MRI results - the good, the bad, but no ugly

Haven't been in the mood to write. I'm still not, actually, but I will anyway because my brain is nagging me to write what the results of my MRI were.

The good is that the muscle is not a complete tear. That actually surprised me. I fully expected the doctor to say it had completely torn, as he suspected. In some strange way, I'm a little disappointed. That sounds odd, I know, but at least it would fully explain why it felt like it had completely separated.

So what exactly is wrong with my shoulder? The summary paragraph says:

"Longitudinal delamination/tears of the supraspinatus and infraspinatus tendons are likely to be concealed at arthroscopy although is not possible to exclude pinpoint communication of the supraspinatus tear to the bursal surface."

The doctor explained that this means the muscle and/or previous tear is rubbing and causing small wear tears on that muscle. It's being compressed in the joint.

The solution? There really is none, other than to continue physio to improve the strength. If there's no improvement, surgery could be an option but it's unlikely.

I made an appointment with my physiotherapist to show her the results so we could plan our next course of action. She said that this condition usually occurs with males 45 yrs and older. In my case, the original injury is just adding to it, along with my poor posture.

The course of action? Keep doing what I'm doing with regards to the exercises and focus more on better posture (says me, as I slouch in my chair typing this...) She also suggested that I may want to consider massage therapy for my neck, but I'll need to get a referral from my doctor for that if I want it to be covered by my health insurance.

The bad is that my cycling will likely aggravate it. :( The only thing I can do to minimize the discomfort is to adjust my seat and/or handlebars so that I'm not bent over the handlebars as much, and perhaps take more frequent breaks while I'm out cycling.

I'm not happy about it. A few people have suggested a recumbent bicycle. While it would help with my shoulder and pinched neck nerve issues, I'm not to keen on the thought. I ride in a lot of places where a recumbent bike would simply not work. I read a little about them and if I were to consider one, it would definitely be the tricycle style.

I have the winter to work on improving my shoulder and neck and I guess I'll see what happens in the spring when I resume cycling.

MRI results are in... soon

I got a call this afternoon from the Carleton University Sports Medicine Clinic, to book an appointment to discuss the results of my MRI. The date is next Tuesday at 9:30am.

I'm really glad that I don't have to wait a long time. I knew they'd get the results in 7-10 days, but based on how long I had to wait to see them in the first place, I expected to wait about a month to find out what the scoop is.

The waiting is almost over.

Waiting... again

I went for my MRI on Sunday afternoon. It felt weird strange going to a children's hospital (CHEO) for it.
I can't recall where I went for my last MRI 4 years ago, but at CHEO they let me choose between listening to my choice of radio stations, or watching a movie with headphones and goggles while in the MRI machine. Seeing as how it was only going to last 20 minutes, I chose to listen to the radio. Unfortunately, many of the sounds the machine makes were still quite audible in the headphones.

I was much more comfortable this time than I was the last. My shoulder didn't ache at all, despite being squished into a shoulder cup and the machine itself.

After it was done they said that they got some excellent images of my shoulder since I was able to remain perfectly still.

Now I have to wait a week for the results to be sent to the doctor and then for an appointment to get the results from him.

My physiotherapy sessions are also on hold until the results are available. My last appointment was last Wednesday. Once I get a copy of the results I can book another appointment so my physiotherapist can determine what, if any, other exercises she can have me do. I can still do all of the home exercises, although I'm getting really bad for not doing them.

My neck (pinched nerve) issues are still present, but not as bad as they were when this all started. I still get some tingling in my arm, usually when I forget to keep good posture, which occurs more than I'd like to admit.

As much as I hate to say it, I think cycling is over for this year. I have to bring my bike inside soon so it's available for mounting onto the trainer, should I decide to try that again.

I'm baaaaack... back in the saddle agaaaain...

Today I went cycling for the first time in 67 days. I was a little unsure about it, but overall it went much better than I expected it would. I rode for about 45 mins in total, travelling a distance of around 16kms.

I did have a little tingling in my arm and hand occasioanally, but it wasn't continuous nor was it unbearable.

It felt awesome. Man, did I ever miss it. I will no doubt go back out again sometime soon. I'm not sure if I'm ready to resume riding to work or not.

Physio is still going well, but I'm now on a 2-week schedule. My next appointment is on Wednesday. My phsyiotherapist is awesome and I can't wait to go back.

I finally got a call on Friday to book my MRI appointment. I'll be having it done at CHEO (Children's Hospital of Eastern Ontario), of all places, on October 21st at 2:30pm. Seems kinda weird having it done at children's hospital, but if that's the only MRI machine available that's where it gets done. Of course, it could still be cancelled if someone needs it more urgently. I'm anxious to find out what's going on in my shoulder.

Physio — Part IV

Had a really good physiotherapy session yesterday morning, and a pretty good day over all; a big difference in comparison to the day before.

I've got a couple of stretching routines added to my exercises. Maybe they helped? Or maybe I'm just being more aware of my posture sitting at my desk. Regardless, I felt pretty good and I had a good sleep last night, without waking up every hour or two. It'll be a week until my next appointment, so it'll be interesting to see how just doing my exercises will work out.

