Holding off on labrum surgery?

What's the doctor think about him playing with it?

He got a cortisone shot and the dr. is hoping he can make it through the season. Had a bit of pain tonight swinging. This is an important year so any advice would help.

Norstar I replied to your PM. Main concern for me is that cortisone is only masking pain, its not going to prevent a dislocation at all.

I would have him get the surgery now, all it would take is for him to dive for a ball land on that arm with it straightened and really tear it up. My son will find out this week if he has a SLAP tear. He is a sophomore catcher in college and just started getting some serious attention and is scheduled to play his summer ball in Florida this summer. If he needs surgery he is going to get it A.S.A.P. He is 19, So hopefully he can get back at it soon.
Good luck to you and your son!

Cortisone was the only option for him to try and get through the season. He is a jr and this year is extremely important. It happened during football. Our trainer insisted it was only a bruise. I asked about an MRI but he felt it was not needed. Live and learn but I hope that one decision is not too costly.

Thanks.

quote:

Originally posted by Eric G:
Norstar I replied to your PM. Main concern for me is that cortisone is only masking pain, its not going to prevent a dislocation at all.

Good luck and hope it goes well. I am actually contacting a phillies Ortho tomorrow. I have been reading up on PRP treatment. Surgery is most likely the only option but want to make sure it is a last resort. Too many variables. This sucks!

quote:

Originally posted by 951dad:
I would have him get the surgery now, all it would take is for him to dive for a ball land on that arm with it straightened and really tear it up. My son will find out this week if he has a SLAP tear. He is a sophomore catcher in college and just started getting some serious attention and is scheduled to play his summer ball in Florida this summer. If he needs surgery he is going to get it A.S.A.P. He is 19, So hopefully he can get back at it soon.
Good luck to you and your son!

I agree. But... Gonna try a shoulder support and see how it goes.

quote:

Originally posted by Eric G:
Norstar I replied to your PM. Main concern for me is that cortisone is only masking pain, its not going to prevent a dislocation at all.

Going to try a McDavid shoulder support to see if it helps with stability. Hopefully we can get through the season. Dr. Doesn't think a support along with the shot will be a problem. He is well renowned but getting a second opionion on prp treatment. .

quote:

Originally posted by Eric G:
Norstar I replied to your PM. Main concern for me is that cortisone is only masking pain, its not going to prevent a dislocation at all.

can w get an AMEN for all the wannabe doctors in the house-----get a few opinions from real doctors

quote:

can w get an AMEN for all the wannabe doctors in the house-----get a few opinions from real doctors

There are other medical professionals with the experience and ability to manage orthopedic injuries. I for one do it on a daily basis as I am responsible for 100+ athletes and their healthcare at any given time throughout the year.

That said, when we start talking surgery I often defer that decision to the surgeon...

Norstar. My 16 year old (15 at the time) had a slap repair in October by James Andrews in Alabama. He had pain for around a year while different Doctors had differing opinions and therapies, none of which were that helpful, until they finally ordered an MRI with Contrast. They always want to be conservative which is a good thing sometimes but slows down the final process. My son kept telling them he felt as though his shoulder felt like something was torn inside. They even allowed him to hit for a while while laying off throwing. He DH'd last year and summer after not being able to finish his Freshman year in the field due to pain when throwing. Hitting did not effect him as much until towards the end of the Summer. I know, he should probably not have played but the Doctors said it was o.k. Anyway, after therapy twice a week for the last four months he is almost through with his hitting program and is cleared to DH in a week. He also started his throwing program which takes about two months before he can return to the field. He has been pain free since the surgery and we are keeping our fingers crossed.

As far as diagnosis, his first Doctor said that it was extremely unusual for a kid this young to need Labrum surgery and that is part of the reason that he would not order an MRI earlier despite our requests to do so. Low and behold it showed a tear. First Doctor said probably a small tear, not bad. When Dr. Andrews (second opinion)scoped the shoulder they found he had a slap tear--top to bottom and it required four anchors and sutures to repair. We were told that it does not heal on it's own. Surgery, in my son's case was the only option. We also asked Dr. Andrews to inject PRP during surgery which he did, although there is not a lot of research to show it's effect at this stage. We figured that it couldn't hurt. My son is doing great now. Best of luck with yours.

P.S.-- If you are not familiar with Dr. Andrews, look him up on line. You will be impressed. He does surgeries on Fridays in Birmingham and resides mainly in North Florida where he has his main practice.