Big decision.
And IMO no shoulder repair will get you 100% pain free and good as new.
Good luck.
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Big decision.
And IMO no shoulder repair will get you 100% pain free and good as new.
Good luck.
Nice, good luck. Curious to see how this goes since apparently my Hill Sachs lesion tore a chunk of humeral cartilage off that I'll never get back. It's asymptomatic for now but could cause problems in the future, so nice to know there's a possible alternative to arthoplasty.
Totally. But, i am at the point where my shoulder/arm is borderline non functional and im in pain from the moment i wake up (somedays worse than others), and im also 100% going to get a full replacement in the future as im already an ideal candidate- just trying to put that off as long as possble. So the risks i would typically associate with surgical repair (scar tissue, nerve damage, mobility issues, etc) just arent really there for me because the symptoms cant really get much worse before full replacement is necessary. Also, its been so long since i've had full function of my shoulder that i honestly dont really remember what that is like, so ill take any improvement i can get (probably 5 years since ive actually thrown a ball over 50 ft). Id just like to be able to play catch with my kid in the backyard without having to do a jim abbott impression.
Sounds like a go. Chronic pain at your age blows.
I'm about to turn 67, my surgery was pretty major but I am hoping to keep all the OEM eqpt.
I'm around 95% ROM and usage, not 100% pain free but manageable. Heading out in a bit to play 18 holes and I can bike and ski so I am happy.
It's part of the universal ebb and flow of medical fashion. HRT becomes standard of care. No journal will publish and article supporting it--it's not news--but they will eagerly publish articles that debunk it. Until HRT becomes taboo. Until someone publishes an article saying, no it's ok. And on and on it goes.
AAS hasn't gotten nearly the attention HRT has--mainly because men don't go to the doctor. And we're all convinced we're more manly than we are--we just need to get back in shape but you know too busy, but after the new year.
Dan- what are you doing to keep in shape?
Ive got a belt squat jerryrigged up in my garage which i am training on now so i can get used to it and work out all the kinks before im one armed and stuck with it. Planning on landmine belt squats, single leg RDLs, body weight sissy squats, and just riding the assault bike. Im trying to figure out how to best train posterior core and am a little bit at a loss other than some modified supermans. thoughts?
Well shit. Had my preop today and the PA is going through the normal stuff and then mentions that on top of the dermal allograft that was what i thought this surgery would be, the ortho was planning to look at fixing my shoulder capsule, SLAP, and biceps tendon. My stomach just sank. Really mixed emotions. On the one hand, i do need all that stuff fixed (i was stretching overhead in my office chair yesterday and my shoulder just straight up fell out of joint to the side and backwards flopping behind me. It was gross) and if it does get fixed i might get a fully functioning shoulder back again... but on the otherhand, if all that stuff does get fixed im looking at 6-9 months of really hard recovery and PT instead of the easy 3month recovery for the dermal allograft. And the ortho doesnt know what is fixable till he gets in there as all that stuff was torn 20 years ago, fixed, and then promptly retorn and left that way for more than a decade so some or all might just be unfixable shredded pastrami.
So, basically, i go under and what i wake up with could just be a minor surgery and ill be skiing by New Years... or i wake up with a fully reconstructed shoulder, no skiing or MTB though the long dark PNW winter, and 6-9month recovery time. Really fucking bittersweet/anxiety inducing. Ugh.
I already rely on mountain activity as my only stress coping mechanism, and with that taken away, dealing with recovery, and managing a tactical retreat at work (a whole nother story) my wife is really concerned about my mental health and not having any real hobbies or outlets if they do the BIG surgery. gonna need to find something. And then she is also worried about how much ill be able to help with a feisty 3yr old if i cant use my dominant arm to hold/grab/play with him.
Fuck. This went from perfect timing, hardly disruptive, free 1 week break from life while i recover, and then a short PT... to a real big wrench thrown in to things (even if it is a much better long term, big picture strategy).
What does the dermal allograft fix? I feel ya on the timing. It’s never perfect tho
I have little/no cartilage left, so im dealing with pretty sever arthritis. Im really young for a replacement, so the allograft was meant as a last ditch effort to slap some cadaver cartilage around the head of the humerus to mitigate some arthritis pain and buy myself 5-10years before i do the full replacement. I had previously been told (2 years ago) that they didnt want to fix the labrum/capsule because that would tighten the joint up and exacerbate the arthritis... but i guess now that they are putting in some cadaver cushion, tightening the joint back up to prevent it knocking around so much would help the cushioning last longer.
