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Q & A / View or ask Dr Joe de Beer a question

Select a question below to view the answer.

Question

Naand dr. Ek was vir xstrale dit wys inpingement of the shoulder. En dan dit acronoim nr 3 is hook. Ek was op kortisoon medikasie maar pyn raak erger en beweging van arm word beperk. Wat kan dit wees. Soms raak my linker hand ook net lam en kry ek needles en pings in dit.

Hoop om van u te hoor.

Rizaan

Answer

Dit kan 'n "Frozen shoulder" wees of selfs 'n rotatorkraag skeur. Jy moet 'n spesialis sien en die diagnose moet gemaak word

Question

Hi dr ek het inpingement of my shoulder. Hul se acromion is in nr 3. Ek le slegs op rug dan gaan hand en vingers dood. Die skouer pyn veral saans as ek iwts moet optel.  Was reeds vir xstrale. Ek is allergies vir antiinflammatoriese medikasie sowel as aspirien. Was vir 2 fisio sessies maar dit raak nie beter nie. Tans sukkel ek om more te bestuur of hare te waa. Wat stel u voor.

Answer

"Impingement" laat gewoonlik nie die hand en vingers doodgaan nie. Jy moet 'n spesialis sien, 'n diagnose maak en dan die korrekte behandeling ontvang

 

Question

I have severe pain in my upper left arm, I am a 64 year old male who plays golf about 3 times a week, and the muscle pain has intensified over the last 6 months, I have tried physo on my arm and shoulder area but no success, anti inflamitary injections did not help ether, so now realize I may need surgery, however I have no medical aid and have to pay for my medical bills myself, therefore can you give me a ballpark cost for a shoulder / upper arm operation Regards Billy Grainger Tel.0796058737

Answer

The fee for surgert vaies a lot according to what needs to be done. You should be seen first, a proper diagnose made and the exact treatment (and cost) be determined

Question

Hi ek kry so erge skietpyn in my regterblad.skouer was ook seer vir paar dae.ekt eers opgehou gym maar steeds is my blad  seer.kan dit n besering nou wees na my motorongeluk amper 2 jaar gelede?soms as ek hoes is my bors seer.

Answer

Dit kan 'n senuwee pyn wees wat vanaf die nek verwys

Question

Hallo Dr de Beer,

 

Ek is 'n ou pasient wat reeds twee keer kortesoon inspuiting by julle gekry het in my linker skouer. Dit het baie goed gewerk en ek is eker nou 4 jaar sonder enige ongemak.

Ek is tans in London vir 2 maande en myskouer het nou geledelik weer seer begin raak. Veral smags sukkel ek om te slaap vanwee die pyn in die gewrig. Wat kan ek doen in die interim totdat ek weer terug is in SA om dit aan te spreek. 

HC van Heerden

2 Selbornestraat, Welgemoed

Answer

Hello, Jy kan natuurlik na iemand in London toe gaan en noem dat die kortisoon so goed gewerk het en versoek dat hulle dit weer vir jou gee

Groete, Joe de Beer

 

Question

I have a clicking noise in my right shoulder when I move the arm to the front of my body and particular if I lift it up from my side.  There is more noise than "pain" or discomfort. Is this an internal injury or is this linked to arthritis???  I am a 52 year old female.

Who should I consult for diagnosis?  GP, Chiropractor, Surgical Specialist...

Much appreciated.

Answer

A rotator cuff tear of arthritis could present like that - best is to see a shoulder specialist

Question

what can i told my farther in law tell to use to get feeling back in his right arm and right leg down to his foot

Answer

There is usually not a relationship between the arm and the foot. He should be examined to arrive at a diagnosis

Question

good day my left arm lower muscle pyn during night when i am sleeping cannot sleep on left arm is it possible that i could injured a muscle .

