Master Manipulator

Well, I finally had my procedure to fix my ‘frozen shoulder’ (adhesive capsulitis) Basically, my shoulder froze due to the build-up of scar tissue in my shoulder joint. I am sure it was caused by heavy lifting on two home improvement projects about a year and a half ago.

So my shoulder complained bitterly when I moved my arm beyond certain points and sleeping was very uncomfortable.
Two cortisone injections in my shoulder joint last winter made things manageable, but not better.

So last Thursday, WG and my neighbor CG (Chemical-Girl) went with me for the surgery to fix it. CG came along so we could drop her off at the car repair shop and pick up her car. It ended up that she was also good for moral support for WG and comic relief for the two of us.

It was a long wait. You check in and they give you one of these ICUB (I see ur Butt) gowns to wear, have you lie down on the gurney and you wait (for hours).
It was nice to have the girls with me, to chat and laugh while we waited.
The prep nurse was fun and immediately caught on to our banter. At one point, she asked if I had shaved my armpit. I hadn’t and CG asked if she could pluck them out.
I told her that she could go ‘pluck’ herself.

So for about two hours we teased each other while the Nurse asked questions, then the Anesthesiologist came and asked questions. The doc visited and checked on me. He even wrote his initials on the arm to be fixed. He found it amusing that I had written ‘NO’ on my good arm. (Yes, I am glad his initials were not N. O.!)

Then a nice sedative is put into the IV and I am feeling much better. Wait a little longer and they roll me into the block room. A nice little injection at a shoulder nerve to block it and soon my whole left arm is numb. Imagine a limp dead fish, yes, that numb.

So, the procedure was to manipulate my arm to break loose the scar tissue (imagine putting a big wrench on a rusty bolt and forcing it to move!)
If the manipulation was not successful, then two little incisions in my shoulder would let the surgeon go in with a scope and cut loose any scar tissue that didn’t rip loose.

It was funny, listening to him describe what he was doing, how he could hear and feel the scar tissue tear loose. I couldn’t hear, or more importantly feel, a thing.

After fifteen minutes, or so, of him arm wrestling my limp arm, he said he was done. And, since it went so well, no need to cut into me! And no overnight stay.

The next day I tried my shoulder exercises and could move my arm through almost the full range of motion! And better still, very little pain!
Nice to have a surgeon who is a master manipulator.

Pricks and Prods

The MRI showed wear and tear on my shoulder, mostly normal for a guy my age, but nothing that screamed fix me.
My Ortho-Doc looked the scans over and pointed out where there were bad spots. (It is really cool to see the image slices of my shoulder.) He wants to send me to a specialist, just to make sure, since there were no big problems.
(Yes, no little demons with pitchforks showed in the scans :-)
Oh, and since the last cortisone shot didn’t help, he wanted to give me another, but from the front.
He goes and gets the stuff and my mind wanders. I’m thinking that there could be something to a shot of cortisone and a shot at a courtesan? Hmmm, I’ll have to play with that.
The doc comes back and mixed up the cocktail. No, I don’t look at the long needle, but I sure felt it when it went in! Boy, there was some tough stuff he had to push the needle through!
The effect was immediate and good. I could move my arm and the pain in the extremes of my range had lessened. (sure, a lot might be sure to the Lidocaine.)

Now, weeks later I have a much greater range of motion, without pain. I can really start exercising and stretching my left arm. This is important since it helps break loose the scar tissue that has formed. Over the next three months, I need to see progress.
Because if I don’t have good progress, then the Orthopedic surgeon will present the other option. Put me out and then forcibly move the arm where it should go; ripping through the scar tissue. And maybe some Arthroscopic help with little knives.
None of us want that option, so I exercise, stretch.
And hope that in three months, all they will give me is a shot of cortisone.

I’d rather have a shot of cortisone, then be shot by a courtesan.
Still needs work.

