Three or four months
ago micro tears in one of my left shoulder's rotator cuff muscles
were aggravated by a routine movement in an osteopath's treatment
room causing instant pain that flared and quickly died. I didn't think
much of it until shadows and whispers of the same pain began to haunt
me throughout the summer.
'Swimming will help!' I
thought. And hit the beach daily though July and much of August,
swimming sometimes up to 800 metres in the sea – except I could not
do front crawl; it was too uncomfortable. I switched to breast
stroke.
An imagined tarantula
in my post-shower towel one evening (imagined that time, they have
been known to be real) made me twist my body and shoulder, and a
nano-second later I was curled, weeping, on the bathroom floor.
Again the pain died quickly, but this time the shadows and whispers
of its recurrence gained more form and substance. I knew that the
time had come to seek help, but I had had bad experiences with
several local physiotherapists and wanted to wait until J, an English
lady who used to work with the British athletics team, returned from
the Olympics.
Cue a third trauma:
when my arm was accidentally pulled over my head, the pain gave a
resounding shout. I knew that things were serious.
J returned and I drove
fifty minutes up into the hills to her sports injury clinic.
'Tendon tear', she said succinctly, explaining that it was the result of
long-term stresses (if I had known when lifting 15 kilos of BCD and
scuba tanks over my head day in and day out for three years that I
would suffer later, would I have continued it? Huh! But I can't say
that I wasn't warned...) probably from overworking or trying to prove
that I had upper-body strength equal to a man. She gave me a massage
and exercises and sent me home with a follow-up appointment in two
weeks.
Ice packs and exercises
seemed to reduce the problem and I was regaining some of the mobility
and losing some of the pain, when suddenly two weeks ago I turned the
wrong way in my sleep and landed, not back at Square One, but at
Square Minus Ten.
“Oh pooh!” said J.
“Much more swollen, not good at all. And you can hardly move it!”
She gave me another lovely massage, and encouraged me, but warned
that many times the only sure route to fixing a tendon tear is via
the operating table.
“Go and see my
mother's orthopaedic surgeon, Manamou,” said Best Beloved. “We
need you fixed.”
So I did, but the visit
was not a success. I had the feeling that he was a fine doctor, but
we did not do well on the personal level. “
Frozen shoulder,” he
told me, writing a scrip for an MRI and saying: “That needs to be
treated first – probably with oral cortisone – and we'll deal
with tears and impingement surgically later.” Except that he said
it all in Greek, having told me at the beginning of our appointment
that he did not speak English, and leaving me at a distinct
disadvantage.
I had the MRI and
the report returned replete with '-oses' and '-itises' as well as
mentioning a 'partial thickness tear of the distal supraspinatus
tendon', and that evening, Dr X phoned me back. “It's not good
news,” he said in perfect English. “You will need to have a
surgery, and although it's not an emergency, I would like to see you
as soon as is convenient.”
The last week has been
very bad – mostly because of the impossibility of sleep. I took
Ibuprofen but it didn't seem to help. Last night I took a
combination of Paracetamol and Codeine that had been prescribed for
Sophia when her plantars wart was lasered, and at last I got some
proper rest.
This morning, I
took Best Beloved to my appointment with Dr X – not only as a
translator, but as someone who is not cowed by either personalities
or terminology, and is not afraid to ask questions.
They got on like a
house afire, and the doctor reiterated J's opinion that the tendon damage had taken place long ago. ("You mean that you were flawed when I married you?" BB turned to me in surprise. "Can I send you back? Get a replacement?") Dr X said that that the frozen shoulder needs to be treated before any other issues can be
addressed, and wants to do this with
oral corticosteroids: “This is the German
protocol,” he said. “I know that the English prefer injection
into the joint, but there is a risk of tendon necrosis. You must be
careful not to eat too much sugar or salt and limit alcohol. I will
see you in two weeks, and I think that you will have a great
improvement both with pain and mobility.” I asked him about
non-steroidal anti-inflammatories, and he said that they were not as
effective, that I would have to take them for a long time, and that
they were hard on the stomach. “Nothing is completely risk-free,”
he said. “But with this schedule, I will be able to do the surgery
in about a month.”
So, I start tomorrow.
Five days of 40 miligrams of cortisone, followed by 5 days of 30,
then 5 days each of twenty, ten, five, and 2.5 mg. Then a trip to
the hospital, and an op followed by physiotherapy...
Watch this space...