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beecee

So, I Had An Mri Done On My Shoulder & Back, Need Some Advice.

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Hi guys,

I had an MRI done on my shoulder & back last night and I've got the results, Imgur link here

I
 had someone dumb it down on reddits explainlikeim5 which I'll quote at the end, but I was wondering if you guys had anything else to add, any advice on how to proceed, do I need surgery, rehabilitation, rest

Any and all help appreciated

beecee

 

Lawyer here. I have to figure stuff like this out to explain to clients a lot. Not saying this is right, but:

No joint effusion = no swelling in the right shoulder. Osteochondral disease is a torn or fractured piece of cartilage, in this case on the end point (head) of the humerus or upper arm bone, which makes the doctor think there was a traumatic injury (versus long term degenerative change causing it). Was your dad in a car wreck, tightly holding the wheel, or maybe did he fall from some height and brace himself? This could also be a sports injury. Although he's got evidence of recent trauma, he does also have early degenerative changes (arthritis) in the areas around the acromion, which is the tip end of the bone that meets the clavicle or collar bone, from the rear (in other words the pointy bit you can see on your shoulder).

He also has a torn rotator cuff and inflammation of the tendons surrounding it, and a possibly torn biceps tendon. He has no loose cartilage floating around in the joint, however.

Bottom line re: the shouder is that he needs rotator cuff and probably upper biceps tendon repair surgery.

I am on firmer ground with the low back since I see this more often. His spinal column is fine with no constriction around the spinal cord. However, in the joint between the third and fourth lumbar vertebrae (L3-4) he has a disk bulge, as well as early arthritic change and disk desiccation or drying out. Your lumbar disks are like shock absorbers that maintain the space between your boney vertebrae and thus keep the nerve endings and spinal cord protected. Your dad's shock absorbers are somewhat less bouncy and may have a partial tear.

The L4-5 vertebrae, which is the next one down, is in similar shape and he also has some nerve root canal narrowing (foramen = hole, as in the hole in the vertebrae the nerve root passes in). This is likely to cause numbness, tingling and shooting pain down one of his legs.

L5-S1 is a key level for bowel, bladder and sexual function and he's in good shape there. He does have some early arthritis on the rear of his spinal column but his main spinal canal is not being constricted.

Short version: your dad needs reconstructive shoulder surgery and is likely experiencing shooting pains or numbness/tingling into one or both of his legs. He should see a shoulder specialist about the shoulder procedure, which needs to be done. He would probably be well advised to avoid lumber spine surgery if at all possible, but may benefit from "conservative care" including epidural steroid injections which will diminish the muscle spasming around his reduced-capacity lumbar "shocks" and which could significantly alleviate his pain.

Tl; dr: Dad probably needs shoulder surgery but should avoid low back surgery if at all possible.

 

 

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Looks like the tl;dr sums it up.  Rehab will be prescribed for post surgery.

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I will be using our glorious public health system , so I could be waiting 6months just to get an appointment , plus I've not trained properly in over 3 months , just hoping there was something I could be doing , or get a head start in some type of physio .

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If your shoulder is messed up, you don't want to do anything that's going to make the problem worse.  Anything that causes more pain is a no brainer, can't do it.

 

It might be worth seeing a physio just to get some advice on it.  There might be some ways to work around it or to help the general area, but not being a doctor or trained in such matters it would be reckless of me to suggest anything--particularly with the MRI results in question.  6 months without anything is a long time, but you might not be able to "train properly" until everything is put back together again.

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I'll have to turn into a cardio king :)

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A good physiotherapist will be able to help you. Surgery should be the most final intervention.

 

Surgery is complicated, after surgery also. Conservative treatment might be a better option. It's best to ask a good Physio when it comes to problems about the musculoskeletal system (bones and muscles related)

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Mant thanks for that .

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