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Muskie Fishing -> General Discussion -> Medical advice!
 
Message Subject: Medical advice!
muskyhunter63
Posted 4/29/2012 6:45 PM (#556631)
Subject: Medical advice!




Posts: 706


Location: Richland Center, WI.
With less than a week to go before the musky season opens here in southern Wisconsin, I go to my doctor for a sore right shoulder. For the record, I am right handed. He sends me in for an MRI and the results are in!
I have a SLAP tear extending from anterior to posterior of the bicipital labral complex extending posteriorly to the junction with the posterior labrum with a large paralabral cyst extending into the suprascapular notch. Also have shallow undersurface partial thickness tears of the infraspinatus and subscapularis tendons.
Doc is sending me to a specialist on May 7th.
My question is, has anyone had any experience with this either personally or professionally? It is killing me not knowing how long I will be out of the game of musky fishing with the season just getting started. Have not made up my mind on whether to have surgery if recommended or to just wait. Waiting will probably screw with bow hunting. Funny how the seasons (hunting and fishing) dictate what we do in our lives.
Thanks, Ken
tcbetka
Posted 4/29/2012 7:00 PM (#556638 - in reply to #556631)
Subject: Re: Medical advice!




Location: Green Bay, WI
Depends upon how the surgeon feels. Sometimes an aggressive approach works better--surgery, rest and then rehab. Otherwise, it's one re-injury after another. Connective tissue has a poor blood supply and heals quite slowly. So before you know it, you have significant scarring and loss of range-of-motion from the chronic inflammation that persists. Then you need surgery to clean that out. So often times, it's best to just go ahead and get it done sooner rather than later.

Sorry to be the bearer of bad news but if the surgeon offers a procedure, I'd think very hard about getting it done. You will lose a couple months, but hopefully not the entire year. With a chronic, lingering injury that is constantly getting re-exacerbated...you might lose the entire season and Fall. But it will all depend on how aggressive your surgeon thinks it should be treated.

TB
muskie! nut
Posted 4/29/2012 7:14 PM (#556648 - in reply to #556631)
Subject: Re: Medical advice!





Posts: 2894


Location: Yahara River Chain
Ken are you able to net my fish??

Just bring a few Musky Hunters to read while I catch them. :)

Sorry to hear about your shoulder. Can you learn to cast left handed?
wallygator
Posted 4/29/2012 7:27 PM (#556656 - in reply to #556631)
Subject: Re: Medical advice!





Posts: 319


Location: Tomahawk,Wis
Ken have had both my shoulders redone and now I hunt with a crossbow.
The surgery is better than letting it try and heal.
Good luck
Wally
knooter
Posted 4/29/2012 7:46 PM (#556665 - in reply to #556656)
Subject: Re: Medical advice!




Posts: 531


Location: Hugo, MN
Get it fixed before it screws up ALL of your musky seasons.
Guest
Posted 4/29/2012 7:55 PM (#556670 - in reply to #556631)
Subject: RE: Medical advice!


downsize, jig,... whem u cant jerk a glider all day maybe hit all ur favorite lil spots with a diff method
muskyhunter63
Posted 4/29/2012 7:55 PM (#556671 - in reply to #556665)
Subject: Re: Medical advice!




Posts: 706


Location: Richland Center, WI.
Thanks for the responses. I will know more on May 7th. Just getting a little freaked out about how much time I will be laid up.
Gerard, I am sure I can net fish left handed but still don't think I can cast left handed. I guess I should look on the bright side, maybe this will give me incentive to troll a little more or fish more for panfish!
Ken
T-Bone
Posted 4/29/2012 8:45 PM (#556689 - in reply to #556631)
Subject: RE: Medical advice!




Posts: 223


Location: Victoria,MN
I have had the unfortunate opportunity to have 3 rotator cuff repairs performed on me. Two of them were 8 months apart on the left shoulder. I am right handed.

Sorry to say, the surgery sucks. It put a damper on ANY fishing I did for 3 months.
I tried Cortizone shots to try and put off the surgery and they had no effect and were a bit unpleasant also
If you get the surgery done follow the rehab plans and dont over do it. Re-tears are easily done from over exertion.
If you can wait until after the bow season and get the surgery performed in the winter you should have time to recoop.

Good Luck,

KARLOUTDOORS
Posted 4/29/2012 8:47 PM (#556692 - in reply to #556631)
Subject: Re: Medical advice!





