Go Back  Bike Forums > Bike Forums > Road Cycling
Reload this Page >

Any experience with shoulder / rotator cuff injury from a fall?

Notices
Road Cycling “It is by riding a bicycle that you learn the contours of a country best, since you have to sweat up the hills and coast down them. Thus you remember them as they actually are, while in a motor car only a high hill impresses you, and you have no such accurate remembrance of country you have driven through as you gain by riding a bicycle.” -- Ernest Hemingway

Any experience with shoulder / rotator cuff injury from a fall?

Old 12-08-14, 04:17 AM
  #26  
Michael Davis
Newbie
 
Join Date: Dec 2014
Posts: 1
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Likes: 0
Liked 0 Times in 0 Posts
I fell off my bike last year and suffered a bad rotator cuff tear. Fearing dislocation, I immediately rushed to the top orthopedic nassau county and he told me that I had stretched my rotator cuff. He advised me PT in the beginning and if after 3 weeks the injury didn't improve, I would have to go for surgery. But my physiotherapist was a skilled one and after diligently following his therapy routines, I didn't need to go for any surgery. Go for PT. It is the best bet.

Last edited by Michael Davis; 12-09-14 at 10:54 PM.
Michael Davis is offline  
Old 12-08-14, 06:57 AM
  #27  
Grambo
Senior Member
 
Grambo's Avatar
 
Join Date: Jan 2007
Location: S.E. Chester County PA
Posts: 602

Bikes: IF Ti Crown Jewel, Moots Mooto X RSL 29er, Fat Chance Yo Eddy, Lynskey Pro Cross

Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Likes: 0
Liked 2 Times in 2 Posts
I tore my rotator cuff in a serious cycling accident several years ago. Rotator cuff injuries are very serious and can lead to chronic pain symptoms and significant range of motion loss in your arm / shoulder. My tear was not too extensive and after going through my options (including surgery) with my orthopedist I opted to try PT and exercise to rehab my shoulder. As others have mentioned RC surgery is quite invasive and involves a long recovery / rehab period of 1+ years post surgery and you might only realize marginal benefits after going through the process. My shoulder is still effed up a bit and gives me some nagging pain now and again but the limitations it has caused are minor and I'm glad I did not opt for surgery. Bottom line is to rigorously follow the orthopedists recommendations and put maximum effort into PT. Surgery is definitely a last resort.
Grambo is offline  
Old 12-08-14, 10:27 AM
  #28  
hunterr41
Senior Member
 
Join Date: Dec 2009
Location: Troy, OH
Posts: 61

Bikes: Giant Defy Composite 2

Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 1 Post(s)
Likes: 0
Liked 0 Times in 0 Posts
Originally Posted by Gramercy View Post
I fell off my bike 5 weeks ago, hurting my shoulders and back. All X rays came back negative and everything healed but my left shoulder has still been sore. I saw an orthopedist today and declined X rays as I didn't think I needed them - he did an ultrasound on my shoulder and he showed me the inflamed areas. He said I should go to physical therapy twice a week for 6 weeks and then come back and if it's not better, to get an MRI. He said it could also be tendinitis; not sure if the fall could have caused that or not.

My shoulder hurts and he said not to sleep on it or to do pullups, pushups, etc which is fine. But 12 sessions of physical therapy? He said he couldn't tell if it was torn and he wouldn't be able to tell without an MRI. Then why have me wait 6 weeks for an MRI? I thought it seemed odd.

