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Doctor insights on: Subacromial Decompression Mumford

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Glenohumeral joint debridement,microfracture,anterior labrum repair,subacromial bursectomy decompression.5mos physio Why ROM restricted above shoulder?

Glenohumeral joint debridement,microfracture,anterior labrum repair,subacromial bursectomy decompression.5mos physio Why ROM restricted above shoulder?

Very common in your-: -age group. it takes a lot of therapy above and beyond your formal sessions to gain the notion. daily passive 2-3 times a day which requires a partner. you do what the PT protocol says to do but much more intense at home. in the long run most everyone looses ,motion after surgery. the first 2-3 months are the most important ...Read more

Decompression (Definition)

Decompression (surgery), a procedure used to treat spinal stenosis (in spinal decompression), carotid artery stenosis or any condition where a ...Read more


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Post fusion 2009: now l4-5 right facet joint arthrosis, severe neural foriminal stenosis with some compression. Surgery needed?

Post fusion 2009: now l4-5 right facet joint arthrosis, severe neural foriminal stenosis with some compression.  Surgery needed?

Need for 2nd O.R.: Adjacent level changes are common after fusion surgery. Conservative treatment is still warranted like therapy, body mechanics, and facet ( joint) injections, but surgery may be an appropriate option at the appropriate time. ...Read more

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What are the pros/cons of a 3 level cervical laminectomy w/o fusion vs a keyhole endoscopic decompression for stenosis(disc &spurs compressing nerves?

What are the pros/cons of a 3 level cervical laminectomy w/o fusion vs a keyhole endoscopic decompression for stenosis(disc &spurs compressing nerves?

Complex: It is a little complex to fully discuss in such a forum; but a for amounting would be appropriate if you are just having symptoms of foraminal stenosis causing pain in the arm, where a laminectomy may be needed if you have problems related to central cord compression. Definitely would need to discuss face to face with your surgeon. ...Read more

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Ok, had facet joint injections-thoaracic, after epidurals failed...What is next pain management 4 thoracic spine 6 bulgd disc, help?

Ok, had facet joint injections-thoaracic, after epidurals failed...What is next pain management 4 thoracic spine 6 bulgd disc, help?

You may need: radiofrequency ablation and even things like platelet rich plasma, prolotherapy or even stem cell therapies. Try to find a physician that does all of these to get the most options for treatment for you. ...Read more

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S/P rotator cuff debride/AC joint decomp.: 7/14. Not improving w/wkly PT and cortisone inject. MRI arthrogram 2 Dec.= 8x6mm Supraspina tear. Surgery?

S/P rotator cuff debride/AC joint decomp.: 7/14. Not improving w/wkly PT and cortisone inject. MRI arthrogram 2 Dec.= 8x6mm Supraspina tear. Surgery?

Usually if >50%: If the tear measures over 50% of the width of the tendon your Dr. will most likely recommend surgery. You can try PT but pain can limit the effectiveness. ...Read more

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If a dura patch leaks post op posterrior fossa decompression, is surgical repair necessary?

If a dura patch leaks post op posterrior fossa decompression, is surgical repair necessary?

Sometimes: Definitely needs to be watched carefully. Sometimes resolves with a spinal drain alone, but sustained leakage through the wound requires re operation. ...Read more

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Ok, had facet joint injections-thoaracic, after epidurals failed...What is next pain mang 4 thoracic spine 6 bulgd disc, help, sugg?

Ok, had facet joint injections-thoaracic, after epidurals failed...What is next pain mang 4 thoracic spine 6 bulgd disc, help, sugg?

Bulging discs: The fact that there are bulging discs, might have nothing to do with your pain. There are lots of people with bulging discs (a normal phenomenon of aging) and no pain at all, and having an image finding with bulging should not lead to you becoming a pin-cushion. There is probably another reason that makes you hurt, and maybe a second opinion with a good physical exam might help. ...Read more

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Lumbar stenosis surgery safety?