Posts: 956


Location: Home of the 2016 World Series Champion Cubs
get the surgery done asap and learn to troll to get you through rehab

Edited by KARLOUTDOORS 4/29/2012 8:48 PM
Guest
Posted 4/29/2012 9:11 PM (#556707 - in reply to #556692)
Subject: Re: Medical advice!


KARLOUTDOORS - 4/29/2012 8:47 PM

get the surgery done asap and learn to troll to get you through rehab


If you can schedule it, get it done ASAP. In the meantime, cast lefty. Trolling is for ladies.
jkslayer135
Posted 4/29/2012 10:34 PM (#556725 - in reply to #556631)
Subject: Re: Medical advice!




Posts: 283


I basically had the same thing...I'm right handed and had a Slap tear on my right shoulder. I had surgery over 3 yrs ago and it still isn't right. Cortizone shots didn't do anything for me. I'd wait til after bow season if I was you. The recovery time is over 6 months. The advice I'd give u is if u have surgery baby your shoulder, do all your rehab, and don't push it. As for muskie fishing I; sucker fished more, trolled more, casted left-handed more, and I threw a lot more small spinnerbaits and gliders. That was my best year numbers wise for muskies too. Shoot me a pm if have anymore questions.
bturg
Posted 4/29/2012 10:47 PM (#556731 - in reply to #556631)
Subject: Re: Medical advice!




Posts: 718


Wait or not...maybe a personal choice...maybe one the surgeon will help you make.

More important, WAY more, get it done by someone good...that specializes in shoulders for athletes....even if it means a little travel. TRIA in the Minneapolis area has done work on me and quite a few others that I know. They are sports guys and they all specialize....no general handymen allowed.
esoxlazer
Posted 4/29/2012 11:39 PM (#556737 - in reply to #556631)
Subject: Re: Medical advice!





Posts: 336


Location: Lino Lakes, MN
Unfortunately, I've had quite a bit of experience with that surgery. I had a SLAP done on both shoulders and followed that up with rotator cuff surgery on both of them a few years later. I was pitching in college and originally elected to go with the injections and physical therapy because I didn't want to be out for an entire season...looking back, I would have been much better off just getting it done right away. I hate to say it, but the surgery sucked, especially the first time I had it done. The 2nd surgery and both rotator cuffs were done by a different surgeon who implanted a pain pump after the procedure and that thing was a life saver as far as pain management. It took me 4-5 months after each surgery to feel close to normal and probably 6-7 months after to feel 100% comfortable with throwing/casting/etc.

You should definitely talk to your doctor and come up with a plan that works for you, whether it be surgery, physical therapy, injections, or a different course of action. Everyone is different and you know your body better than anyone else. A few friends have had similar injuries and were able to get by with PT and injections while waiting for a more opportune time to have surgery. My best advice would be to get multiple opinions from doctors and make sure you go to someone who specializes in sports injuries(in my experience, the sports docs were more often looking to get me back to full physical activity as opposed to just getting me to be pain free...odd as it may sound, there is a difference). Another important thing I learned from my experience: listen to your therapist/doctor, and follow their instructions to a "T". Therapy isn't much fun, but more often than not, the success of the recovery will depend greatly on how seriously you take the therapy...getting your range of motion and strength back will not only help your shoulder recover, but help to prevent you from injuring something else if you start to overcompensate with a different part of your body(elbow/hand). I ended up having Tommy John surgery after my last shoulder surgery because I changed my throwing motion and overcompensated with my elbow in order to keep pressure and pain out of my shoulder. Good luck with whatever you do and let us know how it goes.

Edited by esoxlazer 4/29/2012 11:41 PM
KSauers
Posted 4/30/2012 7:03 AM (#556749 - in reply to #556631)
Subject: Re: Medical advice!




Posts: 743


I have a SLAP tear extending from anterior to posterior of the bicipital labral complex extending posteriorly to the junction with the posterior labrum with a large paralabral cyst extending into the suprascapular notch. Also have shallow undersurface partial thickness tears of the infraspinatus and subscapularis tendons.


Sounds terrible . Does it sound as bad in English?
gregk9
Posted 4/30/2012 10:56 AM (#556800 - in reply to #556631)
Subject: RE: Medical advice!





Posts: 793


Location: North Central IL USA
Get it done ASAP! My neighbor put it off last summer so he wouldn't miss out on his salmon fishing trips. Finally had it done this January. Because he waited the surgery was much more complicated and he'll be lucky to get the shoulder back to 80% of what it was before the injury.
ToddM
Posted 4/30/2012 11:32 AM (#556811 - in reply to #556631)
Subject: Re: Medical advice!





