Physical Rehabilitation Medicine/Shoulder surgery

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Mri shoulder
Mri shoulder  
Hello,
  I had rotator cuff surgery in 11/2013. Recovery went great my strength was coming back nicely, no pain. 12 weeks later I had a accident with a suitcase. A very large 56 pound suitcase. It fell and I saved some poor guys foot but without thinking I grabbed it with my recooperating shoulder. Pain, could not lift anything. Tried cortisone shots, lots of PT nothing has helped. We took another MRI. Report is included. In the report it sounds like maybe this or maybe that. I am not a DR, so I really do not understand it. My ortho is telling me we need to fix it. In your opinion, is fixing it my only option? How can you tell in a MRI what is healing and what is tore? Thanks for your time.

Answer
Wow.  That's very unfortunate to happen so early in your recovery.  

I'd say have it fixed.  Especially if you've tried shots and therapy.  Usually that's indicative of something that cannot be fixed conservatively and probably requires surgery to fix the underlying problem.

The MRI is a little confusing after reading the findings and then the impression.  But it sounds like there are things going on at the surgical site that aren't positive.  It either tore loose totally or partially from the anchor site and now you're back to square one.

Here's my recommendation.  Each time something goes wrong after surgery, the outcome usually goes downhill.  So your chances for getting back to 100% go down after tearing it again.  My advice would be to find the best shoulder MD within 100 miles and go see him.  You don't want an average ortho doing a re-do rotator cuff repair.  Look online for one at http://www.sportsmed.org/.  The best research you can do is ask around.  Call different rehab facilities and talk to the physical therapists that work there.  Ask them who the best shoulder surgeon is and when you hear the same name come up multiple times you know who to go to...they are the ones who see the outcomes and results from surgery.

Good luck  

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Brian Neville, OTR/L, CWCE

Expertise

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!!!

Experience

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.

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

Publications
RSD article

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

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