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  #1  
Old 26 April 2018, 10:32
Steve40th Steve40th is offline
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Acromioclavicular osteoarthritis Right Shoulder

VA Doctor called to let me know after exam and xrays this is what she thinks I have, in both shoulders, but the right one hurts by far the most. There is crunchy noise when I raise arm up and lower it back, and when I get up out of a chair.. I injured it in the service, the right shoulder, as it was pulled out due to me holding on to a shackle and cable when I pulled pin out and didnt realize the weight.. Dropped me fast.
I can only hold up my grand daughter for about 10 minutes before I have to put her down, and she is only 24 pounds. Sad.
My AR is only 8 lbs, and its painful after shooting a few mags.
So, she want to start with anti inflammatory cream, as well as my Meloxicam/Tylenol. She said injections later if pain doesnt subside.
Getting old sux. Recovery takes allot longer.
Anyone deal with this type of injury/diagnosis?
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Old 26 April 2018, 10:52
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For me Voltaren gel did nothing. If I had to do my shoulder shit over again I would not let my doc string shit out over 1.5 years and 6 injections.

Per my new Orthopod, I have arthritis in my shoulder that is significant and not age appropriate. But, I have no pain and full ROM.

Each case is unique unto itself, so I will not give much advice.

I would ask her if she saw the meds as temporary and at the end of it all would you need surgery.

Do not be afraid to get a 2nd opinion.
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Old 26 April 2018, 11:19
Steve40th Steve40th is offline
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Originally Posted by Expatmedic View Post
For me Voltaren gel did nothing. If I had to do my shoulder shit over again I would not let my doc string shit out over 1.5 years and 6 injections.

Per my new Orthopod, I have arthritis in my shoulder that is significant and not age appropriate. But, I have no pain and full ROM.

Each case is unique unto itself, so I will not give much advice.

I would ask her if she saw the meds as temporary and at the end of it all would you need surgery.

Do not be afraid to get a 2nd opinion.
Thanks, That is the advice I needed. The Gel is the stuff she is giving me.
I will go to Tricare and see if they can refer me out to an Ortho Surgeon. Maybe an MRI.
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Old 26 April 2018, 11:27
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Also, there are a few good threads here with current info regarding shoulder stuff.
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Old 26 April 2018, 12:11
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If it is arthritis, barring mechanical dysfunction, all you can do it meds. Adjunctive therapy might help; i.e., heat/ice, massage therapy, PT, needling/acupuncture, but no surgery.

Arthritis sucks. And we all have it, and it will often get worse.
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Old 26 April 2018, 12:14
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If it is arthritis, barring mechanical dysfunction, all you can do it meds. Adjunctive therapy might help; i.e., heat/ice, massage therapy, PT, needling/acupuncture, but no surgery.

Arthritis sucks. And we all have it, and it will often get worse.
No surgery for arthritis? My doc was talking about shoulder replacement for the arthritis.

But, I will defer to your expertise as I have none in this area.
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Old 26 April 2018, 13:18
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No surgery for arthritis? My doc was talking about shoulder replacement for the arthritis.

But, I will defer to your expertise as I have none in this area.
Yeah, in some cases when they joint is so immobile you could replace the entire joint. So there that. It's usually last-resort.

What I don't know: PRP therapy, artificial cartilage (it's made of Kevlar!), emerging technology and therapies. New stuff all the time. I will say that locally if you get a new join because of arthritis and something happens, they just kinda shrug and say "well, we did out best..."
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Old 26 April 2018, 13:29
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Damn, new joint technology of kevlar seems wicked.
I am hoping a scraping of roughness can be surgically done later, vice tendons and shoulder replacement..
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Old 26 April 2018, 13:32
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Is there any strengthening PT that can be done to alleviate the stress on that part of the shoulder?
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Old 26 April 2018, 13:39
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Is there any strengthening PT that can be done to alleviate the stress on that part of the shoulder?
If it were me, I would follow the advice of my doc and ask about PT.

