RIP,
TOS really isn't relatively new, but certainly is over looked fairly often.
Leehayes,
In this case, if you are going to try conservative measures first (which may be worth a try), make sure the program you do is given to you by a knowledgeable professional. A physical therapist should be your best option for this. There are exercises that will definately irritate and/or make the injury worse. Avoid any exercises that require you to push or raise your arm against weight over your head. That will only further impinge the tissues, and should be saved for much later in your rehab.
Blackjack,
While it is really difficult to advise someone with your diagnosis without physically observing and evaluation that person, just remember that any advancement in you Parkinsons will make your recovery harder and may also limit where your final level of function may be as compared to doing something now if it really warrants it.
If it were my shoulders, I would look at it like this: If the tears were fullt thickness tears, I would not mess around with conservative treatments, I would just have them fixed. If they were anything less, I would try PT first. If it does not work, it will still give you an improved ROM and improved strength that will aid in the post rehab recovery. After the PT I would decide if the shoulders were functional enough for my daily activities, and would decide if I needed surgery based off of that. I have seen many people with small tears avoid surgery. Medium level tears often do require surgery, but it can depend on the persons activity level and age. Remember that the RTC will likely get worse from the impingent that is occurring, becuase it is just rubbing the tendon between the 2 bones.
TOS really isn't relatively new, but certainly is over looked fairly often.
Leehayes,
In this case, if you are going to try conservative measures first (which may be worth a try), make sure the program you do is given to you by a knowledgeable professional. A physical therapist should be your best option for this. There are exercises that will definately irritate and/or make the injury worse. Avoid any exercises that require you to push or raise your arm against weight over your head. That will only further impinge the tissues, and should be saved for much later in your rehab.
Blackjack,
While it is really difficult to advise someone with your diagnosis without physically observing and evaluation that person, just remember that any advancement in you Parkinsons will make your recovery harder and may also limit where your final level of function may be as compared to doing something now if it really warrants it.
If it were my shoulders, I would look at it like this: If the tears were fullt thickness tears, I would not mess around with conservative treatments, I would just have them fixed. If they were anything less, I would try PT first. If it does not work, it will still give you an improved ROM and improved strength that will aid in the post rehab recovery. After the PT I would decide if the shoulders were functional enough for my daily activities, and would decide if I needed surgery based off of that. I have seen many people with small tears avoid surgery. Medium level tears often do require surgery, but it can depend on the persons activity level and age. Remember that the RTC will likely get worse from the impingent that is occurring, becuase it is just rubbing the tendon between the 2 bones.
