shoulder problems

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used2surf
used2surf
WA
47 posts
WA, 47 posts
4 Apr 2008 8:35pm
Guys I keep doin in me shoulder. First it was the left , torn ligament and bursitis, now its the right one sama sama. Whats the secret, apart from letting go when your getting pitched? At my age it takes sooooo long to heal.
pierrec45
pierrec45
NSW
2005 posts
NSW, 2005 posts
5 Apr 2008 11:24am
Da man is right. Muscle balance (imbalance compounding the problems). Time, lotsa.

I didn't do the right thing in the 80s, didn't listen to my body, nor me mum for that matter. Had one replaced (Bristow repair, major **).

I had to leave the country to get it fixed. Surgeon told me I couldn't zip up my fly after that. Took me 3 years to recover, but I was looping and railing again after a while. Other shoulder is due, I think I'm at end of career (??) now.

Don't listen to advice - all shoulder problems are different. None of that magic, single way out people come up with sometimes. I found physiotherapists idiots by the way, ended up doing my own reading and physio.

BTW, the shoulder is not a joint, but a complex girdle consisting of 7 joints.
sailpilot
sailpilot
QLD
787 posts
QLD, 787 posts
5 Apr 2008 11:25am
Yep, been there too,
Out of balance shoulder joint from surfing and sailing. I had weakness in lateral raising and the shoulder blade was lifting a little of the rib cage. I now do plenty of stretching and look towards isometric exercises to balance the muscles around the shoulde. Apparently Kieren Perkins had similar to my problems from all the freestyle he was doing and started doing somebackstroke to balance the area.
Also I've heard glucosamine supplements can be a help in joint and muscle repair, I do this but am also a natural sceptic, so who knows!
Good luck, its worth the effort to keep yorself on the water
qwerty
qwerty
NSW
807 posts
NSW, 807 posts
5 Apr 2008 8:47pm
Same here. 4 dislocations (same shoulder).
Most recently in December.
As usual resumed all the traditional excercises, etc. But this time I really need to accept that I have to do these every day (or close enough to it) forever. I have a rubber stretchy thing on my back door and rarely walk past it without doing a few front and back, in-stretch (rotator cuff) and out-stretch movements. Its either that, or go under the knife which i won't do unless it starts to pop out while whiping my arse. (by that I mean my shoulder popping out, nothing else).

Also, I'd be swimming whenever possible. Nothing beats it.

I've been sailing plenty since the last one too. So far all is well, even after some decent wipeouts. Its just an automatic reaction to tuck my arm in now. Still a bit wary of jumping though, but only when it feels fatigued after an hour or so.

good luck
DAM71
DAM71
QLD
498 posts
QLD, 498 posts
6 Apr 2008 8:01pm
Used2surf,
Not all pain is the same and not all injuries are the same. Seek professional advice. Get your shoulder assessed by a physio or specialist - your GP should be able to refer you appropriately. There are a number of causes of shoulder pain - with the leading definitely being tendon related (the rotator cuff tendons are the ones we mainly deal with). And the best treatment can only be given with an accurate diagnosis. In my professional opinion all shoulder rehab must include a progressive strengthening program. But do not attempt this without seeking professional help - because if the problem is more sinister than you think then you could end up in a lot more trouble - of the surgical kind.

Oh - and pierrec45 - I am a physio and I find your comment regarding physios to be rather ignorant. Just to prove my point - the shoulder is composed of the gleno-humeral joint the acromio-clavicular joint and the scapulo-thoracic joint. Mate where prey tell are the other 4 joints you talk about in this complex? If you were eluding to the sterno-clavicular joint - it is associated but not anatomically considered a part of the shoulder.

My apologies for the rant but I could not let this twit go around claiming that physio's are idiots, and then make such a stupid comment.

aus301
aus301
QLD
2039 posts
QLD, 2039 posts
6 Apr 2008 9:28pm
After a lot of dislocations a few yeras back I had a reconstruction.

