Your Questions About Scar Tissue After Shoulder Surgery

Sandra asks…

I need help with something, I have these things….?

I have a scar about 4 inches long on my left shoulder from riding through the woods and a horse running through a tree while I was riding and I also have a scar from a surgery I had to have after being stepped on by my horse… I have tried a few things but I cant seem to get them to go away, I was also just wondering if it is poaaible to be TOO flexible…..

admin answers:

If the scar is wider than you might expect (compared to a normal person’s skin), and the skin over the scar is thinner than a normal person, then the scar could be related to your flexibility. You could have a connective tissue disorder called Ehler-Danlos Syndrome.

People with EDS often have fragile, stretchy skin and very loose joints. If you think that this describes you, then you should see your doctor to see which subtype of EDS you might have. One subtype is associated with a particular (and treatable) heart problem. All of the subtypes are associated with arthritis (when you’re older) from accidentally moving joints too far in the wrong direction.

Of course, the two conditions could be unrelated. You could have a perfectly normal scar from your accident and a mild and uncomplicated case of joint hypermobility.

Ruth asks…

Kidney infection after HSG test?

I just had a HSG test Thursday, Sat afternoon I suddenly developed the chills really bad, body was hot to the touch, headache, nausea, dizzyness. I called my Dr Saturday night and he said its rare but I could have gotten a infection from the test so he prescribed me the z-pack. I woke up today and my fever is a little better but I am now having sharp pains in my lower right back, I am not having trouble urinating nor is their blood in my urine. I am worried its something else, did anyone have these symptoms after a HSG test? No appetite also since Sat, slept for almost 24 hrs and my tubes are open but I still have some scar tissue from a surgery I had last year with a previous PID infection. I am calling my Dr again today, just curious if anyone else had this?

admin answers:

I’ve had 2 with no complications other the pain in my shoulder which is to be expected.
The best I could find for you was, I copied some over, but you may want to on it yourself for more info.
Hope your ok, best of luck at the doctors.

Complications associated with a hysterosalpingogram include the possibility of an allergic reaction to the dye, which is uncommon. This usually causes a rash, but can rarely be more serious. Pelvic infection or uterine perforation are also possible complications, but these are very uncommon.

If a woman has multiple sexual partners or is otherwise at risk for sexually transmitted diseases, she might be screened with cervical cultures before doing an HSG. Some physicians prescribe several days of antibiotics to reduce risk of infection after HSG.

Joseph asks…

Pros/Cons on allowing facial piercings at school.?

The title says it all.. i’m trying to do a persuasive essay on allowing facial piercings at school and I would like your opinions and pros/cons. Thanks.

admin answers:

See some pros and cons (For the bonus, see guides of how to deal with such symptoms)…

cause of problems from piercings is the wrong kind of jewelry for the area pierced. If the jewelry is too small, it can actually cut off the blood supply to the tissue, causing swelling and pain. If the jewelry is either too thin or too heavy or if you are allergic to the metal, your body can sometimes reject the jewelry (your body reacts against the jewelry because it is a “foreign object”).

Bacterial infection (where you had the piercing)

Excessive (a lot of) bleeding

Allergic reactions (especially to certain kinds of jewelry)

Damage to nerves (for example, you may lose feeling at the area that gets pierced)

Keloids (thick scarring at the piercing site)

Dental damage (swelling and infection of tongue, chipped and broken teeth, choking on loose jewelry)

takes 2-3 months to heal


Implant grade stainless steel is least likely to produce a foreign body reaction or infection in the skin. Other choices for new piercings are metals such as gold (AT LEAST 18 karat), titanium, or niobium. All of these cost more than implant grade stainless steel but are safe

Silver is not a good choice for new piercings because the tarnish from silver gets deposited into the skin. The deposits often darken the skin around the piercing which can be permanent. Sterling silver jewelry can be safely worn on most healed piercings but it should not be worn in the mouth or genital area where the skin is moist.

Gold jewelry should be 18 karat (75% gold) for new piercings and at least 14k gold for healed piercings. Gold-filled or gold-plated jewelry should never be used in any piercings because the metal is very thin. The finish wears away easily and it chips even with the slightest contact with the body. Some people have difficulty with white gold,because white gold contains “nickel” – a metal that many people are allergic too

Titanium is not only used for jewelry but also for surgical implants in the body. For example, titanium implants are used for shoulder replacement surgery because it is lightweight and porous. There are actually tiny pores in the metal that allow tissue in the body to attach to it. For this reason, it is recommended that Titanium jewelry be highly polished to reduce the “porosity” (pores or very tiny holes in the metal). For people who are extremely sensitive to metal, Teflon or nylon piercings may be used.

