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Old 01-09-2019, 07:58 PM   #21
para transit fellow
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Trivial semi related factoid

80% of people over 40 have a rotator cuff tear
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Old 01-11-2019, 04:43 AM   #22
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So the Dr. says surgery could be possible... but it would be up to the surgeon. So he is referring me to Dr. Ian Lo. Looks like this guy really knows his shoulders from researching him.
Sports med guy said I have to be very preemptive on pre surgery prep work in case surgery is a go. I've been lazy this past month so I have lost muscle mass. He also said something about a wingy-something scapula (can't remember what it was called) That was something new.
What I really liked about this guy was he said "I would never tell someone not to do what they love. You do it until you can't" and I'm not there yet
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Old 01-11-2019, 08:46 AM   #23
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Originally Posted by Puxlut View Post
So the Dr. says surgery could be possible... but it would be up to the surgeon. So he is referring me to Dr. Ian Lo. Looks like this guy really knows his shoulders from researching him.
Sports med guy said I have to be very preemptive on pre surgery prep work in case surgery is a go. I've been lazy this past month so I have lost muscle mass. He also said something about a wingy-something scapula (can't remember what it was called) That was something new.
What I really liked about this guy was he said "I would never tell someone not to do what they love. You do it until you can't" and I'm not there yet
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It basically comes down to this:
-There are one or two things I think a surgeon can do (anterior capsule repair and ?GH ligament repair plus a debridement thrown in). I'm not at grounds to comment on you being a candidate or not, but you should probably see a surgeon for their opinion.
-You will need significant (proper) rehab including ++strengthening and manual therapy now. Significantly more if there's a surgery involved (that is a 9 month recovery).


Dr. Lo is the second big name for shoulder surgeons in Calgary. Him and Dr. Boorman (who nuclearfart mentioned) are the two most experienced in the city.

It sounds like the second opinion from sports med went well. Given that the consult with Dr. Lo will likely take months, I would think about that second opinion from another physio. Especially if you've seen yours for this long and they have never mentioned scapular winging given the importance of the shoulder blade for shoulder stability.
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Old 01-11-2019, 09:03 AM   #24
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On the topic of shoulder advice - how long before you should start to be concerned about a shoulder injury? I strained my rotator cuff a few months ago, didn't think too much of it. Just hurts a bit when I have my arm above my head. I figured if I took it easy it would get better over time, but it hasn't yet. Should I be seeing a doctor (or going for physio)?
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Old 01-12-2019, 06:30 PM   #25
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On the topic of shoulder advice - how long before you should start to be concerned about a shoulder injury? I strained my rotator cuff a few months ago, didn't think too much of it. Just hurts a bit when I have my arm above my head. I figured if I took it easy it would get better over time, but it hasn't yet. Should I be seeing a doctor (or going for physio)?
Your doctor won't treat your shoulder, only prescribe medication for symptoms, send you for an ultrasound (many physios can do that anyway), or erroneously suggest cortisone.

The sooner the better for physio. The longer you've had an issue, (generally) the longer it takes to resolve.
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