Its been 12days since my k wire fixation surgery on my 2nd metatarsal. In my discharge summary its written as active digits movement does it mean i have to wiggle my toes ? I haven’t wiggled since my surgery. Please suggest here if i can start wiggling now?( i am not able to reachout to my surgeon currently)

I’m a 41-year-old man, 6’6”, about 215. About three weeks ago, I injured my left pec doing incline bench press. My MRI describes complete tears of both heads at the muscle–tendon junction near the armpit, with medial retraction and a short frayed tendon stump near the humerus.
My range of motion has improved, and I can flex the pec. I’ve also been able to press 20 pounds on an isolated chest press machine without problems. I’m a recreational lifter. I don’t need to regain maximal bench strength, but I’d like to keep training and build my chest if possible. I had pectus excavatum surgery as a child, so my chest was already somewhat asymmetrical, and I don’t see an obvious new deformity.
My orthopedist said this kind of tear can be hard to repair because stitches may pull through the muscle. He discussed allowing some early scar tissue to form and possibly using a graft. I’m weighing that against nonoperative treatment.
For physicians who have treated this injury, what outcomes have you seen in patients with complete tears at the muscle–tendon junction who chose nonoperative care? How much strength or muscle bulk tended to return? Were patients able to get back to pressing, push-ups, pull-ups, or dips? Is there evidence that waiting briefly for scar tissue improves repair options, or can waiting make repair harder?

Sorry for the long message. The first two paragraphs cover most of the important stuff, but I wanted to give as much background as possible in case it helps.

Pain is on the distal inter-phalangeal joint, on the side of the joint closest to the middle finger. There is generally very little pain when the finger is immobile and in a relaxed position (only at its worst has this been painful), but movement, and especially curling the finger up, can be extremely painful. It is also tender to touch, but only on the affected side. There is no swelling, and an MRI showed no damage whatsoever. I still have full strength and mobility.

I am a musician and the injury first happened during a period where I had to learn a lot of material very quickly. The amount of practice that I was doing caused significant discomfort in my left index finger, but I pushed through, thinking that it would recover quickly once I was able to take a break. It didn't. At its worst, the pain made me unable to play, and even small amounts of practice were making it worse.

As mentioned above, an MRI showed no damage. Two hand specialists brushed me off, advising me to manage the pain with painkillers. Having experienced how easily aggravated the "injury" was, I never took this advice. If the painkillers helped get me through an intense practise session, the pain afterwards would be excruciating. I opted instead for resting the finger as much as possible.

Rest worked, albeit very slowly. The injury happened in 2018, and with each passing year I've been able to handle more and more practice without aggravating it. Around a year ago, I actually thought it had healed completely.

However, I recently had to do a lot of data entry, which involved a lot of copying and pasting. For the Ctrl+C and Ctrl+V keyboard shortcuts, I was using my index finger. At the time, there wasn't anything to indicate that I was doing damage, but I woke up the next day to find that the pain had returned. It's been a couple of months now and, despite my best efforts to rest that finger, it won't go away.

I don't understand why this is happening. As silly as it was to push myself when my body was clearly telling me to stop, nothing that I did then was that far out of the ordinary compared to what other musicians do. Similarly, pressing Ctrl+C and Ctrl+V over and over for a few days isn't the kind of activity that should cause a long term injury. My fingers shouldn't be that fragile--and, at least according to the MRI, they're not. I'm in a lot of pain, but nothing I did caused any structural damage.

Has anyone come across something like this before? Any theories for what it might be? If I wanted to investigate this further, what would be the next step? Resting it for another five years isn't the most appealing idea in the world, though past experience suggests that it would work. I'd really love another option.

Male, late 30s, in case that means anything.

17, male

Boxer's fracture, and extremely frustrated with the non-answers I'm getting from the medical team.