Posts: 20248


Location: oswego, il
My middle son tore his labrum during football. He is still doing therapy and he has actually lost some of his movement. It will be a little bit before he will be cleared to go out for any sports. Dont mess around get it fixed.
muskyhunter63
Posted 4/30/2012 12:00 PM (#556823 - in reply to #556811)
Subject: Re: Medical advice!




Posts: 706


Location: Richland Center, WI.
Thanks again to all who responded. I really appreciate it.
My doctor gave me the results of the MRI with pictures highlighted showing the areas affected. He told me he was surprised by the amount of damage I had (whatever that means). I don't really have the English translation of what all I have wrong but know it hurts! Worst part of all this is that it happened at work so I am at the mercy of whoever the insurance sends me to. Being right handed, this really sucks! Really need this shoulder to be in good shape. I guess I have hit that age where waiting a couple weeks for things to feel better does not work anymore. Again, I will know more on May 7th when I see our local specialist.
Ken
tcbetka
Posted 4/30/2012 12:06 PM (#556826 - in reply to #556823)
Subject: Re: Medical advice!




Location: Green Bay, WI
You are the patient, and have the right as to who treats you. I am not an expert in Worker's Comp, but many doctors see patients for them. In other words, if you don't like the first surgeon you see...ask for a second opinion. It happens all the time.

I'm quite sure that you won't have to accept treatment from the first physician, if that is your choice. When I was practicing medicine, I saw patients for a second opinion (their choice) on a number of instances. Don't worry too much about it. The UW is near you as well, so you can always ask for a referral there if you aren't comfortable after the first visit. In fact, the Workman's Comp people might even ask for your choice of surgeon right off the bat....

TB
Jeremy
Posted 4/30/2012 12:13 PM (#556830 - in reply to #556823)
Subject: Re: Medical advice!




Posts: 1149


Location: Minnesota.
Ken,

I feel for you. I really do. I"m a veteran of no less than 8 elbow tendonitis surgeries. Put me down bigtime in fishing. I timed the surgeries over the winter but still it messed the recovery time up.

Here's the scoop...Work related. The work docs are terrible. They play to the co. that employs them.

I had surgery done in the Twin Cities by a "recommended" doc. So/so..at best. Following surgeries were done after a few trips to the Mayo Clinic in Rochester MN (you're close...consider that being VERY fortunate!)

Go to the Mayo. They know ALL the ins and outs and maybe they'll suggest the surgery...you'll find out. They're the BEST. Get it done there.

I did and couldn't be happier. I"m serious here. Been there/done that. I hope you have good results.

Good luck.
Jeremy.
tcbetka
Posted 4/30/2012 5:41 PM (#556894 - in reply to #556707)
Subject: Re: Medical advice!




Location: Green Bay, WI
Guest - 4/29/2012 9:11 PM

If you can schedule it, get it done ASAP. In the meantime, cast lefty. Trolling is for ladies. :)


LMAO...
whynot
Posted 4/30/2012 7:43 PM (#556921 - in reply to #556631)
Subject: Re: Medical advice!




Posts: 897


If you have any reservations about your surgeon contact a workers comp attorney and see what your rights are. My guess is you have more options than you think.
tcbetka
Posted 4/30/2012 7:59 PM (#556930 - in reply to #556921)
Subject: Re: Medical advice!




Location: Green Bay, WI
You have LOTS of options. Wisconsin isn't that big to have an infinite number of providers for the Workman's Comp carriers to choose from. Sure they might have a "preferred" provider list, but most surgeons are affiliated with larger clinics--who, by their very nature (trying to out-do each other), are going to all want to cover that line of business. In other words, lots of different doctors accept patients from WC carriers. So the OP will likely have several different choices. Ironically though, I would not have guessed that Mayo would be one of them; as they have a strong reputation of not letting an insurance company tell them what they'll accept for reimbursement. Insurance providers don't like that however, which is why I advised the OP to consider the UW system. The care there would be just as good, and in all likelihood there would not be an issue with coverage.

Remember--the WC carriers want to get you better as quickly (and with as little residual disability) as possible, to mitigate their losses down the line. I wouldn't think the OP will have much trouble in today's medical world. At least I've never heard of much over in the Green Bay area.

TB
esoxlazer
Posted 4/30/2012 11:30 PM (#556986 - in reply to #556631)
Subject: Re: Medical advice!





