Rotator Cuff Surgery - Update

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CaliJR
Veteran Member


Date Joined May 2015
Total Posts : 649
   Posted 11/6/2016 9:49 AM (GMT -7)   
Update 4-15-17 at bottom.
Originally this thread titled "new to pain forum"


I have been on HW for some time now as I first dealt with GERD for many years and had Nissen Fundoplication surgery which did a great job to fix that problem, and since September of last year I have been dealing with Prostate cancer and the issues associated with those treatments.

The reason I am on the Chronic Pain forum is for Meralgia Paresthetica of my left thigh, caused by old injury 35 years ago in military, and for my latest problem, 60% tear in my left rotator cuff. I had frozen shoulder last June and I think this is the root cause of that issue.

For the MP, I take 1,200 mg of Gabapentin daily, which also helps my hot flashes I get while on hormone therapy. The pain has increased after the chemo which I was warned about, but nothing I could have done about that.

The rotator cuff tear is my latest problem that seems to be discussed on this forum. I am going to do surgery in January to fix it. Pain is fairly high and constant and I try to deal with it with ibuprofen. I am concerned about healing part and the hormone therapy but my oncologist thinks I have to get it fixed. Anyone else deal with this surgery while on hormone therapy? Thanks all. -JR
CaliJR
Age 52. PSA 7.1-PSA Free=5% 9/15: PCa G9 (4+5)
Prolaris Score 3.6-High Risk
18 Mnths Casodex & Lupron started Dec 2015
HDR Brachy@UCLA 2/29/16 & 3/1/16 Zometa I.V. 3/8, 9/7 & 4/3
IMRT: 28 Fractions Completed 5/5/2016
Taxotere Chemo Ended 8/7/16

Chronic Pain Forum: Rotator Cuff & SLAP Repair 2-16-2017
GERD Forum: Nissen Fundoplication Surgery 7/2015

Post Edited (CaliJR) : 4/16/2017 12:39:02 AM (GMT-6)


straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 15332
   Posted 11/6/2016 11:22 AM (GMT -7)   
Hi CaliJR & welcome to the chronic pain forum. Sorry you have to be here. Jeesh, you have a lot going on for sure. I probably will not be of much help here but do have a question for you. Is there a reason your dr has not increased your Gabapentin? You still have room for an increase there.

I have not been on Lupron but very much aware of this medication. You may want to go to Drugs.com & look up Lupron & read up on it there. They will have a more comprehensive view than anyone I can think of. If it would interfere with healing from a surgical procedure it will be listed there. I was on hormones for years & had many different surgeries & had no trouble.

Over the years we have had a lot different members have the rotator cuff surgery. You can look through the archives to read about those if you would like. It will not be a walk in the park, I know quite a few people that had this surgery & they all say its a tough one. However, everyone has their own perception of pain & even surgery. One of the things I have noticed people tend to have high expectations right after surgery & they don't allow for proper healing time. It is not uncommon at all for the entire process to take 6 months to heal & recover. May sound like a long time, just keep in mind you only want to do this once. Do what the dr says & you should be fine.

Sorry I could not be of much help. Take care.
Susie
Moderator in Chronic Pain & Psoriasis Forums

CaliJR
Veteran Member


Date Joined May 2015
Total Posts : 649
   Posted 11/6/2016 12:44 PM (GMT -7)   
Hi Susie, thanks for the reply. My oncologist did say he would up me to 2,400 mg of gabapentin on my last visit so I will probably do that for the nerve pain at least until I go see a neurologist, sometime after the shoulder thing gets taken care of. Yes it has been a journey the last 2 years and I often don't think about all the various things until I list them like I did here. This site lets you know you are not alone and you can connect with others on your same journey. Take care. -JR
CaliJR
Age 51. PSA 7.1 - PSA Free=5%
CDU Biopsy by Dr Bahn 9/22/15=G 8(4+4) T2a
JHU, 2nd Opinion=G9 (4+5) Epstein Grade=5
Prolaris Score=3.6 (Consistent w High Risk PCa)
18 Mnths Casodex & Lupron started Dec 2015
HDR Brachy@UCLA 2/29/16 & 3/1/16
Zometa I.V. To help bone density 3/8 & 9/7
IMRT Started 3/24/16 - 28 Fractions Completed 5/5/2016
Taxotere Chemo Ended 8/7/16

theHTreturns...
Elite Member


Date Joined Mar 2009
Total Posts : 20048
   Posted 11/6/2016 7:13 PM (GMT -7)   
I am on HRT, but not for pc, a genetic disorder. make sure ya meds don't hinder this, as some meds can reduce levels. just a turtle on his forum walk.
THE HAPPY TURTLE.

