Post acromiplasty issues for 20yrs


(Virginia Beach, VA)

I am a 47yr old male - I was diagnosed with a shoulder impingement when I was in my 20's and had an acromioplasty and debreidement. Ever since that surgery I have had extreme tightness in the muscles(nerves) leading from the surgical site into my neck and head and to the back of the shoulder. I get terrible occipital headaches and my shoulder feels like someone is stabbing me when I turn my head left and everything starts to pull.

I have neck problems, arthritis in C1-C7 and issues with T1-3. My current therapist seems to have relieved the T1-3 issue but the pain and stiffness continues from the right shoulder. I put off getting it looked at for fear of having to have another surgery(this will be 4 on that shoulder, 2 cleanings)but i can no longer take the pain, stiffness, muscle aches and headaches.

Any ideas of what can be done can the muscles be lengthened and the knots surgically repaired-removed? Can we add bone back in to lengthen the clavicle? As you can see I am pretty desperate-20yrs of this is way too long! Thank you.


Hello,
These are the typical signs and symptoms that your chiropractor manages on a daily basis. At least I do. What is needed is gentle mobilisation of that shoulder and good daily range of motion and strengthening exercises.

The neck is obviously connected to the shoulder. In fact your shoulder problems probably were a referral from the neck- unless you had a specific shoulder injury. If that neck problem wasn't dealt with then both the neck and shoulder would gradually get worse.

Look for a chiropractor in your area who is experienced in treating sports injuries. Perhaps someone with a FICS qualification - contact your local association.

No, you can't lengthen the bone, most likely the ligaments were shortened too much and it would take some fairly extensive surgery now to lengthen again.

Acupuncture should also be considered.

I hope this has contributed. Obviously a difficult condition.

Dr B

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Interesting challenges of the day

1. Mr S is a 76 year old man with neck pain of some 9 months duration. Luckily, most of the discomfort is upper cervical which is only rarely arthritic; his lower cervical spine is a degenerative mess that I've left alone. After seven treatments his pain and stiffness is 50 percent better, and he's happy in the circumstances. He can sleep through the night now and that makes a huge difference.

2. Mr P is 32 year old man with very severe lower back pain radiating to the big toe which is 30 percent numb. He had an episode three weeks ago, took anti inflammatories and was soon better as is typical of the medial disc herniation. But before it healed, after a trivia it came roaring back, much worse. The characteristic crossed sign was evident; sitting in a chair, straightening the right leg provoked severe left back pain and tingling in the leg. He's doing well.

3. Severe lower back pain is scary; just ask Mrs P. Just watching her get out of the car I she was in trouble; she had a slipped disc at L4 making her lean towards the opposite side; luckily she had no pain in the leg. Despite family pressure that this was far too severe for a chiropractor, she persevered. Within five days she was standing upright, and after two weeks almost painfree. 

Despite a hectic job, she wisely took my advice and stayed home for what I call exercising bed rest.

4. Mr S has had lower back, groin and back of thigh and calf pain for fourth months.

He has a pincer deformity in the hip causing the stabs in the groin, and a degenerative facet causing the sciatica. Both are responding well to chiropractic and he's well pleased; sixty five percent better after three treatments.

5. Mr T is a wise man; he's taken a warning TIA seriously and has lost 15 pounds, and has at least as much again to lose. A change to a low starch diet and half hour daily walk has made the difference; but the walking is making his foot and back miserable. The expensive orthotic is hopeless; luckily his hips and back are fine, but he needs a simple heel lift.

6. I too have had serious lower back issues, luckily fixed by my own chiropractor; so I too have to do my exercises, take care when lifting supers full of honey, gardening and using the chainsaw. Regaining the function of your spine is just as important as the pain.

7. My own granddaughter, only 7 is hypermobile giving her pelvic, knee and ankle issues. Xrays show a mildly dysplastic hip. Years ago we would have called it growing pains. She too regularly needs chiropractic care and luckily responds well. Increased range of motion is more difficult than too stiff in my opinion. Our care is for kids too.

8. This 65 year old lady is a serious gardener; every day she is bending, lifting and digging for 2 to 3 hours a day. It regularly catches her in the sacroiliac joint, so she has a treatment once a month that sorts it out. She does her lower back exercises faithfully.

9. This 88 year old lady is an inspiration; every day she is busy in the community. With a nasty scoliosis she manages very well with a chiropractic adjustment every six weeks and exercises faithfully done.  

10. Mr X is a 71 year old retired man who wants to continue with maintenance care every six to eight weeks; he had suffered from two years of lower back pain when he first came a year ago. He has no discomfort now after 8 chiropractic treatments, but is aware that danger lurks.

11. Mrs C has been having severe headaches, and taking a lot of analgesics. It's a non complicated upper cervical facet syndrome, and she's doing well.

12. Mr D is a 38 old year man with chronic shoulder pain after a rotator cuff tear playing cricket. It responded well to treatment, but he knows he must do his exercises every day; for two years he couldn't sleep on that shoulder.

13. Mr D, a 71 year old man, has a severe ache in the shoulder and midback since working above his head. Trapped nerve tests are negative but he has advanced degenerative joints of Luschka; after just two treatments he is 50 percent better. Can we reach 90?

And so the day goes; chiropractors shouldn't be treating the elderly most medical sites state but that's so much bunkum.



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