Posts: 336


Location: Lino Lakes, MN
I have no idea if you're close to Milwaukee, but a doctor that I had great success with for 3 shoulder surgeries and my Tommy John surgery was Dr. Rick Papandrea. He actually brought in the team doctor from the St. Louis Cardinals when he did my elbow surgery and he went above and beyond working with my physical therapists to get me back to top physical form as soon as possible. I think he works out of Orthopaedic Associates of Wisconsin. Like I said, I have no idea if you're close to Milwaukee or if he's in your network for Workman's Comp, but I know he did surgeries for a few friends who were hurt on the job so I know he's familiar with Comp cases.
Tim Kelly
Posted 5/1/2012 2:01 AM (#556994 - in reply to #556631)
Subject: Re: Medical advice!





Posts: 358


Location: London, England
The trouble is, if you go to see a surgeon, he'll recommend surgery. Go and see a physio, he'll recommend physiotherapy etc. It's hard to know what to do for the best. In my experience ligament and tendon related injuries will heal themselves eventually with the right exercise program, but it will take a good amount of time. think 1-2 years. Surgery, I don't know, but it could easily make it worse.
tcbetka
Posted 5/1/2012 6:17 AM (#556998 - in reply to #556994)
Subject: Re: Medical advice!




Location: Green Bay, WI
But the problem is that connective tissue has a poor blood supply, so it does not heal quick. But if the mechanism that caused the initial injury is still in play, then the person is continuing to do harm to that tissue. In other words, they are causing further harm faster than the body can repair itself. So what you get is chronic inflammation and scarring. Then adhesions. Then loss of range of motion. And pain.

Often the surgeon is the only option. The process must be stopped, the tissue repaired, and then the joint needs rehabilitation. I've seen it hundreds of times in 14 years of practicing medicine. Surgeons operate, that's for sure. And therapists provide therapy. The two work together. But at some point that's about all a person has left. It all boils down to this...

You can pay me now, or you can pay me later.

And we're not talking about money.

TB
firstsixfeet
Posted 5/1/2012 6:48 AM (#557000 - in reply to #556631)
Subject: Re: Medical advice!




Posts: 2361


MY advice,
Beware of taking advice from anybody who has to practice medicine for 14 years, and go with someone who is good enough to provide it in less time(I mean, ya know, 14 years and still practicing?, if you aren't able to get it in 10, might be time to take up another field). No fence meant.

Second, the medical advice you get from a musky fishing board is worth every single penny you pay for it...

And of course third, always wear your PFD, without it, fall in and you can only propell yourself in a small circle, and eventually, your remaining good arm gives out, and you sink like a dang stone.
firstsixfeet
Posted 5/1/2012 6:50 AM (#557001 - in reply to #556631)
Subject: Re: Medical advice!




Posts: 2361


On second thought, be a man, skip that PFD...
muskyhunter63
Posted 5/1/2012 4:55 PM (#557174 - in reply to #557001)
Subject: Re: Medical advice!




Posts: 706


Location: Richland Center, WI.
Guess the advice I was looking for was if anyone has had the same problem, how long was the recovery time. Don't need any PFD advice.
Ken
bassinbob84
Posted 5/2/2012 1:07 AM (#557268 - in reply to #556631)
Subject: Re: Medical advice!




Posts: 646


Location: In a shack in the woods
I had a labral tear along the back of each shoulder joint from top to bottom and it never healed right. I can't throw a ball or swing a golf club anymore. I had to reteach myself to fish but my arms are glued to my sides. I just use my forearms. Also start casting lighter stuff like bass baits and slowly work into Muskie stuff. Early in the year my shoulders tire soon but by fall time I can cast mag dawgs and pounders for hours
tcbetka
Posted 5/2/2012 5:59 AM (#557274 - in reply to #557000)
Subject: Re: Medical advice!




Location: Green Bay, WI
firstsixfeet - 5/1/2012 6:48 AM

MY advice,
Beware of taking advice from anybody who has to practice medicine for 14 years, and go with someone who is good enough to provide it in less time(I mean, ya know, 14 years and still practicing?, if you aren't able to get it in 10, might be time to take up another field). No fence meant.


LMAO. Now there's the autistic FSF we all know and love. You're like the Rain Man.




Second, the medical advice you get from a musky fishing board is worth every single penny you pay for it...


OK then, that'll be $500. Cash please.




And of course third, always wear your PFD, without it, fall in and you can only propell yourself in a small circle, and eventually, your remaining good arm gives out, and you sink like a dang stone.


I can't help but wonder FSF...would it help if he would wear flippers in the boat? Besides providing a wider base to stand on, this would have the added benefit of allowing him to hang on to the rod with both hands while swimming after a big fish, should he get pulled out of the boat.



Edited by tcbetka 5/2/2012 6:03 AM
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