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Mar 21 2024 05:00pm
Quote (Greater @ Mar 21 2024 04:23pm)
She’s the man. 10/10 movie. Watched it at a bar oddly.


cant tell you how many times ive whisper said to my friend "you looked so serene"
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Mar 21 2024 05:21pm
Quote (JessiWan @ Mar 21 2024 05:56pm)
Really? What kind of doctor are you?


internal medicine
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Mar 21 2024 05:30pm
Quote (Bazi @ Mar 21 2024 04:21pm)
internal medicine


*scratches head*

What's that? I am guessing you are not a family doctor?
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Mar 21 2024 05:36pm
Quote (JessiWan @ Mar 21 2024 07:30pm)
*scratches head*

What's that? I am guessing you are not a family doctor?


It's like the opposite of a dermatologist. They hate anything that's on the outside.
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Mar 21 2024 05:57pm
Quote (JessiWan @ Mar 21 2024 06:30pm)
*scratches head*

What's that? I am guessing you are not a family doctor?


Similar to family but I don’t do kids

Adults only and problems that are a little more complex for family med


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Mar 21 2024 06:00pm
Quote (Bazi @ Mar 21 2024 04:57pm)
Similar to family but I don’t do kids

Adults only and problems that are a little more complex for family med


You must be one smart cookie.
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Mar 21 2024 06:06pm
Quote (Bazi @ 21 Mar 2024 17:54)
Physician here and also prone to rotator cuff issues for the last decade

Started after a rock climbing fall and worsened from tennis which I’ve played for a couple decades

If you can abduct it (raise your hand) even with pain , then fortunately it’s unlikely you have a complete tear

Incomplete tears take time to heal

First step after initial injury is seeing PT to determine which specific rotator cuff muscle is affected

Then you can target exercises to strengthen this muscle during your recovery process

Surgery is only for full thickness tears or shoulder instability, but a little bit of PT goes a LONG way

Goodluck


Okay that is kind of reassuring. What’s the range of time PT usually takes to heal it and will it be 100% afterwards? Basically if you’ve got an athlete with a tear as you described they wouldn’t go for surgery given the future excessive use?
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Mar 21 2024 06:17pm
Quote (Greater @ Mar 21 2024 07:06pm)
Okay that is kind of reassuring. What’s the range of time PT usually takes to heal it and will it be 100% afterwards? Basically if you’ve got an athlete with a tear as you described they wouldn’t go for surgery given the future excessive use?


The goal of PT is to isolate what specific muscle is affected, there are 4 that make up your rotator cuff

Then to target exercises to said muscle

PT itself you only need 2-4 sessions , and then you will be able to do the exercises on your own

Months is the timeframe for recovery

You can go back to 100% but that specific muscle will be injury prone and it’s something you’ll just have to adjust to - you will be able to tell when you’re pushing it with given exercises

Allowing healing time is important though because I’ll give u a tldr of what I did

Multiple rotator cuff tears in college years
Didn’t allow proper recovery , played tennis a few seasons with a jacked rotator and just played through the pain

Ended up having a fall, dislocating shoulder , and tearing labrum

Labrum tear is the consequence of a bad rotator cuff and when this happens then you’re really prone to shoulder problems. You can have a labrum tear even with a normal rotator cuff if the trauma is significant enough , and when this happens it’s usually accompanied with a tear in 1-2 of your rotator cuff muscles. It’s a piece of cartilage that helps keep your shoulder in place. It doesn’t heal like broken muscle does , it isn’t very vascular.

Fortunately my tear is very mild and hasn’t caused major issues. I have rotator cuff work outs in my exercise regiment that I am religious about. This has helped me avoid more problems , have been doing them regularly for 5 years now

If you have a labrum tear that is severe where it can’t scar tissue heal back , then you will be prone to shoulder instability , and it will require surgery. If you have a full thickness rotator cuff tear , depending on the muscle , those sometimes require surgery .

Other wise it’s PT PT PT

This post was edited by Bazi on Mar 21 2024 06:20pm
Mar 21 2024 06:40pm
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