Pinnacle - Jupiter Medical Center

Fall 2018

Pinnacle is the official magazine of Jupiter Medical Center which provides world class health care in Palm Beach County

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Page 24 of 79 | PINNACLE | 23 restore function. Physical therapists are skilled in determining an individual's treatment plan, increasing range of motion, strengthening the muscles, and getting the patient's rotator cuff healthy again. What about cortisone injections? Injections are a good adjunct to treatment in the acute inflammatory stage, though it's important to note that cortisone provides only temporary relief of pain. While these injections are generally safe, we avoid them in diabetic patients because of the temporary effect of a rise in blood sugar levels. Also, in people who are on blood thinners, the injection itself may result in bruising. In general, we avoid frequent injections because of concerns about weakening bone and soft tissue structures with multiple doses. How do you know when it's time to consider surgery? Once an MRI confirms that there has been a tear, three things have to occur for surgery to be recommended: 1. A patient does not respond well to physi- cal therapy and continues to have significant weakness or pain. 2. The MRI shows there is a repairable rotator cuff tear. 3. There is typically a four-to six-month recovery period, so the patient must be mo- tivated to carry on with physical therapy and mild movements during that time frame. Also, the arm is usually immobilized in a sling for four to six weeks after the surgery so a patient understanding this and agreeing to it is essen- tial before surgery can be considered. Are there any alternative treatments that can help golfers heal more quickly so they can return to the links? It's a common misconception that alternative treatments like platelet-rich plasma and mesenchymal stem cells will always yield a positive effect. There's still much ongoing research into these kinds of treatments, and they need to be looked at on a case-by-case basis because they don't solve all problems. These treatments also can be quite costly depending on insur- ance coverage. They need to be viewed as experimental and have not yet become the standard of care. « For more information, please call 561.220.6480.

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