I'm still fighting the urge to try cycling.

Physio Part III

My first day back at work after 3 weeks of vacation and it started with a double-appointment of physiotherapy. Got more deep massage to work out the tight muscles and knots in my left shoulder and neck, more of my usual physio exercises — plus two new ones — and ended with the electro-therapy.

My physiotherapist said that the muscles in my shoulder and neck are definitely looser than they've been. I can also feel my left arm regaining some strength. I'm still getting the occasional tingling in my left arm, which she says is due to posture.

Trying to remember to sit up straight at work was a bitch. I kept catching myself slouching. This is probably the biggest challenge.

The two new excercises are tough. I don't know what they're called, but one involves standing on one end of the exercise band, and then pulling up on the other end to the side with a straight arm, and the other is almost the same except pulling up 45 degrees from the side and front with thumb facing down. That's apparently where your arm is the weakest. I can really feel these ones.

I'm feeling pretty sore right now from when she worked out the tight muscles in my neck and shoulder. My next appointment is on Wednesday morning so I'm hoping they're not still achy then.

Physiotherapy continued...

I had my second physiotherapy appointment this morning. It was a double appointment. That's what my physiotherapist wanted because we need to work on my neck and my arm.

It was a little on the painful side at times because the muscles on the left side of my neck and the bad shoulder are pretty tight and she pressed pretty hard with her fingers to work them loose. I asked her if they were tight beause of the pinched nerve, and she said she suspects it's because the shoulder injury is causing me to shrug as I raise my arm to compensate for the weakness.

I could really feel them loosen up. She'd press hard, it would hurt a little and then they'd slowly give way. It was kinda cool, in a weird way I guess.

After about half an hour of that, I did my physio exercises and then got hooked up to the electrotherapy machine for 15 minutes.

I left with an arm and shoulder that fell pretty damn good. My arm is still very weak, but I think I'm seeing some improvement. Slowly, but surely. The physio exercises feel like the're getting a little easier. What's depressing is when I do them with my good arm for comparison and see how easy they should be, and how much trouble I have doing them with my bad arm. It just reminds me of how far I have still to go.

I've pretty much accepted the fact that any more cycling this summer is not going to happen, unless it's on the trainer in the basement where I don't need to lean forward on handlebars. I'm pretty bummed out about that.

My next appointment -- another double -- is on Monday, and the one after is on Wednesday. I'll be back at work that week, so I tried to get them as early in the day as possible.

Physio assessment

My first physiotherapy appointment at the Carleton University Physiotherapy Clinic went very well.

My therapist wants to work on not just my shoulder, but the pinched nerve in my neck as well. I didn't expect that, but I'm really pleased about it. After the assessment, she said that it's likely due to poor posture at work, sitting in front of a computer, not from cycling. If we don't see an improvement with my pinched nerve, then she'll send me back to Sports Clinic Doctor for a follow-up so he can include my neck in the MRI that I'll eventually be getting.

Today also included some exercises and electrotherapy on my shoulder. That was kinda weird but my shoulder felt pretty good after.

I was sent home with some exercises to do twice a day and a tension band to use for the exercises. I also booked my next appointment for Wednesday morning.

Good news & bad news?

Our family vacation in PEI went well. Some of the driving really bothered my arm though. Certain positions occasionally cause nasty discomfort. It's weird because the same positions at other times are perfectly fine.

I think the pinched nerve in my neck is getting better, slowly. It still cause a weird sensation in my arm when I tilt my head back.

I went to my appointment at the Carleton University Sports Clinic this morning. I explained everything to the doc and gave him a copy of my MRI results from 4 years ago. As soon as I mentioned weakness in my arm, he had me do some strength tests. He seemed pretty certain that the muscle I had torn 4 years ago is now completely separated. I asked him about what my famiily doc said about being in pain if it was torn more and he said that's not always the case. But the fact that my arm is weak moving in certain ways and not in others is a good indicationt that the rotator cuff is torn, and may require surgery. O_o I also asked about my neck and the occasional arm numbness. He said that's a separate issue, so there are two things going on. He didn't seem that concerned about the pinched nerve.  

But, we won't know if it's torn until I get an MRI. He filled out the paper work and I guess I'll be awaiting a call to book that appointment.

First things first; an X-ray and physiotherapy.

Even if it is completely torn, he said that 70% of the time, strength can be regained with physiotherapy and the muscle may not need to be repaired. The other 30% requires surgery. I'm not looking forward to that option.

I could go anywhere for the physiotherapy, but I decided to stick with Carleton University since shoulders are one of their specialties. I walked over to the Sports Therapy Centre and booked my physiotherapy appointment for Monday morning, which also happens to be the same day that I have a follow-up appointment to see my family doctor, and also fill him in on what I've done I suppose.

I then went for the X-ray at the Merivale Imaging centre. The Doctor said he can get the results on the computer from them. I'm not sure why my family doc didn't send me for the X-ray at the same time as prescribing the Celebrex. It would have made more sense than waiting.

I guess the good news is that I'm closer to finding out what's wrong. The bad news is that it may not be that good. :(