Anyway, has anyone done PT for a shoulder injury? Can I try the exercises at home without committing to going somewhere? Is it worth going to? Apparently you need a prescription for PT, which he gave me - but I think going 12 times seems excessive.
I injured my right arm playing pickleball. Dr gave me cortisone shot and ordered MRI. He said that injury looked like it was a re-occurence of old injury. Ordered PT which I am doing. Told me if I had to have surgery, I would not be able to use arm for about 6 months. I got a whole lot more interested in PT. Arm is a LOT better with 2 PT sessions. I had done PT previously on both shoulders several years ago. If I go to a Dr, I think I should follow his/her recommendations. At least try it. PT will give you printed exercises and when you start to improve, you can do on your own but won't get muscle stim and other tx
hunterr41 is offline  
Old 12-08-14, 11:06 AM
  #29  
Hmmm
Senior Member
 
Hmmm's Avatar
 
Join Date: Nov 2014
Location: Paris, France
Posts: 397

Bikes: TCX & CAAD3 SAECO

Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 145 Post(s)
Liked 105 Times in 64 Posts
Go to PT. I had to have 5 bone anchors in my labrum after a year of chronic dislocation. $420 for PT is a lot better than the thousands it will cost in surgery if you don't get it taken care of. Do your exercises at home as well. I have some of my work out sheets that they gave me if you really want them.
Hmmm is offline  
Old 12-08-14, 01:56 PM
  #30  
kv501
Senior Member
 
kv501's Avatar
 
Join Date: Oct 2011
Posts: 832
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Likes: 0
Liked 2 Times in 2 Posts
Originally Posted by valygrl View Post
Do everything you possibly can to not have surgery.
Totally wrong attitude to have. Too many people listen to the "Avoid surgery at all costs because it will be worse and your life will suck forever" mentality and don't get the treatment they need.

I was hit by a truck in July of 2012; dislocated my shoulder, tore my labrum and had a SLAP tear. Because of extenuating circumstances with my 7 year old son I had to wait until November to have the surgery. During that time I did PT 3 times a week (under the supervision of my surgeon because we knew it was coming anyway). The guy who hit me was in a company truck belonging to a big ag equipment dealer, and they paid for all of it as I went; they were super scared of a lawsuit. Anyway, point is that I did really intensive PT under the direction of a surgeon, and it did nothing other than improve my flexibility and maintain my strength post-accident. There were still huge ROM issues and lots of pain. Had the surgery in November, and even though it and the PT afterwards was the most miserable experience of my life, my shoulder is much better than it was after the accident. I have more stability, strength, and ROM than I did in the time between getting hit and surgery. If I had listened to the "no surgery" yahoos (several of my riding friends said the same thing as you did above), I'd be one of those people 20 years from now with a shoulder full of scar tissue, constant pain and no range of motion trying not to pop Vicodin.

Bottom line is that there are some things that can't be fixed without it, and I don't think it's quite responsible to tell people carte blanche that it's a bad deal. Who knows, what if the OP has a tear of some sort that can easliy be fixed say arthroscopically, and he blows off the MRI and surgery because he's scared of the outcome? The horror stories you hear about orthopedic surgery usually come from 2 types of people...those who've never had surgery and shouldn't be giving advice anyway, and those people who had it and didn't faithfully do their PT (that is an absolute must). Jared Allen had the same surgery I did last offseason, do you think he'd be able to play defensive end in the NFL six months later if itwas such a terrible thing?
kv501 is offline  
Old 12-08-14, 02:13 PM
  #31  
jrossbeck
Senior Member
 
Join Date: Jul 2014
Location: MI
Posts: 265

Bikes: '14 Trek Madone 2.1

Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Likes: 0
Liked 0 Times in 0 Posts
Not a doctor - don't pretend to be.

Back about 7 years ago I hit a patch of ice on my snowmobile, which slid the ass-end out sideways. When the track hit solid snow again, it started to tip - and like an idiot, I stuck out my right arm to catch myself as I hit the snow bank. Long story short - wrapped it up, rode a few more days in bad pain.

Got home, went to doctor. He said thankfully between riding the rest of the week, it didn't freeze up and the cold air probably kept the swelling down. My diagnosis was either severe sprain or partial tear. I was told there isn't much difference between the two from recovery standpoint. No surgery, lots of PT.

