I’m 51, female, was injured when my arm was pulled by husband 2 months ago, and the pain keeps getting worse- having trouble sleeping, and range of motion affected. Doctor wanted to give me cortisone shot, physical therapy hurts, i’m not sure i want to take so much Aleve. Any suggestions?
#1 by mistify on February 6, 2010 - 5:42 am
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If the pain is getting worse despite treatment, it’s time for further studies. MRI could rule out more serious pathology such as rotator cuff or labral tear.
Sometimes doing the PT after the cortisone shot is much better. You might want to consider this.
Do not put you arm in a sling, at the very least, tenonitis needs movement, not immobilization and this is repeatedly being demonstrated in the research. The key is to perform movements that mimic your symptoms, but only at an intensity and number of repetitions that will not leave you feeling worse immediately afterwards. Then these movements need to be performed several times a day…sometimes it’s only one or two simple movements, but the key is the repetition without worsening. It takes frequent repetition throughout the day to actually remodel the tissue, which is the real issue with tendonitis, not inflammation.
Finally, you must realize that injuries like these heal over weeks to months…not days to weeks. Tendons are very poorly vascularized and require a long time to remodel into normal tissue.
You might want to consider having the shot and continuing PT, and if that fails, you may need more testing…or a different approach to PT.
#2 by Anonymous on February 6, 2010 - 8:30 am
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It may be time for an evaluation by your family Chiropractor. “Tendonitis” (which tendon is it?) is a very tenuous ‘diagnosis’ – usually used when the doctor really doesn’t know what is causing the pain. Your continuing pain indicates something more is going on. It would be wise to seek another professional opinion.
Best wishes and good luck.
#3 by joheals on February 6, 2010 - 8:35 am
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you probably need to give your shoulder some time to heal. place your arm in a shoulde arm sling for three days. ice the painful area intermittently. practise deep abdominal breathing evertime your shoulder hurts. forgive the person who caused you the pain. you should be alright in a week’s time.
#4 by Chiropractor North Vancouver on July 27, 2011 - 6:01 pm
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Chiropractors are highly trained in all areas of the musculoskeletal system. Although well known for treating back pain, chiropractors have at their disposal many techniques to treat shoulder pain and injury. Unless deemed a surgical candidate, the success rate is very high for problems like rotator cuff strain, rotator cuff tendinitis/osis, frozen shoulder, joint injury (as in sprains), labral tears, among many other ailments. Treatment methods may include ART ©, manipulation, mobilization, stretching, electrical modalities, laser, ice among many more. Also, it is common to have shoulder pain referring from other areas such as the neck, spine and ribs underneath the shoulder – and a chiropractor is well qualified to examine and properly diagnose an ailment that may be difficult to understand or identify.