Surgery for a dislocated surgery, worth it?

Ddavis wrote:

Is surgery after dislocating your shoulder worth it? If I don't get surgery I can just do the physical therapy for it and build up the...

Is surgery after dislocating your shoulder worth it?


If I don't get surgery I can just do the physical therapy for it and build up the strength around the injury, and maybe be ready for Gold Cup in 8 weeks. or I can do surgery and be out for 4-6 months. What's recommended? Who's gotton surgery/didnt get surgery and was fine?

Nielsen277 wrote:

Lies, lies, from tiny eyes.

See what the doc says, space cadet.

Nutty C wrote:

Shoulders take a long time to heel. I never had a operation but every injury is unique. I know this though if you don't get proper...

Shoulders take a long time to heel. I never had a operation but every injury is unique. I know this though if you don't get proper protection you will keep injuring it.
I modified a pair of kids hockey shoulder pads to were under my chest protector which now give me shoulder coverage. Todays equipment is junk when it comes to protection it is more about fashion than protection.

BLAHBLAH wrote:

Therapy and now Cortizone shot every 6 months is how I deal with my shoulder pain. So far so good, I am not going to get...

Therapy and now Cortizone shot every 6 months is how I deal with my shoulder pain. So far so good, I am not going to get surgery unless I ultimately have to.

And if you are going to fix it i'd wait till the summer when it is hot as balls in california.. Hanging by a pool with some hot chicks helps ease the pain, you might even get some sympathy love.

JaredPartridge wrote:

Smashed my shoulder when i was 8 at starwest. Ruined all the nerves and muscle, couldnt lift my arm for a year. I had plenty of...

Smashed my shoulder when i was 8 at starwest. Ruined all the nerves and muscle, couldnt lift my arm for a year. I had plenty of MRIs and scans with no luck. It still pops out every now and then(like if i sneeze while laying on my stomach wrong), but it usually goes back in with no problem.

Not sure what your situation is devin, but just try some rehab before you go full fledge surgery. I never got anything done, never really could due to the severe muscle and nerve damage(still have no feeling from top of shoulder to mid tricep/bicep), and my shoulder is still the same size as when i was 8. I got used to the weakness after riding, and got my back plenty strong enough to support anything that comes my way.

Nielsen277 wrote:

Lies, lies, from tiny eyes.

See what the doc says, space cadet.

miketysonn wrote:

the doctor is a tool, when he tried to read the mri result, he read it the mri from the opposite side!!!! so dont look for...

the doctor is a tool, when he tried to read the mri result, he read it the mri from the opposite side!!!! so dont look for someone who needs someone to look for him... weird

miketysonn wrote:

hard to believe you, how old are you now? how your shoulder doesnt grow anymore? you fell off a mile high? so why your shoulder doesnt...

hard to believe you, how old are you now? how your shoulder doesnt grow anymore?

you fell off a mile high?

so why your shoulder doesnt grow again?
thats strange,

can you please post your picture, but you can remove your head from it and just put your two shoulders on the pic, please please.
also why dont you go for surgery?

mxtryon231 wrote:

I dislocated my surgery and got shoulder to fix it.

mxtryon231 wrote:

I dislocated my surgery and got shoulder to fix it.

Outsider wrote:

LOL!

aztecmx wrote:

At 22, I had a type 3 shoulder separation on my left side and a type 2 on the right side from a 50MPH low side...

At 22, I had a type 3 shoulder separation on my left side and a type 2 on the right side from a 50MPH low side to high side crash. Was supposed to have both sides operated on. Did the left side first, it required a new plastic (or whatever) joint. Nasty invasive surgery and recovery was literally a year before I could raise my arm above my head. Decided to use therapy on the right side. For a good decade I could pop my un-operated right shoulder out with something as simple shooting a basketball, but it's fine now. The surgically repaired left side is almost unreal - impossible to hurt in any way shape or form. If you are young, I'd recommend the surgery. If you are impatient and know yourself not to be able to allow the surgery to heal and recover properly, skip invasive procedures at all costs and go to therapy. So that's my two cents worth. Surgery requires patience for healing and recovery, but the net outcome should be great. Therapy will be quick but you are likely to be limited. Absolutely get at least two independent orthopedic opinions before any action!!!