A QUOTE FROM THE HAPPY TURTLE THAT REFLECTS ME.

"COMPLEXITY IS MY WAY OF EXPRESSING MY NEEDS IN A MANNER THAT IS NEITHER DESTRUCTIVE, NOR NEGATIVE"
'

CaliJR
Veteran Member


Date Joined May 2015
Total Posts : 649
   Posted 11/6/2016 8:21 PM (GMT -7)   
Thanks Happy, that is what I'm trying to make sure of... just doing own research with others who have walked down this road. -JR
CaliJR
Age 51. PSA 7.1 - PSA Free=5%
CDU Biopsy by Dr Bahn 9/22/15=G 8(4+4) T2a
JHU, 2nd Opinion=G9 (4+5) Epstein Grade=5
Prolaris Score=3.6 (Consistent w High Risk PCa)
18 Mnths Casodex & Lupron started Dec 2015
HDR Brachy@UCLA 2/29/16 & 3/1/16
Zometa I.V. To help bone density 3/8 & 9/7
IMRT Started 3/24/16 - 28 Fractions Completed 5/5/2016
Taxotere Chemo Ended 8/7/16

tidalmouse
Veteran Member


Date Joined May 2013
Total Posts : 1130
   Posted 11/7/2016 3:08 AM (GMT -7)   
Hey CaliJR.You've got a lot to deal with.I feel you on the Shoulder pain.I've got a Bone Spur and a Cyst on my Rt. Shoulder.I've got an appointment Monday with a Surgeon.Let him give me a game plan.

God Speed with your pains.

Take care.

Rick
55 yr old male.SSDI since 2010.Bulges at L5-S1,L5-L4,L4-L3,L3-L2.Spinal Stenosus,DDD,Arthritis,Rt. Knee Replacement in 2015.
Pain Management Patient.

CaliJR
Veteran Member


Date Joined May 2015
Total Posts : 649
   Posted 11/7/2016 8:04 AM (GMT -7)   
Thanks Rick. Good luck on your appointment. Take care. JR
CaliJR
Age 51. PSA 7.1 - PSA Free=5%
CDU Biopsy by Dr Bahn 9/22/15=G 8(4+4) T2a
JHU, 2nd Opinion=G9 (4+5) Epstein Grade=5
Prolaris Score=3.6 (Consistent w High Risk PCa)
18 Mnths Casodex & Lupron started Dec 2015
HDR Brachy@UCLA 2/29/16 & 3/1/16
Zometa I.V. To help bone density 3/8 & 9/7
IMRT Started 3/24/16 - 28 Fractions Completed 5/5/2016
Taxotere Chemo Ended 8/7/16

pitmom
Veteran Member


Date Joined Jan 2015
Total Posts : 2186
   Posted 11/8/2016 8:07 AM (GMT -7)   
Hello and welcome. You didn't say whether an arthroscopic or open surgery is planned for the rotator cuff surgery. I've had both procedures on both shoulders. The first 2, on the left shoulder, were done before they started using nerve blocks for the surgery, which I had done on the right. Having the nerve block was sooooo much better than not having it. Basically, you have a 'dead arm' for the first 3 days post up. This cuts way down on the amount of narcotic pain killers you will use after the surgery.

I slept on the couch, with my surgical arm toward the back of the couch for protection from it 'falling'. I propped myself up with cushions and pillows for maximum comfort and so that I wouldn't roll onto the surgical side. Ice, ice and more ice! 20 minutes on, 20 minutes off. Even if you don't 'feel' like you need to do it.

