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Old 01-20-2012, 11:48 AM   #11
Steven Low
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Re: Yet another AC joint inflammation thread

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Originally Posted by Sean Rockett View Post
Hi guys I am new to posting here but I am an orthopedic surgeon and do see a lot of AC joint issues. One thing not mentioned is a SLAP tear and it can look and smell a lot like AC joint issues. I have seen some people at the time of surgery who have a SLAP in their shoulder when I and everyone else thought it was an AC joint issue. Sean
This is true...

O'brien's test is in horizontal adduction like the AC joint compression test.

However, the MRI seemed clean on glenoid and labrum (although who knows if they used contrast or not). So it seems like it's probably not a SLAP. But there is a lot consistent with a SLAP.

Re MRI:

"The proximal long head of the biceps tendon appears intact. The glenoid and its labrum appear unremarkable and there is no evidence of Hill-Sachs or Bankart lesion."
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Old 01-20-2012, 11:51 AM   #12
Josh Pasternak
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Re: Yet another AC joint inflammation thread

Arturo, I appreciate the post. Thanks for taking the time to write that up and enlightening me on your experience. Every symptom that you described is something I've been going through on each shoulder. I too work on my computer for hours at a time and now that you bring it up, I remember it causing discomfort after realizing I was hurt. I was definitely positioned in a similar way to what you describe and that's something that started when I moved to a new apartment earlier in 2011. It's tough to say if that was a cause for all this, but I'm sure it didn't help.

I plan on getting back in the gym these next few days and doing some really light work to see how my shoulder reacts. It's been three months so it's worth a shot. I'm also going to set an appointment with another specialist for a second opinion.

On to Sean, I reeeaaally hope it's not a SLAP tear as that would really make surgery and recovery a far more difficult process. The MRI report seems pretty certain that it's intact, but that's definitely one of the reasons I'm seeking out a second opinion on the matter.
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Old 01-20-2012, 12:59 PM   #13
Arturo Garcia
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Re: Yet another AC joint inflammation thread

No problem man. Just letting you know that this particular surgery seems to be rather easy; recovery seems short, and strength/ROM seems to be fully recovered by pretty much anyone who gets it done. I know I did, and from most of my findings, almost everyone does. So it doesn't limit you afterwards.

I am not, however, implying you SHOULD go out and have surgery. If you could by all means get better without it.... then please, go that way. The problem... from what I understood, is that once the cartilage between the Acromion and the Clavicle is "worn out"..... it just ain't gonna fix itself. I seem to recall reading that cartilage would NOT re-grow or repair itself. Again, I could be wrong. Since this joint has relatively little movement.... when the surgery shaves the bones a bit, scar tissue is formed and acts as cartilage. This is how I understood it back then but I could be all wrong, so listen to your doctors. Just sharing what I went through.

By the way, I could do chin-ups with no pain, but couldn't do a push-up without.
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Old 01-20-2012, 01:25 PM   #14
Shane Musgrave
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Re: Yet another AC joint inflammation thread

WOW this sounds exactly like me. I hurt my shoulder a little over a year ago doing the overhead press…I think. But I went to a PT and I forget what they told me the problem could be but I had to tape my shoulder back for a few weeks and I had an exercise to do. I did the exercise because it was to help with moment but really did not seem to help with the pain.
I also went to the Chiropractor and they would “reset my shoulder” sometimes it would help other times not.

The pain started to go away and I was feeling better then I hurt my shoulder at work (should have gone to the Doctors but I guess I was dumb) a few months later the pain started to go away again.

For the most part I have chronic pain in my shoulder all the time. I am starting to notice pain in my right shoulder now but I think that is from compensation while working out and from sleeping on the one side all the time.

Initially I took a break from all upper body workouts for a few months until my shoulder got better. I started again slow and with light weights. The pain initially was a 9 out of 10 to lift my arm higher than my shoulder but now it is at about a 2 or 3 all the time even without doing anything. I have not had an MRI done but I think that will be my next step.

