dirtypunk Posted May 8, 2008 DirtyPunk, A regular physician knows precious little about musculoskeletal dysfunction,WAY less than a good physical theapist, a doc few MIGHT offer 1 or 2 cortisone injections (you choose if that seems right), PT has less than 50% chance of helping, and rotator cuff problem will probably return when activity starts again. And an Orthopedic SURGEON operates, that's how he makes his living, so his world-view is scalpel-oriented. Try the Cissus, a good accupiuncturist a good PT, get an MRI to see if you actually have a complete tear (the only situation in which I would visit the surgeon). Most regular FP's will throw an antiinflammatory at it, mis diagnosis it as anything or 'shoulder strain' and give muscle relaxants, even though there is no spasm present. A wise one will at least prescribe PT. Â A GOOD Chiropractor or a good Osteopath who specializes in manipulation can also be the ticket. Â I'm just saying that doctors and medical professionals go to medical school for a reason. It's so they know what they're doing when a patient comes in with a problem. Asking for medical advice on the internet, and being referred to non-proven herbal remedies and alternative therapies is probably not as reasonable as being referred to a specialist or physical therapist. Â Really, I feel that no one on this board is qualified to give practical medical advice. Share this post Link to post Share on other sites
cheya Posted May 16, 2008   Google CISSUS QUADRANGULARIS and 'shoulder' or 'rotator cuff' and read up on some of the Bodybuilding Forums. Get some Bulk Cissus from BulkNutrition.com or S.AN. BoneBoost, or USPLabs SuperCissus Rx.I'm tellin' you all, TRY this before coco butter oil pancha karma. Those bodybuilders have some creative researchers and they come up with stuff and it either sinks or swims.I've personally had GREAT results with Cissus, and another friend has too. Songs,Thank you for the heads up on Cissus. After checking it out on the net, I am astonished that I never heard of it. The testimonials and research results are amazing. I ordered some for a friend with long term debilitating rotator cuff injuries on both sides. He also has a knee injury, metabolic syndrome, a history of long term cortisol use (due to colitis) with resulting muscle loss, all of which cissus may impact along with the rotator cuff injury! He's struggling to work construction now, and he said he thinks he feels better after just two days on the stuff! I'm trying it too for hand and shoulder joint challeneges, but nothing as severe as my friend's problems. If it can help him, I will call it a miracle! Thank you!Is anybody else following up on this? Share this post Link to post Share on other sites
TheSongsofDistantEarth Posted May 16, 2008 This stuff is worth a try. I am a licsenced physician (M.D.), and my statements here do not constitute diagnosis and treatment, but merely am reporting from experiences and my learning. Â The average Family Practice doctor, Internist, ER doc, etc., are woefully unaware of musculoskeletal problems, they may offer a cortisone injection, but generally diagnose EVERYTHING as a strain or sprain, do not have skills in palpation, evaluation of musculoskeletal dysfunction. We just are not rained for that in depth in medical school. (Same goes for Dermatolgy...beyond the 7-8 common recognizable lesions and pre-cancers, the body can manifest local and systemic illness through the skin...and a good Dermatoligist is the only one who should evaluate any suspicious skin lesions). The Orthopedists are SURGEONS, and as such they OPERATE, and while experts in anatomy and function, are generally only interested in doing surgery, because that is what pays the bills for them. Any doctor should realize their limitations and refer to a good Physical Therapist. There is a wide variation in what PT's know and practice as individuals, some are very straight by the book, others have learned many additional modalities, some from the 'alternative' world. Make sure your PT is not practicing 1950's style therapy, but should be hip to various manipulative therapies, of which there are many. Â I will refer patients for 'PT' to several Chiropractors I now and trust, better yet, an Osteopath (look them up in Wikipedia) is a trained medical professional, equivalent to a M.D., with additional training in Osteopathic Manipulative Medicine. 