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good physio reccomendation for injured shoulder?

  • 09-07-2019 12:41PM
    #1
    Registered Users, Registered Users 2 Posts: 933 ✭✭✭


    hi, I hurt my shoulder back in Jan, and I've been resting and training around it since then, but it hasn't gotten much better, I still feel pain and discomfort and the range of motion isn't great, I'm wondering if anyone knows a good physiotherapist in dublin they could recommend for shoulder pain?


Comments

  • Registered Users, Registered Users 2 Posts: 1,512 ✭✭✭DelBoy Trotter


    What part of Dublin are you in? I've found the Ranelagh Physio Clinic very good


  • Registered Users, Registered Users 2 Posts: 19,220 ✭✭✭✭banie01


    My own advice for shoulder injury would be to get it imaged before starting off on a course of treatment.

    I spent 2 years at a couple of physios being treated for supraspinatus tendonitis, when my actual issue was fairly severe AC joint arthritis.
    Since then my advice would always be seek a confirmed diagnoses via MRI or CT and then plan your treatment accordingly.

    The 2 guys I saw were both happy to keep taking money with no sign of improvement over the course of treatment.


  • Registered Users, Registered Users 2 Posts: 933 ✭✭✭El_Bee


    What part of Dublin are you in? I've found the Ranelagh Physio Clinic very good


    I don't mind traveling, I'll check them out, did they treat your shoulder or was it something else?


    banie01 wrote: »
    My own advice for shoulder injury would be to get it imaged before starting off on a course of treatment.

    I spent 2 years at a couple of physios being treated for supraspinatus tendonitis, when my actual issue was fairly severe AC joint arthritis.
    Since then my advice would always be seek a confirmed diagnoses via MRI or CT and then plan your treatment accordingly.

    The 2 guys I saw were both happy to keep taking money with no sign of improvement over the course of treatment.




    Do I go about getting my shoulder imaged through my GP?


  • Registered Users, Registered Users 2 Posts: 19,220 ✭✭✭✭banie01


    El_Bee wrote: »
    Do I go about getting my shoulder imaged through my GP?

    Yeah a GP can refer you.
    If you have Health Insurance be sure to use whichever scan centre is covered for you.
    My 1st was private MRI in Limerick and it was a very well spent 150 to actually diagnose the issue.


  • Registered Users, Registered Users 2 Posts: 2,049 ✭✭✭thehamo


    El_Bee wrote: »
    hi, I hurt my shoulder back in Jan, and I've been resting and training around it since then, but it hasn't gotten much better, I still feel pain and discomfort and the range of motion isn't great, I'm wondering if anyone knows a good physiotherapist in dublin they could recommend for shoulder pain?

    In what way did you hurt it? Contrary to the above, the last thing I would do is get an MRI to see what the issue is. 1 issue of shoulder arthritis for one person, does not mean everyone needs to run off and get an MRI scan to see what's going on in their shoulder or any other rbody part for that matter


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  • Registered Users, Registered Users 2 Posts: 1,080 ✭✭✭MissShihTzu


    thehamo wrote: »
    In what way did you hurt it? Contrary to the above, the last thing I would do is get an MRI to see what the issue is. 1 issue of shoulder arthritis for one person, does not mean everyone needs to run off and get an MRI scan to see what's going on in their shoulder or any other rbody part for that matter

    I disagree. The OP said they have been having problems with the shoulder since January with no improvement did they not? January to July is a very long time to be in pain with no improvement. You might like struggling with shoulder pain for such a long time, but a lot of people do not.

    OP - I'd get that scan. Get a letter from your GP referring you. Then you'll know what's happening and the best way forward.


  • Registered Users, Registered Users 2 Posts: 2,049 ✭✭✭thehamo


    I disagree. The OP said they have been having problems with the shoulder since January with no improvement did they not? January to July is a very long time to be in pain with no improvement. You might like struggling with shoulder pain for such a long time, but a lot of people do not.

    OP - I'd get that scan. Get a letter from your GP referring you. Then you'll know what's happening and the best way forward.


    Hurt it in January but hasn't done anything about it. Your logic is twisted. I hurt my back and went straight for a scan many years ago. Showed up nothing but still was in pain for the guts of 8 months after. Not until I started actually trying to figure out what the issue was and why I hurt it in the first place.

    That's why I asked about the mechanism of injury. If it's an impact of mechanical injury such as a rupture , yes fine go get it checked absolutely. Arthritis doesn't just happen to come on over night. Pain is a multi factorial experience and there could be any number of things going on.

    We always jump straight to MRI and xray when there's an issue, but 9 times out of 10 the issue isn't where we feel the pain. If he has shoulder pain, and only considers the shoulder as the issue (as would an MRI and scan) then you're overlooking a whole mirriad of possible causes.