Generally, the patient is seen in the office 3 days post op. Do NOT 'test' the joint until the doctor sees you! Follow the instructions of your physical therapist and don't over do!

Shoulders and hips are such complex joints because of their range of motion. If you want the best possible outcome, don't do things on your own! I cannot stress this enough!

My first physical therapist did wonders for my left shoulder and left elbow. As for the scar, he applied Emu oil and had me use it every day. The scars can barely be seen now. Just a suggestion, stay out of the sun until the wound is completely healed. Exposure to the different type of tissue that makes up scars can effect how well they 'disappear'.

Keep posting and let us know how things go. Talk with your surgeon about a nerve block type of anesthesia. I highly recommend them.
multiple surgeries for rotator cuff both shoulders with residual chronic impingement syndrome, ulnar nerve transposition, carpal tunnel release, wrist ganglionectomies/denervectomies/tenolysis, multiple herniated discs, tarlov cyst, whiplash, bursitis of hips, tendonitis, torus, 3rd degree shoulder separation, torn labrum, ovarian cysts, fibroid tumors of the uterus

CaliJR
Veteran Member


Date Joined May 2015
Total Posts : 649
   Posted 11/8/2016 9:38 AM (GMT -7)   
Dr plans on arthroscopic. That is great advice about the nerve block. I will be sure to add that to my list of things to ask for. Thank you and I will update after surgery in January. Take care. -JR
CaliJR
Age 51. PSA 7.1-PSA Free=5% 9/15: PCa G9 (4+5) Epstein Grade=5
Prolaris Score=3.6 (Consistent w High Risk PCa) 18 Mnths Casodex & Lupron started Dec 2015
HDR Brachy@UCLA 2/29/16 & 3/1/16 Zometa I.V. To help bone density 3/8 & 9/7
IMRT Started 3/24/16 - 28 Fractions Completed 5/5/2016
Taxotere Chemo Ended 8/7/16

GERD Forum: Nissen Fundoplication Surgery 7/2015 - 30 yr Problem Solved

CaliJR
Veteran Member


Date Joined May 2015
Total Posts : 649
   Posted 2/18/2017 6:43 PM (GMT -7)   
Well I am on the other side of the Rotater Cuff surgery which I had on Thursday. I have stayed in my recliner since I got home. I have used the "Therma Zone" machine with a 30 on 30 off cycles of cold. The machine is great because I don't have to add ice. My wife just removed the larger dressing and now we just have bandaids over the stitches. I had the arthoscopic surgery that repaired the 60% tear, a bursectomy and he found another tear in my upper arm but my doesn't recall what he called it. I will have to wait until my follow up appointment to find out. So far so good. I am working from home for the next two weeks to play it safe. Thanks all. -JR

PS Straydog, My Med Oncologist increased my gabapentine to 1,800 mg.
CaliJR
Age 52. PSA 7.1-PSA Free=5% 9/15: PCa G9 (4+5)
Prolaris Score=3.6 (Consistent w High Risk PCa) 18 Mnths Casodex & Lupron started Dec 2015
HDR Brachy@UCLA 2/29/16 & 3/1/16 Zometa I.V. 3/8 & 9/7
IMRT: 28 Fractions Completed 5/5/2016
Taxotere Chemo Ended 8/7/16

GERD Forum: Nissen Fundoplication Surgery 7/2015

Post Edited (CaliJR) : 2/18/2017 6:50:22 PM (GMT-7)


straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 15332
   Posted 2/19/2017 7:44 AM (GMT -7)   
Cali, here is hoping this surgery takes care of the shoulder issues. It sounds like you are doing ok just a few days out from surgery. Recliners are amazing for various surgeries. I had a similar machine on my last 2 knee scopes, what a difference that made. I always had a deep burning type of pain after my knee scopes & I have had 5. The machine kept that burning pain at bay.

Yes, you need to take it easy a couple of weeks to be safe for sure. Keep us posted on how you are doing.