We are all helpful here, but do not know details of your needs.

Each case is unique unto itself (I read this someplace very recently).

Gross advice is the most I want to give, leave the finite stuff for the people that know you best. Your MD/DO.
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Old 26 April 2018, 13:43
Steve40th Steve40th is offline
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If it were me, I would follow the advice of my doc and ask about PT.

We are all helpful here, but do not know details of your needs.

Each case is unique unto itself.

Gross advice is the most I want to give, leave the finite stuff for the people that know you best. Your MD/DO.
Thanks. Sometimes you just trust people you have been to hell and back with. I still call one of my Corpsman every blue moon for some medical advice, when M Docs seems iffy..
I do appreciate all of it. I will folow the MDs advice. Since she is Russian and old, I think she may know something. She is a less is better Doc..
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Old 26 April 2018, 13:44
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Is she hot?
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Old 26 April 2018, 13:49
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Is she hot?
No, maybe 30 years ago, after a 12 pack..
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Old 26 April 2018, 14:03
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So she's hot.

Update as needed, ask tons of questions of ALL that are involved in your care.

You must be your own, best advocate.
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  #15  
Old 30 April 2018, 18:02
schibbs schibbs is offline
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Both shoulders have plagued me since my time in service. Scout swimmer school seemed to do a number on my shoulders, then swinging a hammer and finishing concrete for 30 or so. I did cortisone injections when needed, then dislocated and broke left shoulder skiing. Finally, had to quit swinging a hammer and skating slabs with two trowels. I have not had an injection for 10 years, mostly pain free now with fewer meds.
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Old 30 April 2018, 18:20
Steve40th Steve40th is offline
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Getting shot in right shoulder tomorrow. Then left later this week, maybe.
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Old 13 June 2018, 20:15
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Update. Shoulder injections were done. Left is still hurting with burning sensation. Right has slight burning. Hard to sleep at night.
Taking anti inflammatory meds. And heat n ice.
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  #18  
Old 13 June 2018, 22:48
Steve788 Steve788 is offline
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Sounds similar to what VA did for my right hip--"differential diagnosis", to
figure out what needs to be done to fix what ail's ya. Basically, start out with simple stuff (anti-inflammatory drugs, like motrin, then steroid injections) and going up the scale. If it's osteoarthitis, there is surgery--"arthoplasty", aka joint replacement. Osteoarthritis, from my layman's
understanding, means the cartilage (teflon lining) of joint is gone, leaving you with bone-on-bone. Think of rubbing two bricks together.

My right hip was shot from six years of light infantry, plus running, karate, etc. Got it done three years ago; wasn't fun recovery, but definitely a good decision and glad I did it.

The VA started my differential diagnosis with physical therapy, then steroid injections (direct to joint under live X-ray imaging), that helped for only a few weeks--which left arthoplasty as the only alternative.

FWIW, an old school buddy worked for Budweiser for a few years, toting
kegs & cases. In his sixties now, his right shoulder started giving him feedback. He ended up getting his shoulder done and is happy with it. He also had a hip arthoplasty done. Sometimes we put more wear and tear on the equipment than most.
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Old 14 June 2018, 05:20
Steve40th Steve40th is offline
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I remember when my Mom had a shoulder replaced and a former Sailor had his replaced. They were both very happy they finally did it.
Constant pain, discomfort can cause other issues, like high Blood Pressure, sleep problems.
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  #20  
Old 17 June 2018, 07:46
Doctor_Doom Doctor_Doom is offline
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Surgery for arthritis of the shoulder depends on the location of the arthritis and the surgery under discussion. Surgery for acromioclavicular arthritis is reserved for those with relatively severe symptoms that does not respond to medication/injection. Any surgery would not include shoulder replacement, more likely distal clavicular resection if they go aggressive. Surgery for glenohumeral arthritis frequently includes shoulder replacement. Location, location, location. And degree of dysfunction.
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