CrossFit Discussion Board  

Go Back   CrossFit Discussion Board > In Sickness and In Health > Injuries
CrossFit Home Forum Site Rules CrossFit FAQ Search Today's Posts Mark Forums Read

Injuries Chronic & Acute

Reply
 
Thread Tools
Old 11-19-2010, 11:00 AM   #1
Paul Richards
Member Paul Richards is offline
 
Profile:
Join Date: Aug 2009
Location: Colorado Springs  CO
Posts: 31
Choosing a Surgeon for SLAP repair

Not the way I hoped to make a first post, but life is constantly varied ...

I expect I'm going to be put in the position of having to select a surgeon to do SLAP repair on my right shoulder. Have had PT for about 7 weeks on it now with no lasting relief (manual release therapy, dry needling, the usual RC exercises such as LYTP, scapular retraction, etc). MRI was done last week (w/o contrast) and the radiologist report says "extensive" glenoid labral tear, along with a tear of the subscap tendon resulting in dislocation of long head bicep tendon.

PT says given that information there isn't much more they can do, and that to regain CF levels of activity she would go the surgical repair route. I see my GP/DO next tuesday but expect to hear something similar.

So the next step is to set up a consultation with one or more surgeons. I live in Colorado Springs, so I would hope there would be a good selection of Shoulder docs since the OTC training facility is here. I've never been under the knife for anything before so this is new ground to me.

I'll be seeing if there are recommendations from the gym/trainers (we have a bunch of ER docs in our box) but where else do you look? Googling for shoulder slap surgeons brought up a kayaker forum who had a lot of recommendations for practices in Vail CO, but that is about 5-6 hours away. When would you decide going that far is worth the logistical difficulties?

Thoughts?
Thx, -Paul
(55/m/74"/200lb)
  Reply With Quote
Old 11-20-2010, 06:27 AM   #2
Celeste Boyd
Member Celeste Boyd is offline
 
Celeste Boyd's Avatar
 
Profile:
Join Date: Jan 2008
Location: Albuquerque  NM
Posts: 14
Re: Choosing a Surgeon for SLAP repair

Paul,

I just had a full capsule tightening (capsulorrhaphy) along with a labral repair (although I don't think my labral tear was quite as extensive as yours sounds), and I drove about 1.75 hours to have the surgery so that I could have the guy who works on the athletes at Duke University do it. I highly recommend trying to find someone whose practice is almost exclusively geared towards athletes, so if you have a good sports team nearby (even if you have to go as far as Denver), I think it's probably worth it.

All the other surgeons I talked to had a sort of reticence about working on me. They were like "Yeah... I can do it, but I think you'll probably have to lay off lifting weights also." The surgeon that ultimately did it didn't even blink when I told him I wanted to be able to clean and jerk 125 lbs. (as a 130-lb female). He just said "yup, we'll get you back to the gym." Of course, I'm only 3-weeks post-op, so only time will tell if I actually get back to full capacity.

So I guess my advice is just to make sure you feel VERY comfortable with the surgeon's attitudes towards your athletic goals.

Good luck!

Celeste
  Reply With Quote
Old 11-20-2010, 06:40 AM   #3
Brian Strump
Affiliate Brian Strump is offline
 
Brian Strump's Avatar
 
Profile:
Join Date: Sep 2009
Location: Charlotte  NC
Posts: 2,619
Re: Choosing a Surgeon for SLAP repair

Find out the surgeon to the collegiate/pro teams near you.