Take care.
Susie
Moderator in Chronic Pain & Psoriasis Forums

MDNative
Regular Member


Date Joined Nov 2015
Total Posts : 167
   Posted 2/19/2017 8:52 AM (GMT -7)   
Cali, best of luck with your shoulder. I had my rotator cuff repaired Jan 2012 after slipping and falling shoveling snow during our 'snowmageddon' here on the East Coast nearly 2 years earlier (a full and a partial tear). Been fine since. IMO, the recovery was worse than the prostatectomy! I was also a recliner dweller while wearing the sling. I just didn't trust that I wouldn't roll over and mess things up in a bed (I had a co-worker that re-tore his after surgery after going back to work too soon). I didn't need the hard pain meds too often thankfully, but there were a few times it hurt like hell! I'm fortunate that there's a physical therapy office within walking distance to my home. Now, I'm dealing with bursitis in my hips, along with a MRI showing a partial tear in my gluteus. Basically, I have a broken a**! AWESOME!!! I hear the hip joint is sort of like the rotator cuff of your lower body. I'm not sure physical therapy is helping, so we'll see where it goes after couple of cortisone injections. Frankly, I'm kind of 'surgeried out' right now and the thought of using crutches doesn't appeal to me__at all!

Oh. a thought about the nerve block. I asked the anesthesia doc about it and he assured me I wouldn't remember a thing about it. WRONG! It didn't hurt, but just before I went out, I remember something going into me near my neck and it was making a 'zapping' sound. Then my arm started flopping a bit--I guess the correct nerve was found! Then I woke up.....
51 yoa at Dx--Some family history of PCa
From 9/2013 to 3/2015 PSAs between 4.85 & 6.7, TRUS Bx-neg 12/2013, 12/2014 PCA3:38, 3/2015 switched from local urology group to Johns Hopkins, PSA 5.8/FPSA 17.4/PHI 28.4, 3/2015 mp3T MRI & Fusion-Guided Bx @ JH, 2/14 cores pos, Bilateral, <5% involvement, GL=6, RRP: 8/2015 @ JH (Dr. Carter)

Post surgical pathology – Upstaged to G7 (3+4), confined throughout. Margins, LN (11), SV, EPE, all negative. Additional findings: HGPIN

pT2C NO

PSA 11/2015 <0.1, 05/2016 <0.1, 9/2016 <.02 (new lab)

Post Edited (MDNative) : 2/19/2017 8:57:28 AM (GMT-7)


(Seashell)
Veteran Member


Date Joined Dec 2012
Total Posts : 682
   Posted 2/19/2017 8:58 AM (GMT -7)   
Hi Cali:
Sending your shoulder healing wishes as you begin recovery from rotator cuff surgery.

Be sure to watch adequate NetFlix DVDs of your favorite movie genre. I watched "Homeland" during a recovery period - the plot and character development of the series was so intense that it was a perfect distraction.

I was up most of the night last evening with my little dog, Molly, who is herself unwell. A recliner would have been a nice addition last night. My elderly father had a favorite recliner that he nicknamed the "Grand Canyon." That chair was like a command center, his operational hubris. From his recliner, my father would make his daily phone calls, read the newspaper, and play pinnacle. I hope your recliner provides you with a place of peace and comfort during your recovery.

- K -
Pituitary failure, wide-spread endocrine dysfunction
Addison's disease
Mixed connective tissue disorder
Extensive intestinal perforation with sepsis, permanent ileostomy
Avascular necrosis of both hips and jaw
Receiving Palliative Care (care and comfort)

CaliJR
Veteran Member


Date Joined May 2015
Total Posts : 649
   Posted 2/19/2017 10:40 AM (GMT -7)   
Thanks all. I did not have the nerve block based on my doctors advice. The first couple of nights was not too bad but did stay on mess for pain. Last night was a little more brutal with pain. It woke me up so I ate some crackers and took more meds.

Yes K, my recliner is my hub. I have a man cave atmosphere with two chairs and two flat screen tvs. Watching a bunch of movies and taking it easy. My wife is my rock and has helped me through my cancer treatments and now this. My dog, a Chinese Crested named Gandalf, is my constant companion. So all in all, I couldn't be in better hands. I start physical therapy in two weeks.