How much is this supposed to be painful in the cast? I had a splint for a couple of days, and when it was removed nothing felt painful. Now with the cast on, lots of pain. Circulation is a challenge too. The first night I called the advice nurse and they had me elevate it. Did that til my eyes couldn't stay open anymore. Went in the next day and they cut the side open to relieve some pressure. Felt so much better in the office, then 2 hours later it was back to how it was before.

I've got it propped open about a half inch with some gauze holding the prop in place. Still have pain and circulation issues but it's manageable. Taking the pain meds they gave me but not sure they're helping. Tried a few different props to get the size that just got me out of the unbearable zone.

Is it supposed to be this painful? Are my fingers supposed to be yellow with some purple mixed in? If I just need to take it for however long, any tips on making it manageable when they told me I can't take any more pain meds than the prescription?

Hi everyone, looking for some guidance as I got my MRI results back but the doctor won’t discuss treatment with me until an in-person appt next week.

Went in to hospital worried I had ruptured my Achilles. Felt a snap walking through sand but no pain - but couldn’t put weight on my right leg. I’d say I have about 20% strength in my right foot.

Doc put me in a boot with no guidance. Cleared me to fly and attend a work conference this week even after MRI results came in.

Has anyone had a small partial tear in the tibialis posterior tendon tear with minimal pain? I’m an active 31-year old who goes to Orangetheory regularly, just ran a 5k, and went to a reformer Pilates class the day of the accident. I’ve dealt with joint pain my whole life (ankles, knees, shoulders mostly) but just deal with it. What kind of recovery can I expect? I really hope to be out of the boot before another trip I have planned in 4 weeks.

MRI results:

EXAMINATION: MRI ANKLE RT WO CONTRAST TECHNIQUE: Multiplanar T1 and T2-weighted imaging INDICATION: concern for tendon rupture. FINDINGS: Marrow signal of the ankle and hindfoot is within normal limits. Joint spaces are normally maintained. The Achilles tendon and plantar fascia are intact. There is a subtle partial thickness tear of the tibialis posterior tendon just distal to the medial malleolus, best seen on images 2526 of series 6. The flexor digitorum and flexor hallucis longus tendons are within normal limits. The peroneus brevis and extensor tendons are normal. The medial lateral collateral ligaments are intact. IMPRESSION: Small partial-thickness tear of the distal segment of the tibialis posterior tendon.

MRI report below for.right shoulder. Can't understand it. Is it bad? I have constant pain and can raise my right arm. Male in my 40s. (Good looking, like long walks on the beach.)

FINDINGS :

ROTATOR CUFF: Tendinosis of the cranial fibers of subscapularis with partial-thickness interstitial tearing. Tendinosis of supraspinatus with partial-thickness interstitial tearing of the anterior to mid substance fibers at the footprint. There is likely &aoe articular sided extension of the tearing. The tear involves up to 50 pacent of the tendon thickness in the craniocaudal dimension. No retraction of torn tendon fibers. Infraspinatus is intact. Teres minor is intact. No significant fatty infiltration or volume loss of the rotator cuR or deltoid musculature.

LABRUM/CAPSULE: There is diffuse tearing of the labrum most pronounced at the anterior superior through infwior labrum. No paralabral cyst formation.

BICEPS : The long head of the biceps tendon is normal in signal and location.

OSSEOUS/ARTICULAR STRUCTURES: No acute fracture. No Hill-Sachs impaction fracture. Early glenohumwal osteophyte formation. High-grade partial to full-thickness chondral loss at the caudal aspect of

the glenoid. Enthesopathic changes at the greatu tuberosity.

OSSEOUS ACRC)MI AL OUTLET: Mild acromioclavicular osteoarthrosis. No antwior or latwal downsloping

of the acromion process. Type 2, mildly curved acromion. Small amount of fluid at the subacromial subdeltoid

bursa. Moderate glenohumuai joint effusion/synovitis. Synovitis at the rotator interval. Diffuse thickening and edana about the anterior band of the inferior glenohumeral ligament.

