A Little Bit Of Advice

[farangconnection]

Recently I was diagnosed with Tendonitus of the shoulder. Physiotherapy nearly killed me every day for two weeks, and at 200 ฿+ a day I was getting no-where. One of our customers was telling me he had the same story, but his was cured with a Steroid Injection. I asked the doctor for the same, and he told me that in his school of medicine this was frowned upon. Then another of my custorers gave me some pills which cleared his condition up. These were Prednisolone, the tablet form of the Cortisan-steroid injection. I took three as advised and my pain cleared up almost instantly. I cut down to 1 1/2 and the pain returned. My questions therefore are, from any learned Doctors out there.

1) What is the correct dosage?

2) Are there any side effects?

ans of course

3) Is this just a way of stopping the pain, or do they actually clear up the condition?

Answers on a postcard..................................

Seriously, any input would be helpful.

[FBN]

Recently I was diagnosed with Tendonitus of the shoulder. Physiotherapy nearly killed me every day for two weeks, and at 200 ฿+ a day I was getting no-where. One of our customers was telling me he had the same story, but his was cured with a Steroid Injection. I asked the doctor for the same, and he told me that in his school of medicine this was frowned upon. Then another of my custorers gave me some pills which cleared his condition up. These were Prednisolone, the tablet form of the Cortisan-steroid injection. I took three as advised and my pain cleared up almost instantly. I cut down to 1 1/2 and the pain returned. My questions therefore are, from any learned Doctors out there.

1) What is the correct dosage?

2) Are there any side effects?

ans of course

3) Is this just a way of stopping the pain, or do they actually clear up the condition?

Answers on a postcard..................................

Seriously, any input would be helpful.

The normal dosage for oral prednisolone is from 5-60mg per day in three or four divided doses for specific conditions; usually chronic inflammatory and degenerative conditions such as an adjunct therapy to Rheumatoid Arthritis. It is never indicated for acute or trauma related pain or inflammatory conditions.

The side effects are aplenty and a simple google search will get you a substantial list of those.

The dosage is usually tapered off if a period of taking it is longer than 5 days at high doses (due to the suppression of the natural adrenocortical hormones).

Physiotherapy for tendonitis can be quite painful but usually has a beneficial effect but this may take several weeks.

There is no indication in the post of what was diagnosed as the possible cause for this but there are several tendons around the shoulder and it is very important to have the correct diagnosis. If this is a rotator cuff tear, which may present the same as tendonitis, it will not respond to physio and may require surgery.

Injection of steroids into a joint or a tendon is reserved only as a last option. Longterm effects of this may be weakening of the tendon or fibres which may result in tears or rupture later or increased osteo-arthrosis of a joint if given intra-articular.

[farangconnection]

Recently I was diagnosed with Tendonitus of the shoulder. Physiotherapy nearly killed me every day for two weeks, and at 200 ฿+ a day I was getting no-where. One of our customers was telling me he had the same story, but his was cured with a Steroid Injection. I asked the doctor for the same, and he told me that in his school of medicine this was frowned upon. Then another of my custorers gave me some pills which cleared his condition up. These were Prednisolone, the tablet form of the Cortisan-steroid injection. I took three as advised and my pain cleared up almost instantly. I cut down to 1 1/2 and the pain returned. My questions therefore are, from any learned Doctors out there.

1) What is the correct dosage?

2) Are there any side effects?

ans of course

3) Is this just a way of stopping the pain, or do they actually clear up the condition?

Answers on a postcard..................................

Seriously, any input would be helpful.

The normal dosage for oral prednisolone is from 5-60mg per day in three or four divided doses for specific conditions; usually chronic inflammatory and degenerative conditions such as an adjunct therapy to Rheumatoid Arthritis. It is never indicated for acute or trauma related pain or inflammatory conditions.

The side effects are aplenty and a simple google search will get you a substantial list of those.

The dosage is usually tapered off if a period of taking it is longer than 5 days at high doses (due to the suppression of the natural adrenocortical hormones).

Physiotherapy for tendonitis can be quite painful but usually has a beneficial effect but this may take several weeks.

