[AMJ_77]

[QUOTE=normtrum;3389287]Just for clarification....Crohn's and Colitis are both autoimmune disorders, caused by a overabunce of tumor nucrosis factor (TNF). This influx of TNF is what causes the inflamation that is found in the mucosal lining.



I don't know if you were clarifying this for me or for the others because I know what these diseases are and what causes them (Autoimmune hence the treatment with steriods and immunosuppressents depending on severity) . I put the malabsorption part because this is one of the symptoms of the disease not the cause, I didn't think I would have to get into the pathophys of something I was merely stating as a reason for a lack of vitamin absorption. I am sure though that you agree these people do not absorb vitamins, minerals and calories as well due to all of the inflammation and ulceration in the GI tract (area depends up what disease state since Cronh's and UC damage different areas of the GI tract) hence the substantial weight loss in these patients among presentation of flare up (among other presenting symptoms). These patients are on total GI rest (moderate to severe cases) and treated with IV drugs and TPN due to their inability to absorb medication through the gut.

[Couch]

You probably stretched out ligaments in your shoulder, as well as did something to your rotator cuff.

[jaiman]

Originally Posted by ybbiz34

For injuries such as a torn labrum, a rotator cuff tear, etc. in younger, active people, surgery is frequently the route chosen.

If you're 80 and tear your labrum, yeah just take some pills, do some physical therapy. If you're 25 and use your shoulder regularly, probably get it fixed.

When I tore my rotator cuff last year I was told pretty much the opposite. That since I'm young and relatively active, surgery was a last resort after physio.

[Hawkeye]

I don't really see where you could have hurt yourself that bad. Personally I'd say stop being a pussy and walk it off. It only hurt when you reach behind your back afterall.

When I have shoulder problems I just do very light "physical therapy" lifts to strengthen the muscle that hurts. My experience only extends to hurting my shoulder benching and then doing rotator cuff exercises to stop the pain though.

[Neurorad]

Everyone on this board is on drugs, I swear.

If it's not improving within a few days, go find a sports medicine physician.

He or she will prescribe PT.

After a few months, if not significantly improved, then get the MR, and go to a surgeon.

Personally, I avoid surgeons, at all costs. Go to a surgeon when you want SURGERY.

Don't get the MR until it's going to change management - you're pissing away money.

[ybbiz34]

Originally Posted by jaiman

When I tore my rotator cuff last year I was told pretty much the opposite. That since I'm young and relatively active, surgery was a last resort after physio.

Obviously you aren't a pitcher then.

[san~man]

A labrum tear, depending on the severity, will heal over time with rest and the right type of PT. I had one, and it isn't a good feeling. If you're lucky, you may be able to get away with PT like I did, or you may need surgery.

From what you described, it's not a labrum injury. When I hurt my right shoulder, I could not support any weight on it. Meaning, with my hand down around the waist area, if the doctor put a small amount of pressure on my wrist/arm while I tried to lift it, the pain was moderately intense and my shoulder had no strength. In essence, I wasn't able to lift my arm while he applied the pressure.

[san~man]

Originally Posted by The_Blob

A MRI would not do anything other locating the area of the damage. I highly doubt an orthopedic surgeon would do surgery on the area even if something was found on the MRI scan.

NSAIDS are great for masking the pain, but it will not make the healing process any faster.

Don't forget everyone, this advice is coming from the guy who spouted he could drive the 'Ring in an impossible time.

[Neurorad]

Originally Posted by san~man

Don't forget everyone, this advice is coming from the guy who spouted he could drive the 'Ring in an impossible time.

Don't forget everyone, this advice is coming from the guy who had a labral tear, so he knows all about shoulder injuries.

[xxForgedxx]

Originally Posted by Neurorad

Don't forget everyone, this advice is coming from the guy who had a labral tear, so he knows all about shoulder injuries.

I have a hard time doing the following.

Injured shoulder = Left...

-Put cell phone in left back pocket

-Scratch middle of back by reaching around

Things I can do...

-Hands both down at my side, palm against my pant leg... I can raise it up sideways with my palm facing the sky when it is extended shoulder hight

-Same thing when I do that in front of me as if I were pointing... palm down, someone pushing on the top of my hand while I raise it...


I seem to be having trouble only doing things behind my back...

[san~man]

Originally Posted by Neurorad

Don't forget everyone, this advice is coming from the guy who had a labral tear, so he knows all about shoulder injuries.

Who are you, his illegimate brother?

I'm no expert, and I don't recall claiming to be in my post. But would imagine that forged appreciates my real world advice/experience rather than conjecture and useless speculation.

[normtrum]

[QUOTE=AMJ_77;3389380]

Originally Posted by normtrum

Just for clarification....Crohn's and Colitis are both autoimmune disorders, caused by a overabunce of tumor nucrosis factor (TNF). This influx of TNF is what causes the inflamation that is found in the mucosal lining.



I don't know if you were clarifying this for me or for the others because I know what these diseases are and what causes them (Autoimmune hence the treatment with steriods and immunosuppressents depending on severity) . I put the malabsorption part because this is one of the symptoms of the disease not the cause, I didn't think I would have to get into the pathophys of something I was merely stating as a reason for a lack of vitamin absorption. I am sure though that you agree these people do not absorb vitamins, minerals and calories as well due to all of the inflammation and ulceration in the GI tract (area depends up what disease state since Cronh's and UC damage different areas of the GI tract) hence the substantial weight lose in these patients among presentation of flare up (among other presenting symptoms). These patients are on total GI rest (moderate to severe cases) and treated with IV drugs and TPN due to their inability to absorb medication through the gut. Been a while since I have seen these patients since my area is Cardiology. Nice to talk with a few of the other Docs on here though (assuming some of you are, not too sure about the one guy and the NSAIDS comment, haha, kind of hope he isn't). Cheers!