    If you want, I can send on numerous pieces of research to say that medical imaging DOES NOT give us a good or accurate representation of why there may be pain. Certainly in cases of a break or a tear yes. An xray is a picture of our physical body, it does nothing to tell us why there may be pain in loved.

    (I'm aware this is going to get some people's backs up so again, if you want to discuss I'm more than happy to send in the research)


  • Registered Users, Registered Users 2 Posts: 1,080 ✭✭✭MissShihTzu


    thehamo wrote: »
    Hurt it in January but hasn't done anything about it. Your logic is twisted. I hurt my back and went straight for a scan many years ago. Showed up nothing but still was in pain for the guts of 8 months after. Not until I started actually trying to figure out what the issue was and why I hurt it in the first place.

    That's why I asked about the mechanism of injury. If it's an impact of mechanical injury such as a rupture , yes fine go get it checked absolutely. Arthritis doesn't just happen to come on over night. Pain is a multi factorial experience and there could be any number of things going on.

    We always jump straight to MRI and xray when there's an issue, but 9 times out of 10 the issue isn't where we feel the pain. If he has shoulder pain, and only considers the shoulder as the issue (as would an MRI and scan) then you're overlooking a whole mirriad of possible causes.

    If you want, I can send on numerous pieces of research to say that medical imaging DOES NOT give us a good or accurate representation of why there may be pain. Certainly in cases of a break or a tear yes. An xray is a picture of our physical body, it does nothing to tell us why there may be pain in loved.

    (I'm aware this is going to get some people's backs up so again, if you want to discuss I'm more than happy to send in the research)

    Whatever. My advice was for the OP NOT you. You do as you like. I'm not interested.


  • Registered Users, Registered Users 2 Posts: 24,912 ✭✭✭✭Alf Veedersane


    thehamo wrote: »
    Hurt it in January but hasn't done anything about it. Your logic is twisted. I hurt my back and went straight for a scan many years ago. Showed up nothing but still was in pain for the guts of 8 months after. Not until I started actually trying to figure out what the issue was and why I hurt it in the first place.

    That's why I asked about the mechanism of injury. If it's an impact of mechanical injury such as a rupture , yes fine go get it checked absolutely. Arthritis doesn't just happen to come on over night. Pain is a multi factorial experience and there could be any number of things going on.

    We always jump straight to MRI and xray when there's an issue, but 9 times out of 10 the issue isn't where we feel the pain. If he has shoulder pain, and only considers the shoulder as the issue (as would an MRI and scan) then you're overlooking a whole mirriad of possible causes.

    If you want, I can send on numerous pieces of research to say that medical imaging DOES NOT give us a good or accurate representation of why there may be pain. Certainly in cases of a break or a tear yes. An xray is a picture of our physical body, it does nothing to tell us why there may be pain in loved.

    (I'm aware this is going to get some people's backs up so again, if you want to discuss I'm more than happy to send in the research)

    Part of me agrees and part of me doesn't. I had a shoulder problem for a long time that never seemed to resolve itself until I stopped doing dips. I still benched but dropped dips and the issue was resolved.

    And I get that a scan of a site might not get to the root cause, e.g. knee pain might be a result of something in the hip and while a scan might show something in the knee, it won't inform on/allow the hip issue to be addressed.

    But sometimes maybe a scan is warranted. I don't like to make suggestions on an n=1 basis but it's just an illustration of a point. I had been to the physio about a hip issue and addressing the mechanics made sense because of one element of it that I've noticed on odd occasions. But I figured I'd go to GP and get him to refer me because I envisaged a handful or sessions and thought I'd have the referral for claiming. He was a bit confused by the symptoms but had his own opinion. Either way, he said it would just allow the physio to plan a course of action for the specifics. Neither were right and it was avascular necrosis and I can see why it would have never entered anyone's mind.

    I don't think an MRI should be the first port of call and I would look at underlying reasons for an issue but I think there is a case for getting a scan to identify an issue because it's not always possible to determine what it is without one.

    Just on the arthritis, my own father was up visiting us and we went for a walk. Felt something in his hip and within an hour he was hobbling and couldn't make it down the stairs. Ended up on morphine a few hours later. They x-rayed and he had a very arthritic hip but had never experienced pain or discomfort before that. That really surprised me and I'm sure he's an outlier but the sensation that this hip was banjaxed came on rather quickly.


  • Registered Users, Registered Users 2 Posts: 2,049 ✭✭✭thehamo


    Whatever. My advice was for the OP NOT you. You do as you like. I'm not interested.


    Measured response. Thanks for the input


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