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Arthroscopy for chronic shoulder pain - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3385 Questions
User :   shoulder pain
Doctor :   Hi
Doctor :   I am Dr. XXX
Doctor :   Please go ahead
User :   Hi, This is regarding my father who is suffering from terifficshoulder pain
User :   He is 52 years old
User :   having diabetease problem.. but since many months his sugar is under cobtrol
User :   control*
User :   we shown to lot of doctors
Doctor :   Ok
User :   after having all xrays etc they suggested to go for physiotherapy
User :   my father did physiotherapy exercises since last 7-8 montyhs
User :   but now pain is extreme l;evel
Doctor :   Ok
User :   even after taking the pain killers, he doesnt have any releif
User :   not able to sleep whole night
User :   could pls suggest what should we do now?
Doctor :   Were any therapies done, like Ultrasonic therapy or Electrotherapy over the shoulder for the pain relief
User :   yeah. done
User :   ultrasonic is donew
Doctor :   Ok, these are chronic pain
User :   ok
Doctor :   and one pain relieving therapy may not suit him or may not bring relief to him
Doctor :   Actually it is multi therapeutic
User :   he was doing multi i think
Doctor :   Simple exercises, Hot packs, electrotherapy
User :   he did all of them simultaneously
User :   now also he is doing simple exercises, hot packs etc
User :   he did multi therapy as suggested by you for around 1 month
Doctor :   Ok, what was the diagnosis given ?
Doctor :   Rotator cuff problem??
User :   nothing like that
Doctor :   Ok there are many diff reasons for shoulder pain at this age
User :   they only suggested to continue with similar exercises at home, some pain killers etc
User :   thats it
User :   one thing is sure tht therapies are not working
Doctor :   Frozen shoulder, Rotator cuff, Tendinitis, Bursitis etc
Doctor :   Ok then did you consider the surgeries
Doctor :   Arthroscopy
User :   we cant because of diabetease
User :   you please suggest what should be right way to proceed now
Doctor :   If diabetes is under control, why not arthroscopy
User :   pls suggest how to proceed as of now
Doctor :   Which city are you in?
User :   are you there
Doctor :   Do you know his HbA1C levels done recently which say the blood sugar control
User :   i m not seeing any messages
Doctor :   Hello
Doctor :   are you there
User :   i m in XXX
Doctor :   Ok
User :   yeah i m bak
Doctor :   My doubt is if the blood sugar is under control why not an arthoscopy
User :   not sure about HbA1C
User :   whats that
User :   ok
User :   got u... what is there in arthoscopy
User :   is it kind of test?
Doctor :   hello
User :   hi
Doctor :   I think you can take a second opinion from a different Orthopedician
User :   ok
Doctor :   after examining the mobility and the pain nature, he can suggest you better
User :   1 more thing like, he is having pain in muscles of shoulder
User :   for particular motions its like very bad
User :   like while putting shirt buttons
Doctor :   This seems to be rotator cuff problem , I am not really sure
User :   np, your direction could help us solve the problem
User :   if you knwo anybody best for this from XXX
Doctor :   But I still consider you to take the second opinion
User :   then pls let me know
Doctor :   You can go to best institutes there like XXX
Doctor :   where you see experienced faculty
User :   ok
User :   but we should show to orthopedician only
User :   right?
Doctor :   Yes, the complete treatment is done by Orthopedicians, Physiotherapist and Occupational Therapists
Doctor :   who are available under one roof in XXX
User :   ok i see
User :   thanks for your time and suggestions on this
Doctor :   Pleasure
User :   i really appreciate the same
Doctor :   Thanks for consulting the same
User :   bye..
Doctor :   Bye
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