I struggled with deteriorating adhesive capsulitis (frozen shoulder) for a few years and it can be debilitating. Think this was a by product of years working on drill rigs. I went to see an orthopedic surgeon and he referred me for an ultrasound guided hydrodilatation injection that involves a local anesthetic & saline solution being injected into the rotator cuff area. While under the local (about 4 hours) the shoulder is manipulated through specific exercises to get as near to a full range of movement back as possible. I haven't had any real shoulder pain since. Not sure whether it applies to bursitis as well, but is in the same area.
Dealing with injury risk
- Thread starter ashes_mtb
- Start date
Cardy George
Piercing rural members since 1981
My GP offered cortisone injections, but I avoid Panadol at all costs so I'll see what the Physio says.
At our club meet last weekend the guys weren't surprised I was still going down, but a few were a bit shocked I'm still doing the 100. Right up until Friday I have the option to downgrade to the 50, but I reckon I'll be OK.
Haakon
has an accommodating arse
I had the start of that from a few months with my arm in a sling following the collarbone break (it never healed and then i got pneumonia, so it was three months before I got it plated...), so when I got the general anaesthetic for the collarbone surgery I asked them to yank my shoulder around to break the adhesions. Worked nicely
The Reverend
Likes Bikes and Dirt
4+ weeks in a sling before surgery on my shoulder, then another 4 weeks after it and I had that too. Worked it through with physio and pain. It really wasn't pleasant.
Shoulders....
Shoulders....
ozzybmx
taking a shit with my boobs out
Good luck ! Avoid the temptation to hit the log rides on the Yaugher trailsso I'll manage it through the Otway Odyssey and book in then.
It'll give me a chance to really fuck it up and make the physio worth it
That last 60km was painful...Yoinker and his mate are heading down, shuttle bunny is taking them... I'm heading the opposite direction to Melrose with the other one.
Scotty T
Walks the walk
I've got a small tear in my meniscus, from gardening. I got up wrong from squatting a couple of times and it popped on the outside. Got it taped and not allowed to do any low squats for a couple of months, but still allowed to ride.
Should ride more and garden less to keep the injury risk down
Should ride more and garden less to keep the injury risk down
cooki_monsta
Likes Dirt
Yeah gardening is clearly no good!I've got a small tear in my meniscus, from gardening. I got up wrong from squatting a couple of times and it popped on the outside. Got it taped and not allowed to do any low squats for a couple of months, but still allowed to ride.
Should ride more and garden less to keep the injury risk down
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Plankosaurus
Spongeplank Dalepantski
Is it going to heal or are you looking at getting it removed?I've got a small tear in my meniscus, from gardening. I got up wrong from squatting a couple of times and it popped on the outside. Got it taped and not allowed to do any low squats for a couple of months, but still allowed to ride.
Should ride more and garden less to keep the injury risk down
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rockmoose
his flabber is totally gastered
And what? Put down paving?
Scotty T
Walks the walk
ausdb
Being who he is
Has anyone got any advice on getting back riding after a cortisone injection into the shoulder? I had the jab 21/9 and the acute pain has settled down a lot. I didn't ask my doctor about when it's OK to get back on the bike as she's pretty conservative and thinks my mtb days are already over.
Minlak
custom titis
Cortisone either works or it doesn't and it does not deal with the underlying condition just the pain associated with it - So more importantly what are you trying to fix / recover from ? As in what is causing the pain?
ausdb
Being who he is
Doctorese terms,
Subacromial bursitis with impingement.
Supraspinatus calcific tendinopathy.
Degenerative disease of the AC joint (the end of my clavicle looks like an elephants foot on the x rays).
The injection was to work out if it was the bursitis or the other causing the most pain.
When I used to ride roadies I remember I used to get a sore shoulder a lot after a few hours riding. But I have other issues with lower spinal discs and cervical spine degeneration issues, so the shoulder pain was never really looked into closely. It's not until I had a crash in August and shoulder charged the ground that it's become a major issue. Unfortunately I inherited my mums genes relating to shitty bones /spine.
My doctor hasn't given a lot of advice on recovery/ therapy options, I should probably seek another opinion.
