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Reddit mentions of Disorders of the Scapula and Their Role in Shoulder Injury: A Clinical Guide to Evaluation and Management

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We found 1 Reddit mentions of Disorders of the Scapula and Their Role in Shoulder Injury: A Clinical Guide to Evaluation and Management. Here are the top ones.

Disorders of the Scapula and Their Role in Shoulder Injury: A Clinical Guide to Evaluation and Management
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Found 1 comment on Disorders of the Scapula and Their Role in Shoulder Injury: A Clinical Guide to Evaluation and Management:

u/wang-bang ยท 1 pointr/backpacks

Its solid advice. I've been using a type of pack stroller for a while now before it got stolen.

I'm planning on getting an electrical motor + gps for the bicycle. Then I slap on a lightweight bike cart on the back. It should help me minimize the forces messing with my spine. I might get another of those airport pack stroller things again and stuff it in the bike cart.

I've been relying on simply avoiding carrying anything for a while now. The issue is that the shoulder socket on the right side is not stable. The instability comes from the shoulders inability to anchor the shoulder blade, and thus the arm muscles attached to it, so they get pulled up through the shoulder/clavical joint. This leads to inflammation, pressure on the nerve, and in the long term it tears away the collagen on your bones.

The way I'm dealing with this injury is to avoid exerting force through my arms at any opportunity. Then I try to maximize the amount and effectiveness of my recovery.

Did you get the injury sorted out, and by which doctor?

I'm angling to get Dr. Lennard funk in england to handle it. He was recommended by Dr. W. Ben Kibler who did the research on scapula detachment and published both journals and a clinical guide on it.

I exchanged a couple of emails with Ben kibler and he was kind enough to give me a referall to Dr. Funk so that I could get it treated in the EU.


2014, essentially a proposition for a effective first clinical diagnosis for detached scapula muscles:

https://www.ncbi.nlm.nih.gov/pubmed/23867169


2017, Disorders of the scapula in shoulder injury, a clinical guide. (contains information on all kinds of scapula and other shoulde rmuscle injuries. I'll give you a copy if you PM me.):

https://www.amazon.co.uk/Disorders-Scapula-Their-Shoulder-Injury/dp/331985190X/ref=sr_1_1?ie=UTF8&qid=1548758820&sr=8-1&keywords=A+Clinical+Guide+to+Evaluation+and+Management-Springer+International+Publishing

Today I have a strict routine on how to deal with it.

I have:

  • A book on posture, 8 steps to a pain free back by esther gokhale; deals with minimizing the forces exerted on the spine

  • Fasting; way to deal with weight loss without exercising. Currently lost 23kg of fat with it. Sitting on 19kg of fat and 77kg of muscle + 4kg-5kg of bone and organs/water.

  • Fasting; also a way to increase stem cell production and increase insulin sensitivity. Stem cell production is good because it lets me regrow joint and muscle tissue at a greater rate. Insulin sensitivity is good because cells that are less insulin sensitive will require less insulin to accept the blood sugar energy going around. This affects both normal cells and fat cells. The idea is that fat cells simply have a greater capacity to store energy so if the other cells, muscle cells for example, are more willing to take on energy (& other nutrients) then they might be more likely to spend it duplicating or repairing damage. Its a bit of a stretch. But think of it like this: Insulin does not care which cells take the blood sugar. Only that a cell takes it. It "knocks" on cell doors until one opens and it can shove the blood sugar energy in there. If there are less fat cells around then there are less fat cells around to open that door and take the blood sugar energy. If there also are more other types of cells that are more willing to take on blood sugar energy then there will be even less blood sugar energy left when it is the fat cells turn to take some.

  • nokia body+ smartscale / nokia sleep; tracks my sleep and my weight. Sleep is important to keep steady in order to maximize recovery. The smart scale keeps track of my body composition. Its automatic data logging that I can look up at the end of the week.

  • barbell strength training; deep low bar squats help with strenghtening the core and legs without inolving arms

  • Lions mane mushroom / noopept; helps nerve growth factor, essentially increases nerve growth speed

  • spirulina / turmeric (8g) + black pepper (2g) / 100% cacao mass / krill oil (phospholid DHA has a greater effect on the brain) / brocolli sprouts (sulphuraphane, frozen once then thawed to increase content by x4) / brussel sprouts (worse but still tasty source of sulphuraphane. Also frozen once then thawed) / blueberries / fatty fish; all of these help with fighting inflammation in and around the shoulder

    In an ideal day I eat 500-1000g of salmon, 30g of 100% cocoa mass, 10g of krill oil, 20g of spirulina, 500g of brocolli sprouts, 250g of homemade salsa, 100g of homemade guacamole, maize corn taco shells, 200g of blueberries (usually heated and with 30mg of saffron for the antidepressant effect), 1 cup of (8g) turmeric tea with 10g of coconut oil + 2g of cinnamon (for taste) + 2g of black pepper (for increased curcumin absorption; its the active anti-inflammation compound in turmeric).

