Word: pains
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Dates: during 2000-2009
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...hard to find a comfortable place for your arms when you're in bed at night, you're probably feeling Don's pain. Cuff discomfort is usually a "night pain" in its early phases. Ball throwing and racquet sports become uncomfortable but you can still manage to play - it's the pain later on, especially at night, that first brings the patients in. Overhead activities like putting up books or stacking dishes on a high shelf give the same hard-to-pinpoint shoulder and upper-arm pain. Cuff patients start avoiding movements that make them exert force at a distance...
...have what Donald Rumsfeld has? A lot of folks do. Tearing and what's called "maceration" of the rotator cuff are the most common causes of chronic shoulder pain in adult Americans. I find them and other shoulder problems fascinating; this strangely tendon-wrapped joint has kept my professional interest level amazingly high for the 22 years that I've been doing orthopedics. So when, in the middle of doing an arthroscopic rotator cuff repair this morning, my trusty assistant Dave told me about Don Rumsfeld's repair, I knew I had to get the plain truth...
...Mystery of Pain Why does the same joint problem make one person suffer terribly while another has no pain at all? There are a few clues that might solve this puzzle
...another a lot more patients are coming to their orthopedist complaining about shoulder pain. The arthroscopic repair is a great operation because it fixes the problem securely but leaves only three or four little cuts on your shoulder. Each is a mere centimeter long, they don't hurt very much (usually - there are exceptions) and you can go home from the hospital the same day. Most patients are off pain medicines and back to work in two days. It's my favorite case and they're my happiest patients. They tell their friends that they're out of pain. More...
...eventual results from the more traditional open surgery are every bit as good in terms of pain relief (95% get better) and improved strength (75% better) as arthroscopic repairs...