Answer

Sure - you could have injured it . If it is very painful you should see a shoulder specialist to make a diagnosis and give. you the appropriate treatment

Question

Respected sir 

 I am 24 years old left handed off spinner . 5 years back I was playing cricket for a club and due to my studies I couldn't continue playing .. Now I am unable to resume back to playing .The symptoms I feel are 

1) anterior dislocation at sternoclavicular joint of my left hand 

2)stiffness of muscles at the mid left clavicular 

3) knuckling sound is felt at coraco acromion joint 

I did rehabilitation excessive for almost 4 months still these symptoms persist when I try my bowling.

I request you to suggest whether I can bowl or will b able to do Batting.

Answer

to continue with bowling and batting will not cause damage but if it too painful you must be examined byr a shoulder specialist to sort it all out for you 

Regards, Joe de Beer

Question

Hi

 

I am 66 yrs old male - residing in Sea Point

I am a keen and regular gym fanatic! 

For over a year I have had some shoulder problem - some days better

Lifting and turning in my car is painful and sometimes OK

At night top of shoulder aches and later pain is intermittent

I had an Xray and it said Rotator Cuff Synd and mild arthritis

My biok said I must only use light weights and monitor discomfort

He didn't  think I need surgery 

I am using Voltaren 2 X day

What is your advice?

Regards 

Arthur Joffe

0848800130

Answer

Dear Arthur,

One cannot make  a clinical diagnosis from an X-ray only. "Rotator cuff syndrome" is a most vague diagnosis.

You need to be examined, X-rays viewed by a specialist and probably an ultrasound of the rotator cuff tendons. After that a definitive diagnosis can be made, and appropriate treatment (even if conservative) can be suggested

You may contact my office if you choose to do so at 021 9111017 and we can see you at Cape Town Medi Clinic 

Regards,

Joe de Beer

 

 

Question

Dr, my huis dokter het gesê dat ek verkalking in my skouer het en dat ek 'n ortopeudiese chirurg moet gaan sien vir 'n operasie. Ek het ongelooflike pyn in my linker skouer, boarm en voorarm. Ek kan nie iets optel met gemak nie. Ek het al gegaan vir 'n kortisoon inspuiting twee maande terug, maar die pyn is terug. Is 'n operasie die antwoord? Wanneer ek my arm roteer hoor en voel ek 'n gekrap in my skouer wat pynlik is.

Answer

Die verkalking kan verwyder word met 'n klein (artroskopiese) operasie of selfs met "needling". Kyk gerus na ons website oor die onderwerp (http://www.shoulderinstitute.co.za/calcific_tendinitis.php )

Jy is welkom om ons te kontak by tel nr 021 9111017

Dr Joe de Beer

 

 

Question

Hi Dr de Beer,

I have had an issue with my left shoulder that has now persisted for about 4 weeks. 

The pain is pointed on the front of my shoulder (inside) and along the back of my arm. 

I am quite fit, I noticed a huge change when I could not do a pull-up nor chin-up anymore as the left shoulder would buckle. Also pick up a free weight of the floor with my left arm hurts pretty significantly.

The left shoulder is very "snap crack & pop" and painful when sleeping / worse in the morning. 

The shoulder feels a bit stronger than before but strength has not returned to hold my weight nor do a single pull-up. Range of motion as I go higher to the bar increase the pain to a pain where I can't pull higher. 

I have been involved with alot of physical activities that likely have slowly hurt the shoulder (Rugby, Jiu Jitsu etc.) and I wondering if I am at a point where I may have a tear that will continue to deteriorate if I ignore it. 

I can, with pretty sigficant strength, pull weight in a seated row position - push / pull in a vertical motion is very painful - is this something that I should probably come in for a consult? 

Thank you so much for you time and this form submission! Very much appreciated!

