Bone And Tendon Health Problems

[femi fan]

Have a rather painful shoulder at the point where the top of the arm connects with the shoulder. Nothing is inflamed, everything the normal size, but for the first two days pain led to agony if i moved the arm too much. Because of the pain my arm movements are rather limited.

I am going to hopefully get it diagnosed properly at a hospital tomorrow, but i do like to try and maintain a decent understanding of health problems. This one, which suddenly appeared for no apparent reason after waking up the other day has me flummoxed. After the two days (out in the sticks on a long weekend, no hospital!) of great pain, it got somewhat better the last two days.

I was wondering, firstly if anybody has had a similar pain, and secondly if anyone can recommend any decent reading, books or on the net, where i can enlighten myself on the workings of bones, tendons, and muscles, and what diet supports or inflames these parts of the body. I've tried a lot of googling, but don't seem to be using appropriate enough words, and have been unable to locate any decent reading.

Thirdly, which branch of mainstream medicine is this, osteopathy or orthopedics? And in the area of alternative practice, would chiropractic or accupuncture be appropriate? I'm really wanting to try and avoid such problems happening again, and would like to find out the cause of this problem flaring up like this.

Many thanks for any help i may get.

[tekinsel]

i advise you one massage shop in ladprao 87, they use herbs for massage but not same like herbal ball, ancient style, i had big problems and not believed it works, if i have much pain only 2 things work on me, 100mg voltaren or massage, one of thai friend offered me this place, before he said his gf put cheap thai whiskey and cover and it works too, if you care this massage shop it is about 600-700metres down to ladprao 87, the girl who makes massage not know english ( but if you show she can understand )

[fearless1]

Don't do anything until you get it checked out by a doctor. He may suggest you get a MRI to look for a rotator cuff tear. I've had 2 rotator cuff surgeries where part of the procedure involved cutting a portion of the bone in the shoulder that was rubbing against the muscles and tendons in the rotator cuff area. I never had any pain until near the end where the tear became more extreme. The surgeon told me that I had the problem my whole life and that it only manifests itself in pain when the tear becomes too acute. Get it checked out and google Rotator Cuff Injury or Treatment.

[Sheryl]

Yes, do not mess around with this until you have seen a specialist and determined exactly what the cause of the pain is. You need an orthopedic specialist.

Dr. Mason at Bumrungrad comes highly recommended and specializes in shoulder problems.

[femi fan]

Thanks for the replies Firstly i'm in chiang mai!

I went to the hospital yesterday, the orthopedic doctor moved my arm various directions, saw when it hurt and did not hurt, and declared it to be my deltoid muscle, along with the bicep.

Come back in two weeks, here's a painkiller and a muscle relaxant, and wear this sling, next please!

Now, i feel he's probably correct in his diagnosis. Nothing is out of shape, or bigger than normal. After my initial posting, I later on recalled that i was moving lots of heavy paving slabs two days prior to waking up with the pain. I guess this is what triggered it.

But i don't want to just sit around and wait for it to heal. He himself, along with what i've read leaves me confused whether to put hot towels or ice on the area. It seems i should apply heat, then cold and so on. A friend mentioned that ultrasound might speed up the recovery.

In six days it's only marginally got better.

Might acupuncture help? Any other ideas for a more proactive approach to my problem?

[Sheryl]

Immediately post injury and for say the first 48 hours, ice is helpful. Thereafter, heat. So as it is 6 days, I'd apply warm compresses or a heating pad.

the heat will help in 2 ways: (1) it relieves any muscle spasm, which will reduced pain and (2) it increases the blood supply to the injured area which at this stage of the injury is helpful to the repair process. ( immediately post injury one avoids heat and applies cold to decrease blood flow to the area so as to minimize bruising/swelling).

Acupuncture isn't likely to change the pace of healing but might possibly help the pain and at any rate can't hurt.

In terms of diet, good quality proteins and Vit C are helpful in facilitating tissue repair.

[femi fan]

Thank you sheryl.

I actually think it's a tendon, but it seems either way time and patience is the healer. I have started using some hot towels on the area.

[femi fan]

After seeing a good orthopedic doctor, it turns out i had calcific tendinitis of the rotator cuff tendon.

With a steroid injection last night, very painful indeed, i woke up as he said i would with more movement and the main pain gone. Tonight started ultrasound and physical therapy. The doctor seemed pretty confident i would be fixed, although i saw some rather less positive views on a forum over this problem.

I'm more than mystified where i got the calcium deposits from, and how i got them - i eat a very careful diet. If any posters have experience with this problem, i'd love to hear! My only thought can be from the repetitive nature of my golf swing, whereby the calcium built up over time.