There is no indication in the post of what was diagnosed as the possible cause for this but there are several tendons around the shoulder and it is very important to have the correct diagnosis. If this is a rotator cuff tear, which may present the same as tendonitis, it will not respond to physio and may require surgery.

Injection of steroids into a joint or a tendon is reserved only as a last option. Longterm effects of this may be weakening of the tendon or fibres which may result in tears or rupture later or increased osteo-arthrosis of a joint if given intra-articular.

It is the front of the joint, and I thought it might be from constant computer usage, even though I am left handed ( the condition is in the right shoulder) but again the doctor said no. I did suffer also from repetative strain syndrom, in UK which was computer related.

One thing, ten years ago I ripped both my arms from their sockets, and they have never been right since. I did at the time have them put me to sleep and manipulate my arms , but after that they said I had " jumping joints" My condition switches shoulders at times, but has never been this painful, that I cannot sleep on it. ( the doctor said that might be the cause)Normally it is only painful when I reach out for something, especially behind me e.g from the back seat of a car. Then it is agony, but I have learned to live with that.

One thing You failed to mention. Do you agree with the use of Solone, I think that you must be a doctor.

Edited February 26, 2009 by farangconnection

[harrry]

One thing You failed to mention. Do you agree with the use of Solone, I think that you must be a doctor.

Solene is great but just wait for the detached retina and the early cataracts. I have had both problems through long term use. It should be reserved for short time aleviation of life threatening conditions NOT long term use.

[Jungian]

This is not my area of medicine however here is a web link which is the first level of treatment that we use in the USA.

http://www.itendonitis.com/treatment.html

[FBN]

Rotator cuff injury symptoms may include:

Pain and tenderness in your shoulder, especially when reaching overhead, reaching behind your back, lifting, pulling or sleeping on the affected side

Shoulder weakness

Loss of shoulder range of motion

Inclination to keep your shoulder inactive

The most common symptom is pain. You may experience it when you reach up to comb your hair, bend your arm back to put on a jacket or carry something heavy. Lying on the affected shoulder also can be painful. If you have a severe injury, such as a large tear, you may experience continuous pain and muscle weakness.

http://www.mayoclinic.com/health/rotator-cuff-injury/DS00192

The above quote is from the Mayo Clinic article on Rotator Cuff Syndrome.

Given the history of your severe injury to the joints (dislocation) this is your most likely diagnosis as well as the cause of your problems; even the subsequent RSI (repetitive stress injury).

The shoulder capsule does not heal well after such an injury hence the "jumping joints" diagnosis.

Please check out the article; it is quite informative and comprehensive. There are also references to the use of steroids.

No, I do not support the use of Prednisolone for this condition.

If you have not yet had an MRI or arthography, I would suggest to have those and get a proper diagnosis as this will involve quite longterm rehab and perhaps even surgery.

[farangconnection]

Rotator cuff injury symptoms may include:

Pain and tenderness in your shoulder, especially when reaching overhead, reaching behind your back, lifting, pulling or sleeping on the affected side

Shoulder weakness

Loss of shoulder range of motion

Inclination to keep your shoulder inactive

The most common symptom is pain. You may experience it when you reach up to comb your hair, bend your arm back to put on a jacket or carry something heavy. Lying on the affected shoulder also can be painful. If you have a severe injury, such as a large tear, you may experience continuous pain and muscle weakness.

http://www.mayoclinic.com/health/rotator-cuff-injury/DS00192

The above quote is from the Mayo Clinic article on Rotator Cuff Syndrome.

Given the history of your severe injury to the joints (dislocation) this is your most likely diagnosis as well as the cause of your problems; even the subsequent RSI (repetitive stress injury).

The shoulder capsule does not heal well after such an injury hence the "jumping joints" diagnosis.

Please check out the article; it is quite informative and comprehensive. There are also references to the use of steroids.

No, I do not support the use of Prednisolone for this condition.

If you have not yet had an MRI or arthography, I would suggest to have those and get a proper diagnosis as this will involve quite longterm rehab and perhaps even surgery.

Thank you very much/.............................oh dear, back to therapy tomorrow. Pills in the bin.