still waiting on the news
i went to a new doc on monday night. we went over the whole history of my shoulder. he listened to the whole thing then told me what the last approach was completely wrong. everything from the doctor's steps and order of treatment, to the type of PT work i did, to the cortisone. he said i should have had an MRI immediately and that the xray was a waste of time if we already knew it was a tendon issue. the small labrum tear would have been visible then i would have known not to do the stretching and resistance work i was doing in PT, which essentially put more stress on the tear that was already there and made it worse. he said the PT treatment should have been more focused on the electro stimulation and laser which encourage more activation and healing than actual stress on the tendon(s). he also said the cortisone shot was a bad idea because all that does is minimize the inflammation. while that may have been good for me to not feel the pain any more it also discourages the healing process because when the inflammation goes away your body doesn't focus on repairing the area in the same way. he wants me to start more PT w him (he has a whole PT facility in his office).
i'm torn though (pardon the play words). my first doc was a completely different experience. he runs the whole sports med/othropedic surgery area of a major nyc hospital, young and puts on the appearance of smarts and success. this guy is older, way more understated, not in any fancy hospital. the new doc said (and guessed correctly) that the first doc rushed all my appointments, had an overbooked office, spent little time explaining things to me. he seemed genuinely disgusted w the new generation of that sorta medicine. on the one hand i want to assume the first fancy doc would be the best choice but now looking back and hearing all of this stuff explained to me slowly and clearly the new doc kinda makes sense.
i did about a half hour of PT work after my appointment monday night and i'm going back again tonight to do some more. i'm gonna give this guy a few weeks and see how it goes. in all fairness my first doc couldn't even take me in for an appointment til right before thanksgiving anyway so what do i have to lose?
but basically i'm off weights again for now. this whole hitting the reset button again really sucks but hopefully i'm going in the right direction now