I'm 51, female, was injured when my arm was pulled by husband 2 months ago, and the pain keeps getting worse- having trouble sleeping, and range of motion affected. Doctor wanted to give me cortisone shot, physical therapy hurts, i'm not sure i want to take so much Aleve. Any suggestions?
2007-11-29 19:01:06 · 4 answers · asked by Anonymous in Health ➔ General Health Care ➔ Injuries
If the pain is getting worse despite treatment, it's time for further studies. MRI could rule out more serious pathology such as rotator cuff or labral tear.
Sometimes doing the PT after the cortisone shot is much better. You might want to consider this.
Do not put you arm in a sling, at the very least, tenonitis needs movement, not immobilization and this is repeatedly being demonstrated in the research. The key is to perform movements that mimic your symptoms, but only at an intensity and number of repetitions that will not leave you feeling worse immediately afterwards. Then these movements need to be performed several times a day...sometimes it's only one or two simple movements, but the key is the repetition without worsening. It takes frequent repetition throughout the day to actually remodel the tissue, which is the real issue with tendonitis, not inflammation.
Finally, you must realize that injuries like these heal over weeks to months...not days to weeks. Tendons are very poorly vascularized and require a long time to remodel into normal tissue.
You might want to consider having the shot and continuing PT, and if that fails, you may need more testing...or a different approach to PT.
2007-11-30 10:11:54 · answer #1 · answered by mistify 7 · 0⤊ 0⤋
scientific care : The purpose of scientific care is to alleviate soreness and shrink inflammation. relax or immobilization of the affected tendons is helpful for restoration. this would nicely be finished making use of a splint or a detachable brace. the utility of heat or chilly to the affected area can help. Non-steroidal anti inflammatory drugs (NSAIDs), which incorporate aspirin or ibuprofen, could additionally shrink the two soreness and inflammation. Steroid injections into the tendon sheath is additionally very smart in controlling soreness and permitting actual scientific care to start. actual scientific care that stretches and strengthens the muscle and tendon is crucial. this would restoration the tendon's potential to function suitable, advance healing, and forestall destiny harm. hardly ever, surgical operation is needed to bodily get rid of the inflammatory tissue from around the tendon. expectancies (diagnosis) : indications advance with scientific care and relax. If the harm is brought about by using overuse, a metamorphosis in artwork behavior would nicely be indicated to stay away from recurrence of the project.
2016-09-30 08:03:29 · answer #2 · answered by ? 4 · 0⤊ 0⤋
It may be time for an evaluation by your family Chiropractor. "Tendonitis" (which tendon is it?) is a very tenuous 'diagnosis' - usually used when the doctor really doesn't know what is causing the pain. Your continuing pain indicates something more is going on. It would be wise to seek another professional opinion.
Best wishes and good luck.
2007-11-29 19:13:02 · answer #3 · answered by Doctor J 7 · 0⤊ 1⤋
you probably need to give your shoulder some time to heal. place your arm in a shoulde arm sling for three days. ice the painful area intermittently. practise deep abdominal breathing evertime your shoulder hurts. forgive the person who caused you the pain. you should be alright in a week's time.
2007-11-30 00:21:35 · answer #4 · answered by joheals 1 · 0⤊ 1⤋