Posted: 3/22/2015 12:26:37 PM EDT
| Who has had it? I did on Thursday. Heres the kicker I can't move the right side of my tongue now. They did a nerve block and I am worried this will be permanent. |
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I had shoulder surgery last year.
I'd post a pic from my ride home but I wouldn't want to embarrass myself. It looked like I had a stroke; the right side of my face was essentially paralyzed from the nerve block. I remember an odd feeling in my tongue for several day after the feeling came back in my shoulder. More than likely it is from the nerve block and should go away shortly. I started doing passive at home rehab the day after surgery (with my Dr's OK of course) and have excellent range of motion because of it. Good luck with your recovery and rehab. |
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Who has had it? I did on Thursday. Heres the kicker I can't move the right side of my tongue now. They did a nerve block and I am worried this will be permanent. My sister had exactly the same thing happen. Long story short - lasted 18 months with zero sign of improvement and then suddenly went completely away. I mean, literally, she woke up one morning and everything was 100%. Of course, after all that time she, us, and all of her doctors (who were baffled) had given up any hope of it ever going back to normal. |
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You had what's called an interscalene block, which creates regional anesthesia in the brachial plexus so they could do the surgery. They inject a long acting local anesthetic above the collar bone between the scalene muscles (hence the name) and basically everything downstream gets numb.
They use anywhere from 15 to 50 ml of local to bathe the brachial plexus. Inevitably some spreads beyond the site and numbs other areas. The vocal cord on the same side is common via the recurrent laryngeal nerve. Occasionally it spreads far enough to get lower branches of the facial nerve, the trigeminal nerve, and others not needed to be numb for shoulder surgery. It usually wears off in no more than a day, unless they left the catheter in for post op pain management. In which case it can last for a few days. Beyond that is rare, and a more unusual complication. |
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I had a "full open" rotator cuff repair after I "supermanned" a fence after 2 Rottweilers tore me up and came back for 2nds..
I had the scalene nerve block which wore off at 8:30 the day of surgery after I was sent home. By 10 PM I was a basket case - sobbing and whimpering like a baby from pain. Took so many pain pills (with ZERO effect) my wife took them away. Day 2 was the only time in my life I seriously contemplated suicide from the pain and abandonment of the medical community I had entrusted with my care. Knowing what I know now I positively should have returned to the ER. I have had 2 more significant surgeries (where the did ALOT more than fix a shoulder) and those procedures were NOTHING compared to shoulder post op. They hurt, dont get me wrong but nothing like shoulder. My thoughts and prayers are with you. Do the PT work. It will be brutal for 2 weeks but you must do it. ICE, ICE ICE. Frozen peas, ice cuff and more ice |
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You had what's called an interscalene block, which creates regional anesthesia in the brachial plexus so they could do the surgery. They inject a long acting local anesthetic above the collar bone between the scalene muscles (hence the name) and basically everything downstream gets numb. They use anywhere from 15 to 50 ml of local to bathe the brachial plexus. Inevitably some spreads beyond the site and numbs other areas. The vocal cord on the same side is common via the recurrent laryngeal nerve. Occasionally it spreads far enough to get lower branches of the facial nerve, the trigeminal nerve, and others not needed to be numb for shoulder surgery. It usually wears off in no more than a day, unless they left the catheter in for post op pain management. In which case it can last for a few days. Beyond that is rare, and a more unusual complication. This is why I opted to go the rehab/ therapy route on my cuff/ lebrum years. Luckily I was young enough that my body was still in good enough shape to heal and compensate by strengthening the other muscles around those linkages. Oh and also because the surgeon told me there was no guarantee vthat the surgery would give me back my former strength. Also I hate anesthesia |
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This is why I opted to go the rehab/ therapy route on my cuff/ lebrum years. Luckily I was young enough that my body was still in good enough shape to heal and compensate by strengthening the other muscles around those linkages. Oh and also because the surgeon told me there was no guarantee vthat the surgery would give me back my former strength. Also I hate anesthesia Quoted:
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You had what's called an interscalene block, which creates regional anesthesia in the brachial plexus so they could do the surgery. They inject a long acting local anesthetic above the collar bone between the scalene muscles (hence the name) and basically everything downstream gets numb. They use anywhere from 15 to 50 ml of local to bathe the brachial plexus. Inevitably some spreads beyond the site and numbs other areas. The vocal cord on the same side is common via the recurrent laryngeal nerve. Occasionally it spreads far enough to get lower branches of the facial nerve, the trigeminal nerve, and others not needed to be numb for shoulder surgery. It usually wears off in no more than a day, unless they left the catheter in for post op pain management. In which case it can last for a few days. Beyond that is rare, and a more unusual complication. This is why I opted to go the rehab/ therapy route on my cuff/ lebrum years. Luckily I was young enough that my body was still in good enough shape to heal and compensate by strengthening the other muscles around those linkages. Oh and also because the surgeon told me there was no guarantee vthat the surgery would give me back my former strength. Also I hate anesthesia I have been going threw this awhile now. Did 2 months of PT and it didn't help. I think they either damaged a nerve injecting the nerve block or when they incubated me they fucked me up. |
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So they intubated you along with the block.
