Jump to content


Photo
- - - - -

Dive Destination while recuperating from shoulder surgery

Vietnam Philipines bali Thailand

  • Please log in to reply
23 replies to this topic

#21 tdpriest

tdpriest

    Sperm Whale

  • Member
  • PipPipPipPipPip
  • 2144 posts
  • Gender:Male
  • Location:Solihull, UK
  • Interests:Diving medicine, warm water, scenery...

Posted 21 November 2013 - 08:25 AM



I had a cervical fusion last year...
...a supraspinatus repair is quite common...

 
Well, not to rain on your parade, but as specialist in chronic pain I see a fair number of repairs that remain painful, and a fair number of supraspinatus injuries that do well with physiotherapy and pain-killers. Rehabilitation with good physiotherapy and good perioperative analgesia could easily be as important as your surgeon in preventing long-term and intractable shoulder pain.
 
I've noticed that there's a tendency to treat musculoskeletal pain with analgesics and injections on the East coast of the USA, with surgery in the Midwest, and with psychology and exercise in California!

Repeated surgery for pain in the same or related areas of the body rapidly becomes ineffective, as the functional disturbance contributes more to the continued pain than the anatomical damage.

Edited by tdpriest, 21 November 2013 - 08:29 AM.


#22 WanderingBob

WanderingBob

    Sting Ray

  • Member
  • PipPipPip
  • 237 posts
  • Gender:Male
  • Location:Alaska's Kenai Peninsula

Posted 21 November 2013 - 08:46 AM

 
Well, not to rain on your parade, but as specialist in chronic pain I see a fair number of repairs that remain painful, and a fair number of supraspinatus injuries that do well with physiotherapy and pain-killers. Rehabilitation with good physiotherapy and good perioperative analgesia could easily be as important as your surgeon in preventing long-term and intractable shoulder pain.
 
I've noticed that there's a tendency to treat musculoskeletal pain with analgesics and injections on the East coast of the USA, with surgery in the Midwest, and with psychology and exercise in California!

Repeated surgery for pain in the same or related areas of the body rapidly becomes ineffective, as the functional disturbance contributes more to the continued pain than the anatomical damage.

Thanks for the response.  I have been getting cook book advice from many professionals about my shoulder since I was 16 (original injury).  on one has really evaluated me and treated me.  

 

 I'm not as concerned about pain as loss of function.  Back in the day, I could do 100 pushups, Before my cervical fusion I could do 10, 1.5 yrs after the fusion, I can do one.  Yup, messes with my head a bit.  But I'm only 55, a mere baby and can no longer cast a fly rod.  I can no longer ice climb and do mountaineering … So, my plan is to fix the shoulder and fish and climb some more .. or move to a spot where I can slip into the water and get some relief.  No sense in being in AK year round if I'm hanging inside for 6 months a year.

 

Hence the query of finding a warm, inexpensive spot to recuperate and eventually hole up all winter ...


Edited by WanderingBob, 21 November 2013 - 12:24 PM.

Nurse Bob on
Alaska's Kenai Peninsula
http://www.facebook....8...64&ref=name



#23 WanderingBob

WanderingBob

    Sting Ray

  • Member
  • PipPipPip
  • 237 posts
  • Gender:Male
  • Location:Alaska's Kenai Peninsula

Posted 30 January 2014 - 07:04 AM

 

OK Guys.  Thanks so much.  I was being WAY TOO optimistic and was hoping to utilize time off of work to play and get in some serious diving.  

 

The doctor was able to reattach long head of bicep (100% detached)), Reattached and repair supraspinatus (20% left, prior), Unable to attach supbscap, (but probably won't miss it) and reattach SLAP tear (50% detached).  What does this mean … IF I'M SMART … I'll probably have a fairly normal functioning shoulder for the next 15 years or so. Pretty exciting since I did this when I was 16 and have no idea what normal is.

 

I am 3 weeks out of surgery and will not be working for several months so I'll still take a trip to Thailand.  I've been cleared to snorkel if I can rig up a waterproof sling to stabilize and abduct elbow.  I'll figure it out.  Mainly, though, I'll play tourist, do some cheap exploratory tours and maybe take a sailing trip involving snorkeling,  

 

DiverDoug1 "interscalene nerve block for immediate post-op pain control. "  OMG, that was the bomb!  For the first time in my adult life, my upper traps and scalene muscle were not in spasm for a week!  Neither my neck nor shoulder hurt.  Highly recommended!

 

 

Thanks for all the input, maybe I'll get in some diving soon!  Off to Thailand in 2 weeks with no U/W kit nor dive gear.  Probably gonna be the easiest trip I'll ever make.


Nurse Bob on
Alaska's Kenai Peninsula
http://www.facebook....8...64&ref=name



#24 WanderingBob

WanderingBob

    Sting Ray

  • Member
  • PipPipPip
  • 237 posts
  • Gender:Male
  • Location:Alaska's Kenai Peninsula

Posted 01 May 2014 - 10:00 PM

 

Just a follow up.  

 

Rather than sitting on the beach crying about no diving, I ended up doing 3 back to back tours with G Adventures (formerly GAP).  I toured from Singapore through Malaysia to Bangkok (BKK).  Then from BKK through Northern Thailand and back to BKK where I picked up the last tour through Southern Thailand.  

 

I had no idea about the diving out of Krabi or Phuket b/c that was not my focus.  Eventually, I ended up in Koa Tao for the last 2 weeks.  The first day I went on a snorkeling tour around the Island and was not impressed.  I found a small operator called Goodtime Adventures and they catered to my needs.  

 

I did some amazing, but easy diving with only a GroPro Hero in tow.  The Gulf of Thailand does not offer that much in the way of advanced diving, but I was able to go to Sail Rock, Chumphon Marine Park, Chumphon Pinnacles, Southwest Pinnacles and some dives around the "other side" of Koa Tao.  I wore my sling until time to dive and I got in the water, they dropped in my gear, I put it on and off we went.  Reversed the process at the end of the dive and never had to carry a tank.  There was never a rough day that made me question whether I should go or not and although the visibility can be poor at times, I was rewarded with amazing viz and great dives in a semi- controlled environment.  I never once felt like I put my shoulder at risk. 

 

Now finally at 4 months out, I am allowed to start increasing range of motion and hope to start strength training in another week.  I'm excited as I feel I have a great repair and look forward to using my right shoulder as it was intended for the first time in over 40 yrs.

 

Thanks for all your input.  Now will have to go back and check out Phi Phi, Similans and Phuket as dive locales.


Nurse Bob on
Alaska's Kenai Peninsula
http://www.facebook....8...64&ref=name