FLmxer wrote:

Highsided while leading final moto of day over gravity cavity at Hardrock in Ocala about ten years ago. Got up and Greg Dionne grabs my bike...

Highsided while leading final moto of day over gravity cavity at Hardrock in Ocala about ten years ago. Got up and Greg Dionne grabs my bike as i get up dazed and he tells me to take it to the pits as i looked out of it. I was bummed as i had won 3 motos and leading final when i crashed while showing off. I started my bike rode to pit and lifted bike onto stand. I sat in my chair and then stood and leaned against my bike with my elbows and my arm fell out of socket.I mean way out.I grabbed it like a dead fish and shoved it back in. Freaked me out. EMT gave me a sling and I drove the motorhome and trailer 4 hours home and laid in bed in pain. Went to doc and he meds me up and tells me to come back so he can study films. I had broken both corners of socket off and broke my coracoid process off breast plate. The doc comes in on next visit with his apprentice and says " we make the incision here and here, put a plate here, a few more screws here and here." I asked if I could try therapy first and was 100 percent in a short few months. If I had the surgery I think I would still be feeling the hardware. Therapy works if you are 100 percent dedicated. Good luck with that.

JYZ566 wrote:

Surgery for a dislocated shoulder is not warranted UNLESS there's an AC injury (grade 2 sometimes, grade 3 most of the time. If you just popped...

Surgery for a dislocated shoulder is not warranted UNLESS there's an AC injury (grade 2 sometimes, grade 3 most of the time.

If you just popped it out of place, and there is no bony impingements in the shoulder then rehab/exercise will be sufficient. If there is a bony impingent, avulsion, tendon injury/ligament injury (besides stretched) then shoulder surgery is kind of a waste in my opinon. Have you seen a sports medicine orthopedist?

In any case, I have dislocated both shoulders at one point in my life (not at the same time). After diligence in strength training/ mobilizing the shoulder girdle and generally packing on some muscle to support the joint, it has been a non-issue.

See a good ortho, pt is a waste of time and money (in my opinion). Research yourself and maybe get in contact with a good coach who specializes in strength and conditioning.

MDMCG wrote:

This is a completely false post. Not only from the medical side, but also from the physical therapy and rehabilitation side. Just to give you an...

This is a completely false post. Not only from the medical side, but also from the physical therapy and rehabilitation side.

Just to give you an idea, surgery is not recommended for an AC separation (grade I, II, or III), and is recommended for grade (IV, V, and VI). There are also labrum tears that result in intrensic weakness to the joint, which no amount of physical therapy, weight lifting, or anything else to the shoulder is going to get it back near 100%.

My wife also found the last statement a complete fallacy, considering that PT's spend a lot of their time doing exactly what you said, but in a safe and methodical manner that protect further injury and optimizes function. Considering the fact that she was a personal trainer prior to getting her doctorate in physical therapy, she might know a thing or two about both approaches to rehabilitation. In addition to this, there isn't a single sports medicine orthopedist that would recommend for this patient to forgo physical therapy. In a surgical case, PT is crucial to gaining function, strength, range of motion, etc of the joint. In a non-surgical case, it provides a safe and methodical approach to rehab'ing the shoulder and stabilizing the joint (unless there is a significant labrum tear).
http://www.steadman-hawkins.com/...eration/overview.asp

PS. Steadman Hawkins clinic is one of the most renowned orthopedic clinics in the world.

JYZ566 wrote:

Surgery for a dislocated shoulder is not warranted UNLESS there's an AC injury (grade 2 sometimes, grade 3 most of the time. If you just popped...

Surgery for a dislocated shoulder is not warranted UNLESS there's an AC injury (grade 2 sometimes, grade 3 most of the time.

