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Re: Rotar Cuff & PF - Please help - I have ???'s

Posted by Diane R. on 2/17/99 at 00:00 (004905)

Thanks to each of you for your input on our mutual connective tissue problem areas. I also have had a torn/pulled groin tendon in 1993 so have had my share along with bursitis a couple of times in the hips and once in left shoulder (this is my right however and it is terrible).

I did go to PT for 1st time on Monday and she did a complete series of movements to 'test my range of motion' - by the time she finished I was sick to my stomach. Then she had me do a series of isometric exercises which she told me I should only do to the point of pain. Since I was already in alot of pain I couldn't tell if it was worse or not and was hesitant to proceed but foolishly went ahead with all of them for 5 repeats each. Since then have been in extreme pain. Can't lift my arm hardly at all and I had gotten so I could do quite a bit of that as long as I didn't lift along with it. I think it was either too soon for me to do the PF or else she was too rough on the rotation stuff. Don't know but called my dr. tues. after a very bad night and he has yet to return the call so I am not going Friday. Have not been able to sleep at night because of the pain and I had just gotten past that point before the PT.

I am at a loss as to what to do next. Some of the same exercises she gave me on a sheet I had gotten off the internet and had been already doing without pain. Now can't do those either! What a set-back and I'm very discouraged. Since my dr. hasn't seen fit to do the MRI yet I don't feel good about pushing this pain bit. Did all you who had PF have severe pain for 3 days after like I have??? Is that part of it? He originally told not to push into the pain zone as that would be re-tearing the area.

Any advice from you who have been there would be appreciated. (I injured this arm Nov. 5 in case that helps to put it in perspective - maybe I was rushing the PT as I requested it from my dr. not the other way around)


Re: Rotar Cuff & PF - Please help - I have ???'s

Sandra Z on 2/17/99 at 00:00 (004911)

Diane, I'm sorry to hear you had such a bad experience. I did have increased pain with PT at first, but nothing as severe as you report. If you are severely inflammed, the PT is probably doing more harm than good. You may need to wait until it calms down a bit...If something hurts that much, it can't be good for you at this time!

Re: Rotar Cuff & PF - Please help - I have ???'s

Gordon on 2/18/99 at 00:00 (004915)

Sandra

As an active person who injures easliy, I have some advice on how to heal.

I also have had shoulder problems including surgery to take out calcium build-up in the tendon and I also have PF. The other day, after wrestling with my son (he is a small 10 year old with 2 years of Judo), my shoulder locked up because I irritated the joint.

What I have learned is that if I lightly exercise the non-injured parts of my body, the injured parts heal much faster, as opposed to exercising (PT) the injured area or just resting.

Also, once you have injured your neck or shoulder try to avoid activities that make you hold it still such as computer work or long drives in car.

In my opinion, the key to healing muscle injuries is blood flow. If you hold a muscle tight the blood can't flow throufh it easily.
Light aerobic activity on the non-injured parts does the trick.
Moving muscles is pumping blood.

The natural tendancy is to hold the injured part tight to prevent further injury. This is fine while your hunting wild Bore and Dinosaurs but afterwards you need to lighten up.

My recent shoulder pain started last friday and now I'm lifting light weights again (very light 2-5 lb). I never used to recover this fast if at all but now I do.
The pain to my shoulder was quite high so I iced it that night and rested it off and on with a sling(alternating ice with light warm-ups). Then, I went for long walks, rested, and then did light aerobic activity, being careful not to irritate or protecively hold my shoulder (ice inbetween) . Within 2 days my shoulder was ok to start light warm-up type activity. Maybe I got lucky this time and the injury was minor but the same rules apply. Rest and ice are imnportant but keep the rest of your body lightly active.

Of course this is only my opinion for chronic muscle pain sufferers.

The rest of the world will recover without all the fuss.

My first shoulder injury was 6 months of PT then surgery, then 1 year of PT.
Of course it was more severe but my approach was all wrong.

Slings or supports help shoulder relax, and aerobic activity (not on the shoulder) get it healing. Take the sling off and on at last once an hour to help keep the shoulder limber.

The following advice is tricky in practise, but be careful not to tweak an injured area when exercising while simultaneously trying not to lock it up (thighten it up). Activity must start out very slowly and work up to a very light warm up(ice afterwards when done).

Test your limits of motion very gently and make sure you stay away from these limits. Re-check them as you warm up. They will get better.

In the past, I was not so careful (tough guy) and paid the price.

To help heal things I take 3000-4000 mg of Vitamin C (ester type) a day (samll doses through-out teh day). If you read the other stuff under 'Gordon' you will see the other things that might help.

