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Reverse Shoulder Replacement
Posted on 10/21/24 at 11:34 am
Posted on 10/21/24 at 11:34 am
How many OT’ers have had to go through this?
Two regular replacements done in ‘13 and ‘17. No dislocations for 11 yrs.
Get the left redone for what I believe was rotator cuff tear in the tendon they cut/resewed for the replacement surgery. New ortho devides to go with a reverse. Says it’s the best fix.
(And it’s only $118K more than my previous normal replacement!)
Had the reverse replacement done in Sept ‘23. To date I have now had FOUR dislocations with the reverse, the latest from merely reaching down and picking up my 8 lb pooch. I don’t know if at this point I should consider some type of legal action ( If that’s even possible) or just twist my surgeons arm until his pops out so he also can experience the joy of having a shoulder dislocation.
In the words of Larry David I’m “ pretty, pretty, ….PRETTY pissed off at this stage of the game. “
Two regular replacements done in ‘13 and ‘17. No dislocations for 11 yrs.
Get the left redone for what I believe was rotator cuff tear in the tendon they cut/resewed for the replacement surgery. New ortho devides to go with a reverse. Says it’s the best fix.
(And it’s only $118K more than my previous normal replacement!)
Had the reverse replacement done in Sept ‘23. To date I have now had FOUR dislocations with the reverse, the latest from merely reaching down and picking up my 8 lb pooch. I don’t know if at this point I should consider some type of legal action ( If that’s even possible) or just twist my surgeons arm until his pops out so he also can experience the joy of having a shoulder dislocation.
In the words of Larry David I’m “ pretty, pretty, ….PRETTY pissed off at this stage of the game. “
Posted on 10/21/24 at 11:57 am to AUTimbo
quote:
Two regular replacements done in ‘13 and ‘17.
The hell are you doing to have 2 shoulder replacements in 4 years?
quote:
Get the left redone for what I believe was rotator cuff tear in the tendon
What? So you're hopping into surgery without knowing your diagnosis?
quote:
Reverse Shoulder Replacement
Sounds like they put a bad shoulder into a good shoulder. Is that what reverse means?
In all seriousness, you're post op sounds horrendous and you're not taking physical therapy. You doing anything to strengthen your muscles and tendons?
Posted on 10/21/24 at 12:01 pm to AUTimbo
To a surgeon, the solution to every problem is surgery. I’m going to have to be really bad off to have it based on some of what i’ve heard.
Posted on 10/21/24 at 12:06 pm to Rick9Plus
quote:
To a surgeon, the solution to every problem is surgery
I've had both shoulders done(rotator,) same surgeon, and he wanted to try everything he could to see if surgery could be avoided
Posted on 10/21/24 at 12:08 pm to 777Tiger
quote:
I've had both shoulders done(rotator,) same surgeon, and he wanted to try everything he could to see if surgery could be avoided
Good to know there are good ones out there.
Posted on 10/21/24 at 12:10 pm to 777Tiger
quote:
To a surgeon, the solution to every problem is surgery
quote:
I've had both shoulders done(rotator,) same surgeon, and he wanted to try everything he could to see if surgery could be avoided
same here (except one one shoulder)
I suffered for almost 12 years of gradually worsening pain and had to find a shoulder specialist before they did the surgery.
Posted on 10/21/24 at 12:13 pm to Nutriaitch
quote:
12 years of gradually worsening pain and had to find a shoulder specialist before they did the surgery.
that was my mistake/regret on the first one, putting it off too long
Posted on 10/21/24 at 12:14 pm to Nutriaitch
Did the surgeries relieve the pain and give you back range of motion? It seems from my experience that it’s a crapshoot. Some say they are worse after surgery and some say better. I would imagine it depends a lot on the surgeon as well as whether the patient does all the recommended PT.
Posted on 10/21/24 at 12:27 pm to Rick9Plus
PT for shoulder surgery is key.
Posted on 10/21/24 at 12:28 pm to rd280z
quote:
PT for shoulder surgery is key.
before and after
Posted on 10/21/24 at 12:36 pm to Rick9Plus
Did all the recommended PT and then some for all of them. Should have specified had rt done in ‘13, left in’17. Left redone in ‘23 (reverse)
Severe arthritic issues in both. Rotator cuff tears in both.
Bowhunted every year with no issues until pain in left from rotator issues sent me back to new Dr at same Ortho clinic.
60 plus, in reasonably good health but this is not what I signed up for. In other words anyone contemplating a reverse shoulder replacement, IMHO, should haul arse to a new orthopedic surgeon and get a second and third opinion at the very least.
JMHO
Severe arthritic issues in both. Rotator cuff tears in both.
Bowhunted every year with no issues until pain in left from rotator issues sent me back to new Dr at same Ortho clinic.
60 plus, in reasonably good health but this is not what I signed up for. In other words anyone contemplating a reverse shoulder replacement, IMHO, should haul arse to a new orthopedic surgeon and get a second and third opinion at the very least.
JMHO
Posted on 10/21/24 at 12:38 pm to Rick9Plus
quote:
Did the surgeries relieve the pain
yes!
I'm not 100% pain free all the time of course. I still feel it a day or 2 before a big weather change or if I overuse it a bit, etc.