So, this year I have been suffering through all day pain, but still riding/working/working out etc. through the pain. I am getting a total replacement mid-November, but I have two big bike trips coming up that are worth roughing out the end of the season.
I am actually looking forward to it, I haven’t been able to lift anything over my head that is over about 15 pounds since 2022.
Good luck, everyone!
I guess this really comes down to how long does the big surgery delay your eventual arthoplasty. 10+ years of a functional and relatively pain free shoulder seems worth a 6-9 month recovery. If it's 5 years or maybe less, not so much.
Also, mountain activity can't be your only coping mechanism. Relying entirely on a single coping mechanism is unhealthy in general, but as awesome as mountain sports are they're guaranteed to be unavailable at times.
I give up
Take it to the broken clavicle thread, this is a soft tissue safe space :D
I feel you on getting hurt doing something lame. I slipped and fell hustling through the tram line.
edit: Whoa, you deleted the post? I didn't mean it like that, was just giving you shit.
IDK if you or others are interested, but i found a really good youtube channel that discusses the physical therapy aspect for athletes (including various shoulder repairs, knee repairs, etc). I feel like PT is kind of a dark-magic that i dont really understand fully all the nuances... and i think it is REALLY important to get a PT who is athlete focused for your particular sports... But the patient is going to be the one doing 90% of the PT on their own so the patient really needs to understand how hard to push, when to back off, when ROM vs strength is important, and all the other things that go into successful repair and return to sports/activities. Its waaaay more complicated for an athlete (especially a throwing athlete like myself) than it is for the average joe just looking to address pain and do everyday tasks. Anyways, i found this youtube channel and really like the roundtable discussions from the POV of athlete-focused PT's.
https://www.youtube.com/@Mikereinold
On a personal note, headed in for surgery in a week. Have BPC/TB/MK on hand and planned out. Didnt totally think about how to do it all one handed, so will probably have to get the wife to atleast load the stuff for me for the first few weeks. Very nervous and anxious to know the extent of the surgery that actually gets done, and nervous/anxious about it being as debilitating and painful as it was the first time around 18 years ago. Ugh.
I'll check that out. Good luck, that's tough not knowing what you're really in for until you wake up. I'd be curious to hear about the regimen. Did you find a surgeon that believes it's the future? Going through a separate doc? Self coaching, so to speak?
I'm doing pretty well. Cleared to ditch the sling, do full ROM without load, and run on the road which is awesome. 2 miles on pavement tonight never felt so good.
Damn, you're progressing quick. 4 weeks out? The jostling from running sounds scary/painful, but sounds like its not too much trouble for you... thats awesome!
Everything im preparing is assuming that all procedures will get done, and im in for the long haul. I figure if the full gammut isnt needed i can save the stuff for 2 years in the freezer and use it to address niggling injuries and tendonitis that pops up throughout the year like normal. I havent talked to my surgeon about my recovery strategies, but when i was interviewing PTs the one i ended up going with is a big huberman fan and basically said he has seen good results from TB/BPC in recovery, and that his main concern was contamination/infection from bad stuff or bad application. he didnt know about MK. I actually got really lucky with finding him as he had recently quit being the head of the PT clinic associated with my surgeons larger practice to open his own smaller practice to spend more time with his kids and their sports teams (and his listed focus was on throwing athletes)- he was very sympathetic to me being a former baseball player/ Quarterback who is currently unable to throw at all with his 3yr old son.
I did a whole bunch of googling and youtubing and feel that i have a good program scheduled out that walks a fine line between conservative and aggressive (id be happy to share the excel file by IM). TB/BPC appear to be just really safe if used short term (assuming you don't already have cancer), and MK is the only one with legit concerns and i have some good strategies to address that. At the end of the day these arent AASs, they are far, far safer with far less side effect concerns. I looked at also using a low dose test/deca cycle but the length of cycle/pct and cost/logistics of consistent bloodwork vs the benefit to mostly just address muscle atrophy wasnt worth it to me (when i turn 40 im gonna push hard to get on TRT, so ill wait till then). Ideally i would be on HGH instead of MK, but thats super expensive and presents the same possible issues that MK does but in a much more serious/acute manner so i didnt want to go that route. There are other (possibly better) options besides MK, but MK is the only oral and i didnt want to become a pin cushion especially because subq will be hard for me. There are a number of online sources (I read about recent issues getting TB from compounding pharmacies ) and after redditing and foruming around it appeared that the same 4 or 5 names kept popping up with generally consistent positive reviews. Once i sourced everything needed the cost was about $600 for everything needed for a 12 week program. Im gonna preload the first 2 weeks of syringes (because theres no way i can do that immediately post surgery) and keep them in the fridge... i am a little worried about the subq shots in my stomach as ive always been a single digit BF person, and stomach is the only place on my body with enough fat/flesh where there is even a chance to do subq.