Was basically told at the time by my surgon (who does a lot of work for the AIS and ACT Brumbies) that anyone over 24 that has 3 or more dislocations on the same shoulder has two choices...go under the knife or give up sport. Exercise etc will reduce the risk but you will always have problems. Mine got so bad after trying to get by on exercise alone that it started dislocating in bed at night after rolling over. I have to say it's not a fun way to wake up.

Since the reconstrucion and rehab the shoulder with the big scar actually feels better than my other one.
pierrec45
pierrec45
NSW
2005 posts
NSW, 2005 posts
6 Apr 2008 10:34pm
> Seek professional advice

He's right. Don't go to a physio, unless your real doctor tells you you need something specific they have (ultra-sound, some machine, etc.)

> My apologies for the rant but I could not let this twit go around
> claiming that physio's are idiots, and then make such a stupid comment.

Gleno-humeral, that's one. Start counting.

Supra-humeral. Acromioclavicular. Sterno-clavicular. Costo-sternal. Costo-vertebral.

Now, name #7, there is a catch there.

All of these individual joints are used through motion of the shoulder girdle. It is a known mistake to look very locally only, OS don't do that usually though. Of course, it's easiest to look in one place, I'll grant you that. Anthropologically, the complexity of the shoulder apparatus is a legacy of brachiation. That is why the scapula in many shoulder motions is moving to such an angle as compared to the normal erect position.

I visited exactly 6 physio places in 3 different countries (I was moving about at the time). Includes Sydney, Australia and North America. In all cases, I would see anyone walking in being applied the same simple-minded remedy as the one that was declared me, even though there were unrelated injuries. That's when I started having doubts, which I proved after a while.

Sometimes, for everyone it was heat. The other shop, it was ice. The other shop with click-click visa for the next visit in a week, it was "range". You have to work on range. (AH HA on that one). One would walk in with a vaginitis and she'd have to work on "range".

3 shops recommended range exercices to me, which an OS told me was a killer for the Bristow repair in the first year.

I started going much better once I visited my native country and sat with a real doctor - friend of mine, who brought in a friend of his (ortho). Took a long time, but I beat it.
DAM71
DAM71
QLD
498 posts
QLD, 498 posts
7 Apr 2008 11:44am
Pierre - I stand corrected - i was wrong you are not a twit, my apologies. By the way it was cloudy here this morning could you move your hand from your arse and let the sun through.
qwerty
qwerty
NSW
807 posts
NSW, 807 posts
7 Apr 2008 4:30pm
aus301 said...

After a lot of dislocations a few yeras back I had a reconstruction.

Since the reconstrucion and rehab the shoulder with the big scar actually feels better than my other one.


How long were you out of action for?
Heard its anything from 3 months to a year
aus301
aus301
QLD
2039 posts
QLD, 2039 posts
7 Apr 2008 8:01pm
qwerty said...

How long were you out of action for?
Heard its anything from 3 months to a year


I was in a sling for about 3-4 weeks, started some light exercise after 6-8 weeks and started sailing after about 5 months.

I didn't really get right back into sailing for close to a year, took a long time to think it wasn't going to dislocate each time I put it under any stress.

used2surf
used2surf
WA
47 posts
WA, 47 posts
8 Apr 2008 7:37pm
Obviously there is no secret formular and obviously when my brother told me not to let go of the boom when getting pitched to save the nose of my board, he was right but he neglected to tell me that I was likely to be off sailing for months with a ripped shoulder, nice one bro! Sorry to cause any consternation between sailers, Physios, doctors and patients but it does seem like a very complex issue. I havent dislocated yet only ripped tendons or ligaments or something or other thats in there causing a swelling of the burser and I think thats the main pain producing part of the whole deal. How you deal with that is up for grabs , hey we're only new at all this, I've done a lot of acupuncture but apart from rapping it up and going to sleep for about a year, you still have to work and no matter what you do you always hurt the bloody thing so I guess its just a matter of taking it easy and time. cheers Bob
boardboy
boardboy
QLD
554 posts
QLD, 554 posts
9 Apr 2008 12:47am
pierrec45 said...

