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Rotator Cuff Tear and Brachial Plexus Injury?

Spine Health | Last Active: Dec 19, 2019 | Replies (5)

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@libertyusa

Compared to others here, my upper arm aches seem mild. I have had 2 Total Knee Replacements (one excellent, the other pretty good with lingering numbness - neither were that painful overall). But now i have LEFT Shoulder impingement for which I did P.T. for months, BUT and since it hurts a little to do it, I do very little now. Weird - I can play a racquet sport LEFT handed (Pickleball) and feel GREAT. But then the pain/immobility returns. But here is the puzzle: for a year my upper arms - around biceps - ache at night and feel a tiny bit numb during the day,. This is not PAIN, but it is aches and increasing. I do have the shoulder impingement in LEFT arm and also have had RIGHT neck stenosis for years - but not much of a problem - I get rid of it by doing a few minutes of isometric exercise - an easy fix. I cannot figure out what the shoulder aches are all about. I will return to the orthopedist re shoulder impingement to determine next step. I DO NOT WANT SURGERY - since I had TKR and Gallbladder surgery this year. Enough is enough.
I also have circulatory issues in legs - but no one has a fix except "wear support stockings" and I have no problem walking or playing Pickleball. However, climbing UPstairs has become VERY tiring (never happened before) and going DOWNstairs I have to hold on and concentrate on rhythm - but no pain.
Any ideas anyone?

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Replies to "Compared to others here, my upper arm aches seem mild. I have had 2 Total Knee..."

@tennisgolf You may want to consider a physical therapist who does myofascial release. This works wonders on the soft tissue issues where impingement interferes with proper movement or compresses nerves or blood vessels. I have thoracic outlet syndrome which causes compression of nerves and vessels to my arms, and I've had shoulder tightness and prior issues of a SLAP tear in the capsule, and in the other, a frozen shoulder. MFR is stretching of the fascia and is good when strength exercises are too painful to do. It takes patience to work through the tight layers of fascia and scar tissue from injuries or surgery, but it's worth it and by restoring normal function, it can help avoid surgery, or if surgery is needed, it makes recovery easier. In addition to TOS, I have had cervical spine surgery, and MFR helps break up the scar tissue and tightness from surgery. Here is a link to a discussion on MFR with a lot of information.
https://connect.mayoclinic.org/discussion/myofascial-release-therapy-mfr-for-treating-compression-and-pain/

TOS does cause symptoms similar to what you describe and is often worse at night. A neurologist may be able to diagnose it if they are in a teaching medical center that treats TOS. A lot of doctors miss it and misunderstand it. There is surgery for TOS, but it can make it much worse by causing scar tissue, so physical therapy may be preferred as it is in my case.

https://www.mayoclinic.org/diseases-conditions/thoracic-outlet-syndrome/symptoms-causes/syc-20353988
https://trainingandrehabilitation.com/how-truly-treat-thoracic-outlet-syndrome/