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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Shoulder Pain

I am in need of a ortho to access my physical abilities for my ex-employer. I was getting long term disability from their insurance(cigna) and they cut my benefits until I have a doctors assessment of my ability or inability to do my job there. i had two rotator cuff surgeries on my right shoulder and i still cannot use it 100 percent and am in constant pain. I cant afford my doctor who did the surgery because my benefits did not include health insurance. I just need a doctors opinion on my restrictions so that I may start receiving my benefits from cigna again.
posted on Tue, 16 Jun 2015
Twitter Sun, 10 Apr 2016 Answered on
Twitter Mon, 11 Apr 2016 Last reviewed on
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Physical Therapist or Physiotherapist,  's  Response
hi,

thank you for the brief history of you.

As you mentioned you had two RCI surgeries, I am actually not happy to hear this. RCI does not need surgery and if needed it is not performed twice.. There is something which went wrong. Let's figure out this. Hope you will cooperate and provide the details.

How many rotator cuff muscles were ruptured? what surgery was performed?
Did you perform physical therapy before and after the surgery?
what was the muscle strength before and after surgery?

Well this questions decide the prognosis of the patient with Rotator cuff injury (RCI)

Also, I have been seeing RCI patients with 2 out of 4 muscles rupture. Can say a 50-50% cases. All have recovered well. Neither a cortisone injection nor a surgery was done post physical therapy. Patient is above 65 and can perform all ohyscual activities without any hesitation.

As I think now you have undergone two surgeries , you need a good physical therapy which can help you regain all functional movements. Also, performing surgeries back to back is not good as it may lead to scarring of the tissues.

I advice you to do 12-16 weeks of proper physical therapy to get optimum results.

Any more questions, you can ask me personally

Regards
Jay Indravadan Patel
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Suggest Treatment For Severe Shoulder Pain

hi, thank you for the brief history of you. As you mentioned you had two RCI surgeries, I am actually not happy to hear this. RCI does not need surgery and if needed it is not performed twice.. There is something which went wrong. Let s figure out this. Hope you will cooperate and provide the details. How many rotator cuff muscles were ruptured? what surgery was performed? Did you perform physical therapy before and after the surgery? what was the muscle strength before and after surgery? Well this questions decide the prognosis of the patient with Rotator cuff injury (RCI) Also, I have been seeing RCI patients with 2 out of 4 muscles rupture. Can say a 50-50% cases. All have recovered well. Neither a cortisone injection nor a surgery was done post physical therapy. Patient is above 65 and can perform all ohyscual activities without any hesitation. As I think now you have undergone two surgeries , you need a good physical therapy which can help you regain all functional movements. Also, performing surgeries back to back is not good as it may lead to scarring of the tissues. I advice you to do 12-16 weeks of proper physical therapy to get optimum results. Any more questions, you can ask me personally Regards Jay Indravadan Patel