Supplements i usually take and will continue to take:
Whey Protein
Vitamin D3
Fish Oil/Omega3
The Ol' Costo brand Multivitamin
Supplements i will be adding:
L-citrulline
Collagen peptides
ZMA (will add in if the MK doesnt help my sleep as much as expected)
My shoulder was actually feeling really good the past couple days and i was starting to have second thoughts about this surgery. Rode bikes to the park with my kid on the shotgun yesterday, and tossed around a kickball for a couple minutes with him while we watched the local pop warner team practice. This morning im sore AF with 20% use of my arm. In a dark way, its kind of nice to get that reassurance that im doing the right thing with this surgery.
I'll be 7 weeks out on Wednesday.
I'll certainly be following your experiment with interest. I wish there was more real research happening in this area. Perhaps we should start a separate thread. A guy I know through work was telling me last week about some crazy stem cell treatments and other stuff he gets done in Mexico that are equal parts amazing and terrifying.
That's pretty much my "stack" as well, though I also highly encourage basically everyone to take creatine. I am also a beta alanine fan. Been on the collagen program for a few years. Another thing I also take is glycine. Very little in the way human RCTs on this, but I'll tell you why I do:
1) It's the most abundant amino acid in connective tissue by far.
2) While non-essential, there's a rate limiting step in glycine synthesis. We can make enough of it to avoid deficiency but not enough for optimum health, and modern diets don't contain much.
3) There's some evidence (albeit non-human in vitro) suggesting it stimulates collagen synthesis similar to how leucine stimulates muscle protein synthesis in skeletal muscle.
4) It's the only non-Rx compound to ever show efficacy in the ITP, so it's exceedingly unlikely to be unhealthy.
5) It's very sweet, almost as sweet as sugar, so I use it as a healthy sweetener in certain applications. It's particularly good for beverages.
Care to explain here? If you're T is low now then it's silly to wait to correct it (either through direct replacement or other means). If it's not low at 40 then there's no reason to get on TRT, unless you want to dose up to supraphysiological levels which I would strongly recommend against.
I dont want to permanently go to supraphysiological levels (im not necessarily against it either for a cycle or two). What i meant is that at age 40 i will hit up an endocrinologist and talk about options to bump my T levels up to the higher end of the normal scale. If i am already at the high end, great...but I would like to ensure i stay there, and ive already dialed in as many lifestyle factors as i find reasonable, so ill be exploring additional options to keep me there.
I feel you on the one cycle idea. The literature seems pretty clear that even one has benefits that last many years if not forever.
Beyond that, you need to consider more than just your T level. Androgen receptor sensitivity varies, there's free T to consider, it's complicated. Low T is a symptom based diagnosis, it's not "if your T is below X you have low T". If you aren't having overt symptoms (low energy, low libido, etc.) then it gets harder justify the associated issues.
Well, my 72 hr nerve block is gone after 22. I'm actually thankful because having the use of my fingers back is invaluable, and the pain is manageable at this point. Was under for a little more than 2 hours and have zero recollection of talking to the surgeon afterwards so I'm not entirely sure what all was done beyond getting some dead guy cartilage sewn in. Was nervous for the BPC/TB shots this morning, but they were stupid easy and unnoticeable. On the road to recovery!
Verdict is in, and they went to town on my shoulder.
Attachment 501895
Just scheduled my shoulder replacement for November 14fh. Yay!
Welp, 8 days after surgery and feeling shockingly good. Like dangerously good. I am, no joke, probably 75% back to where i was pre-surgery (which may just be an indictment of how bad it was to begin with). I really think the TB/BPC have helped with a quick recovery from the "trauma of surgery", we'll see how it affects recovery over the next 2-3 months. Compared to 17 years ago when i got a very similar surgery i am basically at week 7/8 right now. I am doing concerningly good.
