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Ozquoll

Shoulder Manipulation under GA?

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Ozquoll

My mum had a fall back in March and fractured her shoulder. The damage was quite bad and it has taken a long time to heal. She has been very dedicated with doing the exercises prescribed by her physio, but still has limited range of motion and enough pain that she has trouble sleeping most nights 😟. A couple of weeks ago she had a saline/cortisone injection into the joint which has slightly improved her range of motion but otherwise has not had much effect. 

Her physio has suggested another injection of the saline/cortisone combo, and if that doesn't work, being put under general anaesthetic for a surgeon to manipulate her shoulder 😳. This sounds pretty extreme to me (and my mum) - why would this need to be done under general anaesthetic? What exactly would they be manipulating? 

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Ellie bean

It can be an option and it can help but it really depends on exactly what is wrong. Has your mum had an mri scan? I’d be wanting to get her a referral to an orthopaedic surgeon and get their opinion on diagnosis and treatment, not go off the Physio (don’t get me wrong I absolutely love my Physio- although mine is not a shoulder issue- but they’re really flying blind without further investigation)

I’m sorry your mum is in pain 

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Ozquoll

Thanks Ellie Bean. Mum has an orthopaedic surgeon but with lockdown here in Vic he is very hard to see in person! I think she had either an MRI or an xray, but that would have been at least six weeks ago 🤔

Yes, the pain is worrisome. She is ending up on the couch most nights because for some reason it is easier on her shoulder than her bed. 

 

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Ellie bean

Sorry that would be really hard in vic! Her gp might be able to suggest something to help with sleep until she can get some treatment

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22Fruitmincepies

I’ve had a manipulation under GA, but for my knee. The aim was to break up all the adhesions that had formed, I think. It’s pretty brutal, forcing the joint when it doesn’t want to move. But for me it did work. 

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Ozquoll
31 minutes ago, 22Fruitmincepies said:

I’ve had a manipulation under GA, but for my knee. The aim was to break up all the adhesions that had formed, I think. It’s pretty brutal, forcing the joint when it doesn’t want to move. But for me it did work. 

Thanks 22FMP, it's good to hear from someone who's had it done. Was it very painful? After the GA wore off I mean. And did you see a big improvement right away?

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Kiwi Bicycle

I shattered my shoulder joint and I have never been offered that! BTW elevation and sleeping in a lazy boy chair is something that is recommended for shoulder breaks. You can get a foam bed wedge from Clark Rubber. I personally found dry needling beneficial to help reactivate my shoulder as it froze after 6 weeks in a sling, but as my joint is now misshapen,  I cannot raise it above my head. I would rather have an ortho make that call. Has she had a recent scan or xray? Surely she can do a telehealth with the specialist? I would also ask to check for ligament tears. I had those and had further surgery 18 months later to repair the rotator cuff.

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22Fruitmincepies
2 hours ago, Ozquoll said:

Thanks 22FMP, it's good to hear from someone who's had it done. Was it very painful? After the GA wore off I mean. And did you see a big improvement right away?

Yes it was pretty tender after, I was taking all the best drugs. Before I went in I could bend my knee less than 60° despite months of physio work, after I was over 90° and was able to get back to almost a full range of movement as the swelling went down (I had a lot of post op swelling). It took a lot of work and $$$ at the physio still. 

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meljbau
Posted (edited)

I had an elbow manipulation under GA by an Orthopaedic Surgeon. I had had an MRI and xrays beforehand. My arm was fixed at around 20 degrees so essentially only had one useable arm. After surgery I went on to strong pain killers and a brace which I used for the next month to make sure I kept movement in the arm. I had to tighten the brace on the hour and hold until I could stand no more. I took a month off work and eventually regained everything bar 5 degrees which you'd never notice anyway. 

Edited by meljbau
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