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Re: [Orchid] SLAP tear shoulder recovery? anyone
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R.E.Rourke Saturday, July 27, 2013
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    If you can avoid surgery do. 

    If you can swim and get a TENs unit to interrupt any pain as opposed
    to an effective but addictive narcotic pain medication (drugs other
    than opioids have too many side effects and are not as effective).If
    you do NEED a pain med try to take it only when absolutely necessary-
    not every 6-8 hous and not for more than a week. Some people respond
    best to a single serious opioid pain shot to break the cycle of pain
    then follow with aspirin for inflammation. 

    If you can get an Rx for ultrasound particularly if you are not
    going to keep at least twice weekly appointments and do the exercises
    at home to the letter and *tailored specifically to you* - NOT
    printed out from a general registry by a PT tech. 

    If you have access to a pool or otherwise can swim daily do, for
    short periods. It isn't going to heal faster if you push yourself. 

    Muscle tears take time to heal period. Do Not Go For Surgery unless
    it is the last option after consulting a second opinion giver that is
    not a surgeon- surgeons will always rationalise surgery! Get an Rx for
    Neuromuscular therapy from your MD, Orthopaedic MD, or an Osteopath
    and find a licensed NMT with at least 5 years experience and specific
    experience with your diagnoses that will develop a plan tailored to
    your needs using deep tissue and the Travell Method (deep tissue
    massage therapy or more specificly : the Travell Method is the
    singular effective massage modality that will work for your injury.
    Expect it to take at least 2-3 months of weekly body work, with your
    own swimming programme).. Dr. Janet. Travell was a surgeon
    specialising in musculo-skeletal injuries, chronic pain and soft
    tissue injury. This is a therapy that requires the practitioner to be
    licensed by their State Board. Not all massage therapists have
    studied this method and the Atlanta School of Massage, Florida School
    and Rhode Island all certify therapists in this method It is superior
    to Swedish massage or sports injury related massage. 

    Insurance usually covers prescribed neuromuscular therapy, and some
    therapists will work with you on a guaranteed payment plan through
    your insurance as opposed to out-of-pocket payments. This is an
    effective treatment for deep tissue injuries and helps the tissues
    heal. Surgeries further damage the torn tissues and add to the
    healing time necessary for the body to repair soft tissue. 

    I highly recommend NOT having surgery but developing a recovery plan
    that will help heal the tear as fast and completely as possible. No
    surgeon will give you a guarantee nor will they agree on paper to a
    revision if necessary and at their expense should a complication
    arise from their initial operation. If you do find one that will,
    guarantee their skills and the surgery will be effective in YOUR case
    then consider that surgeon. 

    Pt requires a great amount of homework too. And you must interview
    the PT's in your area- some are at best not trained, some are at
    least certified. Most worker's in PT dept.'s are under the
    supervision of a licensed Physical Therapist and are trained to run
    through excersises outlined on a pre-printed sheet. They have zero
    physiological knowledge or training. there are many kinds of PT
    specialities- make sure you ASK Questions about their experience and
    specialisation before committing to a programme or even a full
    appointment. there are many just out of school PT's that set up shop
    with no real world experience. When faced with surgery as an option
    you need an experienced PT. Sports Injurys are not what you have and
    they tend to push one too hard. If you need to get back to the bench
    tell them your livelihood requires your ability to use your shoulder
    to exert pressure in concentrated points on small work pieces and ask
    what therapies they would recommend or plan for that kind of work
    and how long before you see results. The use of Hydrocollator packs
    would be indicated. If they don't have at least that equipment, keep
    looking. Equally if they limit the ultrasound application to a lower
    level than your MD prescribes, again, keep looking. Hospitals are not
    always the best PT departments, nor are Private PT's. It depends on
    the locale in which you live and competition in the area. Be a good
    consumer when it comes to your health and recovery and don't enter
    into a programme you know you will not follow thorugh on. 

    If you have any questions feel free to contact me off Orchid's list.

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