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Massive inflammatory response after shoulder injury
Skin Health | Last Active: 2 days ago | Replies (10)Comment receiving replies
@grammato3 Thanks so much for your response. I was scheduling for a shoulder replacement, but decided to postpone the surgery until I get past this inflammatory phase. My range of motion and discomfort have improved and I’m able to function pretty well in the interim.
Interestingly, my liver enzymes became elevated after the tear (I have a history of mild autoimmune hepatitis), but have since returned to an almost normal. As you said, it’s amazing how interconnected everything is!
May I ask how you resolved your inflammation?
Replies to "@grammato3 Thanks so much for your response. I was scheduling for a shoulder replacement, but decided..."
@ndmcl49: the underlying cause of colitis needed to be treated. Generally this would be a course of steroids but due to my hip issue of avascular necrosis (death of the bone as a result of compromised blood flow following a pinning for a fracture; I’ll be having a hip replacement in September), such treatment is contraindicated as it could further advance bone loss. Instead, I’ve been placed on biologics to target the GI inflammation which in turn helped suppress the joint swelling.
I had a course of PT for my shoulder which helped when the pain and range of motion was at its worst. Surgery for repair still remains an option but my priority now is the hip replacement. If I find I can manage with the shoulder limitations I currently have, I may forgo surgery as I have other conditions (metastatic melanoma) that may play a role in recovery so I’m taking it one step at a time, so to speak.
How are you managing now with the inflammation in the various areas?
@ndmcl49: I ought to add that when both my knees were both inflamed with fluid I did need to have them aspirated. There is a medication for gout, unfortunately the side effect is diarrhea and I had enough of that with the colitis so I did have to live with the inflammation during the worst of it as it also affected my hip, elbow and shoulder. The winter was not a fun time! Hope your inflammation settles quickly and you’re able to possibly able to avoid surgery.
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@ndmcl49 This discussion is very interesting to me right now. Yesterday I had wrist replacement surgery.
Last week I saw my rheumatologist for my semiannual visit, and when he saw the surgery on my schedule, he said "Even with your regular meds, this may cause your RA to flare. I am going to prescribe prednisone to use after surgery as soon as you recognize a flare."
Monday I saw my pulmonology team for my regular visit re asthma and bronchiectasis, and to my surprise, they said almost exactly the same thing! When I said I already had an Rx from the other doc, she said "don't hesitate to use it, so you can stay under control." I was surprised, but now that I think about it my last major bronchiectasis flare came right after rotator cuff surgery in 2024, when I was unaware of the connection. I ended up on both prednisone and antibiotics to clear it up, and wouldn't like to do that again.
Are you doing better with your pain now?