Minlak
custom titis
So they would have given you a guided injection to the bursa to deal with the bursitis - For complete answer the injection is meant to help with both pain and inflammation - That is why any relief you get will increase over up to around 14 days - If the pain is now mostly gone then that is one of the things currently causing your discomfort - The good news this injection will last anywhere from 1 day to forever
(Me personally Cortisone never works) - Your other issues will probably flare up for a period of time after extended use though as they wont have been addressed by this.Supraspinatus calcific tendinopathy - Not much you can do will be pain on movement
Degenerative disease of the AC joint - No fixes that don't involve surgery of some kind
You need to see a specialist for better advice - physio may be able to help retrain some of the muscles and recruit them into help.
Minlak
custom titis
If you are relying on the public system push for a specialist now - Waiting lists are huge - If private carry on
OK basically had the exact same thing about 7 years ago. Stemmed from sports related problems that were never addressed about 10 years before that. Before getting on the path to recovery it was so bad I could not lift my left arm above my shoulder.
At first my GP directed me to a couple of physios but they got no where. My GP gave me 2 options.
1. keep faffing around.
2. Go straight to the top and go to one of the best sports medicine doctors in the country.
Went for option 2 out of my own pocket.
That sports doctor is Dr Paul Blackman at Olympic Park Sports Medicine Center in Victoria. Olympians, tennis stars, football, soccer etc he is often the first doctor that gets requested. If there is an Olympics on he is probably there. Sure he sees many athletes but most of his patients are people like you and me.
Here is my experience which you can use to assist your own rehabilitation.
When I went I had no idea what my problem was.
I needed a referral from my GP to see Dr Blackman. There was a bit of a wait for my first consult which cost around $260 (I'm sure it will be more now). Before visiting I also had an ultrasound and X-rays done on the shoulder and brought them along. Definitely do this as he was able to diagnose my issue in the first session. First he made me do a bunch of movements and basically said this is most probably the issue. He then opened up the scans and showed me exactly where the issues were in the imaging. The calcification was such that it even showed up in the X-ray.
The solution was going to be physio and if required an injection to assist. Failing that I would need an operation.
He then partners up with a physio that's an expert in shoulders. In my case it was a physio that specialises in shoulder of pro and amateur tennis players (amongst other things). Dr Blackman and the physio then work together on a solution. Basically Dr Blackman would consult with the physio to devise a recovery plan, I would then do a number of sessions with the physio, the physio would report back to Dr Blackman after each session. Then I would go back to Dr Blackman to do a physical check on my progress.
The physio would work mainly on my back muscles as my long term issue had resulted on a number of muscles atrophying while other muscles were over working to compensate. My posture when standing was completely screwed up as a result. These problems were exacerbating the impingement.
At the end of the physio session I would get a number of strength exercises with a band to build up the weak muscles. I would video this part with my phone so I could correctly reproduce the movements at home.
Long story short, after about 8 weeks I was not seeing any progress. So Blackman switched to another physio. This one worked with professional soccer goalies who suffer all kinds of shoulder problems.
It was similar to the first with each session starting with back work but at the end I had an entirely different set of strength exercises.
About a month into the new physio/routine I had an injection in the shoulder that was administered by Dr Blackman. It's one of his areas of expertise. He was doing the injection and the ultrasound at the same time so he could hit the exact spot with injection. The relief was instant! It's not a long term fix but I felt normal for the first time in years. The pain did come back eventually.
There was another couple of months of physio + Doctors sessions and then relatively quickly the pain started to disappear. We were probably at month 7 by now. Dr Blackman did another ultrasound and the calcification had completely been absorbed, my posture was back to normal, the physio and strength training meant that the muscles in my back, shoulders and arms were all back to the same strength.
In my situation I was back to 100% with full mobility and strength. Obviously this is my experience and it may differ for others.
You will see the physio way more than the Doctor.
Basically the process of having the Sports Doctor working directly with the physio (with both consulting with one another) along with your input to the two of them is the way it's done in professional sport.
I can't remember the final cost, the first doctor session was the most expensive, but the following consults were cheaper. The physio sessions were just a little more expensive than a regular physio. It's was worth every cent.
Had another friend with a similar shoulder problem, sent him to Blackman. He was back to 100% in less than 6 months.
Hope this helps
Cheers
Dan
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