MRI Dreams

When I was younger, I remember seeing a picture of an old woodcut image where a person was beset with joint pain. In this woodcut, the pain is caused by tiny demons poking little pitchforks into him. They sure had wild imaginations five hundred years ago.

I was thinking of this, as the Tech got me set on the little bed. She put earplugs in my ears, clamped my bad shoulder in some odd plastic cage.
Slowly, the narrow bed I am on is pushed into the hole of the machine. My arms scrap against the sides a little, so I pull my arms in. There are two little light strips above my forehead, an inch above my forehead.
I can’t move. My arms are tight against my sides. I would be okay, but thanks to a surgery on my left arm ten years ago, my ulnar nerve is on the side. The pressure on my left arm is causing it to hurt and my left hand is starting to go numb.

So as I am lying there in the metal doughnut, listening to the growl and bang of the MRI machine, wondering what the Tech sees on her screen. Then the old woodcut comes to mind.
It sure would be amusing if she rolled me out of the coffin like structure and said. “Yes, Mr. Hogg. If you look at the screen, you can see little demons here, here and here. They are what is causing the pain in your shoulder. ” She indicates grey little blobs holding pitchforks. “Now the good news is that there are only three and they are weak demons.” She picks up a scalpel and a stainless steel pan. “We can tell that it’s a simple matter of your humors being out of balance.” She swabs my arm with a cotton ball soaked in alcohol. “A little bloodletting will get you humors back in balance.” The scalpel doesn’t hurt as much as my shoulder joint.

After a half hour in the steel doughnut, the banging, growling and grinding noises stop. “All done.” The voice says from the speakers. I feel the bed move. “Are you okay?”
“Yes.” I blurt out through clenched teeth. My right hand is clenched tight and there are small tears coming out of the corner of my eyes. The pain in my left arm is killing me.
“You can sit up.”
I do and start to massage my left arm.
“Are you okay?”
“My arm is killing me. It was tight in there.”
“I thought so. You were shaking in there.”
I shook my arm and could feel the pins and needles as the blood returned to my arm.

“Your doctor will schedule an appointment within a week, to go over the results.”

As I drive home, I wonder how many little demons showed up on the MRI and if there is damage.

Do you really want to hurt me?

Do you really want to make me cry?
Last week
Wednesday
I am not sure what I should say to my PT tomorrow.

‘If things don’t improve soon, I am going to have to ask you to stop helping me.’?

Oh, she does not like to hurt me, but she has to try. That’s the only way she can tell how my frozen shoulder is. Move it until it hurts a bit, then move it a little bit farther. She says that I am a little better.
The problem is, by the next day my whole arm hurts like hell. It moves a little more but hurts more.
Push the limits.

Last Monday I saw the Orthopedist. The idea was to get a nice shot of cortisone in my shoulder joint. Ease the inflammation and the pain. Regain some mobility. Maybe break loose the scar tissue that has built up in my shoulder joint.
I let him move my arm places that it did not want to go. Nothing tore, as far as I could tell, but it hurt like hell.
‘Yes, it looks like adhesive capsulitis.’ He said. ‘We can try a little cortisone.’
No, I did not look too closely at the 3inch (7.5 cm?) needle.
But the needle slipped into my shoulder joint easily, I am sure the lidocaine in mix helped.

But the little cocktail did little for my shoulder joint. I think the Orthopedist was disappointed it didn’t help much.
But the shoulder was a little better and he could move it around a lot more.
(Little did I know that I would pay for days.)

Ortho–doc thinks there might something else causing problems and will schedule an MRI. That might be fun, I have never had an MRI.

By the time Thursday rolled around, my arm was better and maybe a slight improvement from the shot.
The PT worked me over pretty well, but she was careful this time. She tends to wince when I jerk from the pain. She tells me that the cortisone can take up to a week to fully help.

A week later-
So I do my stretching exercises every day. Just a little each day. Keep some ability to move. I hope no one tries to dance with me at the party this Saturday. Or at least not until I have had enough beer to not feel my arm scream.