i have my PT a littel earlier than normal today so i will have to get the heck off this PC here really soon. yep,the PT place and the people you see really DO matter,alot. i have found this out along the way with having variuos PTs and rehabs and had some of the best and the worst. the place i referred to last year,the womam was a flippin joke and spent about ten out of the alloted 30 minutes with her hands actually on the TP problem areas. not at all like i had with the PT while i was in a rehab hospital after my spinal cord surgery or the wonderful guy i have now,absolutely no comparrison there.

i really do think getting that MRI ALONG with also,at some point here also obtaining that stellate inj would be your best bets as far as trying to pin down the generators here. this is the first time you actually mentioned having swelling? this too could be a sign of a more SNS involved type of pain syndrome too. may or may not be,you are so inflammed in there right now hon,it really would be very hard to say either way ya know?

i agree,ask as many questions of your 'regular' PT person,they are there for you ya know? you DO need to know this stuff in order to do the best possible rehab and make decisions too.

i saw my surgeon yeasterday and he told me i am much further along at this point than he expected becasue of all my other crap going on up there. he said he was pleasently suprised. i am to continue seeing my PT guy and around the 1 of may,he wants me doing some level of lifting or "pulling' with those bands thingys? just to gain back more strength. but he said everything looked great right now and my ROM is really much better than he expected. i know it is all due to actually being able to have the myofascial release done. it really does help alot sammy. it just helps 'release" the over tightened fascia that actually is covering all your muscles and tendons. with the inflammtion you have had going,i am willing to bet that fascia is really pulled up tight right now,and probably has been for quite some time even before your surgery. this is just something you really need to speak to your PT person about. it really helps hon.

i cannot remember if i told you about this one med called cytotec? this med was made specifically for people who have to be on any type of NSAID therepy. taking just one cyto with your motrin really helps to prevent stomach issues(even ulcers) from happening. this worked amazingly well for me many years ago when i had to take the 800mg motrin? my neurologist actually Rxed it for me. this really helps your stomach alot. either thator find out if you can take zantac one hour prior to taking your anti inflammatory. this was what i had to do when i HAD to take cipro becasue of a possible infection(that wasn't) in my knee post op? i couldn;t take just about any real anti B by mouth without suffering horribly in my stomach for it for days and days. the zantac one hour before really helped. you need to check with your pharm tho just to make sure it wouldn;t interfere with absorbtion. just some good suggestions for ya that have worked for me.

well,i gotta fly here. please keep me posted hon.marcia

Marcia, I am really, really suffering here. I have so much darn chest & ribs pain & the pt is really worried & glad they are doing some tests, cardiac, not sure if anything will show the only other thing I can think of is the stomach, which is tender to even touch between the breast bones.
Pt is pretty concerned & she said the same as you push the doctors, she felt some of the throbbing in the ribs today. Everytime they work the shoulder they aggravate the ribs. It is way out of hand. Thsi pain is hardly under control with the percocet, she keeps saying that all the muscles are so tight, chest (major & minor), lots of back pain, even dang scapula area. Trust me I am barely hanging on.
The pt believes even though the ribs may be suffering due to the shoulder there is definantly something else going on in there, she said write down every single thing.
I broke down & took a muscle relaxer we will see how that goes, along with a zantac.
Steroid pack is not doing a thing. Back in the sling to try to take the pressure off the ribs. Crazy.
I can't go on like this, honestly I am miserable. I don't care I am taking the perocet every four hrs, & I will tell the surgeon that my pcp told me to stay on it for the rib pain, heck it is barely working & that is what has me worried, can't get rid of all this chest & rib pain. I wonder if the muscles are so tight will that make it harder for the pain med to do its job, what do you think?
This is the worst I have felt since surgery, I am going in for my last pt before seeing the surgeon, if I can & telling them just theraputic that is it till I see the surgeon. I need to make sure she emphasizes how bad it is in here report. She did say that the ribs & chest are holding back the shoulder therapy although there is alittle improvement there. I am not sure if the surgeon will ever tackle the ribs, I am going to say not. I am definantly asking for pain managment till this is figured out. I am not suffering anymore, they can keep looking for a solution.

I would say nothing shows in cardiac then the stomach is next. Although we know the ribs are messed up pretty bad, the pt thinks there is more & so do I at this point. Almost could not take it today, only the fear of laying in ER kept me from going. I am doing nothing at all until this pain goes down. I have to say I am getting worried, chest pain is getting worse, my PCP thinks it is the muscles in the chest wall but how does that help me in controlling this pain, the only thing else I can think of is the thoracic spine. I am hoping that with the pt's input maybe an MRI will be brought up at least for the ribs.

I will see, but again I am almost positive the surgeon will not want to get to involved with the ribs. Funny the movement of the shoulder really set thems off right now so in some way it is linked, you know. Very complicating. The PT mentioned that doctors get stuck on one thing & do not investigate further, like it totally escapes them that there could be multiple things going on. I even thought of an ulcer, I know that can really be nasty. I am grasping at straws of course but no way could I go on like this.
At this rate I was better before pt, I know I messed going back to work but pt is not helping right now. So it is theraputic or nothing for the time being. The PT is really helpful with suggestions & I am depending on her to let the surgeon know how bad it is, that is why I am hanging in there. Crap, I can't even tell you how painful this is, I would much rather have the shoulder pain then the chest & ribs. Let me know what you think about the muscles being that tight, getting sharp pains right in the breat bone along with lots of pulsating throbbing in chest & ribs. Even my whole upper back hurts. I have had so many cardiac tests done in the past other wise I would be freaking out.
Has to be something. I am staying on all the meds, pain, zantac, if the flexerill does not kick in then I am trying the valium, not messing around with this pain. Have 3 more days of steroids & they said not to mix the motrin due to the stomach. It gets so bad I just can't get a full inhalation in, you know. Something had to trigger this to be this bad.

I did get a jolt in the shoulder form my daughter along with the very aggressive pt on the same day, it really got bad after that, whether that is a coincedence I don't know.
Anyway just venting, aren't you lucky!
You know how I value your opinion so what do you think of it all? Sammy