I attacked PT with all I had because I had a 5 month old baby I couldn't carry in my right arm, tough to drive, didn't want to have long term issues. I started off with R.O.M. exercises - walking arm up and down walls with my fingertips, etc. Slowly graudated to swinging a soup can in circles. Then going to gym everyday with 2 lb. weight, then 3, then 5, etc. Do you feel like an idiot spending 30-40 minutes a day lifting something a 2 year old can throw across a room? Sure - but long term, it helps. 2 months out I had almost full range of motion without pain, 4 months later I could lift my child with my right arm, 8 months later I swung a golf club for the first time since my injury (not full speed). One year later, I was able to pull the start cord on said snowmobile for the first time in a year (no more left hand starts). One and half years later I was able to resume golf, water skiing, basically anything I used to do.

The first month, three months, year - they all suck in their own way. But they all have great long term success if you watch the small stuff.

My only advice to folks - go to a doctor. Listen to what they say. And don't skip a day of PT or exercises because you don't think it matters, or because you feel like an idiot lifting a 5 pound weight at the gym with guys all around you lifting 100 pounds.
jrossbeck is offline  
Old 12-08-14, 08:02 PM
  #32  
Shuffleman
Senior Member
 
Shuffleman's Avatar
 
Join Date: Jul 2014
Location: Florida
Posts: 1,296

Bikes: Colnago CLX,GT Karakoram,Giant Revel, Kona Honk_ Tonk

Mentioned: 4 Post(s)
Tagged: 0 Thread(s)
Quoted: 149 Post(s)
Likes: 0
Liked 0 Times in 0 Posts
Originally Posted by Gramercy View Post
I just wish they did the MRI today, but apparently they're a few thousand bucks. I'll have to find out if my insurance can cover the whole thing. I was surprised to hear the PT is 35 bucks each time. $420 for PT seems like a lot - hopefully I can go a few times and finish on my own.
I did not tear my shoulder on a crash but I did while playing tennis. It hurt for a year before I finally went in. I got two injections in the shoulder, which did nothing.then I went to PT, which also did nothing but hurt more. The Dr. Said he thought that would be the case and sent me for an MRI, which showed no tear. The Dr has to go this route before insurance will allow for surgery. this Dr did not know what was wrong but wanted to do exploratory surgery. No chance. Thus, I went to a different shoulder specialist. He looked at me for five minutes and said it was my labrum but I needed an MRI with contrast to show it. Off I went for another MRI ang bing, torn labrum. I wanted to avoid surgery as I had a baby and did not want to lose out on that time as labrum surgery is extensive. I kept on with my distance running through all this. When my son was 3, I had the surgery and began running as soon as the doc allowed it. Just before the Boston Marathon I felt pain in my hip and glute area. To make a long story short, I was protecting my shoulder inadvertently and created an imbalance in my body. 3 years later and I still can't run. I can bike but not run. Do not underestimate the problems a painful shoulder can cause. I wish that I head the surgery sooner.
Shuffleman is offline  
Old 12-08-14, 08:07 PM
  #33  
Shuffleman
Senior Member
 
Shuffleman's Avatar
 
Join Date: Jul 2014
Location: Florida
Posts: 1,296

Bikes: Colnago CLX,GT Karakoram,Giant Revel, Kona Honk_ Tonk

Mentioned: 4 Post(s)
Tagged: 0 Thread(s)
Quoted: 149 Post(s)
Likes: 0
Liked 0 Times in 0 Posts
Originally Posted by Hmmm View Post
Go to PT. I had to have 5 bone anchors in my labrum after a year of chronic dislocation. $420 for PT is a lot better than the thousands it will cost in surgery if you don't get it taken care of. Do your exercises at home as well. I have some of my work out sheets that they gave me if you really want them.
Most pt's will show you what to do on your own so you don't have to go all the time. Just do the work.
On a side note, there are less expensive ways to get an MRI. Look for a private imaging center. They are much cheaper. I had my first one through the hospital where my doc worked. It cost me $1800- after insurance. I was livid. I had my second one at a private center. It would have cost $600 cash. With my insurance, I paid my copayment only. Check in your town, I am sure they have them.
Shuffleman is offline  
Old 12-08-14, 08:09 PM
  #34  
Bunyanderman
Senior Member
 
