Frequently Asked Questions
Would a cortisone injection be a permanent solution for my shoulder impingement syndrome?
I am 19 years old and have had impingement syndrome in both of my shoulders for about 3-4 years due to injuring both of my rotator cuffs from boxing. My doctor recommended that I have a shot of cortisone into my shoulders, and is confident that it would heal my problem, but I am afraid that; I am too young to have it, it would not be a permanent solution and the problem would come back, and that it would cause more damage to myself than good. Does anyone have any experience with this?
Yes, it will help, especially at your young age. You will always have to take care of your shoulders since the rotator cuffs have been damaged, but the cortisone shots will ease the inflammation for weeks or months.
The only reason it would cause more damage is that your shoulders will feel better. You still have to remember that they are damaged and not box, or do anything that could worsen the problem.
Look here: http://orthoinfo.aaos.org/topic.cfm?topic=a00032
In looking at the picture and reading the information I realize that is what is wrong with my right shoulder. Doctors should use the internet when explaining problems to people. They told me that mine cannot be repaired.
•Impingement. When you raise your arm to shoulder height, the space between the acromion and rotator cuff narrows. The acromion can rub against (or "impinge" on) the tendon and the bursa, causing irritation and pain.
Have a pain specialist doctor do the work. They have the equipment to put the medication right into the spot that will do the most good.
For my physical damages, every so often my GP will give me shots into the muscles. Well, not the knees, he doesn't go below the hip bones. The shots work for quite a while. I had a Rheumatologist
give me a shot in one of my hips years ago, and because he was skilled to go deep, the pain eased for a longer time than the ones my GP gives me.
Good luck and God bless you.
How do you know if you tore your labrum?
What are some signs that show the possible tear is severe? What are some signs that show the possible tear is minor?
If the tear is minor, should it heal on it's own with things like rest, icing and intake of proper nutrients that might help the healing process?
Is the pain coming from your shoulder? or hip?
Also, there are different types of labral tears, ie. SLAP tears, and Bankart lesions depending on the location of the problem. You can't really tell if it's severe or minor without finding out which type of tear it is, so it's better if you see a doctor.
The most common symptom with this injury is pain, especially with overhead activities. You may have popping or clicking in the shoulder, as well as feelings of the shoulder locking up or needing to pop. Many times the clicking or popping is painful.
You may also have a loss of strength, or feelings of instability...like your shoulder is going to come out of place.
A torn labrum may be overlooked initially, mistaken for impingement syndrome or tendonitis. "
For now, get rest and use ice, but if the pain continues or worsens, see a doctor. I'm no doctor but I think getting proper Vitamin C, iron and protein intake would help because :
Vitamin C is necessary for healing of wounds, and repairs cartiliage (which is what the labrum is made of). It also enhances iron absorption in the small intestine.
Iron is necessary for healthy red blood cells. It also forms part of many proteins and enzymes in your body. The infection-fighting cells in your body depends on iron to do its job. Without enough iron, you will feel even more weak and fatigue. Your body's immune function will lower, so healing may slow down. The recommended intake for men ages 19-50 is 8 mg. The best source of iron is beef because up to 22% is absorbed.
Protein(amino acids) repairs torn tissue and helps build new ones.
Avoid eating processed foods and dairy.
It is possible for a labral tear to heal on its own, due to the labrum's rich blood supply. It is uncommon, but not impossible.
Keep in mind, everyone's body is different so this may not always be the case.
See a doctor to make sure. Better safe than sorry, right?
Get well soon, and hope this helps!
How do you make your back feel better without going to the doctors ?
I have major back pains. Its off and on all the time. and I'm not old I'm under 20 years old so I don't even know what to do. Someone please help me ! I do not want to be in pain anymore.
You most likely have mechanical back syndrome, but the treatment is the same for Sciatica. In it's worst state, you will feel painful electrical charges in your foot as the nerve wraps around your pelvis and hip and back down the back of the leg through the buttocks.
Anytime you feel numbness or tingling in an extremity it is VITAL that you get to a doctor as soon as you can to have it checked out. If there is an impingement that cuts off the circulation, you can lose the limb, so please get to a doctor.
Please see your doctor for a muscle relaxant like flexerall only by prescription to stop your muscles from squeezing the nerve on your left side.
You can use a combination of non prescribed medication to try and hit the areas that are most annoying; however, 50mg-150mg indomethicin oral or anal works the absolute best for your back.
1. I used to use a combination of medications which included 400mg Ibuprofen 4x a day with food. This takes the swelling and inflammation down. DO NOT exceed1600mg in one day and you may need prilosec for stomach protection as ALL ANTI INFLAMMATORIES are difficult on the stomach. ***You can use Tylenol with Ibuprofen and Aspirin watch for daily maximums & don't exceed.
2. Robaxacet is Tylenol (acetominophen) combined with methocarbonal (muscle relaxant)...this also comes with codeine on request from the pharmacist. This only relaxes any tight muscles around the pain and helps reduce some pain. You can use Robaxacet with Ibuprofen and Aspirin, BUT NOT Tylenol as it's already an ingredient in this pill.
3. Robaxacyl is Aspirin (acetylsalicylic acid) combines with methocarbonal (muscle relaxant)...this has a blood thinning active ingredient and isn't ideal for anyone under age 16 years or complications with blood pressure, ailments, etc. This both takes down the inflammation as well as treats the pain.You can use Robaxacyl with Ibuprofen and Tylenol, BUT NOT Aspirin as it's already an ingredient in this pill.
4. Aleve is a Nonsteroidal Anti Inflammatory (Naproxen) which will helps reduce the inflammation, and as the inflammation decreases so does the pain; BUT you CANNOT mix this drug with any of the above mentioned safely.
5. Dynamint has been used on horses legs for years, but it does an amazing job on sore muscles. It's ingredients are Peppermint Oil, Eucalyptus Oil , Tea Tree Oil and Calendula Oil.
6. Deep Cold Gold is an alternative rub that works very well on tight aching back & low back tendons.
It's serious as you well know from the pain. You will need to treat it with ICE for 20 minutes on and off every 2.5 hours in your butt cheek and the heart of the pain. You can put a heating pad on your low back afterwards.
You will need to see your doctor if this progressively gets worse. You can request Flexerill (muscle relaxant) to relaxe the muscles from contracting around the pinched nerve. You may also require pain medicaiton depending on the severity.
I do not find much comfort with the chiropractor but it doesn't hurt to check in with yours for normal maintenance and his opinion on sciatica so you can decide what road you want to take.
Physio, Kinesiology, and Yoga are the best for treatment. I usually hit the hot tub and steam room at the pool and stretch in the warm environment.
Lie on your back and pull your knee to your chest and hold for 20 secs. Do it to the other side too and repeat.
Grab both knees to your chest and hold for 20 secs. Bring to the center, and gently rock to the left side and the right side still holding on to your knees for approximately 10 times and repeat. This relieves a lot of the discomfort.
You can also learn to stretch and touch your toes lying on the floor with you bum. Stetch to your shin and hold 20 secs, stretch to your ankle and hold 20 secs, stretch to your arch and hold for 20 secs, and eventually you'll be able to hold the bottom of your feet.
I find these exercises not only alleviate my suffering, but it prevents the re-occurrence. I know because as long as I do them I never even have an episode, but it takes a long time to heal the memory of back pain.