The big downer is that at my postop appt today the PA made it VERY clear that i cannot be active overhead, or hold/curl anything heavy for 3 months- this is due to the bicep tenodesis. They really need that to heal fully before i start loading it in any capacity or i am at a really high risk for ripping it out of the anchor. Thats gonna be hard to keep in mind, but im gonna do my damndest to not push that.
Got in a good leg workout yesterday with a rigged-up belt squat, Sing leg RDLs, sissy wall sits, 10mins on the assault bike, and some abs. Felt great to get a sweat going based on exercise.
Great news. I can't load yet but ROM is great, 180* extension. 8.5 weeks out.
My shoulder is fucked.
It was completely fine. I was driving an old farm truck that doesn't have power steering and it felt like a sharp cramp and then heat radiating through my shoulder and down my arm. My bicep was hot and hard. Most of the pain is in my upper arm, but also shoulder blade, and top of shoulder. This happened in June. Initially, pain was pretty bad and I had very limited motion. The PT could move my arm a lot more than I could on my own but it was super painful. The pain down my arm seemed to follow a rotator cuff injury symptoms according to internet research and PT.
The first ortho said I have frozen shoulder and the stuff on the MRI is subclinical. The PT did not think it was frozen shoulder but felt like it didn't really matter at that point what the ortho thought, it would heal.
I had a cortisone injection and helped a ton, and my shoulder continued to improve until about August. Range of motion as far as lifting my arm up ranges from 140-170 depending on the day and how long its been since the PT has worked on it. I can get it higher if I use a wall to push it up or if I have a loop of band around my wrists and press out, which I guess activates some muscle and makes the supraspinatus not have to work as hard or something. Pain had mostly subsided except when I reached too far or something, but has started to come back even at rest, sometimes throbbing.
They did a second injection 2 months later and I don't think it helped much. The first ortho wants to do one more injection and then manual manipulation under anesthesia if its not better after the third injection. That scares me because the pain is more of an issue than the range of motion at this point.
PT still isn't sold on frozen shoulder because the range of motion isn't that bad. I mean, I could live with the current range of motion, its the pain I cant deal with.
I've been doing PT two times a week and medical massage most weeks.
I wanted a second opinion and the second dr also thinks frozen shoulder but he wrote a bunch of stuff that wasn't on the MRI and some other wrong stuff like he asked if I could sleep on it, and I said I can now, but it was terrible when I first injured it. He just wrote that I said it was super painful to sleep on.
He also said that my other shoulder is frozen. I've never injured my other shoulder and it has never hurt. I'm not very flexible and I have never been and I don't think there is anything wrong with my other shoulder.
he wrote this in his notes...
Exam:
Skin: clean dry intact
Vascular: radial and ulnar pulses intact
Neuro: axillary, radial, ulnar, median intact
Wrist and elbow: have full arc of motion without pain.
The shoulder: has decreased range of motion with limited active and passive range of motion in elevation and abduction due to pain and stiffness. Hawkins' maneuver is positive, cross arm is positive, lift-off is negative. O'brien test is also negative.
Xray shows moderate degenerative changes of the AC joint without high riding of the humeral head.
MRI reveals degenerative changes of the AC joint. Bicep tendon, rotator cuff mild tendonopathy, labrum intact . Decreased caupsular space.
Impression:
1. Adhesive capsulitis right shoulderexacerbated by work injury turning a steering wheel..
2. AC arthritismild
it seems like the imaging doesn't support what he is saying, and hes saying I had frozen shoulder before my injury. My shoulder was 100% fine before I turned that steering wheel wrong or whatever did this.
Im really tired of this and I want my life back.. I can't ride my bike, I can't cast. I cant row my boat. I can play electric guitar but not my acoustic. It sucks. advice?
Ive had an ultrasound, Xray and MRI
RIGHT SHOULDER ULTRASOUND COMPLETEClinical: Pain in right shoulder.Comparison:=========No priors.Shoulder:=========Biceps tendon: Normal intact.Supraspinatus: Heterogeneous. No measurable full-thickness tear.Infraspinatus: Normal intact.Subscapularis: Difficult to see given patients inability to externally rotate.Bursa: Normal.Bone: Mildly irregular.Muscle/Subcutaneous tissue: Normal.Joint: No joint effusion.Impression:=========No rotator cuff tear.