Thanks! -JR
CaliJR
Age 52. PSA 7.1-PSA Free=5% 9/15: PCa G9 (4+5)
Prolaris Score=3.6 (Consistent w High Risk PCa) 18 Mnths Casodex & Lupron started Dec 2015
HDR Brachy@UCLA 2/29/16 & 3/1/16 Zometa I.V. 3/8 & 9/7
IMRT: 28 Fractions Completed 5/5/2016
Taxotere Chemo Ended 8/7/16

GERD Forum: Nissen Fundoplication Surgery 7/2015

pitmom
Veteran Member


Date Joined Jan 2015
Total Posts : 2186
   Posted 2/20/2017 6:54 PM (GMT -7)   
Thanks for the update. Sorry to hear you're experiencing pain. Glad you have your wife and Gandalf!
multiple surgeries for rotator cuff both shoulders with residual chronic impingement syndrome, ulnar nerve transposition, carpal tunnel release, wrist ganglionectomies/denervectomies/tenolysis, multiple herniated discs, tarlov cyst, whiplash, bursitis of hips, tendonitis, torus, 3rd degree shoulder separation, torn labrum, ovarian cysts, fibroid tumors of the uterus

CaliJR
Veteran Member


Date Joined May 2015
Total Posts : 649
   Posted 3/19/2017 2:33 PM (GMT -7)   
Just a quick update... I am still in sling for two more weeks. Started physical therapy last week. Oh man did that hurt. Two sessions done. I immediately had to come home and use the ice pads. Not really looking forward to 15 more weeks of PT. I know you have to have it and they need to push you to the limits to get the range of motion back but it hurts worse than the surgery. So besides my troubles with my current cancer treatments and side effects, I get to deal with this. Sometimes all this sucks. I maybe in one of those crappy moods today. Time to get a cup of ice cream to brighten my day. -JR
CaliJR
Age 52. PSA 7.1-PSA Free=5% 9/15: PCa G9 (4+5)
Prolaris Score 3.6-High Risk
18 Mnths Casodex & Lupron started Dec 2015
HDR Brachy@UCLA 2/29/16 & 3/1/16 Zometa I.V. 3/8 & 9/7
IMRT: 28 Fractions Completed 5/5/2016
Taxotere Chemo Ended 8/7/16

Chronic Pain Forum: Rotator Cuff & SLAP Repair 2-16-2017
GERD Forum: Nissen Fundoplication Surgery 7/2015

(Seashell)
Veteran Member


Date Joined Dec 2012
Total Posts : 682
   Posted 3/19/2017 7:28 PM (GMT -7)   
As a physical therapist in working with patients I never did scribe to the motto "no pain no gain."

Yes, you will experience pain with the rehabilitation of your shoulder post rotator cuff repair. But bear in mind that there is a distinct difference between "good" pain and "bad" pain.

"Good" pain is pain that you intuitively know is necessary for the joint to regain functional ROM. "Good" pain is a tolerable pain - it is neither too harsh nor too light, it is a pain that is (like Goldie Locks and the Three Bears) "just right." "Good" pain is a pain that you tolerate in order to reap the benefits of a more functional shoulder and arm. "Good" pain is pain that begins to naturally taper with rest and icing after the therapy.

"Bad" pain is pain that has a deep, visceral agony to it. "Bad" pain is pain that intuitively feels as though it is doing your body an injustice and may be causing your body harm. "Bad" pain is pain that intensifies in the hours and days after a therapy session.

Always communicate to your therapist. A good physical therapist will constantly evaluate and treat - evaluating the patient's response to a particular therapy modality or therapeutic exercise and adapting the treatment plan in accordance to the patient's response.

A good physical therapist will not push or force increased "bad" pain. A good physical therapist respects pain and its communication of the body's state of being.

