The goal of surgery is to restore as much function to the shoulder as possible. However,...
The rotator cuff is a group of muscles critical for the strength, stability and function of the shoulder. Tears of the rotator cuff tendons are a common source of shoulder pain, weakness and other problems. Q: I had an MRI that showed three of my four rotator cuff tendons have complete tears. I can only lift my right arm midway. I cannot comb my hair, and I’m right-handed. I cannot lift a glass or coffee cup to put on a shelf in kitchen cabinets.
The goal of surgery is to restore as much function to the shoulder as possible, and my experience with my own patients who undergo shoulder surgery is that most function can be restored. However, it can be a long road to get there, with physical and sometimes occupational therapy after surgery. A 2017 review of the condition identified this as related to, but distinct from, migraine with aura. They proposed two treatments: one medicine normally used for seizures, lamotrigine, and another used for migraine , verapamil. The authors noted that this does not cure the disease but can improve vision significantly enough to make a real impact on people’s lives.
Q: I am now 78 years old. My mother’s two brothers died of heart attacks at 55 and 65, so when I was in my 50s, I had a calcium scan of my heart. Since then, I have been taking 10 mg of atorvastatin along with blood pressure medication. Doctors use specialized calculators that can help predict 10-year risk of a coronary event. If a person has high-enough risk to be on treatment anyway, a calcium score isn’t necessary to recommend treatment. A person with very low risk is unlikely to have coronary calcium, and even if they do, it might not mean blockages. For those who fall into the middle, the coronary calcium score provides additional useful information that can help a doctor decide whether medication therapy is appropriate.
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