Answer

There are many causes for pain as you describe- a rotator cuff problem ( even a tear) could do that. You need to be examined, X-rays taken as well as an ultrasound to confirm the diagnosis and work out the appropriate treatment

Question

Hi Dr. de Beer. I am a 36 year old female. Almost a year ago I was seeing a physio for neck spasm and she began working over my left collar bone area. It was very tender - always has been due to an old injury - but she focused on it and the level of pain as she worked was unreal. The old injury (14+ years ago) was an accident where I landed on the point of the left shoulder with my full weight - no dislocation, just 'over stretched' ligaments. I have had problems with the shoulder/ collar bone ever since that physio. Xrays were done, they said the joint looked almost normal so I was told it was most likely soft tissue damage, given painkillers and a sling to wear for a few days. Didn't really help. Sleeping on the shoulder is painful. The collarbone/ front of my chest & shoulder are sore to varying degrees daily. I don't have a reduced range of movement but I do have discomfort performing movements like rolling my shoulders, crossing my arm over my chest etc. Would soft tissue damage not have healed by now? I would not rate the pain as severe, but it is a daily thing, annoying and frustating and it impacts my quality of sleep. Should I continue to give it more time or is this something that needs to be looked at?

Answer

The cause could be a Thoracic Outlet Syndrome and you should have it checked to confirm the diagnosis and so that the  most appropriate treatment can be done

check my website for more info:  http://www.shoulderinstitute.co.za/thoracic_outlet_syndrome.php

 

Question

My skouers voel of hulle dood gaan as ek slaap.  Dit voel of my skouers die heeltyd in spasma is, en dit is baie seer. Elke oggend as ek opstaan voel dit of my skouers in spasma is.  Dit voel of niks medikasie daarvoor help nie.  Het al vir my vere kussings gekry en slaap op n ortopediese matras. Kan iemand asb vir my raad gee of help. Het nog nie ekstrale laat neem nie.

 

Answer

Jy moet X-strale laat neem en ondersoek word om die oorsaak vas te stel

Laat maar weet as ons verder kan help. Dr de Beer

 

 

 

 

 

 

Question

Im 70 and have been experiencing a severe pain in my left upper are & shoulder The pain subsides in the day but becomes heavy at night keeping me out of sleep I've tried Ibruprofen & Voltaren But with limited sucess What has releived the pain is me taking a PH Alkaline powder daily Can you suggest something Been active all mey life A.B

Answer

You need to be examined and at least have X-rays: osteoarthritis of the shoudler is the first thing to exclude

Let me know if we can help you -- Dr de Beer

 

 

Question

Hi

Ek het pyn in linker bo arm...dit is n verlammende pyn. Dit is baie pynlik. Het dieselfde pyn voorheen in bo been aan agterkant gehad. Die spiere spring dan ook in arm. Pyn veral baie erg gedurende die nag. 

 

Answer

Die oorsaak kan een van vele wees -  rotatorkraag probleem of senuweeletsel. Jy moet ondersoelk word, X-strale geneem word en dan kan 'n diagnose en behandeling gedoen word

dr de Beer

Question

Hello Dr de Beer

I have an 18 month history of on and off shoulder pain, when raising my arm. And instances of pinching and weekness also when my arm is raised. 37 year old female.

2 weeks ago while washing my hair :) it happened again, but this time the pain was severe and accompanied by an audible and excrutiating popping with every movement, even shallow breathing. This lasted a few hours.

Since then the popping has mostly subsided but I have constant pain, aching burning and stabbing. Worse through the night and after arm use, but also when still and breathing. 

The pain is internal behind my shoulder blade and also below my collar bone, some pain on the upper inside of my arm. 

Xray and sonar seem fine, except for 3.8 mm subacromial bursa measurement and type 2 acromial proces noted.

Is it possible that bursitis can cause all this pain?