Bottom Line: You can expect to experience "good" pain in your therapy program. Speak up and talk to your therapist if the therapy program elicits undue "bad" pain. The treatment plan should be modified, altered, or adapted in the case of "bad" pain. No patient should be expected to push through "bad" pain.
- karen -
Pituitary failure, wide-spread endocrine dysfunction
Addison's disease
Mixed connective tissue disorder
Extensive intestinal perforation with sepsis, permanent ileostomy
Avascular necrosis of both hips and jaw
Receiving Palliative Care (care and comfort)

CaliJR
Veteran Member


Date Joined May 2015
Total Posts : 649
   Posted 3/20/2017 9:56 AM (GMT -7)   
Hi Karen. Thanks for your response. I will keep all of this in mind and not just "suck up the pain" thinking it is all good. Thank you. -JR
CaliJR
Age 52. PSA 7.1-PSA Free=5% 9/15: PCa G9 (4+5)
Prolaris Score 3.6-High Risk
18 Mnths Casodex & Lupron started Dec 2015
HDR Brachy@UCLA 2/29/16 & 3/1/16 Zometa I.V. 3/8 & 9/7
IMRT: 28 Fractions Completed 5/5/2016
Taxotere Chemo Ended 8/7/16

Chronic Pain Forum: Rotator Cuff & SLAP Repair 2-16-2017
GERD Forum: Nissen Fundoplication Surgery 7/2015

pitmom
Veteran Member


Date Joined Jan 2015
Total Posts : 2186
   Posted 3/20/2017 10:23 AM (GMT -7)   
Sign at my first P.T. office...

PAIN IS INEVITABLE. MISERY IS OPTIONAL.

Seashell is dead on! Therapeutic discomfort is a far cry from PAIN. You should not be in misery after physical therapy.

There are some moves that still cause me pain. I avoid them at all cost! Even if it means a physical therapist writes it up as 'uncooperative'. This is MY body. I only get one! I've learned that most p.t.s understand I'm a 'frequent flyer' and that I know what is good for me and what isn't.

The last one repeatedly told me to stop if I felt 'discomfort' as she knew I was the type to 'push through the pain'. I was there as a pre op patient...build me up as much as possible before cutting me open again. It made Everything flare so bad...I decided against more surgery.
multiple surgeries for rotator cuff both shoulders with residual chronic impingement syndrome, ulnar nerve transposition, carpal tunnel release, wrist ganglionectomies/denervectomies/tenolysis, multiple herniated discs, tarlov cyst, whiplash, bursitis of hips, tendonitis, torus, 3rd degree shoulder separation, torn labrum, ovarian cysts, fibroid tumors of the uterus

(Seashell)
Veteran Member


Date Joined Dec 2012
Total Posts : 682
   Posted 3/20/2017 11:26 AM (GMT -7)   
Never fully assume that every physical therapist is highly competent and knowledgeable.

I speak this as a physical therapist. I have been astounded by the lack of competence that I have seen in some of my licensed co-workers. I have often wondered how some of these therapists passed the licensing exam.

Like any profession, there are good physical therapists and poor physical therapists.

Be aware, too, if you are being seen by an ancillary clinician. If you are being treated by a physical therapy assistant or a physical therapy aide you are not being treated by a high quality of educational background and problem-solving for atypical cases. The distinct advantage of the higher educational level of a licensed physical therapist is the higher cognitive skills in being able to constantly evaluate and treat concurrently. This allows for constant treatment plan adaptation and modification as opposed to a one size fits all approach.

The low number of physical therapy programs in the US also has resulted in an influx of foreign trained individuals who come to the US under work visas. These foreign trained clinicians typically work for clinics to gain experience before sitting for the board exams. Individual skill levels are highly variable.

Bottom Line: speak your mind. Do not accept that "bad" pain is a part of any physical rehabilitation. If you are less than satisfied with a particular therapist, request a new therapist. Do not accept less than the best for you. Know that there are both good/competent professionals and less than good/marginal professionals. Choose and select your physical therapist with care. Change therapists if you do not have a good fit of either personality or skill level.