SHOULDER RIGHT 2 VIEWS OR MORE X-RAYClinical: Strain of right shoulder, subsequent encounter.Procedure: Shoulder Right 2 Views or MoreComparison: No prior exam.Findings: No acute bony abnormality.Normal AC joint.Normal glenohumeral joint.No findings of calcific tendinopathy of the rotator cuff.IMPRESSION:Normal radiographs of the right shoulder.
MRI SHOULDER ARTHROGRAM RIGHTClinical: Persistent pain, decreased range of motion, positive drop arm and empty cantests. Evaluate for supraspinatus injury vs. labral tear.Comparison: Ultrasound 5/30/2024, radiographs 6/4/2024.Procedure: Standard MRI sequences were performed with intra-articular contrast.Findings:Glenohumeral alignment: Normal.Humeral head morphology: Normal.Background marrow signal intensity: Normal.No acute fracture.Intra-articular gadolinium present throughout the glenohumeral joint.Biceps anchor: Intact.Biceps tendon: Mild thickening of the intra-articular portion of the long head ofbiceps tendon. No tear. No displacement from the bicipital groove.Glenoid labrum: No labral tear identified given non-arthrographic limitations of thisexam. No paralabral cyst.Glenohumeral cartilage: Normal. No defects, osteophytes or subchondral edema. Noloose osteochrondral body in the joint.Rotator cuff: No full-thickness rotator cuff tear. There is partial-thickness distaltearing of the supraspinatus tendon anterior fibers at the insertion measuring 6 mmin AP dimension within the mid substance of the tendon on series 9 image 11. There isno high-grade partial-thickness tear. There is supraspinatus tendinosis scatteredelsewhere with ill-defined increased intrasubstance signal intensity and mildthickening. The infraspinatus and subscapularis tendons are normal.Acromioclavicular joint: Normal alignment. No significant osteoarthritis with nosignificant osteophyte formation. No os acromiale. No subacromial enthesophyte.Muscles of the rotator cuff: Normal signal intensity. No significant atrophy.Other: Normal distention of the glenohumeral joint. There is some edema withoutthickening at the inferior glenohumeral ligaments. The subcoracoid fat is maintainedwithout effacement.Subdeltoid/subacromial bursa: Trace fluid present.Impression:1. Mild tendinosis and partial-thickness tearing of the supraspinatus tendon greatestat the anterior insertional fibers. No high-grade partial-thickness or full-thicknessrotator cuff tear.2. Mild tendinosis of the intra-articular portion of the long head of biceps tendon.3. Some nonspecific edema adjacent to the inferior joint capsule at the inferiorglenohumeral ligaments without thickening. No additional radiographic signs ofadhesive capsulitis. Appropriate distention of the glenohumeral joint with contrastinjection.
I had frozen shoulder so if i lifted my arm straight out to the side from my body at about 45 degrees the entire shoulder joint would lock and to raise the arm any further the entire joint would move if that makes any sense.
it was painful and kept me awake at night , a sport med person said " come back when it unfreezes " but I wanted to do something so i went to a traditional chinese acupuncturist who would stick me with 20 needles all up and down from my my hand to into my hairline and leave in for 45 minutes ( also hooked up to tens ) and that temporarily got things moving, it helped to free up the joint somewhat so I did 14 treatments but I would say acupuncture quit having any effect after about 10 treatments
So really it just took time, the shoulder slowly got better and was 95% at about 2 yrs, so no surgery or anything but the tincture of time, I usually hear about a shoulder getting loose and needing surgery but this seems like the exact opposite
I would say what caused my problem was overuse & getting back into paddling after a marriage induced layoff, also leaning on crutches which can really fuck you up
I don't hear of many cases of frozen shoulder the pro's called it encapsulated shoulder,
Mine stops moving but it can be painfully forced further and that point changes based on the day, how long since the pt has worked on it and unknown reasons.
mine is also not nearly that limited. Even right after my injury I could lift it way more than 45 degrees.
Pt says he’s never seen frozen shoulder diagnosed with someone with as much range of motion as me.
i don’t think I can handle just waiting. Ugg.
well yeah thats why I tried the chinese acupuncture dude, after buddy stuck me with the pins I would get another 10 degree of motion out to the side but the next day it was back to where it started from
So the shoulder is OK now, that was maybe 25 yrs ago, I probably could have just waited the 2 yrs and had the same outcome but you don't know what you don't know
in any case thats how it went for me so good luck eh !
