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Had shoulder surgeries for rotator cuff repair, stabilization, putting anchors. Having pain, numbness, tingling in the arm. Solution?

I have had three shoulder surgerys first rotator cuff repair and bone spurs,2nd stabulization by stitching the musle back on and third they put anchors to hold up the shoulder almost 4 years later have cronic pain in the shoulder back of my neck back of the shoulder in the arm pit area numbness and tingling down my arm the pain is so bad i want to stab it with something to releive pressure. just got a mri a week ago said theres diffinate irratation in the back of the shoulder by the arm pit seen 5 ortho docs the last one said theres nothing they can do 24 weigh 190 and cant live with the pain any ideas? I have a pain managment doc and he is going to try a injection to burn the nerves off to try to get some relief...
Asked On : Fri, 16 Nov 2012
Answers:  2 Views:  53
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Physical Therapist or Physiotherapist 's  Response
Thanks for posting your question.

Rotator cuff is a complex group of muscles that need to be in perfect balance for the shoulder to work properly. Repetitive surgery leads to muscle weakness and disturbed bio mechanical rhythm. A disturbed movement of the scapula and the humerus (the bones forming your shoulder joint) leads to impingement and thus constant pain in the shoulder, neck and arm.

You can visit a physical therapist, and he would do a complete assessment of your rotator cuff muscles. The therapist would recommend exercises for your upper back and shoulder (scapulo thoracic muscles and rotator cuff) so as to strengthen them and achieve the dynamic integrity of the shoulder joint.

You can also see an orthopedic doctor in your area who might want to assess your cervical spine (neck) for any disc related issues or impingement of nerve roots that come out of the cervical spine. The nerves of the cervical spine radiate into the shoulder, arm pit, arm, chest and upper back and thus any pressure on them can be a reason for the kind of pain you are explaining. An MRI of the CERVICAL SPINE will clarify the picture and then therapy directed to it will help you get rid of the pain. Spurling's test is a clinical assessment test for cervical root impingement's and radicular pains. Only a well trained Orthopedic or a physiotherapist will be able to perform it on you and give an assessment by checking your neck range of motion.

Get well soon!!!
Answered: Sat, 17 Nov 2012
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Orthopaedic Surgeon Dr. Praveen Tayal's  Response
Thanks for writing to us.
It seems that the nerve roots have become involved in the inflammation around your shoulder joint causing the pain you are having. You can consult a neurologist for a proper evaluation and possible management.
I hope this information has been both informative and helpful for you.
Dr. Praveen Tayal
Answered: Sat, 17 Nov 2012
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
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