I always considered that I was a particularly good therapist. I feel it was a natural talent that God gave me. They said. I have seen plenty of less than good physical therapists. Do not accept a professional that is lacking in skill. And do not accept a PT Assistant or PT aid when you need a full fledged licensed physical therapist.
-karen-

Post Edited ((Seashell)) : 3/20/2017 12:29:55 PM (GMT-6)


straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 15332
   Posted 3/21/2017 6:49 AM (GMT -7)   
Hi Terrance, welcome to the chronic pain forum. If you would please make a post of your own & give us some detail about your back pain & any tests tht has been done. That way more people will see your post & members can give some ideas. Also we don't want to hijack CaliJr's thread. Thank you.
Susie
Moderator in Chronic Pain & Psoriasis Forums

CaliJR
Veteran Member


Date Joined May 2015
Total Posts : 649
   Posted 4/2/2017 8:47 PM (GMT -7)   
Update... finally 6 weeks and tomorrow I see doc for checkup and to stop wearing this darn sling. It is annoying and hard to sleep with. Still doing PT. I am getting more range of motion with lower arm and some on shoulder. I still use ice machine after each PT session and anytime my shoulder is bugging me.

Concerned that I have this intense pain in my hand shooting from my pinky finger through my palm into my wrist. It is not constant but just happens randomly and is so intense it stops me in my tracks. Pain in elbow still, don't now if something is pinched somewhere and causing all this. I still can't make a solid fist, especially with my index finger, seems swollen still. Lastly according to my wife, my hand looks bluish at times. Anyone have these issues 6 weeks out? I will discuss with doc tomorrow.

Thanks all. -JR
CaliJR
Age 52. PSA 7.1-PSA Free=5% 9/15: PCa G9 (4+5)
Prolaris Score 3.6-High Risk
18 Mnths Casodex & Lupron started Dec 2015
HDR Brachy@UCLA 2/29/16 & 3/1/16 Zometa I.V. 3/8 & 9/7
IMRT: 28 Fractions Completed 5/5/2016
Taxotere Chemo Ended 8/7/16

Chronic Pain Forum: Rotator Cuff & SLAP Repair 2-16-2017
GERD Forum: Nissen Fundoplication Surgery 7/2015

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 15332
   Posted 4/3/2017 11:28 AM (GMT -7)   
JR, it sounds like you are making some progress with the shoulder. I remember the slings very well. I couldn't stand them either, I broke each arm on separate occasions. I couldn't wait to come out of the sling.

As for the other things that are going on, hopefully the dr can shed some light on it. Will keep my fingers crossed its an extension of the shoulder that will get better in time. Let us know how the appt goes.

Take care.
Susie
Moderator in Chronic Pain & Psoriasis Forums

CaliJR
Veteran Member


Date Joined May 2015
Total Posts : 649
   Posted 4/3/2017 10:32 PM (GMT -7)   
Update: Doctor thinks my palm and pinky pain are related to an impingement of my ulnar nerve near my elbow, which also has pain. He states that wearing the sling for six weeks probably played a part. He is confident that it will subside as I continue my physical therapy. He reminded me that PT will be difficult in this next phase as I work on better range of motion with my shoulder and perform active motion exercise. I have PT tomorrow. Unfortunately to top it off, I had an infusion of Zometa, to help prevent additional bone density loss because of my hormone therapy (Lupron and Casodex) - part of my primary cancer treatments. The zometa comes with a couple of days of bone pain.. which already started. Tough times these are.

-JR
CaliJR
Age 52. PSA 7.1-PSA Free=5% 9/15: PCa G9 (4+5)
Prolaris Score 3.6-High Risk
18 Mnths Casodex & Lupron started Dec 2015
HDR Brachy@UCLA 2/29/16 & 3/1/16 Zometa I.V. 3/8 & 9/7
IMRT: 28 Fractions Completed 5/5/2016
Taxotere Chemo Ended 8/7/16

Chronic Pain Forum: Rotator Cuff & SLAP Repair 2-16-2017
GERD Forum: Nissen Fundoplication Surgery 7/2015

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 15332
   Posted 4/5/2017 9:36 AM (GMT -7)   
JR, glad to read the dr was able to address the other symptoms from the surgery. Lets hope he is on the mark & the PT will take care of these things. Hopefully all of this will be behind you before you know it. I hope you have something to take for the bone pain after your infusion. Sometimes it feel like we take two steps forward & one back.

Please keep us posted on how you are doing. Take care.
Susie
Moderator in Chronic Pain & Psoriasis Forums
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