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I'm a 21 almost 22 year old female. I've been suffering from shoulder pain for the past idk 8+ weeks.
Here's how it all started:
I suddenly had a onset of shoulder pain in my left shoulder. It felt like I slept on it funny the night before but it got progressively worse. Stiff, muscle spasms, weakness etc. I went to my PCP and told him what was going on. I'm a ft student and I work part time in a sports bar as a server. I thought it may have been an overuse thing from carrying 10-12lb trays on that arm. He diagnosed me with muscle spasms and sent me on to ortho.
I didn't play around, I went to a shoulder surgeon. He looked at me and suspected a SLAP tear involving the biceps anchor (my biceps tendon isn't stable. It flips and it flops). He suggested we try PT for 4 weeks since it was a new problem. I went to PT with a specialized shoulder therapist. It was terrible. I went 2x a week and ended up having to do isometric contractions since the pain became unbearable and my arm couldn't do more than 3-5 reps without getting tired and sloppy. This agony continues for 3 weeks until my therapist called my surgeon and said we need to do an MRI. He agreed, wrote the script. They wanted to do an athrogram. I said no way to it unless they knock me out. They said no. So I went with a regular MRI - no contrast. Shockingly but I guess not too too surprising since it had its limitations , it came back relatively normal. Except excessive fluid coming from an unknown place.
My doctor was stumped. He believes it's my biceps tendon long head causing all my problems and I'm totally agreeing. That's where my pain is, I get shooting pain into my biceps muscle stopping above my elbow. Weakness with IR and ER, as well as overhead. It just doesn't stay where it needs to. I was ready to do hop skips and backflips to the OR to get it fixed. He wasn't ready to just start cutting at that point. He insisted I take one cortisone injection. He got me right in the coracoid process. I had cortisone flare like no other for 2-3 days. Then I thought I felt okay lol I was wrong increased pain, more episodes of shooting pain into my biceps muscle. Tomorrow will be my two week mark after the shot. I haven't noticed a major difference or much improvement. Some days I'm alright and it's tolerable. Other days I'm ready to chop off my arm
I'm following up 6/13. At my last appointment when I was injected. We agreed therapy stops and I take it easy. Which I have. If the shot works, awesome we're done and move on. If it doesn't, he's saying a biceps tenodesis is my best bet, arthroscopic proceedure and he'd take a look at the RC and labrum while in there. Just to be sure.
For some unknown reason, im the poster child for MRI machines not picking up tears. I had a fully ruptured tendon in my hand that was ripped off the bone and exploded into many many pieces. MRI didn't show it at all. I'm not fully trusting of those scans after that.
Let me put it this way. I'm not afraid of surgery. I am afraid of losing the full potential of my arm (which I have thus far). However, I do not want this surgery. I've read the proceedure, the recovery and about the immobilization. It sounds HORRIBLE. Plus I don't have an exact diagnosis. What if he's not right and it's all done for nothing?
Has anyone had a similar thing? Any input/advise would be greatly appreciated.
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