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JainMD

fdp
Hi JainMD,
I see you've answered many questions and I was wondering about your
credentials.  Im sure everyone appreciates your many answers and helpful insight.
10 Responses
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Avatar universal
Hi Glo,
I am thankful to your kind words. You have reinstated the faith in me that if you work selflessly you would definitely move ahead in your life.
Sooner the benefits would come to you.
I have learnt to do hard work and I know this hard work should be there at each level even while writing or counseling patients.
How is your pain and have met your doctor?
When is your operation scheduled?
Keep me informed.
Bye.
Helpful - 0
Avatar universal
fdp
Hi JainMD,
I was not apprehensive when I questioned your credentials as my background allows me to know that your answers are correct by the book (without having seen the patient).  I however wanted to ask the question as with the internet, no one really knows who the other person is.

I'm sure that many of us reading this forum would be fortunate to have an attentive physician like yourself for in-person consultation, however many practices now, even with top-doctors, are like assembly-line medicine with little time available for individual patient attention.  Even many physicians are frustrated by health care in the U.S.

Thank you for your time.
Helpful - 0
Avatar universal
Hi Glo,
Rehabilitative programs emphasize strengthening of the shoulder's dynamic stabilizers (particularly rotator cuff muscles and scapular stabilizers), regaining full ROM, restoring normal shoulder mechanics, improving proprioception, and avoiding provocative arm activities.
Progression of the rehabilitation protocol varies with the direction of instability, quality of the tissue, type of repair, and requirements of the patient.
The risk of recurrent instability after surgical treatment is ~3 to 10%.
All the best for surgery and do post if any query you want it to be answered.
How did you find the interaction after initial apprehension you had?
Bye.
Helpful - 0
Avatar universal
fdp
Yes, it's the Bankart repair.  It was explained to me that my arm
would be in a brace against my side for 6 weeks, then extremely
strenuous PT for about 4 months as the shoulder will be very stiff.
I was told the outcome would be positive but that it was a team effort
(the surgeon, the physical therapist and myself, the patient).
Thank you for your time and consideration.
Helpful - 0
Avatar universal
Hi Glo,
What surgery the doctor is planning?
Is it Bankart repair?
Treatment of choice is Bankart repair (reattachment of capsulo labral structures to the glenoid rim) with suture anchors and supplemental anterior capsulorrhaphy. Capsular tightening achieved with capsular plication or thermal shrinkage.
Prognosis is excellent after surgical treatment of recurrent anterior shoulder instability.
What recurrent risk have they explained you? What complications have they told you?
I would be interested to know.
Keep me informed.
Bye.
Helpful - 0
Avatar universal
Hi Glo,
What surgery the doctor is planning?
Is it Bankart repair?
Treatment of choice is Bankart repair (reattachment of capsulo labral structures to the glenoid rim) with suture anchors and supplemental anterior capsulorrhaphy. Capsular tightening achieved with capsular plication or thermal shrinkage.
Prognosis is excellent after surgical treatment of recurrent anterior shoulder instability.
What recurrent risk have they explained you? What complications have they told you?
I would be interested to know.
Keep me informed.
Bye.
Helpful - 0
Avatar universal
fdp
It's anterior instability and I'm glad to know that the post-op prognosis is so positive.
I have been ready for surgery for 7 months, but have pursued strenuous rehab instead.
I am 49 years old and in good athletic conditioning. Thank you.
Helpful - 0
Avatar universal
Hi Glo,
How are you feeling now? How old are you?
I assume that you have shoulder instability and also conservative management has been tried a lot.
I want to know whether it is anterior instability or posterior instability.
Surgery may be recommended for recurrent traumatic anterior shoulder instability and for posterior instability or MDI after unsuccessful nonoperative treatment (6 months).
Rehabilitative programs emphasize strengthening of the shoulder's dynamic stabilizers (particularly rotator cuff muscles and scapular stabilizers), regaining full ROM, restoring normal shoulder mechanics, improving proprioception, and avoiding provocative arm activities should be planned.
The key concept in surgical treatment is the anatomic repair of the capsulo-ligamentous or labral abnormality rather than non-anatomic reconstructions.
Prognosis is excellent after surgical treatment of recurrent anterior shoulder instability.
Posterior shoulder instability and MDI that fail to respond to nonoperative treatment have a good prognosis with surgical treatment.
Hope this helps you.
I would be interested to know about your decision.
Keep me informed.
Bye.
Helpful - 0
Avatar universal
fdp
My nickname's Glo. Thank you for your answer.  What would you recommend after months of conservative treatment has failed with an MRI finding of biceps tear and glenoid labrum anterior horn tear? Thanks.
Helpful - 0
Avatar universal
Hi,
What is your name? Is there anything worrying you, where I can be of help?
I am qualified doctor seeing approximately 35-50 patients per day.
Hope this answer your query.
If there is anything where I can be of help, I would be pleased to answer.
Bye.
Helpful - 0
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