Rotator Cuff

mem833 · « **on:** 12 Dec 2015, 07:46 pm »

I just found out I have a torn rotator cuff. I was looking for a good prolotherapist( maybe one that use plasma or stem cells) in Nashville, TN

I have had several prolo injections (dextros) but think I need more. Any suggestions.

Phil A · « **Reply #1 on:** 12 Dec 2015, 07:59 pm »

Welcome to AC. Have you tried healthgrades.com to see how people rate specialists in your area?

mresseguie · « **Reply #2 on:** 13 Dec 2015, 01:59 am »

Now this is an interesting first post to an audio site.

I have received two PRP injections in my left knee. I'm due to have a third injection in the near future. Of course, I can't see inside, but I noticed/felt a huge difference in my knee after my first injection. Hopefully, that was a real difference and not a placebo effect created by my desire to heal.

No recommendations for your area. Best of luck.

Phil A · « **Reply #3 on:** 13 Dec 2015, 02:02 am »

Yes interesting first post. Yelp.com and Google also may have reviews of specific doctors.

PMAT · « **Reply #4 on:** 13 Dec 2015, 04:42 am »

He's the moderator of the rotator cuff circle.

ctviggen · « **Reply #5 on:** 13 Dec 2015, 11:31 am »

Quote from: mresseguie on 13 Dec 2015, 01:59 am

Now this is an interesting first post to an audio site.

I have received two PRP injections in my left knee. I'm due to have a third injection in the near future. Of course, I can't see inside, but I noticed/felt a huge difference in my knee after my first injection. Hopefully, that was a real difference and not a placebo effect created by my desire to heal.

No recommendations for your area. Best of luck.

I'm not sure what you people are discussing, but are there any randomized, controlled trials for what you are discussing? Often, there are not. For instance, double/triple/quadruple bypass surgeries and stents have never really had any RCTs. They just thought they were good ideas, so they did them.

JLM · « **Reply #6 on:** 13 Dec 2015, 11:49 am »

Quote from: ctviggen on 13 Dec 2015, 11:31 am

I'm not sure what you people are discussing, but are there any randomized, controlled trials for what you are discussing? Often, there are not. For instance, double/triple/quadruple bypass surgeries and stents have never really had any RCTs. They just thought they were good ideas, so they did them.

And highly profitable for the cardiovascular surgeons, vendors, and hospitals involved.

gbeard · « **Reply #7 on:** 13 Dec 2015, 01:30 pm »

For a new poster to an audio site, this is off the cuff...

Two years ago in January, I had rotator cuff surgery for an acute injury that occurred when I fell down some stairs. Before the fall, my cuff was more incisive and accurate. Gain was higher and rotation was more extended on both ends. It was a excellent rotator and highly recommended. After the surgery, my rotator cuff was a bit softer with a lower gain, less push, certainly less 3 dimensional, and while tighter, it is less extended at the bottom. It took a year of hard work to get my new system working well together, and I will miss the original--it was a fantastic component that worked very well with the rest of my gear. Sadly, it is now unobtainium.

Welcome to AC and Happy Holidays!

(Seriously, I did have surgery. It sucked. I don't recommend it if you don't have to do it. I did.)

Blackmore · « **Reply #8 on:** 13 Dec 2015, 01:52 pm »

Welcome to Audio Circle. Maybe some TN folks will chime in and help. My friends that had surgery put it off as long as possible but all had good results once they healed. Not fun but at least they got relief.

To tie this in to our hobby, let's assume you tore it lifting your Krell amps.

thunderbrick · « **Reply #9 on:** 13 Dec 2015, 03:21 pm »

I had RC on both shoulders a year apart, one of which had a torn labrum as well. They'll only do one at a time.

Surgery was not bad at all; I don't recall any pain, jut mild discomfort. Worst part was sleeping in my recliner the first few nights after the procedure. Oh yeah, had a reaction to the pain meds as I was tripping out.

Anyway, was careful for 6 weeks, did physical therapy and all was well. My brother had the same experience. Not much to it.

BTW, mem833, tell us about your audio system or we'll tell the surgeon you don't need pain meds.

macrojack · « **Reply #10 on:** 13 Dec 2015, 03:23 pm »

Quote from: JLM on 13 Dec 2015, 11:49 am

And highly profitable for the cardiovascular surgeons, vendors, and hospitals involved.

JLM - Are you suggesting that there might be some other motive driving the medical industry besides the well-being of their ~~victims~~ patients?

Well, I would agree with that stance wholeheartedly. Like any industry on a roll, this one is perpetually looking for new products to promote and new ways (pretenses) for marketing them. Growth opportunities. New profit centers.