If you just popped it out of place, and there is no bony impingements in the shoulder then rehab/exercise will be sufficient. If there is a bony impingent, avulsion, tendon injury/ligament injury (besides stretched) then shoulder surgery is kind of a waste in my opinon. Have you seen a sports medicine orthopedist?

In any case, I have dislocated both shoulders at one point in my life (not at the same time). After diligence in strength training/ mobilizing the shoulder girdle and generally packing on some muscle to support the joint, it has been a non-issue.

See a good ortho, pt is a waste of time and money (in my opinion). Research yourself and maybe get in contact with a good coach who specializes in strength and conditioning.

MDMCG wrote:

This is a completely false post. Not only from the medical side, but also from the physical therapy and rehabilitation side. Just to give you an...

This is a completely false post. Not only from the medical side, but also from the physical therapy and rehabilitation side.

Just to give you an idea, surgery is not recommended for an AC separation (grade I, II, or III), and is recommended for grade (IV, V, and VI). There are also labrum tears that result in intrensic weakness to the joint, which no amount of physical therapy, weight lifting, or anything else to the shoulder is going to get it back near 100%.

My wife also found the last statement a complete fallacy, considering that PT's spend a lot of their time doing exactly what you said, but in a safe and methodical manner that protect further injury and optimizes function. Considering the fact that she was a personal trainer prior to getting her doctorate in physical therapy, she might know a thing or two about both approaches to rehabilitation. In addition to this, there isn't a single sports medicine orthopedist that would recommend for this patient to forgo physical therapy. In a surgical case, PT is crucial to gaining function, strength, range of motion, etc of the joint. In a non-surgical case, it provides a safe and methodical approach to rehab'ing the shoulder and stabilizing the joint (unless there is a significant labrum tear).
http://www.steadman-hawkins.com/...eration/overview.asp

PS. Steadman Hawkins clinic is one of the most renowned orthopedic clinics in the world.

JYZ566 wrote:

PT is just a job created b/c orthopods don't have the time. The outcomes are very poor in most cases and the cost is high. Moving...

PT is just a job created b/c orthopods don't have the time. The outcomes are very poor in most cases and the cost is high. Moving on....

The grading system for labral tears is not standardized. So depeding on what med school you go/went to, it might be different (I go to SLU). I was more or less asking if it was a SLAP tear or not, or what the extent of the damage is anyway.

I own my own gym, have worked with PT's many times, and even used to work in a rehab clinic. As a coach/aspring medical professional, PT's will NOT be getting many of my patients.

Coaching/training> PT

FLmxer wrote:

Highsided while leading final moto of day over gravity cavity at Hardrock in Ocala about ten years ago. Got up and Greg Dionne grabs my bike...

Highsided while leading final moto of day over gravity cavity at Hardrock in Ocala about ten years ago. Got up and Greg Dionne grabs my bike as i get up dazed and he tells me to take it to the pits as i looked out of it. I was bummed as i had won 3 motos and leading final when i crashed while showing off. I started my bike rode to pit and lifted bike onto stand. I sat in my chair and then stood and leaned against my bike with my elbows and my arm fell out of socket.I mean way out.I grabbed it like a dead fish and shoved it back in. Freaked me out. EMT gave me a sling and I drove the motorhome and trailer 4 hours home and laid in bed in pain. Went to doc and he meds me up and tells me to come back so he can study films. I had broken both corners of socket off and broke my coracoid process off breast plate. The doc comes in on next visit with his apprentice and says " we make the incision here and here, put a plate here, a few more screws here and here." I asked if I could try therapy first and was 100 percent in a short few months. If I had the surgery I think I would still be feeling the hardware. Therapy works if you are 100 percent dedicated. Good luck with that.

MDMCG wrote:

There's little to no chance of breaking the coracoid process off the scapula, and having any chance of returning to normal (without surgery). That bone is...

There's little to no chance of breaking the coracoid process off the scapula, and having any chance of returning to normal (without surgery). That bone is origin for the short head of the biceps and coracobrachialis, as well as the insertion point for pectoralis minor.