But the level of pain is minuscule compared to where I was.
quote:
range of motion?
no, that actually is worse.
before the surgery, I was capable of moving it anywhere I wanted (as long as I could tolerate the pain).
post surgery, my arm just physically no longer moves as far as it once did.
my right shoulder is the one I had surgery on. I can no longer reach across my chest to scratch the upper part of my left shoulder/back. I can no longer quite lift my right arm straight up let alone a little beyond like I could before.
It's not a huge difference, but still a difference that I notice.
quote:
Some say they are worse after surgery and some say better. I would imagine it depends a lot on the surgeon as well as whether the patient does all the recommended PT.
a couple weeks or so after the surgery I got basically a cortisone shot (forget what they actually called it) to soften up some scar tissue.
that helped a LOT with mobility.
before that, it literally felt like there was something physically stopping me from lifting my arm slightly above shoulder height.
It didn't hurt to try to lift it, and I didn't feel like I was stretching beyond limits or anything. The arm just stopped going up and felt like there was a barrier in the shoulder preventing it from going farther (tough to describe the feeling exactly).
Posted on 10/21/24 at 12:47 pm to 777Tiger
quote:
that was my mistake/regret on the first one, putting it off too long
my issue was finding the problem.
2 different general partitioners, and 3 different orthopedics told me there was no physical damage.
Tried the PT route a couple times and that actually made it worse so I stopped going.
Even tried some new fancy laser therapy type shite at a chiropractor that did absolutely nothing but lighten my wallet.
then I found a specialist that studied under Dr. James Andrews
with is physical examination, he was able to damn near perfectly identify my issue.
did an MRI with the contrast dye to confirm.
he did offer a more specific PT to cater more closely toward my exact injury, but said at my age (was early/mid 40s) and as long as the injury had been there, said it was a crap shoot if it would help. So they went in a fixed it.
Torn labrum (SLAP tear), frayed rotator cuff, ruptured bicep tendon, and bone spurs.
so I now have 7 anchors on my shoulder.
fricked up thing is if it had been properly found earlier on, would likely have just been the torn labrum.
the bone spurs were my body's reaction to the tear, which likely frayed the rotator cuff
then me adjusting how I moved and did things to compensate for the pain likely ruptured the tendon. and I probably did it after the MRI, because he saw no evidence of it on the MRI (probably doing house repairs after Ida).
Posted on 10/21/24 at 12:51 pm to 777Tiger
quote:
PT for shoulder surgery is key.
quote:
before and after
that and if they offer to sell you one of those little machine cooler/ice harness strap type things, BUY IT!
freaking AMAZING invention.
Insurance covers most of it. I think I paid like $150 out of pocket for it. But knowing what I know now, I would have paid full price (something like $2,500 if I remember right) if I had to.
Posted on 10/21/24 at 12:51 pm to AUTimbo
Sorry to hear that.
I had a complete shoulder re-build in 1984, that included the creation of a fake rotator cuff. Luckily, I have had zero issues in the 40 years since.
I had a complete shoulder re-build in 1984, that included the creation of a fake rotator cuff. Luckily, I have had zero issues in the 40 years since.
Posted on 10/21/24 at 1:51 pm to Nutriaitch
Listen to Nutriaitch. I had the reverse done in 2021. It's as he's stated. It is functional but loss of range of motion, not as strong(cant use vertical bow), cant put arm fully behind back, but no pain cept weather changes, no dislocations.
I used Martin DeGravelle in Monroe La. I highly recommend him. He's done and closing in 14 minutes.
LINK
I used Martin DeGravelle in Monroe La. I highly recommend him. He's done and closing in 14 minutes.
LINK
Posted on 10/21/24 at 1:56 pm to AUTimbo
Make sure you ask for a nerve block. You should get anywhere from 24-48 hours of pain relief with one.
Posted on 10/21/24 at 1:58 pm to Asleepinthecove
quote:
Make sure you ask for a nerve block
pretty sure this is standard now but absolutely do this
Posted on 10/21/24 at 2:03 pm to AUTimbo
the point of a reverse shoulder replacement is to salvage as much use of your arm as possible. it is known that ROM outcomes with reverse shoulder replacements are less than total shoulder replacements. reverse shoulder replacements are done if you also have a rotator cuff tear or if you also have a humerus fracture in addition to arthritic changes.
a reverse total shoulder takes the socket portion of your shoulder blade and changes it to a ball and the ball portion of your humerus and changes it to a socket.
having that many dislocations is abnormal. you are either doing more than you claim you are, the surgeon sucked OR the surgeon did the best they could with what they had left to work with.
a reverse total shoulder takes the socket portion of your shoulder blade and changes it to a ball and the ball portion of your humerus and changes it to a socket.
having that many dislocations is abnormal. you are either doing more than you claim you are, the surgeon sucked OR the surgeon did the best they could with what they had left to work with.
Posted on 10/21/24 at 2:47 pm to boudinman
quote:
I used Martin DeGravelle in Monroe La. I highly recommend him
if you're in southern Louisiana, I used Dr. Geoffrey Stone out of Houma/Thibodaux.
highly recommend him as well.
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