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napsgear
genezapharmateuticals
domestic-supply
puritysourcelabs
Research Chemical SciencesUGFREAKeudomestic
napsgeargenezapharmateuticals domestic-supplypuritysourcelabsResearch Chemical SciencesUGFREAKeudomestic

Remember That MRI I Was Getting? Got the Results.

musclemom

I Told You So ...
EF VIP
As you can probably guess from the frowny face, it's not good.

Long story short, rotator cuff tear. But of course, me being me, I never do anything half assed, I have not one but TWO tears (don't have the report in front of me, but I think biceps and supraspinatus).

So the doc I'm seeing is a sports medicine guy, into alternative stuff. We basically got four choices:
1. Operate. Which means arm in an immobilizer, then PT. Long, miserable recovery, no use of my arm for a while then upwards of a year before I'm back to full function.
2. Nothing. Shoot it with cortisone and PT and hope for the best. Fuck that shit, it ain't gotten better yet, it ain't gonna get better.
3. Prolotherapy. Not covered by insurance, set of six to eight injections, gonna cost about $1,200 and about 70% chance of improving things. No down time.
4. PRP (platelet rich plasma). They suck out some of my blood, run it in a centrifuge, discard the plasma and inject the packed cells directly into the injured area, using ultrasound to direct the injections, over the course of three sessions. Probably not covered by my insurance (they'll check) if not, $2,700. At least they take credit cards. Again, no down time and better success rate than the prolotherapy.

So I'm going for option #4. If that doesn't work then I've still got option #1 to fall back on.
 
prp doesnt work. get it fixed. shoulder pt sucks.
Thanks for the vote of confidence, doc.

There are a whole host of reasons why I don't want to get surgery, I'll kick myself if I rush under the knife, and it's still available if the PRP doesn't work. I believe in the body's ability to heal itself given the proper set of circumstances.

As for why not to get surgery, let's start with the first: I'm self employed. No workee = no payee. Nevermind the recovery, which I've heard ranges from unpleasant to a fucking nightmare.

It's one of those things that they seem to be using more in Europe:
http://www.shoulderdoc.co.uk/article.asp?article=1323
 
I'm going to bookmark this page and come back after prp has failed you, and you go back to get re-evaluated and there isn't enough to salvage.

I'm just telling it like it is. There have been systematic RC double blinded trials and they all say it offers no real benefits. (prp)
 
I'm going to bookmark this page and come back after prp has failed you, and you go back to get re-evaluated and there isn't enough to salvage.

I'm just telling it like it is. There have been systematic RC double blinded trials and they all say it offers no real benefits. (prp)
It can't cause any harm, they had good results with it in the study in UK (I added a link to the previous post).

And as for nothing to salvage, mine's chronic not acute.

Stop being such a negative nancy. Put yourself in my shoes. Exactly how long could YOU go without a paycheck, or worker's comp, and the use of your dominant hand? (and I don't have anything like AFLAC).

I have to try.
 
Ummmm, I know you transcribe neuro stuff, but lateral epicondylitis? The mechanism of injury and tissue damage is nothing compared to the mechanics of a rotator cuff tear.


Also:

" Future decisions for application of the PRP for lateral epicondylitis should be confirmed by further follow-up from this trial and should take into account possible costs and harms as well as benefits."

basically means that it wasn't powered for shit.
 
PRP has really struggled in a number of applications. It's a solution in search of a problem.

I'd get it arthroscopically repaired as well. Stay mild on the pain meds and keep your shoulder iced down. It makes the recovery sooooo much easier.
 
My brother had that surgery and he said it did jackshit for him. Doesn't mean it won't work for you, but I know his stance on this surgery, lol.
 
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