Very safe: Most of these surgeries are done on an out patient basis w/ the patient returning to work w/in few days. These surgeries are done on a minimally invasive fashion w/ typically excellent results. ...Read more

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3 weeks post op shoulder surgery repair torn labrum & torn rotator cuff. Physical therapy started. Is popping and clicking normal after surgery?

3 weeks post op shoulder surgery repair torn labrum & torn rotator cuff. Physical therapy started. Is popping and clicking normal after surgery?

Yes, don't worry.: Not all popping and clicking is a sign of trouble. In fact, because of the swelling that occurs after most shoulder surgeries, it is common. Remember to ice, do gentle range of motion exercises and begin early strengthening as directed by you surgeon and carried out by your physical therapist. In time, the noises will resolve as you recover. ...Read more

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Revision rotator cuff surgery failed w/complete full-thickness infra tear w/1.5cm retraction.All 3 other tendon intact. Can get cuff tear arthropathy?

Revision rotator cuff surgery failed w/complete full-thickness infra tear w/1.5cm retraction.All 3 other tendon intact. Can get cuff tear arthropathy?

Frozen Shoulder: You are at high risk of developing a frozen shoulder if the revision of a full thickness tear of the conjoint tendon of the rotator cuff failed. I hope you are in physical therapy and have a set of low cost safe resistance bands at home to reduce impingement. By the way, the three main muscles of the rotator cuff are supraspinatus, infraspinatus and Teres minor. They insert via a common tendo ...Read more

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How will recurring ac joint osteoarthrosis and impingiment (after arthroscopic cleaning and/or ac decompression and resection) be treated?

How will recurring ac joint osteoarthrosis and impingiment (after arthroscopic cleaning and/or ac decompression and resection) be treated?

Resection: Well, to have arthrosis from the AC joint means the joint must, by definition exist. So resection of the distal clavicle essentially eliminates the existence of the AC joint and as such arthrosis in that joint can not recur. Resection should be a permanent solution if surgery done correctly. ...Read more

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Neural prolotherapy l5s1 herniation with s car tissue around thecal sac abutting s1 nerve root..Pt, decompression , lyrica, (pregabalin) t3's.Could this help me?

Neural prolotherapy l5s1 herniation with s car tissue around thecal sac abutting s1 nerve root..Pt, decompression , lyrica, (pregabalin) t3's.Could this help me?

Yes.: Neural prolotherapy, prolotherapy, trigger point injections, acupuncture, massage, myofascial release, rolfing and totally avoiding inflammatory foods may be more helpful than the medication. If there are tender knots in your upper butt muscles, most of your pain might be myofascial. www.blatmanhealthandwellness.com. ...Read more

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Mrireport l4l5disc bulge bilatral lumberlordosis lost spondylosis deformanswithdddwith cauda equina compression and bilateral compresive radiculopathy?

Mrireport l4l5disc bulge bilatral lumberlordosis lost spondylosis deformanswithdddwith cauda equina compression and bilateral compresive radiculopathy?

MRI report: This means you have some spinal arthritis with some nerve compression (lateral compression) and some central compression of the caudal equine (where other defending nerves travel). There is also loss of the normal lumbar lordosis curve which may signify back spasm. This can only be interpreted based on your symptoms and neurological exam. Hope this helps! ...Read more

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Compressed right ventral cord @ C4/5 due to disc protrusion. Spinal column 9mm. Severe bilateral foraminal stenosis. Pain. Risks to forgoing surgery?

Compressed right ventral cord @ C4/5 due to disc protrusion. Spinal column 9mm. Severe bilateral foraminal stenosis. Pain. Risks to forgoing surgery?