Remember:
You know your body better than anyone else, so trust your instincts, and then take it easy, but once your rested up keep moving something!

Good Luck


Re: Rotar Cuff & PF - Please help - I have ???'s

BarbM on 2/18/99 at 00:00 (004919)

I too have the rotator cuff problem - the first PT I went to about killed me. I did not go back. I started having so much pain I couldn't sleep and could hardly get my clothes on. Finally I had to do something, so I went to a different PT. They did ultrasound, massage, heat the first visit. Gradually they added excerises followed by icing. Slowing I could feel improvement. After several months of therapy (and doing heat - excerises - then icing at home) I am 99% improved. Hang in there - don't give up. The PT told me to always stop if the pain started - it is a slow process but will help. I think the heat helped loosen the shoulder and arm before excerising and icing after and NEVER overdoing was the answer. God bless.

Re: Rotar Cuff & PF - Please help - I have ???'s

Sandra Z on 2/17/99 at 00:00 (004911)

Diane, I'm sorry to hear you had such a bad experience. I did have increased pain with PT at first, but nothing as severe as you report. If you are severely inflammed, the PT is probably doing more harm than good. You may need to wait until it calms down a bit...If something hurts that much, it can't be good for you at this time!

Re: Rotar Cuff & PF - Please help - I have ???'s

Gordon on 2/18/99 at 00:00 (004915)

Sandra

As an active person who injures easliy, I have some advice on how to heal.

I also have had shoulder problems including surgery to take out calcium build-up in the tendon and I also have PF. The other day, after wrestling with my son (he is a small 10 year old with 2 years of Judo), my shoulder locked up because I irritated the joint.

What I have learned is that if I lightly exercise the non-injured parts of my body, the injured parts heal much faster, as opposed to exercising (PT) the injured area or just resting.

Also, once you have injured your neck or shoulder try to avoid activities that make you hold it still such as computer work or long drives in car.

In my opinion, the key to healing muscle injuries is blood flow. If you hold a muscle tight the blood can't flow throufh it easily.
Light aerobic activity on the non-injured parts does the trick.
Moving muscles is pumping blood.

The natural tendancy is to hold the injured part tight to prevent further injury. This is fine while your hunting wild Bore and Dinosaurs but afterwards you need to lighten up.

My recent shoulder pain started last friday and now I'm lifting light weights again (very light 2-5 lb). I never used to recover this fast if at all but now I do.
The pain to my shoulder was quite high so I iced it that night and rested it off and on with a sling(alternating ice with light warm-ups). Then, I went for long walks, rested, and then did light aerobic activity, being careful not to irritate or protecively hold my shoulder (ice inbetween) . Within 2 days my shoulder was ok to start light warm-up type activity. Maybe I got lucky this time and the injury was minor but the same rules apply. Rest and ice are imnportant but keep the rest of your body lightly active.

Of course this is only my opinion for chronic muscle pain sufferers.

The rest of the world will recover without all the fuss.

My first shoulder injury was 6 months of PT then surgery, then 1 year of PT.
Of course it was more severe but my approach was all wrong.

Slings or supports help shoulder relax, and aerobic activity (not on the shoulder) get it healing. Take the sling off and on at last once an hour to help keep the shoulder limber.

The following advice is tricky in practise, but be careful not to tweak an injured area when exercising while simultaneously trying not to lock it up (thighten it up). Activity must start out very slowly and work up to a very light warm up(ice afterwards when done).

Test your limits of motion very gently and make sure you stay away from these limits. Re-check them as you warm up. They will get better.

In the past, I was not so careful (tough guy) and paid the price.

To help heal things I take 3000-4000 mg of Vitamin C (ester type) a day (samll doses through-out teh day). If you read the other stuff under 'Gordon' you will see the other things that might help.

Remember:
You know your body better than anyone else, so trust your instincts, and then take it easy, but once your rested up keep moving something!

Good Luck


Re: Rotar Cuff & PF - Please help - I have ???'s

BarbM on 2/18/99 at 00:00 (004919)

I too have the rotator cuff problem - the first PT I went to about killed me. I did not go back. I started having so much pain I couldn't sleep and could hardly get my clothes on. Finally I had to do something, so I went to a different PT. They did ultrasound, massage, heat the first visit. Gradually they added excerises followed by icing. Slowing I could feel improvement. After several months of therapy (and doing heat - excerises - then icing at home) I am 99% improved. Hang in there - don't give up. The PT told me to always stop if the pain started - it is a slow process but will help. I think the heat helped loosen the shoulder and arm before excerising and icing after and NEVER overdoing was the answer. God bless.