There's a possibility that you might have had a small fracture in the bone, but if you completely broke that bone off (it's the size of the the last segment of you thumb) then you would be having a lot of issues.

DId you get an avulsion fracture? Even that requires surgery....

I'm super confused on this one

MDMCG wrote:

This is a completely false post. Not only from the medical side, but also from the physical therapy and rehabilitation side. Just to give you an...

This is a completely false post. Not only from the medical side, but also from the physical therapy and rehabilitation side.

Just to give you an idea, surgery is not recommended for an AC separation (grade I, II, or III), and is recommended for grade (IV, V, and VI). There are also labrum tears that result in intrensic weakness to the joint, which no amount of physical therapy, weight lifting, or anything else to the shoulder is going to get it back near 100%.

My wife also found the last statement a complete fallacy, considering that PT's spend a lot of their time doing exactly what you said, but in a safe and methodical manner that protect further injury and optimizes function. Considering the fact that she was a personal trainer prior to getting her doctorate in physical therapy, she might know a thing or two about both approaches to rehabilitation. In addition to this, there isn't a single sports medicine orthopedist that would recommend for this patient to forgo physical therapy. In a surgical case, PT is crucial to gaining function, strength, range of motion, etc of the joint. In a non-surgical case, it provides a safe and methodical approach to rehab'ing the shoulder and stabilizing the joint (unless there is a significant labrum tear).
http://www.steadman-hawkins.com/...eration/overview.asp

PS. Steadman Hawkins clinic is one of the most renowned orthopedic clinics in the world.

JYZ566 wrote:

PT is just a job created b/c orthopods don't have the time. The outcomes are very poor in most cases and the cost is high. Moving...

PT is just a job created b/c orthopods don't have the time. The outcomes are very poor in most cases and the cost is high. Moving on....

The grading system for labral tears is not standardized. So depeding on what med school you go/went to, it might be different (I go to SLU). I was more or less asking if it was a SLAP tear or not, or what the extent of the damage is anyway.

I own my own gym, have worked with PT's many times, and even used to work in a rehab clinic. As a coach/aspring medical professional, PT's will NOT be getting many of my patients.

Coaching/training> PT

MDMCG wrote:

What year are you in medical school? If you're in the clinic, you should ask the surgeons how they feel about physical therapy. I bet you...

What year are you in medical school? If you're in the clinic, you should ask the surgeons how they feel about physical therapy. I bet you won't find a single one (under the age of 50) that would agree with what you just posted. If you agree with what you really posted, you might as well include occupational therapy (lazy primary care doctors) and speech therapy (lazy neurologists and ENTs).

What I enjoy about this post is that it's gone from a possible labrum tear to a full fracture of the coracoid process, avulsion fracture of the infra/supraglenoid tubercles, and even into the realm of AC separations.

kaboom645 wrote:

I didnt get it..... Glad I didnt b/c I was told I wouldnt be able to use my arm for atleast 1 year and it would...

I didnt get it..... Glad I didnt b/c I was told I wouldnt be able to use my arm for atleast 1 year and it would be extreme pain during that time.. My shoulder isnt perfect but I dont have any issues with it anymore

Ddavis wrote:

Is surgery after dislocating your shoulder worth it? If I don't get surgery I can just do the physical therapy for it and build up the...

Is surgery after dislocating your shoulder worth it?


If I don't get surgery I can just do the physical therapy for it and build up the strength around the injury, and maybe be ready for Gold Cup in 8 weeks. or I can do surgery and be out for 4-6 months. What's recommended? Who's gotton surgery/didnt get surgery and was fine?

GuyB wrote:

I think the only thing that I learned from this thread is that because Devin comes to a message board to ask advice about shoulder surgery...

I think the only thing that I learned from this thread is that because Devin comes to a message board to ask advice about shoulder surgery before he's even seen a doctor, that it's possible to get lots of crazy advice on shoulder injuries.

Am I close?