C4/5 surgery risks: Compressed right ventral cord @ C4/5 due to disc protrusion. Spinal column 9mm. Severe bilateral foraminal stenosis. Pain. Risks to forgoing surgery? ANS: Only you and your team in LA can properly assess risks and benefits of surgery vs watchful waiting in you. You may want to get second opinion as well. Sounds serious to me though. So work with them now. ...Read more

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15wks postop revision rotator cuff surg w/fullthickness infra tear 1.5cm retracted superior to humeral head & .5cm partial supraspin tear, can fix it?

15wks postop revision rotator cuff surg w/fullthickness infra tear 1.5cm retracted superior to humeral head & .5cm partial supraspin tear, can fix it?

Revision Cuff Repair: Attempting a 2nd revision has a low likelihood of working. If you're having significant pain, weakness and limited range of motion - you may want to discuss superior capsular reconstruction or reverse total shoulder arthroplasty with your orthopedic surgeon. If your symptoms aren't that debilitating - may want to try non-op - PT, injections, etc. ...Read more

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Surgery needed for compression of anterior thecal sac?

Surgery needed for compression of anterior thecal sac?

Neurosurgery : Only surgeon who evaluated you have access to your health profile and he is the best suited to make this call or get 2 nd opinion. ...Read more

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Intractible sciatic pain degenerative disc disease surgery or no surgery?

Surgery if severe: Sciatica is caused by degenerative discs or joints impinging upon the nerves within the spine. If best medical management is not successful, consultation with a surgeon is recommended. Surgical decompression, allows the nerves to heal and for the severe leg pain of sciatica to be relieved. Each case must be carefully evaluated to make the best recommendation. ...Read more

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What are rehab methods for AC decompression and rotator cuff repair?

What are rehab methods for AC decompression and rotator cuff repair?

In three stages: 1-the repair needs to be protected while the tendon heals. To keep your arm from moving you will most likely use a sling and avoid using it 4-6 weeks. 2-passive exercise in most cases, passive exercise is begun within the first 4 to 6 weeks after surgery. 3-after 4 to 6 weeks, you will progress to doing active exercises without the help of your therapist. Then we start strengthening exercises. ...Read more

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How much time to recover after a subacromial decompression on my shoulder?

3 months.: It can take up to 3 months. You should be in physical therapy after surgery, to work on restoring motion and strength. ...Read more

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Can you tell me how long to recover after a subacromial decompression on my shoulder?

Really depends: Many different procedures can be done to the shoulder during an arthroscopic surgery. If bone spurs removed, shoulder debrided, then pain may be minimal and pass within a few days. If cuff repaired or labrum repaired, pain can persist for a couple of months. Make sure you understand exactly what is being done during your scope. Don't compare your results with someone else's. ...Read more

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How much is the cost of an arthroscopy subacromial decompression in right shoulder?

How much is the cost of an arthroscopy subacromial decompression in right shoulder?

Depends: The cost of an arthroscopic sad will vary w/ your location and insurance coverage.Some ambulatory surgery centers "cost" less than others to 'do' a sad...Check w/ your orthopecic surgeon.Good luck! ...Read more

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On 12/27/14 i had an arthroscopic subacromial decompression/bursectomy. Felt great for 6 wks. Now im in more pain and popping/clicking is worse. Why?

On 12/27/14 i had an arthroscopic subacromial decompression/bursectomy. Felt great for 6 wks. Now im in more pain and popping/clicking is worse. Why?

See your ORS: Arthroscopic subacromial decompression is unusual for a 28 yr. Old to have without some other diagnosis or primary problem ( shoulder instability, os acromiale, slap tear, etc.)from your hx. I see that you have already had arthroscopic labral repair...Either your shoulder is 'slipping'( subluxating)and / or your labral repair is failing or your joint capsule is 'loose'. See an experienced ors .... ...Read more

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R. Scapula pain lying on back.Why? Started recently.Had biceps tenodesis & subacromial decompression in 2012 for biceps and labral tears after a fall

R. Scapula pain lying on back.Why?  Started recently.Had biceps tenodesis & subacromial decompression in 2012 for biceps and labral tears after a fall

Need an exam: It's not possible to give you a diagnosis without examining you and reviewing your history. You won't be able to find the answer to your problem on the internet. Best advice is to see the orthopedic surgeon who operated on you or see your family physician. Best wishes. ...Read more

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Left shoulder, March 18th, subacromial decompression/bone spur removal. 6 weeks later constant pain and numbness from mid upper arm to fingers.

