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Shoulder Manipulation


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#1 giorgigirl

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Posted 27 September 2007 - 03:46 AM

Hi everyone,

Just wanted to know if anyone has suffered with a frozen shoulder along with their scleroderma. I have had one now for about 2 years with no real improvement with tradtional methods I.e. physio, hydro, steroid injections etc.
I was referred to a shoulder specialist who I saw today and they suggested that I undergo a shoulder manipulation under anesthetic but she wanted to check this out first because it requires breaking the leisions that have caused the shoulder to freeze and she was unsure if this was the best way to go due to the muscle involvement etc with scleroderma.
I am glad she was being cautious and wondered if anyone had any experience of anything similar and what procedure they used after conventional methods failed.

As always, many thanks for any replies and my best wishes to all of you

Giorgigirl

#2 Sherion

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Posted 27 September 2007 - 01:16 PM

Giorgigirl,

I've had trouble with my shoulder since January. The ortho doctor said that I also have a frozen shoulder. He said that the manipulation under anesthetic is a last resort. I had three months of physical therapy that did not help at all. I am allergic to cortisone so I couldn't get those injections. The last time I went to him he told me that he didn't think the manipulation would be of help and to basically learn to live with it. It seems to be improving slightly on its own with just me using it as much as possible. If I keep having a lot of trouble, I may try to find a different ortho. He did say that the manipulation would hurt like crazyafter and that I would probably need therapy on a daily basis for a while.
Good luck on whatever you decide and hope you get better results than I.


Sherion

#3 giorgigirl

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Posted 28 September 2007 - 04:03 AM

Hi Sherion,

Sorry to hear that you also have had to experience the same. I was at least lucky enough to be able to have three lots of steroid injections, which did give temporary relief. I also found hydrotherapy sessions also gave slight improvement. Perhaps this may also help you a little if you cannot tolerate steroid injections.
I am going to push for arthroscopic surgery I think rather than manipulation. This is when they place a camera in the shoulder and then they can cut through the lesions which, from what I have read on the net is less complicated than manipulation as there is a risk of fracture. Both procedures have good results as far as I am aware in relation to improved range of motion and decrease in pain. Yes, both require physio afterwards to regain muscle strength, (I have a lot of muscle wastage from this after 2years) but all things considered, hey I would just like to be able to shave under my right arm!!!!!!
I hope that you find some form of therapy that works for you and regarding your comment that you were told just learn to live with it, well I am not prepared to just live with mine, I have lots of other pain due to the sclero to live with and if there is something that can be done to release my shoulder then I will go for it, I am sure if these doctors has similar experiences, then they would not take the attitude of 'just learn to live with it' eh?
Sincere regards

Giorgigirl

#4 Sherion

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Posted 28 September 2007 - 01:16 PM

Giorgigirl,
My doctor never mentioned anything about hydro therapy. I'll have to check into that. I'm thinking that my shoulder is not as bad as yours, I am now able to shave my right armpit. LOL I do have more movement now that I'm no longer in therapy. I think therapy made it worse, maybe it aggravated my arthritis or sclero. Now that I think of it, he never mentioned arthroscopic surgery either. My therapist seemed to think it was just an impingement rather than a frozen shoulder. I'm beginning to think she was right!! Hope everything goes well for you in whatever way you decide to go. Keep us informed.

Sherion