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Old 11-13-2012, 04:44 PM
Dubious Dubious is offline
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Join Date: Jan 2009
Location: Paradise
Posts: 855
15 yr Member
Dubious Dubious is offline
Member
 
Join Date: Jan 2009
Location: Paradise
Posts: 855
15 yr Member
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Quote:
Originally Posted by Jo*mar View Post
You also could have injured or strained soft tissues in the brachial plexus area - http://en.wikipedia.org/wiki/Brachial_plexus

That might have been what the PT was helping with, the soft tissue part of the injury. You might ask to go back to PT now that you know things have regressed.
It's all a crap shoot without knowing any clinical findings as well but from what you state about the history and imaging findings, Jomar's guess would be mine too at this point and more information could be gleened from SSEP's of selected peripheral nerves of the upper extremities. Try not to get too hung up on the definition of this or that....differentiating diagnoses between different regions sometimes becomes more conceptual of the larger picture.

Your shoulder MRI impressions could be acute or chronic and may or may not relate to the pain you are experiencing; but just shoulder pain. A SLAP tear can be asymptomatic and incidental finding or excrutiatingly disabling. You would need to consult with a shoulder-ortho if you have not already and probably should as subacromial spurs are known to eventually rupture rotator cuff tendons.

No, lymph nodes are not normally commented upon but that might just be that individual radiologist's pet peeve. Since you likely see your rheumatoligst frequently, just show the report to them and ask if further workup is necessary.

And yes Leesa, you did splendidly!
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HoneyBee (11-13-2012)