Call surgeon!: Call your surgeon to find out what to do. The doc who did the procedure will be able to tell you if this is normal at this stage or not. If you are unhappy with his advice, consider a consult with a doc on Healthtap Concierge, or see your primary care doc, who can give an opinion, too, or arrange for a second opinion for you, if necessary. ...Read more

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I had subcromial decompression and a floppy tendon repaired dec 2011 and all was well but the last 6 week the pain has returned ?

Time for re-eval.: Return to your surgeon. F/u exam, x-rays and possibly mri/arthrogram may be necessary. Exam may prove symptoms are unrelated. If determined related, then more f/u tests likely. Treatment could be as simple as a return to therapy. Other options could include injections and possibly a return to surgery. Your surgeon is in the best position to determine this. ...Read more

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Glenohumeral joint debridement,microfracture,anterior labrum repair,subacromial bursectomy decompression.5mos physio Why ROM restricted above shoulder?

Very common in your-: -age group. it takes a lot of therapy above and beyond your formal sessions to gain the notion. daily passive 2-3 times a day which requires a partner. you do what the PT protocol says to do but much more intense at home. in the long run most everyone looses ,motion after surgery. the first 2-3 months are the most important ...Read more

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Could you explain what is decompression syndrome?

DCS: Decompression sickness (dcs) is also called the bends. When a diver descends in the water- pressure increases. As the diver ascends there is less pressure which allows dissolved gas to form bubbles in body tissues. This can cause a variety of different symptoms ; in some cases can lead to death. It could also occur in an unpressurized aircraft going to high altitude, if a halo parachutist does not. ...Read more

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Hows spinal decompression done?

Surgical: If you have spinal stenosis that require surgery, then a laminectomy is usually the type of surgery that would resolve the tightness. If you have a room that is full of people, and you want to make the room bigger you take the roof off. Essentially the lamina is the roof of the spinal canal and this can be removed to make more room for the spinal nerve elements. ...Read more

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What is decompression laminectomy?

Spine surgery: Decompression laminectomy is where the surgeon takes off the bone and lamina on the backside of the spine. It is most commonly done for spinal stenosis where there is a narrowing of the spinal canal and it can be a useful procedure depending on the patient's symptoms. ...Read more

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Spinal decompression..How does it work?

Removing pressure: By removing pressure on the spinal cord (discs, tumors etc( the normal function restored provided there was no permanent damage done to the cord while under pressure. ...Read more

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How do you get over decompression sickness?

How do you get over decompression sickness?

Usually from diving: It is the body's response to reduction of pressure without equilibration. Usually associated with too rapid ascent from depth, it is also called caisson's disease because of the air pressure necessary to keep water excluded in contruction (e.g., deep bridge abuttments). ...Read more

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How can I do spinal decompression on myself?

Traction: Some people get an inversion table to mimic the effects of spinal traction or you can get a traction apparatus to try and decompress nerve elements. ...Read more

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Can you get decompression sickness from a tank?

Can you get decompression sickness from a tank?

Maybe: From a pressurized wet tank - but the people operating the tank pressures would have to be really screwing it up - for this to occur. I should note - I am not talking about the tall wet tanks that are used to teach underwater welding or diving. I guess if you were underwater long enough - it could occur w one of these. ...Read more

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Who is a good candidate for spinal decompression?

Arm or leg pain: Assuming you mean surgical decompression, the best indications are arm pain (neck disk or bone spur) and leg pain (low back disk or bone spur). Besides pain, nerve pressure can cause muscle weakness, numbness, or tingling. ...Read more

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