Regards

Tamara 

Answer

Calcific tendinitis, rotator cuff tear and other shoulder problems can present like that - you would have to be examined to determine the cause

dr Joe de Beer

Question

U het 2jr gelede n totale skouervervanging op my gedoen. Met my opvolg afsprake het alles goed gelyk. Ongeveer 4mnde gelede het ek weereens dieselfde pyn begin ervaar as voor die operasie en die beweging van my arm is baie beperk. Is dit normaal en moet ek weer 'n fisio besoekof sal dit self weggaan? 

Answer

Jammer vir die laat respons maar die regte volgende stap is om 'n X-straal te laat neem aangesien die prostese dalk los gegaan het

dr Joe de Beer

Question

I have been diagnosed via ct scan with a large irregular anvil shaped exostosis arising from the costal surface of the upper scapula at the level of origins of subscapularis. Surface of exosititis is flattened with features of enurnation and chronic contact between exostosis and the outer surface of the right second rib. I am in constant pain. Apparently this is a rare condition. Please advise best course of action. I have a cd disk of ct scan.

Answer

sorry for this very late response - was your problem ever sorted out or do you still need help?--dr Joe de Beer

Question

My partner has a reverse shoulder replacement done at a Government Hospital and since this she has had absolutely no use of her arm or hand.  We have had tests done and the report states : "Findings are compatible with a proximal brachial plexipathy with possible involvement of segments C5 to C8T1".  How could this have happened and considering no medical aid, how can we fix this.  Complete loss of use of right arm is a huge problem.

Answer

Sorry for this very later response but was the problem ever resolved or do you still need help?

Dr Joe de Beer

Question

Met verwysing na vraag 4 (soos hieronder).  Ek is 'n tipe 1 diabeet en het huidiglik 'n "frozen shoulder" vir die 3de keer in dieselfde skouer (regs) maar die keer is die ergste van al die vorige kere en het ek al die simptome soos beskryf en erge pyn veral in die nag.  Om watter rede sal ek dit vir die 3de keer ervaar as dit veronderstel is om slegs eenkeer per leeftyd te gebeur?

Q.4. After recovery, could the Frozen Shoulder come back again?
A. It usually never recurs in the same shoulder and rarely in the other shoulder.

Answer

Dit gebeur gewoonlik net een maal in 'n spesifieke skouer maar die uitsondering soos in jou geval kan gebeur maar is baie selde wat mens dit teekom. Mens moet net seker maak dat dit wel 'n bevrore skouer is en nie iets anders soos 'n kalsifiserende tendinitis, rotatorkraag skeur, ens nie

Question

Dr de Beer

9 Months ago I fell off my mountain bike, landing on my right shoulder and rolling forward, head-over-heels. All symptoms indicate AC joint dislocation. There has been no improvement at all in the last 9 months, road riding is possible, but any off-road mountain biking causes great pain at the end of the ride. Any advice would be appreciated. I live in Mauritius.

 

Answer

If it is an AC joint dislocation and it causes pain for so long it should be fixed

Question

Dear Dr Joe de Beer

my name is Gideon Avissar i had my thorn tendent operation on my right hand shoulder done 6 month and two weeks at cape town medi clinic. on my last communica two month ago i ask is that posible to get back to yoga clases your answerd was yes, i have taken only two clases and it is paintfull especially when i strech my hand, does the shoulder need more time to heal, or i need to come for a check up, yours faitfully, Gideon  

Answer

yes I think best is that you come in for me to check your shoulder

Regards,

Joe de Beer

Question

Hi Doctor

I am based in Jhb, have total ac joint separation. Unfortunately I am in Jhb any Doctors that you can recommend to do the operation please.

 

Regards

 

Hannes Coetzer

Answer

Dr Dinos Kastanos in Johannesburg

Question

Goeie Middag Dr

My ma se hele regterkant van haar liggaam raak lam en seer gereeld sy was by die dr hulle se dat haar senuwees in haar nek vasklem is dit so is baie bekommerd raak erger elke dag

 

Answer

Dan moet sy 'n neuroloog sien dat die korrekte behandeling uitgewerk kan word