Also, PM Mike Mallory, I'm not sure where he lives in CO, but deals with alot of athletes, and may be able to help you find your doc.
__________________
Brian Strump, D.C., FMS, NKT
www.crossfitsteelecreek.com/
  Reply With Quote
Old 11-20-2010, 09:22 AM   #4
Darla Powell
Member Darla Powell is offline
 
Darla Powell's Avatar
 
Profile:
Join Date: Jun 2010
Location: Miami  FL
Posts: 611
Re: Choosing a Surgeon for SLAP repair

I feel your pain. I also have a SLAP. Good luck!
  Reply With Quote
Old 11-20-2010, 09:42 AM   #5
Steven Low
Member Steven Low is offline
 
Steven Low's Avatar
 
Profile:
Join Date: Sep 2005
Location: silver spring  maryland
Posts: 12,221
Re: Choosing a Surgeon for SLAP repair

Find someone who works exclusively with shoulders..... and preferably someone who works with athletes.

You want guys who pretty much know EVERYTHING about what they are doing as they only work on one part of the body, and obviously someone who is going to be geared towards getting you back to exercise.

That's the 2 things I would look for.

Hit up MIke he's out of CO so he should know some people
__________________
Posts are NOT medical, training, nutrition info
Bodyweight Article, Overcoming Gravity Book
  Reply With Quote
Old 11-20-2010, 06:41 PM   #6
Derek Murrow
Member Derek Murrow is offline
 
Profile:
Join Date: Sep 2007
Location: Denver  Colorado
Posts: 13
Re: Choosing a Surgeon for SLAP repair

Quote:
Originally Posted by Paul Richards View Post
Not the way I hoped to make a first post, but life is constantly varied ...

I expect I'm going to be put in the position of having to select a surgeon to do SLAP repair on my right shoulder. Have had PT for about 7 weeks on it now with no lasting relief (manual release therapy, dry needling, the usual RC exercises such as LYTP, scapular retraction, etc). MRI was done last week (w/o contrast) and the radiologist report says "extensive" glenoid labral tear, along with a tear of the subscap tendon resulting in dislocation of long head bicep tendon.

PT says given that information there isn't much more they can do, and that to regain CF levels of activity she would go the surgical repair route. I see my GP/DO next tuesday but expect to hear something similar.

So the next step is to set up a consultation with one or more surgeons. I live in Colorado Springs, so I would hope there would be a good selection of Shoulder docs since the OTC training facility is here. I've never been under the knife for anything before so this is new ground to me.

I'll be seeing if there are recommendations from the gym/trainers (we have a bunch of ER docs in our box) but where else do you look? Googling for shoulder slap surgeons brought up a kayaker forum who had a lot of recommendations for practices in Vail CO, but that is about 5-6 hours away. When would you decide going that far is worth the logistical difficulties?

Thoughts?
Thx, -Paul
(55/m/74"/200lb)
Paul,

First off, sorry to hear about your injury. Ironically, I live just north of you in Denver, Colorado and am only 5 days removed from my Labrum repair (Latajet procedure). I had originally injured my left shoulder a few years ago in a wakeboarding accident. I have subsequently dislocated my shoulder 10 to 12 times on non impact movements. I am an extremely active crossfitter at FRFC in Denver. I had originally hoped that I could strengthen my shoulder through crossfitting, however it continued to act up even with specific exercises. Anyways, I decided to get my shoulder repaired by Dr. Thomas Hackett at the Steadman Clinic. He is a shoulder specialist and operates almost exclusively on athletes. My injury was unique because I had multiple tears in my labrum as well as chipped shoulder socket due to the multiple dislocations. I went in for surgery this past Monday. He cut about a 3" incision, repaired the labrum and did a bone graft to my shoulder.

I recieved three separate opinions and felt by far the most comfortable with Dr. Hackett and the Steadman Clinic.

The first week post surgery has sucked. I took off the entire week from work and I have to wear a sling 24x7. I have been on a pretty heavy dose of pain meds due to the pain.

Expected recovery is 4 to 6 months.

Feel free to give me a call if you have any questions. 303-815-4106.
  Reply With Quote
Old 11-20-2010, 07:00 PM   #7
Katherine Derbyshire
Member Katherine Derbyshire is offline
 
Profile:
Join Date: Jan 2009
Location: Seattle  WA
Posts: 7,596
Re: Choosing a Surgeon for SLAP repair

Strongly second the advice to find a shoulder specialist who works on athletes. The general population is in such miserable shape that they've redefined "normal" strength, ROM, etc. to something that most athletes will find barely adequate. You want someone whose post-op goals match yours.

