Sports Medicine/Ultrasound Question

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Question
I have had two major shoulder surgeries. One surgery was for a detached Rhomboid muscle and detached low Trapezeis muscle. The second surgery was for the same trap muscle that fell down again. The orthropedic surgeon told me it wont show up on a mri, a detached rhomboid muscle or low trap muscle. Also, I ask him if it could be showed on a ultrasound of the Rhomboid and Trap Muscle. He brushed off this questions. I have read much information from ultrasound that it is good at seeing torn muscles. I cant get a straight answer.I am in unbearable pain.  The question I have is if a Ultrasound will show a torn Rhomboid Muscle, and a torn lower Trapezius muscle, or any sign of these two muscle not in the correct place.   Thanks, Todd.

Answer
Hello Todd!

One big question I have at this point is why you have not consulted another orthopedic surgeon who would be compassionate enough to tell you the truth?  Yes, ultrasound may diagnose myofascial pain from the muscles, and possibly those muscles which have been surgically compromised.  It could be the doctor was not aware of what ultrasound could be used for, or he could be intentionally quiet on the subject because he could have botched the surgery.

With the severe pain you seem to be experiencing, I would not wait one minute more in getting another opinion from a recognized Orthopedic Surgeon.  If there was more you could do, I would not hesitate to mention it, but you certainly are in a place where you desperately need to find another doctor, or possibly a Neurosurgeon............no appointments with anyone in the same office nor in the same hospital, if you can help it.

Please let me know what the outcome is, and what will happen with you.  I am truly worried about this situation, and cannot make these suggestions any faster than I can write.

Take care, and I hope you are successful in finding a specialist that will listen to you!

Sincerely,

Dr. Patricia Arthur

Sports Medicine

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Dr. Patricia B. Arthur, DC, MRC, CST

Expertise

As a 30-year practicing Chiropractic Physician, my specialty was Sports Medicine. For 8 years I had the distinct pleasure of working with the USOC, and traveled the world to care for the athletes in the Pre-Olympic venues for the Summer Games. When I wasn't traveling, I had a private practice, and a hospital practice, in Kamuela, Hawai'i. Questions I couldn't answer usually dealt with pharmeceuticals. This was not my expertise, but the simple questions pertaining to familiar drugs I was able to digress, or refer to someone that was knowledgable in that field. Most Sports Medicine field injuries were familiar to me, but I always aired on the side of caution. In my office practice, I would tend to see more patients with the weekend injuries who would try to self-treat, only making the injury worse than it should have been! Nevertheless, I never took anything for granted, and so it was my conservative approach to the "cause-and-effect" mechanisms that were vitally important to the healing process.

Experience

Following my competitive nature, I knew Sports Medicine would always be a part of my life. After graduation from Palmer University in Iowa, the old adage taught at the school dealt only with the spinal column......anything connected to the spine was outside our scope of practice. To me, this was too simplistic, because the complex body also had arms and legs! From this point, I developed specific technigues which would encorporate the body as a whole rather than haphazard segments. There is nothing traumatic that happens to a single ligament, tendon or joint that doesn't effect a secondary, or possibly a tertiary element in that area. In order for that space to heal, all the factors must be addressed. Volunteering my time teaching referrees, coaches, and interested parents about the realities of probable sports injuries was worth a thousand words!j

Organizations
American Chiropractic Association; Local Emergency Response Committee; Hazardous Materials Response Team; Urban Search and Rescue Team - Operations and Planning; Federal Corps of Engineers Committee; Earthquake Advisory Board; Big Island Wildfire Committee

Publications
Papers published focusing on the importance of proper care of sports injuries; Authored medical columns for the syndicated magazine "The People's Doctor "; Published papers in professional journals on Head Injuries in Sports; Published papers on Drug Abuse in Sports.

Education/Credentials
Robert Packer Hospital - Certified Surgical Technician - CST; Palmer University - Doctor of Chiropractic - D.C.; Wright State University - Masters in Counseling/Psychology; Wright State University - Masters In Couseling of the Severely Disabled.

Awards and Honors
Selected US Olympic Physician -1988; Graduated Wright State University with a 3.75 GPA; Graduated Palmer University with a 3.5 GPA; Faculty Appointment - Palmer University Post Graduate Education; Faculty Appointment- Hawai'i/Kapiolani Community College - Skills Team Tester;

Past/Present Clients
Cincinnati Bengals Football Team pre-season training; Summer Olympic Athletes worldwide; Kona Ironman Triathletes - Finish - line physician

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