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Conditions and Diseases > Orthopedics Forum > Shoulder injury - shoulder separation
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Q: Shoulder injury - shoulder separation
asked by: DoctorQuestion on January 27th, 2008
I went in to see my general doctor a week ago after sustaining a shoulder injury 1 week prior. X-rays showed a shoulder separation and was told to immobilize it (which is actually more painful) and referred out to ortho. Ended up seeing the new young doctor in the practice who never acknowledged the separation, didn't look at the x-rays because they were taking a long time to load on the computer and spoke only about rotator cuff damage and dislocation which was not evident from the exam. I went through a partial rotator cuff tear on my other shoulder 10 years ago and the pain is not similar and did not have the constant popping with movement. The doctor wants me to do six weeks of physical therapy and follow up from there. I am in a considerable amount of pain (only end up sleeping a couple hours a night because of it). Unsure if getting a second opinion is best next step.


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Dr. Nikola Gjuzelov , MD
replied on January 31st, 2008
Orthopedics Hip, Knee, and Shoulder Injuries Answer A3575
You wrote:

"Current medical status: X-ray - the glenohumeral joint is intact, the acromioclavicular joint is borderline widened, no evidence of accute fracture. further evaluation of the acromioclavicular joint needed. weight bearing evaluation if clinically warranted.

Current medical treatment: ibuporfen 600mg 3x daily for 1 week. Office visits - general doctor 1/21, orthopedic 1/25. Physical therapy to start next week."


If you suspect that the young orthopedist's knowledge and experience is limited, you may ask for a second opinion from another orthopedist. That is your right... but try not to change doctors very often. Further, it's not possible to diagnose the type of injury by comparing the pain of the current situation with a similar injury from the past. You can try the physical therapy and wait to see the results.




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