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KitesofFury
Since 25 Jun 2007
23 Posts
Seattle
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 Tue Oct 02, 12 9:41 am |
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How many shoulder injuries are caused by powered unhooked riding?
I'm wondering what's more dangerous for the shoulders wakestyle kiting or mountin biking.
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Old school tricks are rad |
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novocaine
Since 23 Sep 2010
79 Posts
Kennewick, wa
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| Wed Oct 03, 12 10:32 pm research |
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Did some research and I am postponing surgery until I try prolo therapy. Looks promising for my injury. glad I came across it here.
Trevor |
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consumer
Since 28 Nov 2010
406 Posts
banned
Obsessed
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| Sat Oct 06, 12 6:05 pm |
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got my arthrogram, turns out I actually was way off and have a partial thickness tear ~50% of my infraspinatus. So I guess I have a partial cuff tear.
I've been doing a lot of reading and find that 50% is around the cut off for whether the surgeon will choose to "repair" the tendon or simply debride, aka remove unhealthy tissue' and leave the rest intact. As far as I can tell, debridement relieves pain but is controversial as to whether or not it actually stimulates a complete anatomic recovery or healing. In one study, they went back in and found no healing after debridement. Transtendon or intratendon repair seems preferable to debridement alone.
The research on platelet-rich plasma therapy is sparse. The methodologies were questionable or not really applicable to individuals who have partial cuff tears who undergo nonsurgical therapy. The only trials I have read demonstrate ineffectiveness with full thickness cuff tears in older population, and the PRP was applied as an adjunct during arthroscopic repair. There is one study I found (from Korea) that demonstrates decreased symptoms/pain with PRP and partial cuff tears vs conservative management. Animal models on PRP show positive results for tendinopathies.
I'm interested in trying PRP too now, actually. Especially considering that i'm fairly certain my surgeon will only debride the wound, which I think is somewhat barbaric.
Does anyone know if they use ultrasound to guide the injection? |
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wakeup
Since 11 Sep 2005
328 Posts
always
Obsessed
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| Sun Oct 07, 12 6:36 am |
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I have been doing unhooked powered tricks since 2003, no issues. wakeboarded for 7 years before that which is all unhooked and powered no issues
summer 2000 blazing down a rocky hill on my mt bike, over the handle bars and a class 3 A/C separation- no surgery, just a lot of rehab and no issues |
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wylieflyote
Since 30 Jun 2006
1648 Posts
Puget Sound & Wa. Coast
XTreme Poster
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| Sun Oct 07, 12 7:10 am |
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Wakeup/All
Does this thing mainly hurt at night only? I also fell on a bike (road) 3 weeks ago, and I can go all day with almost no pain, but 2 minutes after laying down to sleep it's killing me. Not sleeping much these days. The shoulder has full range of motion, but with lots of strange "popping" noises.
Thanks,
Kip
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CGKA Member
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Kip Wylie |
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novocaine
Since 23 Sep 2010
79 Posts
Kennewick, wa
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| Sun Oct 07, 12 11:37 am |
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| consumer wrote: | got my arthrogram, turns out I actually was way off and have a partial thickness tear ~50% of my infraspinatus. So I guess I have a partial cuff tear.
I've been doing a lot of reading and find that 50% is around the cut off for whether the surgeon will choose to "repair" the tendon or simply debride, aka remove unhealthy tissue' and leave the rest intact. As far as I can tell, debridement relieves pain but is controversial as to whether or not it actually stimulates a complete anatomic recovery or healing. In one study, they went back in and found no healing after debridement. Transtendon or intratendon repair seems preferable to debridement alone.
The research on platelet-rich plasma therapy is sparse. The methodologies were questionable or not really applicable to individuals who have partial cuff tears who undergo nonsurgical therapy. The only trials I have read demonstrate ineffectiveness with full thickness cuff tears in older population, and the PRP was applied as an adjunct during arthroscopic repair. There is one study I found (from Korea) that demonstrates decreased symptoms/pain with PRP and partial cuff tears vs conservative management. Animal models on PRP show positive results for tendinopathies.
I'm interested in trying PRP too now, actually. Especially considering that i'm fairly certain my surgeon will only debride the wound, which I think is somewhat barbaric.
Does anyone know if they use ultrasound to guide the injection? |
The guy I spoke with in lake oswego uses a musculoskeletal ultrasound to guide the injection. Better than going at it blindly.
I have pain sporadically through the day, byt when i wrecked on my bike years ago it hurt ALL THE FREAKIN time for a few weeks, and gradually faded. |
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