearm and bisep muscle 4 months ago, minor foot strain 5 weeks ago - they are all still bothering me.  I know that injuries take longer to heal as we age but this seems to be extreme.  I don't know what is going on in my body that is causing this.  I just had a physical exam recently and all blood tests results came back normal.  Any ideas on what is going on in my body that can be causing this?

Thank you,

If it's not a global health issue then I would just say things take time.  A bicep strain 4 months ago may still be healing.  If it's a partial tear then it may last longer.  A foot strain 5 weeks ago isn't long...ligaments can take 12 weeks to heal completely.  If it's something chronic like 2 years of shoulder pain...then I'd say you need to see an orthopedist.

Also, it sounds like you're pretty active.  I'm only speculating here but you may want to slow down on whatever is causing these injuries.  In general if something lasts more than 6 months it's probably not something that's going to heal on its own and needs to be evaluated by the correct your case an orthopedic surgeon most likely.

I hope this helps.

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Brian Neville, OTR/L, CWCE


I can answer questions about both conservative and post-operative rehabilitation for UPPER extremity injuries. These include but are not limited to: fractures, tendon repairs, tendon transfers, nerve repairs, lacerations, tenolysis procedures, TFCC injuries, repetitive motion disorders, reconstructive procedures. I have an advanced knowledge of UPPER extremity anatomy and industrial rehabilitation. I have extensive splinting skills for injuries to the upper extremity. Although not a physician or a surgeon I have worked closely with world renowned upper extremity specialists for over 10 years. I can give general information on what some of the most common upper extremity surgeries involve. I can reference those procedures as well. PLEASE DON'T ASK ME QUESTIONS ABOUT ANYTHING OTHER THAN THE NECK, SHOULDER, ARM/HAND. I'M NOT QUALIFIED AND KNOW ABSOLUTELY ZERO ABOUT BACKS/HIPS/KNEES/ANKLES/ETC. THANK YOU!!!


10+ years working closely with orthopedic and hand surgeons and their patients. I have treated patients with small lacerations to major reconstructive procedures. My knowledge base includes both conservative and post-operative rehab protocols and care for upper extremity injuries. I have treated patients all the way from day 1 post-op to return-to-work status.

Kentucky Occupational Therapy Association American Society of Hand Therapy National Nurses in Business Association Roy Matheson and Associates

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Occupational Therapist former Certified Hand Therapist (license currently inactive) Deep Physical Agent Modalities Instructor Certified Work Capacity Evaluator

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