I also don’t want to have surgery done (which I think is what will happen) because I have had knee surgery and well it took really a year or more before I could not feel any knee pain and not being able to move part of your body being an active person is a terrible experience.

I know this does not help your problem but just to let you know you are not the only one with a similar problem/dilemma.
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Old 01-20-2012, 01:48 PM   #15
Sean Rockett
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Re: Yet another AC joint inflammation thread

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Originally Posted by Steven Low View Post
This is true...

O'brien's test is in horizontal adduction like the AC joint compression test.

However, the MRI seemed clean on glenoid and labrum (although who knows if they used contrast or not). So it seems like it's probably not a SLAP. But there is a lot consistent with a SLAP.

Re MRI:

"The proximal long head of the biceps tendon appears intact. The glenoid and its labrum appear unremarkable and there is no evidence of Hill-Sachs or Bankart lesion."
In his post he said contrast was not given at MRI, so I would not exclude SLAP.
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Old 01-20-2012, 05:01 PM   #16
Steven Low
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Re: Yet another AC joint inflammation thread

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Originally Posted by Sean Rockett View Post
In his post he said contrast was not given at MRI, so I would not exclude SLAP.
Ah, oops, I glossed over that -_-

I would agree then.

Regardless, OP get yourself to PT to see if conservative treatment would help.

There are some newer tests that have some validity for SLAP so depending on your PT they could assess for that as well
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Old 03-21-2012, 12:56 PM   #17
Galen Godbey
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Re: Yet another AC joint inflammation thread

Sounding off on this thread again. I've had almost a mirrored experience - pain during bench press, continued (ignorant) training for a time being, and chronic pain in or around the ac joint. I too had an MRI an a number of X-rays, a couple of cortisone injections and conservative pt therapy (iontophoresis and ultrasound). The MRI said a number of things : adema on distal clavicle, rotator cuff tendonopathy, grade 1 ac join separation, and partial labral tear. I took my films to a shoulder specialist and planned on the worst - surgery. However, he prescribed the pt and conservative route. In fact, he saw no issue whatsoever with the labrum. In the meantime I very slowly started strength training again. Light pressing, modified pushups and etc. I'm three weeks removed from having been officially "released" to resume normal training - as tolerated. There have pain free periods. But it seems that anytime I do a version of horizontal pushing, the acute pain returns for a few days. Frustrating, to say the least. Has anyone here had success since posting here?
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Old 05-29-2014, 01:47 PM   #18
Alastair Bland
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Re: Yet another AC joint inflammation thread

Hi Josh (original poster) - How is the shoulder? I found your thread here and it sounds a bit like my ordeal. I injured my right shoulder (felt a "ping" and burning pain in the hours and days later) at the top of a pushup. It never got better. That was a year ago. Pain has become chronic, with an irritating snapping feeling often occurring as I "set" my shoulders back into correct posture. I no longer work out, in fact. I also have developed some left shoulder issues in the time since my injury. MRI says I have a partial subscapularis tear (in the right shoulder). Surgeons have all been uncertain about the need for surgery. PT has failed.

So, how have you fared? I'm curious as to whether chronic pain issues can resolve themselves. Please share if you will.

Thanks. Best,
Alastair
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Old 05-30-2014, 10:26 AM   #19
Matt A. Windsor
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Re: Yet another AC joint inflammation thread

Not sure who all has posted, but I've had no less than 3 surgeries for the AC joint inflammation.

2007 - subacromial decompression on my left shoulder - due to some bone spurs and the like, I had a *LOT* of scar tissue.

2008 - same thing on the right - had even more scar tissue

2012 - revision of the 2007 surgery by someone who actually knew what they were doing.

Suffice to say that my shoulders hurt not at all and are actually my strong point. Current maxes:

Bench press - 245#
D/L - 405#
CJ - 205
Shoulder press - 175 (static)
Jerk - 245#

Suffice to say that not only do I not regret my surgeries, but I'd do it again if necessary.
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