Thursday, July 26, 2007
The Shoulder Update
I managed to sneak into the ortho doctor this morning on a cancellation. I couldn't really see the need to wait another week to put off the inevitable. It was an interesting and long visit. He reviewed the MRI and decided that the main problem was my AC Joint. I've not really mentioned that to anyone before this as I was hoping it was just a genetic abnormality in me personally and not a problem. Apparently it is not genetic, but it is a major problem. I was bouyed by the fact that Dr. Kreitenberg wanted to perform one additional treatment prior to deciding on arthroscopic surgery. It makes you feel good about a surgeon who is not just a cut and sew man. Basically the AC joint is huge. He stuck a needle with cortisone and some sort of numbing stuff into the AC Joint,that was fun, left the needle there while they took an x-ray to ensure that it was in the right place. Just picture me laying on the x-ray slab with a god knows how big needle sticking out of my shoulder while they go develop the pictures and look at them. I was chanting to myself, "let the needle be in the right spot...." Fortunately, it was and then the fun really began. He then injected the cortisone and I just about lept off the table. The range of motion was almost immediately better and now I have 2 weeks of limited physical activity to see what will come of this. I thought I'd give you a pix of the AC joint for your perusal, that is actually from my MRI, not Internet downloaded.
The Labral tear is confirmed and will require arthroscopic surgery to repair but if this cortisone shot doesn't do any magic then they'll also shave a sliver off my collar bone to relieve the pain in the AC joint during certain movements. Sounds like loads of fun eh.
Here's the details of the "Mumford procedure"
The simplest type of surgery for AC joint injury involves resection or removal of the end of the clavicle using arthroscopic (mini-surgical) techniques (called a Mumford procedure). If the joint becomes painful because of DCO (weightlifter's shoulder) or arthritis, or the separation is only minor, this technique can be very satisfactory.
Official diagnosis is Hypertrophy of the AC joint and there is a pretty clear pic of it in this link. You can see on the Left a normal MRI (not mine) and you can see in the middle a MRI image almost identical to mine. Fortunately, it has not progressed to the image on the right. Definitely feel the pressing on the rotator cuff in terms of muscle pain in the front center soft tissue area of my shoulder. I think based on my internet research I'm destined for the Mumford.....