90% practice exactly as M.D.'s do, having left behind their roots to practice cardiology, neurosurgery, Internal Medicine, etc., but the ones who have maintained and expanded their skills, or better yet, have specialized in Osteopathic Manipulative Therapy, in my experience are extremely effective, knowledgeable in diagnosis and treatment, and can still prescribe medicines or order an MRI if indicated. Â My point is such that if you feel you have a serious problem, such as a rotator-cuff tear, go see your doctor and if they are not particularly skilled, ask for a referral to see a physical therapist, who can often diagnose just with their exam the seriousness of the injury. Or get a good manipulating D.O. (osteopath) as yor family doctor. Â Most training injuries are not surgical and are amenable to experimenting with self treatment with things such as the Cisus I mentioned. Sure beats getting Cortisone shots, which do not treat the dysfunction, but just kill inflammation with a powerful substance. Â Dirty Punk, I am only putting out general advise for people, not specific medical advise, which you are right is NOT appropriate for any internet forum. However, in moving through the medical maize, knowledge [ [/i] power, and you actualy might be able to enlighten your doctor with the things you have found out. Most doctors have to keep up with an intense, changing knowledge base, even the specialists, but there is much legitimate research out there supporting many alternative therapies, and Integrative Medicine Fellowships for doctors are being established at many of the top medical schools, to create a physician who can integrate Allopathic medicine with evidenced based alternative therapies. Â Steven Share this post Link to post Share on other sites
cheya Posted June 22, 2008   Songs,Cissus. ... I ordered some for a friend with long term debilitating rotator cuff injuries on both sides. He also has a knee injury, metabolic syndrome, a history of long term cortisol use (due to colitis) with resulting muscle loss, all of which cissus may impact along with the rotator cuff injury! He's struggling to work construction now, and he said he thinks he feels better after just two days on the stuff! I'm trying it too for hand and shoulder joint challeneges, but nothing as severe as my friend's problems. If it can help him, I will call it a miracle! Cissus feedback. My friend with the chronic rotator cuff problem has responded well to cissus and thinks it has helped him a lot, both with hisrotator cuff and with his knee, which is almost completely healed. The shoulder is better, but still problematic. His general energy level and endurance are much improved.I took it for three weeks for undiagnosed shoulder aggravations (got better) and knee pain (got much worse). I stopped taking it and my shoulder aggravation returned as my knees got better again, back to how they were before I started taking it.It occurs to me that, if cissus works to strengthen the muscles you are using, it might not be the best remedy for joint pain due to long time muscle imbalance, a situation where strengthening the overworked muscles (already shortened) may add to the imbalance and create more pain.Anybody else try it? Share this post Link to post Share on other sites
doc benway Posted June 22, 2008 The Orthopedists are SURGEONS, and as such they OPERATE, and while experts in anatomy and function, are generally only interested in doing surgery, because that is what pays the bills for them. There are actually orthopedists out there who evaluate patients and try to help them using any and all means at their disposal, including surgery where necessary. An orthopedist I know quite well employs and utilizes a nutritionist, acupuncturist, massage therapist, physical therapist, occupational therapist, and uses psychological, meditative, and energy techniques with his patients. Orthopedists are PHYSICIANS who have the additional training to allow them to do surgery when non-surgical treatment is not effective. Certainly some are too aggressive, some not aggressive enough, just like any other healer. Â I would urge people to put aside preconceived notions and give healers of all kinds a chance to help them understand their options, whether they be allopaths, naturopaths, or whatever. This sort of bias against surgeons is quite common and often leads to patients not having the opportunity to explore all available treatment options. Sometimes this can lead to poorer long term results. It's funny that medical doctors and other therapists often feel a need to 'protect' their patients from surgeons. Some surgeons have a similar perspective toward medical docs. There are valid concerns in both arenas... Â There is no question that there are good and bad healers of all persuasions. It's not only surgeons who can do harm... Peace and love and good luck with your shoulder, Cloud. Share this post Link to post Share on other sites