Join Date: Jun 2014
Location: California
Posts: 1,300
Mentioned: 3 Post(s)
Tagged: 0 Thread(s)
Quoted: 6 Post(s)
Likes: 0
Liked 0 Times in 0 Posts
Originally Posted by slowgo View Post
So you go to an expert who went to college for 13 years (14 if he's fellowship trained) to become an orthopedic surgeon, he gives you advice and a treatment plan to help you get better, and you write off his advice and come to a message board full of a bunch of non-orthopedic surgeons to get a second opinion? You're not starting off on the right foot. If you want to get better, do what your doctor says. If you think your doctor is an idiot, find another doctor.
Sums up the Internet. Beautiful post.
Bunyanderman is offline  
Old 12-10-14, 01:33 PM
  #35  
BlazingPedals
Senior Member
 
BlazingPedals's Avatar
 
Join Date: Dec 2004
Location: Middle of da Mitten
Posts: 12,107

Bikes: Trek 7500, RANS V-Rex, Optima Baron, Velokraft NoCom, M-5 Carbon Highracer, Catrike Speed

Mentioned: 14 Post(s)
Tagged: 0 Thread(s)
Quoted: 1375 Post(s)
Liked 537 Times in 349 Posts
Just cherry-picking a few exercises from a list that someone on the Internet rattles off is not a substitute for being evaluated and given a custom regimen from a qualified PT. PTs are cheap compared to surgeons, just do it.
BlazingPedals is offline  
Old 12-10-14, 05:00 PM
  #36  
UnfilteredDregs
Senior Member
 
UnfilteredDregs's Avatar
 
Join Date: Jun 2013
Location: NYC, duh Bronx.
Posts: 3,578

Bikes: Salsa Ti Warbird- 2014/ November RAIL52s

Mentioned: 9 Post(s)
Tagged: 0 Thread(s)
Quoted: 67 Post(s)
Likes: 0
Liked 1 Time in 1 Post
Hmmm...I'm in a similiar boat...X-rays are neg from a fall about two and a half weeks ago, leaves, low corner, shoulder-plant into tarmac...pain has almost completely subsided, I have most range of motion, a little tight, slightly sore, but nothing sharp...I'm wondering if I should go to the specialist and insist on an MRI just to make sure...
UnfilteredDregs is offline  
Old 12-11-14, 08:20 AM
  #37  
a77impala
a77impala
 
a77impala's Avatar
 
Join Date: Oct 2005
Location: Central South Dakota
Posts: 1,517

Bikes: 06 Lemond 04 Lemond 87 Trek

Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 24 Post(s)
Liked 13 Times in 8 Posts
Fractured shoulder eight years ago, no surgery, immobilized arm for five weeks then therapy. I regained ROM and almost all muscle mass, last year shoulder started freezing up on long rides, release with forced movement, happens occasionally with no warning.
I have osteoarthritis in other joints so just grin and bear it.
a77impala is offline  
Related Topics
Thread
Thread Starter
Forum
Replies
Last Post
Snowden
General Cycling Discussion
99
04-12-22 12:22 AM
kajero
Fifty Plus (50+)
16
12-12-11 08:26 AM
Yen
Fifty Plus (50+)
63
01-25-11 01:16 PM
Yen
Fifty Plus (50+)
27
12-21-10 04:09 PM
JonnyUtah75
Road Cycling
49
08-22-10 05:12 AM

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off


Thread Tools
Search this Thread

Contact Us - Archive - Advertising - Cookie Policy - Privacy Statement - Terms of Service - Do Not Sell My Personal Information -

Copyright © 2021 MH Sub I, LLC dba Internet Brands. All rights reserved. Use of this site indicates your consent to the Terms of Use.