I saw the orthopedist this morning. First I filled out a form, which included a lot of questions about things like levels of pain and what I can and can't do with the shoulder, including a couple to which the real answer was "I don't know, I'm not stupid enough to have tried it/that's not how I'd lift a gallon of milk," but seemed basically sensible and relevant. I was pleased to be looking at a form that asked about my regular exercise and write "walking and weightlifting." Then I talked to a physician's assistant, who asked more sensible questions (and remembered
catelin when I mentioned where I'd heard about Dr. McCann), and then to the orthopedist.
He looked at the films briefly, I think, but paid more attention to the results of examining me (can I raise my arm straight up, does it hurt when he moves it like this, that sort of thing), my answers to his questions, and the MRI report. He is fairly sure it is tendonitis of a particular part of the shoulder, commonly known as bursitis. One thing I liked was that he asked me what bothered me most about the shoulder problem; I thought about it a little, and said it's the curtailment of activity, both things I haven't been doing--lifting weights in particular--and the need to stop and think and use my left hand instead of my right.
The next step is physical therapy. Dr. McCann said that I should allow six weeks of PT before concluding that it has or hasn't done the job. He said that it clears up 70% of cases. Having been out all day, I probably can't do much toward that until Monday--my GP is closed on weekends--though if anyone has recommendations for a physical therapist in New York City, please let me know. I do, however, also have a sheet of exercises that I can do as soon as I like. I can also go back to the gym, with the caveats that I should avoid exercises that raise that arm above the shoulder, and that if something hurts the shoulder, I should stop. I forgot to ask about the leg presses, which have some weight pressing down on the shoulder; more research may be called for, or the physical therapist, when I find/select one, may know.
If the PT doesn't work, I go back to Dr. McCann for a cortisone shot. If that doesn't work either, we can discuss arthroscopic surgery.
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He looked at the films briefly, I think, but paid more attention to the results of examining me (can I raise my arm straight up, does it hurt when he moves it like this, that sort of thing), my answers to his questions, and the MRI report. He is fairly sure it is tendonitis of a particular part of the shoulder, commonly known as bursitis. One thing I liked was that he asked me what bothered me most about the shoulder problem; I thought about it a little, and said it's the curtailment of activity, both things I haven't been doing--lifting weights in particular--and the need to stop and think and use my left hand instead of my right.
The next step is physical therapy. Dr. McCann said that I should allow six weeks of PT before concluding that it has or hasn't done the job. He said that it clears up 70% of cases. Having been out all day, I probably can't do much toward that until Monday--my GP is closed on weekends--though if anyone has recommendations for a physical therapist in New York City, please let me know. I do, however, also have a sheet of exercises that I can do as soon as I like. I can also go back to the gym, with the caveats that I should avoid exercises that raise that arm above the shoulder, and that if something hurts the shoulder, I should stop. I forgot to ask about the leg presses, which have some weight pressing down on the shoulder; more research may be called for, or the physical therapist, when I find/select one, may know.
If the PT doesn't work, I go back to Dr. McCann for a cortisone shot. If that doesn't work either, we can discuss arthroscopic surgery.