No no....I was not trying to undermine what you said at all. I was just giving a small clarification. You are absolutely right, IBD patients have trouble absorbing everything....including water.

Just another....very mild clarification....Crohns can be found in every part of the GI system, from mouth to anus, while UC is only found in the colon.

No, I'm not a doc, I'm a clinical scientist for a biotech company, specializing in GI, RA, and the immune system. I was also a CS and pain specialist for a narcotic mftr (5+ years) in the mid to late 90's.

And btw....a cardiologist such as yourself that is also knowledgable in GI is impressive. You'd be surprised how many gastroenterologists don't know their ass from a hole in the ground.

Sorry to go so far off topic.

[xxForgedxx]

[QUOTE=normtrum;3394851]

Originally Posted by AMJ_77

No no....I was not trying to undermine what you said at all. I was just giving a small clarification. You are absolutely right, IBD patients have trouble absorbing everything....including water.

Just another....very mild clarification....Crohns can be found in every part of the GI system, from mouth to anus, while UC is only found in the colon.

No, I'm not a doc, I'm a clinical scientist for a biotech company, specializing in GI, RA, and the immune system. I was also a CS and pain specialist for a narcotic mftr (5+ years) in the mid to late 90's.

And btw....a cardiologist such as yourself that is also knowledgable in GI is impressive. You'd be surprised how many gastroenterologists don't know their ass from a hole in the ground.

Sorry to go so far off topic.

Yeah, so... my shoulder *cough*

[firstkill]

so have you seen a doctor yet?


fk

[xxForgedxx]

Originally Posted by firstkill

so have you seen a doctor yet?


fk

Yes, read the first post.

[normtrum]

[QUOTE=xxForgedxx;3394858]

Originally Posted by normtrum

Yeah, so... my shoulder *cough*

haha....good one!

I refuse to try and play doctor over the internet(too much anyways), but one way to tell if your rotator is the culprit is this:

if you make a throwing motion directly over the top and you have pain, AND you can make a throwing motion sidearm (remember Dan Quesenberry from the KC Royals?) without pain....it's probably you RC. It's a simple range of motion test they used to do before MRI's.

[xxForgedxx]

[QUOTE=normtrum;3394959]

Originally Posted by xxForgedxx

haha....good one!

I refuse to try and play doctor over the internet(too much anyways), but one way to tell if your rotator is the culprit is this:

if you make a throwing motion directly over the top and you have pain, AND you can make a throwing motion sidearm (remember Dan Quesenberry from the KC Royals?) without pain....it's probably you RC. It's a simple range of motion test they used to do before MRI's.

I dunno, it's just so hard to tell. I wish they could just fucking do an MRI, why is the shit so expensive. It's a fucking picture/scan whatever. Is the film fucking platinum?!

[rlb]

[QUOTE=xxForgedxx;3395062]

Originally Posted by normtrum

I dunno, it's just so hard to tell. I wish they could just fucking do an MRI, why is the shit so expensive. It's a fucking picture/scan whatever. Is the film fucking platinum?!

An MRI machine costs about $2 million to buy and almost $1 million a year to operate. You had only a mild trauma and have only minimal pain with no real loss of function. It has only been a few days. There is absolutely no indication for an MRI. Just try NSAIDS, rest, and ice for at least a week and give it a chance to heal. It really sounds like just a sprain.

[normtrum]

[QUOTE=rlb;3395380]

Originally Posted by xxForgedxx

An MRI machine costs about $2 million to buy and almost $1 million a year to operate. You had only a mild trauma and have only minimal pain with no real loss of function. It has only been a few days. There is absolutely no indication for an MRI. Just try NSAIDS, rest, and ice for at least a week and give it a chance to heal. It really sounds like just a sprain.

why did my name show up in someone else's quote? weird.

[just4kickz]

Originally Posted by Neurorad

Everyone on this board is on drugs, I swear.

If it's not improving within a few days, go find a sports medicine physician.

He or she will prescribe PT.

After a few months, if not significantly improved, then get the MR, and go to a surgeon.

Personally, I avoid surgeons, at all costs. Go to a surgeon when you want SURGERY.

Don't get the MR until it's going to change management - you're pissing away money.

MRI will tell you if it's ligament damage, free floating cartilage, forming of cysts, other tissue damage-- it's not pissing away money. in addition, it tells the doctor what exactly needs work and so he'll be able to give correct info about the injury to the PT. other than that i totally agree with everything else you've said.

if you rate the pain on a scale of 0-10 as a 5+ sharp pain, then you def need to go to the doctor. if its a numbing or tingling, it probably doesn't matter that much and you just need to take it easy + ice it.

[just4kickz]

Originally Posted by xxForgedxx

I have a hard time doing the following.

Injured shoulder = Left...

-Put cell phone in left back pocket

-Scratch middle of back by reaching around

Things I can do...

-Hands both down at my side, palm against my pant leg... I can raise it up sideways with my palm facing the sky when it is extended shoulder hight

-Same thing when I do that in front of me as if I were pointing... palm down, someone pushing on the top of my hand while I raise it...


I seem to be having trouble only doing things behind my back...

might be bad mechanics, weak back muscles, trauma, bad rotation... if your active get it checked out, if your not then ask yourself if it prevents you from living to your desired potential... if not then dont worry about it...

[xxForgedxx]

Its day 3 or 4 and it seems to be feeling better. I am not so reluctant to make a certain movement out of pain. I'm hoping that once the pain goes away I can get my ass back in the gym. I feel like I'm wasting away