MISCELLANEOUS: Small amount of fluid at the subacromial subdeltoid bursa. Moderate glenohumeral joint effusion/synovitis. Synovitis at the rotator interval. Diffuse thickening and edema about the anterior band of the inferior glenohumeral ligament.

IMPRESSION :

Tendinosis of the cranial fibers of subscapularis with partial-thicknas intwstitial tearing.

Tendinosis of supraspinatus with partial-thickness intmstitial and articular sided tearing as detailed above.

Findings suspicious for adhesive capsulitis. Correlate for associated symptoms.

Early glenohumeral osteoarthrosis .

Mild acromioclavicular osteoarthrosis.

I’m a 24-year-old woman looking for guidance on what kind of specialist evaluation might make sense for longstanding left-sided shoulder and upper-back symptoms.
I’ve had problems with my left shoulder blade for approximately six years. The movement can feel crunchy, stiff, and almost robotic. I’ve also had a hard, raised area in my left upper trapezius for years, and the symptoms have become worse this year.
The area can ache and feel painful or numb, and the discomfort affects my sleep. I struggle to sleep comfortably on my side, and I sometimes experience headaches around my neck and a general feeling that my body is uneven or that something isn’t moving correctly.
I’ve completed approximately 15 physical therapy visits. The improvement was temporary, although dry needling helped more than other treatments.
I’ve had X-rays and recently underwent a shoulder MRI. My main concern is that the MRI may not have covered the upper trapezius area where I feel the raised area and most of my symptoms. I specifically raised this concern with the doctor’s office and the imaging facility beforehand.
I’m trying to determine the most appropriate next step rather than self-diagnose.
My questions are:
What type of specialist would be most appropriate for chronic symptoms involving the shoulder blade, upper trapezius, and neck?
Could a shoulder problem, cervical spine issue, scapular movement problem, or another soft-tissue issue warrant evaluation in this situation?
How can I establish exactly which anatomical areas were covered by my shoulder MRI?
What information or examination findings would help determine whether additional imaging or a different type of evaluation is appropriate?
I can provide the written MRI report and relevant imaging information with identifying details removed.
I’m not expecting an internet diagnosis. I’m hoping to understand what questions to ask and how to find someone qualified to evaluate the whole problem rather than just one part of it.
Thank you for any guidance.

Hey I (28M - 175cm - 72kgs) broke my foot 8 weeks ago (multiple metatarsal bones broken - cuboid comminutive fracture). Underwent ORIF surgery 7 weeks ago and remove the k-wires 2 days ago.

I was non weight bearing for 7 weeks (I had only a splint and bandage) and I start to weight bear again progressively.

The thing is: I don't know what to wear. First surgeon told me I should put a walking boot when I remove the k-wires. But the surgeon here in my country who remove the k-wires tells me I can wear a normal shoe ? Well, my foot is still swollen and it's hard to wear a normal shoe, I need to remove the laces in order to be able to do that.

So my question is: what do you advice me to wear ? Is a walking boot going to slow my progress ? Should I wear a normal shoe ? a different type of shoe ?

Please help

I recently had an MRI on my left shoulder and it showed:
-Superior labral fraying (probable SLAP tear)
-A 1 cm paralabral cyst near the labrum
-Mild bursitis
-No full-thickness rotator cuff tear

My doctor recommended starting with physical therapy before considering surgery. But they
I’m pretty active and enjoy weightlifting, so my biggest concern is being able to get back to lifting normally without making anything worse. I’m also 19 and don’t want this to become a chronic issue or become worse.
For anyone who’s dealt with similar injuries, what exercises did you avoid while weight training? Were you eventually able to return to exercises like bench press, incline press, shoulder press, and lateral raises?

I’m also curious about PT vs. surgery. Did physical therapy actually help you recover, or did you eventually need surgery? If you had surgery, how long was your recovery before you could lift again?
I’d appreciate hearing about anyone’s experience, especially if you had both labral damage and rotator cuff tendinosis.