I’m frustrated that the Physical therapist said he doesn’t think it’s frozen. I feel like he should have had a discussion with the ortho doctor and then came to an agreement or suggested I go to another doctor. He told me it didn’t really matter… but I can’t stop stressing over it.
Honestly, I think you need a cervical MRI. Cervical nerve issues can manifest as shoulder pain. The radiating pain and sensation down your arm is a classic symptom of this, especially when backed up by the sudden onset and negative imaging results for your shoulder.
I am not a doctor, but I have heard a top shoulder ortho talk extensively about how it's very common for cervical injury to be misdiagnosed as a shoulder problem. You should definitely get your neck checked to at least rule this out.
Go to 1:16:54
https://youtu.be/CtGwx2VAH_E?si=l01VLIIH05qm3N4P
The pt has worked on my upper back and muscles along the spine and has mentioned that maybe some of the cause.
when I first injured it the pt has this picture that showed there rotator cuff issues hurt along the arm and it exactly where my pain was.. like that spot on the outside of the elbow.
also when it was really bad it was like my skin was burning. Not like super painful, just a little bit.
now sometimes my arm pain goes to my thumb. It kind of moves around, though.
im super frustrated and will suggest this.
thanks.
I think Dan may be on to something. Given you description of initial symptoms being spasm/cramp of you bicep, and then radiating heat/burning down to your elbow (but bicep tendon is totally fine), and now symptoms showing up mostly in your shoulder, it seems like it could be nerve related.
My $0.02 is to not accept a diagnoses from your Dr that doesnt seem to fit, and isnt improving your condition. If you have good insurance, keep searching out 2nd/3rd/4th/5th opinions and make sure they know the full history of the injury, what previous doctors have said, what treatments have worked and what hasnt.
Pain all the way down to your thumb just screams nerve issue to me, but again IANAD.
The other possibility here is that your initial injury is healed but you're still in pain. This may sound slightly nuts but it's very much a thing. Pain is complex and it's entirely possible to have pain without injury and, conversely, injury without pain. If you randomly MRI people over 40 a huge number of them will have asymptomatic bulged discs, rotator cuff tears, moderate OA, etc.
If you have been injured, it's possible for your nervous system to remain sensitized and continue to experience pain after the injury has healed. Look up the biopsychosocial model of pain.
Also, you said you're seeing a PT twice a week, but are you doing a home program the other five days? If not, you need to start immediately. PT works when it's a daily grind, especially with something as ambiguous as frozen shoulder.
I am not a doctor, and dont have any experience with frozen shoulder. I would highly reccomend that you keep seeking out 2nd/3rd/4th opinions on the shoulder until you get a doctor who presents a diagnoses and treatment plan you are both confident in. And then go whole-hog on that treatment plan. Shoulders are poorly designed stupid fucking joints that are incredibly fragile but also subject to immense loading and torque from 360 degrees in 3D, heal slowly/poorly, and are the least understood major joint by medical science. They are not straight forward, and 4 months is not that much time to diagnose, treat/rehab/ and then heal an injury to the joint. As frustrating at it may be, if you arent happy with the ortho's disagnosis and treatment plan, go find another.
Speaking of frustrating, i went to my first PT appointment today and was basically told there isnt anything for them or myself to do. I am hypermobile, and so im already hitting or exceeding all ROM benchmarks, and im not allowed to do any loading or strengthening for another 2 months while the labrum and biceps tendon heal... so i was basically told to keep ROM where its at and to not push it right now to avoid ending up with a loose shoulder again... and to not do much else. It makes sense that i have to let the stuff heal before i start loading and strengthening (its been less than 2 weeks since surgery), but its really frustrating to not have a new goal to be actively pushing for once i've achieved the ROM goal. Ugh.
Flip your script. You're doing great, be happy about it.
I saw the first ortho doctor again and he now says my shoulder is definitely not frozen anymore, thinks maybe I have a slap tear (nothing pointed to that on the MRI as far as I know) but also wants to look into cervical spine possibilities, too, but I have to wait for an IME before anything more can happen and I only have one PT appointment left and they will not allow more at this point.
I'm very tired of this. I feel like I'm just going to be like this forever and this sucks.