Katherine
  Reply With Quote
Old 11-21-2010, 08:30 PM   #8
Paul Richards
Member Paul Richards is offline
 
Profile:
Join Date: Aug 2009
Location: Colorado Springs  CO
Posts: 31
Re: Choosing a Surgeon for SLAP repair

Thanks folks for the replies. I've continued researching and the Steadman clinic seems to get a lot of positive responses. One name mentioned was Dr. Millette, who apparently splits time between the clinic and a professorial position with Harvard's medical school. I havn't yet corresponded with anyone yet who had him work on their shoulder. At least he's on my insurance company's preferred list

I guess part of the reason for my post was to find out if choosing the "best" surgeon you can find is important enough to warrant a long trip to work with them (and then all the logistical issues of followup during the long recovery).

I'm really of the mindset that I want
  1. To do this right the first time
  2. To be able to continue in CF and gymnastics strengthening

I've also received (via a surgical asssistant I know) a recommendation for someone in town who has a reputation as a shoulder specialist. Besides asking for confirmation I can resume athletic activity during a consult with an orthopedist, what else would be essential questions to ask? Is age a significant consideration? (The PT said I was in ideal shape for doing the surgery, unfortunately that will diminish quickly during the immobilization I hear is needed during recovery.)

Again, thanks for the replies
-Paul
  Reply With Quote
Old 11-21-2010, 11:27 PM   #9
Steven Low
Member Steven Low is offline
 
Steven Low's Avatar
 
Profile:
Join Date: Sep 2005
Location: silver spring  maryland
Posts: 12,221
Re: Choosing a Surgeon for SLAP repair

A lot depends on the extent of the damage... MRI even with constrast can be imprecise since they're taking cuts. There may be more or less damage when they actually get in there arthroscopically which may prolong or quicken your recovery times.

As for questions msot of the rehab stuff you would probably be better off asking a physical therapist who will be working with you after the surgery.

For the surgery just anything you can really think of.... estimated time of recovery, doing other exercises with other shoudler, legs, etc while healing, strengthen/etc. pre surgery, and so on
__________________
Posts are NOT medical, training, nutrition info
Bodyweight Article, Overcoming Gravity Book
  Reply With Quote
Old 11-22-2010, 11:53 AM   #10
Barry Leventhal
Member Barry Leventhal is offline
 
Profile:
Join Date: Jun 2009
Location: Hasbrouck Heights  NJ
Posts: 22
Re: Choosing a Surgeon for SLAP repair

Listen to MD post surgery. I had a labral repair 7 months ago, was in PT for 5 months. I did exercises religiously. I also was in decent condition pre op. Actually swam morning of surgery and stationary biked day after. Conditioning helps. Be patient, progess does come. I am almost 100 %, hope to be back to pullups by Feb. Able to swim and lift moderately.
  Reply With Quote
Reply


Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

vB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Forum Jump

Similar Threads
Thread Thread Starter Forum Replies Last Post
Should I do SLAP surgery? Bill Rogers Injuries 16 07-21-2010 01:57 PM
CF after Meniscus repair Stephanie Vincent Injuries 10 05-07-2010 07:19 PM
Type 2 SLAP tear Christopher Cote Injuries 1 07-31-2009 11:15 AM
SLAP Tear pain Joseph DeFord Injuries 1 11-13-2007 10:02 AM
SLAP tear Greg Battaglia Injuries 7 09-20-2006 01:36 PM


All times are GMT -7. The time now is 08:40 AM.


Powered by vBulletin® Version 3.6.8
Copyright ©2000 - 2019, Jelsoft Enterprises Ltd.
CrossFit is a registered trademark of CrossFit Inc.