> Seek professional advice

He's right. Don't go to a physio, unless your real doctor tells you you need something specific they have (ultra-sound, some machine, etc.)

> My apologies for the rant but I could not let this twit go around
> claiming that physio's are idiots, and then make such a stupid comment.

Gleno-humeral, that's one. Start counting.

Supra-humeral. Acromioclavicular. Sterno-clavicular. Costo-sternal. Costo-vertebral.

Now, name #7, there is a catch there.

All of these individual joints are used through motion of the shoulder girdle. It is a known mistake to look very locally only, OS don't do that usually though. Of course, it's easiest to look in one place, I'll grant you that. Anthropologically, the complexity of the shoulder apparatus is a legacy of brachiation. That is why the scapula in many shoulder motions is moving to such an angle as compared to the normal erect position.

I visited exactly 6 physio places in 3 different countries (I was moving about at the time). Includes Sydney, Australia and North America. In all cases, I would see anyone walking in being applied the same simple-minded remedy as the one that was declared me, even though there were unrelated injuries. That's when I started having doubts, which I proved after a while.

Sometimes, for everyone it was heat. The other shop, it was ice. The other shop with click-click visa for the next visit in a week, it was "range". You have to work on range. (AH HA on that one). One would walk in with a vaginitis and she'd have to work on "range".

3 shops recommended range exercices to me, which an OS told me was a killer for the Bristow repair in the first year.

I started going much better once I visited my native country and sat with a real doctor - friend of mine, who brought in a friend of his (ortho). Took a long time, but I beat it.



Pierre you may be getting a little confused here buddy.

suprahumeral, not a joint- but a joint 'space', im not gonna bore everyone here on the details.

sternoclavicular joint (SCJ)-technicaly not a shouolder joint as pointed out earlier by dam71.

costosternal joint-not to sure where you got this one from pierre but this is where your ribs join your sternum (breastbone). Maybe you have funny shoulders

costovertebral joint- this is the joint between your ribs and vertebrae (backbone).

These joints may all be related to the motion of the shoulder however are not necesarilly part of the pectoral girdle (shoulder girdle) which is made up of three bones(at most), scapula, clavicle and humerus . As a matter of interest many medical resources will refer to only the scapula and clavicle as the constituent parts of the girdle.

My point here being, physios do know a thing or two about anatomy and we should think twice before slagging off at highly skilled and legitimate professions, it is offensive.





aus301
aus301
QLD
2039 posts
QLD, 2039 posts
9 Apr 2008 9:16am
used2surf said...

Obviously there is no secret formular and obviously when my brother told me not to let go of the boom when getting pitched to save the nose of my board, he was right but he neglected to tell me that I was likely to be off sailing for months with a ripped shoulder, nice one bro! Sorry to cause any consternation between sailers, Physios, doctors and patients but it does seem like a very complex issue. I havent dislocated yet only ripped tendons or ligaments or something or other thats in there causing a swelling of the burser and I think thats the main pain producing part of the whole deal. How you deal with that is up for grabs , hey we're only new at all this, I've done a lot of acupuncture but apart from rapping it up and going to sleep for about a year, you still have to work and no matter what you do you always hurt the bloody thing so I guess its just a matter of taking it easy and time. cheers Bob


I had a lot of burser problems with my achilies a little while back (I believe it's a condition called runners heal). Anyway the only way I found to help it was a dose of strong anti-inflamotries. They were perscription and for me were the only thing that worked. Now I am not a doctor and don't know a great deal about this stuff, but I would guess the burser in your shoulder works much the same as in your heel, so a similar treatment would work.

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