For the record - I do not deal with doctor world if I can possibly avoid it and I know nothing about these injections. Maybe they really are beneficial and are provided at realistic prices.

thunderbrick · « **Reply #11 on:** 13 Dec 2015, 03:35 pm »

Quote from: macrojack on 13 Dec 2015, 03:23 pm

JLM - Are you suggesting that there might be some other motive driving the medical industry besides the well-being of their ~~victims~~ patients?

Lemme see…

Surgeries are less invasive, have shorter hospital stay, quicker recovery times and better outcomes. I'd say that's a bargain at any price.

Now, is the OP gonna tell us about his system and music preferences, or is JohnR gonna have to open up MedicalCircle?

Phil A · « **Reply #12 on:** 13 Dec 2015, 03:59 pm »

Quote from: thunderbrick on 13 Dec 2015, 03:35 pm

Lemme see…

Surgeries are less invasive, have shorter hospital stay, quicker recovery times and better outcomes. I'd say that's a bargain at any price.

Now, is the OP gonna tell us about his system and music preferences, or is JohnR gonna have to open up MedicalCircle?

Any surgery is no fun. I hope not. Wouldn't be something I'd want to spend lots of time in.

thunderbrick · « **Reply #13 on:** 13 Dec 2015, 04:10 pm »

Never said it was fun. I've had 6 so far and all of them were far less uncomfortable than I expected/feared.

macrojack · « **Reply #14 on:** 13 Dec 2015, 05:56 pm »

Quote from: thunderbrick on 13 Dec 2015, 03:35 pm

Lemme see…

Surgeries are less invasive, have shorter hospital stay, quicker recovery times and better outcomes. I'd say that's a bargain at any price.

Now, is the OP gonna tell us about his system and music preferences, or is JohnR gonna have to open up MedicalCircle?

Bob - If you have insurance, the price is the same now as before. It costs you whatever your deductible is. If you don't have insurance the price is the same as before also - you can't afford the surgery. Price isn't much of an issue under those circumstances.

The answer to your other points will vary depending on the nature and complexity of the procedure. All in all though, I'd say you are right. My few experiences kept me only until I awoke. Then it was a matter of asking me a few questions, checking my vitals and signing me out. The actual surgery took just minutes for an appendectomy.

bearman2 · « **Reply #15 on:** 13 Dec 2015, 06:01 pm »

I know several guys who have had RC surgery and all are doing well. They said that PT was more painful than the surgery. I have had both my knees replaced, 9 months apart, and have not looked back. If not for these surgeries 2 years ago I might be in a wheelchair. I walk my dog 3 miles daily and ride a cheap bike 10 miles or more at a time. It seems the more I work my knees the better they feel and I have very few restrictions. One thing people need to realize is you must do your therapy religiously 7 days a week and be dedicated.

Philistine · « **Reply #16 on:** 13 Dec 2015, 06:21 pm »

I've had 2 rotator cuff events, both 'fixed' without surgery - cortisone shots and lots of PT. The first one hurt like crazy, the second one metamorphosed into frozen shoulder (less painful than the first but hard work to recover from), I was advised by the doc to avoid surgery as much as possible. The first was caused by falling during snow clearing, the second by being too aggressive with weights in the gym.

I do strength and balance exercises with a personal trainer to help prevent future falls and toughen up my rotator cuff. Both the PT and trainer recommend the Body Blade, both claim that the rotator cuff muscles have a built in memory, the Body Blade targets muscles we don't use day to day. I use one at home and it does give you a good workout:

http://bodyblade.com/en/

Atlplasma · « **Reply #17 on:** 13 Dec 2015, 10:35 pm »

Sometimes surgery reveals things that don't show up on an x-ray or CT scan. If you're older, you may have multiple tears, bone spurs, arthritic joints, and other issues.

Nick B · « **Reply #18 on:** 15 Dec 2015, 07:25 am »

Regarding that body blade device, I used a very similar device over 20 years ago and it damaged my right shoulder. I lived with that pain for over 10 years until 2 prolotherapy injections gave me at least 80 to 90 % improvement. Please use caution if you start having pain. I believe it was the very fast movement of the blade that tore the shoulder tissue.

thunderbrick · « **Reply #19 on:** 15 Dec 2015, 01:55 pm »

Quote from: Atlplasma on 13 Dec 2015, 10:35 pm

Sometimes surgery reveals things that don't show up on an x-ray or CT scan. If you're older, you may have multiple tears, bone spurs, arthritic joints, and other issues.

True for me. Had I waited longer surgery might not have helped.