The vocal cord issue can be a temporary complication from the block, or as a result of cord trauma with the intubation. And the tongue issue is more likely from the intubation, they might have traumatized the lingual nerve. especially if they had it pulled off to one side putting pressure for a long time. I assumed from your first post that you had sedation and a block, not general anesthesia and a block. Either way, the issues should be discussed with the anesthesiologist, but in reality, they are likely to be temporary in nature, and will slowly resolve over days to weeks, sometimes months. Can be frustrating to have a prolonged issue. |
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So they intubated you along with the block. The vocal cord issue can be a temporary complication from the block, or as a result of cord trauma with the intubation. And the tongue issue is more likely from the intubation, they might have traumatized the lingual nerve. especially if they had it pulled off to one side putting pressure for a long time. I assumed from your first post that you had sedation and a block, not general anesthesia and a block. Either way, the issues should be discussed with the anesthesiologist, but in reality, they are likely to be temporary in nature, and will slowly resolve over days to weeks, sometimes months. Can be frustrating to have a prolonged issue. This is what the ER doc said it might be. Seems likely Tapia |
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I handle pain pretty good, it hurt, the only time it didn't was when I was sleeping, which for the first 2 weeks was hard to come by.
It was worth it, my shoulder is better and have full mobility. I opted not to immobilize my shoulder after surgery, so I did not experience the muscle wastage. When my shoulder was immobilized it burned real bad, so the Dr. said, leave it down, slightly bent and DONT use it!, move it ever so slightly to keep things from tightening up. ate a lot of jello :) Frankly the morphine was the only pain med that worked and only cause it put me to sleep. best of luck, power through it and it will be better. |
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.17 varmint or possibly the .222 Might as well make it interesting! Quoted:
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What round to put me out of my misery? .17 varmint or possibly the .222 Might as well make it interesting! Ive been looking at that 223WSSM. Fast as shit. Can put 10 in a 30 round clipamagazine thingy and uses common .224 bullets. Think of green tip going those speeds. |
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For what it's worth - I have been thinking about you all day after your postings yesterday.
I cringe every time I see a "shoulder surgery" post as I remember my ordeal. I suffered horribly my first week post op - and normally dont complain about pain. I have had a hip replaced, back surgery (minor but was put out and intubated) and shattered my scapula into fragments about a year ago . They filleted me like a pork loin and put in 15 screws and 2 metal plates to fix that one. I would take all 3 of those surgeries together at the same time rather than have shoulder surgery/post OP. In my lifetime it remains my "10" on my pain scale. For some good news, by week two out of surgery I didnt want to kill myself anymore from the pain and it gets better almost every day. Cold and ice were my best friends as well as a wonderful wife who got me iced tea and rubbed my..er ... feet to make me comfy. Sleeping was always in the recliner as there was No way I could lay prone in the bed. The slightest movement hurt it like the devil. If you dont know by now the pain meds they gave me did one thing very well and it wasnt to take the pain away. I got constipated so badly I tore a fissure in my butt. Arm/hand out of service, crying and suffering and then I passed a softball sized mass of clay out my ass tearing everything up. Standing in the shower bleeding down my legs begging for it to be over was no fun. Might want to look into milk of Mag., or senecot to help with that. My family said a blessing for you at grace last night at dinner and will do so again tonight. There are people that have been where you are and are pulling for you. It's not a fun time but the worst of it is over and it will get more tolerable each and every day. PT was a bitch - especially for the 2 weeks where they get "range of motion" back. You will suffer - so get your head/mindset ready. It will be over in 2 weeks and then it's just like working out getting strength back. Hang in there!!!! ETA - my round of choice at the darkest of times was a 240 Grain jacketed hollow point coming out of my S&W 629 44 mag. Screw making it interesting...I just wanted it to be over |
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For what it's worth - I have been thinking about you all day after your postings yesterday. I cringe every time I see a "shoulder surgery" post as I remember my ordeal. I suffered horribly my first week post op - and normally dont complain about pain. I have had a hip replaced, back surgery (minor but was put out and intubated) and shattered my scapula into fragments about a year ago . They filleted me like a pork loin and put in 15 screws and 2 metal plates to fix that one. I would take all 3 of those surgeries together at the same time rather than have shoulder surgery/post OP. In my lifetime it remains my "10" on my pain scale. For some good news, by week two out of surgery I didnt want to kill myself anymore from the pain and it gets better almost every day. Cold and ice were my best friends as well as a wonderful wife who got me iced tea and rubbed my..er ... feet to make me comfy. Sleeping was always in the recliner as there was No way I could lay prone in the bed. The slightest movement hurt it like the devil. If you dont know by now the pain meds they gave me did one thing very well and it wasnt to take the pain away. I got constipated so badly I tore a fissure in my butt. Arm/hand out of service, crying and suffering and then I passed a softball sized mass of clay out my ass tearing everything up. Standing in the shower bleeding down my legs begging for it to be over was no fun. Might want to look into milk of Mag., or senecot to help with that. My family said a blessing for you at grace last night at dinner and will do so again tonight. There are people that have been where you are and are pulling for you. It's not a fun time but the worst of it is over and it will get more tolerable each and every day. PT was a bitch - especially for the 2 weeks where they get "range of motion" back. You will suffer - so get your head/mindset ready. It will be over in 2 weeks and then it's just like working out getting strength back. Hang in there!!!! ETA - my round of choice at the darkest of times was a 240 Grain jacketed hollow point coming out of my S&W 629 44 mag. Screw making it interesting...I just wanted it to be over Thank you so much for the blessing. It means a lot. |