Suggest Treatment For Severe Arm And Shoulder Pain After An Injury
Physiotherapy is the first option...
Detailed Answer:
Hi,
All surgeries leave behind some scarring and adhesion which limits the mobility of joint. Those adhesion keep adding with number of surgeries performed. I would not let my patients to be operated further to treat scars accumulated over 20 years through numerous surgeries. It's just going to add some more scars instead of correcting it, more over I don't think all the scars can be taken care of.
Rather I would refer such patients to a physiotherapist. Physical therapy to some extent might help.
In addition, she can also visit a neurologist who after detailed evaluation might be able to figure out the nerve that is trapped. Neurosurgeon or your orthopedic surgeon can release this nerve if possible. If not, it can be managed with pain threshold lowering drugs and pain killers.
To summarize, in my opinion her first step is to visit a physiatrist who specializes in physical therapy. If the physiatrist has no treatment options, then she can follow up with a neurologist and surgeons. If you are convinced with this plan of action, specify this patient's location. I shall try looking for a doctor/therapist nearby.
Regards
Sanford Medical Centre, XXXXXXX ..
Detailed Answer:
Hi,
The closest institute that I could find which might be able to help her is Sanford Medical Centre. I was able to narrow down my search on Dr. XXXXXXX L Scarberry. She specializes in neuromuscular conditions and has enough experience to be able to assess her. You can try reaching her there. It is located at 700 1st Ave S, XXXXXXX ND 58103. This doctor can only assist her figure out if the nerve is involved. She will need a surgeon who can release it (if its feasible). You may find the surgeons at the same place.
Having said that, if the nerve is involved, we may or may not be able to release it as it has been trapped with plenty of scars over many years. I shall keep my fingers crossed.
If surgery is not feasible, the next option is to discuss about using pain threshold lowering drugs to kill the pain and give her a better quality of life.
I wish her good luck!!
Please write back for clarifications.
Regards