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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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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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Old 05-16-2019, 02:38 PM   #26
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Update: I still haven't heard from Dr. Lo... is more than 4 months to see the surgeon for consult normal?
The past week has been pretty rough for me. Went to the chiro and he realigned/popped back in my shoulder last Wednesday. Usually the day after I'm pretty sore, but this time it stayed sore all weekend. So I went back on Tuesday and "pop" back in again. Last night while I was sleeping it "popped" and woke me up. 2 days later I'm still in pain. I'm so frustrated!
Someone tell me there's light at the end of the tunnel? And usually how long does it take to get the call for an appointment?
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Old 05-16-2019, 02:48 PM   #27
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In my work, I pay Dr. Lo for consultations privately, and there's still a wait. If you're waiting for a consultation through AHS, I don't think that 4 months is that too long for a specialist referral.

If I might ask, what physiotherapist are you using? I recently had lunch with a physiotherapist we often work with, and she didn't mince words about some physiotherapists around the city that aren't properly trained or otherwise don't have the requisite expertise. I can give you her name if you'd like to try a new clinic.
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Old 05-16-2019, 02:58 PM   #28
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I was refered to a Plastic Surgeon for hand sugery in April. Saw the Surgeon in mid December and had surgery in late January.
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Old 05-16-2019, 10:47 PM   #29
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In my work, I pay Dr. Lo for consultations privately, and there's still a wait. If you're waiting for a consultation through AHS, I don't think that 4 months is that too long for a specialist referral.

If I might ask, what physiotherapist are you using? I recently had lunch with a physiotherapist we often work with, and she didn't mince words about some physiotherapists around the city that aren't properly trained or otherwise don't have the requisite expertise. I can give you her name if you'd like to try a new clinic.
Well, I don’t know about Puxlut but I’m keen to hear recommendations. I’ve been having back problems for years. The last physio I went to saw me twice and basically said “I dunno. Maybe try Chiro?”. Disappointing to say the least.
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Old 05-16-2019, 11:05 PM   #30
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Anyone have any shoulder exercises I could do?

I play a lot of golf and tennis during the week and my shoulder muscles gets sore.
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Old 05-17-2019, 08:48 AM   #31
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Anyone have any shoulder exercises I could do?

I play a lot of golf and tennis during the week and my shoulder muscles gets sore.
I think any kind of stretching that simulates rowing is good. Then, do some rowing.
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Old 05-17-2019, 09:16 AM   #32
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Update: I still haven't heard from Dr. Lo... is more than 4 months to see the surgeon for consult normal?
The past week has been pretty rough for me. Went to the chiro and he realigned/popped back in my shoulder last Wednesday. Usually the day after I'm pretty sore, but this time it stayed sore all weekend. So I went back on Tuesday and "pop" back in again. Last night while I was sleeping it "popped" and woke me up. 2 days later I'm still in pain. I'm so frustrated!
Someone tell me there's light at the end of the tunnel? And usually how long does it take to get the call for an appointment?
I wouldn't be surprised if it took 1-1.5 years to see Dr. Lo.

I'm not going to beat a dead horse or continue to try to give advice when it's not wanted but I'd highly suggest trying Evidence Sport and Spine North for physio.

As Dion and Peanut mentioned, not all therapy is created equal and you need a lot of it now and a lot of it if you have a surgery. You're waiting anyway so now's the time.

I also extend that recommendation to anyone else here. Evidence North is overall the best clinic in the city for physio. They also have a radiology clinic in house and some physiatrists.
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Old 05-17-2019, 04:52 PM   #33
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I wouldn't be surprised if it took 1-1.5 years to see Dr. Lo.

I'm not going to beat a dead horse or continue to try to give advice when it's not wanted but I'd highly suggest trying Evidence Sport and Spine North for physio.

As Dion and Peanut mentioned, not all therapy is created equal and you need a lot of it now and a lot of it if you have a surgery. You're waiting anyway so now's the time.

I also extend that recommendation to anyone else here. Evidence North is overall the best clinic in the city for physio. They also have a radiology clinic in house and some physiatrists.
I'm willing to do anything I almost dropped a case of pop an hour ago and went to grab it with my bad arm and now one side of my hand is tingly. I'm icing it now. This week is just getting worse.
I live down in Bonavista, so would prefer not to drive all over the place... is the South clinic just as good?
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Old 05-17-2019, 05:04 PM   #34
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In my work, I pay Dr. Lo for consultations privately, and there's still a wait. If you're waiting for a consultation through AHS, I don't think that 4 months is that too long for a specialist referral.

If I might ask, what physiotherapist are you using? I recently had lunch with a physiotherapist we often work with, and she didn't mince words about some physiotherapists around the city that aren't properly trained or otherwise don't have the requisite expertise. I can give you her name if you'd like to try a new clinic.
I like my physio, so I won't name him

I was talking with someone that paid out of pocket to do his surgery (similar to mine) and said that was the best thing he has done.
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Old 05-17-2019, 05:17 PM   #35
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Update: I still haven't heard from Dr. Lo... is more than 4 months to see the surgeon for consult normal?
The past week has been pretty rough for me. Went to the chiro and he realigned/popped back in my shoulder last Wednesday. Usually the day after I'm pretty sore, but this time it stayed sore all weekend. So I went back on Tuesday and "pop" back in again. Last night while I was sleeping it "popped" and woke me up. 2 days later I'm still in pain. I'm so frustrated!
Someone tell me there's light at the end of the tunnel? And usually how long does it take to get the call for an appointment?



I waited about 9 months to see Dr. Lo. I dislocated and subluxed multiple times at the SC joint (collarbone). He told me it was an extremely uncommon injury, especially in a young female as I am and then promptly told me he wouldn't touch me with a 10 foot pole to do surgery on. That opinion was backed up by my knee surgeon.



Honestly, my light at the end of the tunnel was finding my athletic therapist. After 4, yes 4 MPFL surgeries and this SC joint problem, I truly don't know what I'd do without him.
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Old 05-17-2019, 05:36 PM   #36
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I can't speak for the therapists at Evidence South. May be hit or miss.

Unfortunately I've found many physio clinics to be lacking in South Calgary. Conveyer belts. I'll try to dig up a recommendation around there but the drive to Evidence North would be well worth it.

Again I can't speak for your case despite seeing your MRI because I haven't assessed your shoulder (the two can be extraordinarily different) but you may want to save your money for the rehab portion. There's a chance that Dr. Lo won't recommend surgery whereas if you go privately they'll take you as a patient regardless of outcomes. And again, this time beforehand is an opportunity to get your shoulder better in case of a surgery. Surgery will not fix you. In fact, you will be way worse afterwards. But if there is a structural problem as an underlying cause then a repair can push your ceiling of recovery higher.
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Old 05-17-2019, 05:40 PM   #37
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Honestly, my light at the end of the tunnel was finding my athletic therapist. After 4, yes 4 MPFL surgeries and this SC joint problem, I truly don't know what I'd do without him.
They must be running out of tendons to harvest!
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Old 05-19-2019, 09:44 PM   #38
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I recommend Peak Health if you live in the south
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