    Then obviously I need to up the calories. I strive for around 3000kcal on the days that I am not fasting. I've done this with milk so far but I am concerned about the inflammation. I am considering simply upping the blueberry and salmon intake to make up for it.

    Maize is inflammatory so I might consider an alternative for that as well. I might land on making these expensive salmon curries: https://www.youtube.com/watch?v=BKA8DOmB_fo

    Its delicous but way too expensive.

  • Bacopa monnieri; helps with inflammation and is a nootropic as well

  • hydrolized bovine collagen powder; the only substance in existence that actually has been proven, in animal studies anyway, to deposit complete collagen molecules directly on your joints. This leads to thicker joints, or at least noticably thicker compared to controls when testing rats. The actual effect is a toss up for humans but its at least not nothing.

  • A office setup at home where I can stretch lie (lengthens the back, its from the esther gokhale book) while doing office work or studying. The monitor is on a swivel that hovers 30-40cm above my face. Keyboard in my lap and the mouse on the right side. I've been trying to get hold of a keyboard with trackpoint on it.

  • ergonomic mouse; trying to get hold of one of those trackball mouses or other types that can minimize arm movement. I have ordered one right now

  • meditation; at the end of the day it is painful and it sucks. Meditation, particularly concentration meditation, helps me accept that fact.

  • simple long term goals, and writing on what it means to succed or fail at them, then on which steps to take to get there; if I'm going to suffer then I might as well do it while going for something I consider worthwhile.

  • A physical rehab routine; mainly focused on increasing mobility of the noninjured parts. Paying particular close attention to the mobility of my thoracic spine.

  • Shoulder joint strengthening. Jim jonson "how to heal your rotator cuff" (ill gift you a copy if you PM me); by strengthening the rotator cuff muscles that attach the arm to the scapula I managed to avoid the worst of the symptoms.

  • task list tracker todoist; whenever I run into painful situations it tends to cut my working memory off right then and there. I usually then forget what I was planning to do. Todoist helps me keep track of what I've decided needed to be done.

  • routine training; I try to stick as closely as possible to the least damaging routine I have to get through day to day stuff. I look over the particulars of what I need, where I store it, how I retrieve it; all of it helps me minimize the damage I do and by keeping it routine I lower the amount of effort I need to get it done by every passing day.

  • Time planning, I use google calendar to plan out my weeks 7 days at a time; by doing this I square away the clothes im going to wear, the money I'll need, the chores I'll get done. Lets me get on with it and not think too much.

  • Financial planning, I use YNAB to budget; by budgeting I dont stress about finances. It is a great relief for my sleep and recovery.

  • Logging; I log any data I find useful. I also log what I've done compared to what I planned to do. Usually I do this through google calendar. But my schedule has been a mess the past week and I am using this weekend to shore things up and redo the schedule to something that is more reasonable for what I am currently capable of.

    I dont take pain killers because they fuck with my head and gets in the way of me figuring out what I should avoid to keep the injury from getting worse. At one point I had severe functional scoliosis because the attached left trapezius muscle dislocated my spine while deadlifting. It didnt look pretty: https://i.imgur.com/E7JJvOB.png

    So yeah, basically, I treat this like I am going on a ongoing military campaign with no end in sight.

    Meaning I aim to take as little damage as possible while inflicting the maximum amount of effect with what little I have available.

    I shore up whatever resources I can. I try to look for and use the most effective tools available for both recovery and doing the most important tasks. Recovery is vital. The best recovery is to not suffer the damage that you need to recover from. So I set the days up to do as least damage as possible.

    I make a concious effort to not spend energy or time on things that do not contribute to improving the situation. I cant afford to be ineffective because this injury is like an ongoing traumatic accident that will not end until the muscle is reattached. Even then there is likely going to be some permanent issues.

    It sucks. But there are a few ways to make it suck less. One of the most important ones is to pay attention to what not to do. It became way easier to do that once I learned what the injury is and how the shoulder blades are suppoused to function. It was a uphill climb but I think I'll crest it soon. Hopefully in this year.

    I cant say that the injury was a good thing to have happened but I was forced to learn a ton of stuff that I think will serve me well through the life I have left.