Continued shoulder pain 5 months post-op - another torn muscle - surgery or live with it?

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Alcie
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Date Joined Oct 2009
Total Posts : 5004
   Posted 3/8/2012 12:07 PM (GMT -6)   
I just came back from the orthopod - MRI shows partially torn subscapularis.  It's unlikely to heal by itself.  The question is whether to live with it or get more surgery - open this time.
 
I was wondering why I felt better after stopping PT.  I live on tramadol and Celebrex and occasional amitriptyline (for pain) - fibro, spine issues, slipping ribs, post-op knee hurting again.  The meds make the shoulder bearable as long as I don't use it for anything.
 
The problem is I need to be able to push the lever on the tractor that raises and lowers the plows and mower on behind (three-point hitch) - about like putting on a seat belt but farther back, lots stiffer and needing to be pushed, pulled many times.  I don't want to tear the subscapularis worse or totally, which doc says could happen.  I have strength, range of motion, am allowed to lift, just avoid that backwards movement.
 
Hiring someone to do the work for me is not feasable.  I did that the last 2 years and ended up with needing thousands of dollars of repair on my equipment (blown head gasget, broken spindels).
 
I don't have to decide right now.  I am planning to try to live with the tear for a few months and see how it goes.  There's no guarantee a repair will work.  It involves taking bits from other parts, tendons and such.  I don't have a clue what the recovery would be like.  The original recovery from acromioplasty, bursectomy, debridement has been horrible, and pain and muscle spasms have not gone away. 
 
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