Bars, which are the type of jewelry used in some piercings like the tongue, are measured in length (how long the bar is). When the piercing is first done, a longer bar will be used. When the piercing heals, a shorter bar is used

Ring jewelry is measured by diameter, or how wide the ring is

Gauge means the thickness of the jewelry. The smaller the gauge number, the thicker the jewelry. The APP says that jewelry no greater than 14 gauge should be used below the neck. This is because of the risk of a foreign body reaction and the possibility of the ring cutting the skin.


Do NOT use alcohol or Peroxide to clean the area. (Both products will dry out your skin.) Other strong solutions such as Betadine will discolor gold jewelry.

Rinse the pierced skin after exercising since sweat may irritate the piercing.

Keep the pierced area from coming in contact with other people’s body fluids, such as saliva and sweat. (Do not have oral sexual contact for 4-6 weeks if you have a tongue, lip, or genital piercing).

Keep things clean that come in contact with the body part that has been pierced. For example, keep your phone clean if you have an ear piercing, keep your glasses clean for ear and eyebrow piercings, cover your ear lobe with a tissue if you use hair spray, and try not to apply makeup close to piercing sites.

Check your jewelry many times during the day to see if any parts have become loose, especially if you have a tongue piercing. If a bar becomes loose, you can accidentally swallow it or damage a permanent tooth.

Do NOT use a hot tub or swim in public pools until your piercing has healed.

Rinse tongue or lip piercings after every meal or snack. Rinse for 30 to 60 seconds after eating with an antibacterial, alcohol-free mouthwash, or a warm salt water rinse. Or, alternately, make a mix with one part water, and one part hydrogen-peroxide, and apply it directly to the piercing site with a cotton swab. The bubbling peroxide can help remove food stuck in the site.

Too much to include from other links… See under Sources..

William asks…

Sore Shoulder after massage?

On Friday my friend gave me a massage she’s not proffesional, but i havnt have a prob with her b4 and well this time she was giving me one and she found a certain spot right on the bone of my left shoulder blade, i have been having pain there for a few months, and i think that may have been the spot where the pain was coming from so i thiought oh good this might fix it, but the pain was so bad i passed out and was in extreme agony afterwards, and couldnt sleep on it, for the next couple of nights and i stil, cant sleep on it, so you think she may have done more damage, by massaging it, should i go to the doctor? or chiropractor also wat should i do to control the pain until i can get an appointment?

admin answers:

Scar Tissue and Chronic Pain in Supraspinatus Tendinitis
This injury can persist for years if not accurately assessed and treated. The Essential Principle of adhesive scar tissue formation explains how this can happen. Let’s say that as a youth your client tore some of the supraspinatus tendon fibers during a tournament swim. She might have felt some pain at the time, but the injury seemed to heal completely on its own. Unfortunately, it is likely that some adhesive scar tissue from that healing remained in the tendon. Years later, the client ran through the airport carrying her heavy suitcase and then noticed a sore shoulder for a week or so. What she didn’t know was that more of the tendon fibers tore around her original injury, and the area of weak adhesive scar tissue increased. Then last winter, she fell forward on the ice and caught herself with her arms, since then, she’s experienced daily shoulder pain. The built-up adhesive scar tissue left her subscapularis muscle in a weak and vulnerable condition, so that when called upon in an emergency, the muscle could not do its job and suffered further injury.

In general, when a client comes to you with this type of shoulder pain, always have her see a physician to check for serious underlying conditions or injuries. If a fall or trauma brought on the injury, it is wise to have the person go for an X-ray to see if there is a fracture. When the X-ray is read, deposits of calcium are sometimes found in the supraspinatus tendon. It is often assumed that these deposits, rather than an inflammation in the tendon, are the cause of pain, and surgery may be recommended. Supraspinatus pain that is due to calcium deposits in the tendon is unusual but is successfully treated by surgery. There are often calcium deposits present, too, which cause no pain.


David asks…

I completely tore my anterior talofibular ligament and i’ve got 2 more high-grade partial tears?

The first high-grade partial tear is at my calcaneonavicular ligament and the other one’s at my medial deltoid ligament. it happened on the 13th of February, 2011. I had an MRI done and the doctor said i needed surgery so i decided to get a second opinion. The new doctor told me i didn’t need surgery and just needed physiotherapy. It’s been 9 weeks since my injury and it’s still really stiff and a bit painful. Parts of my ankle are also bigger but my doctor says they’re just scar tissues and probably won’t get smaller. I just wanna know if i need surgery. p.s. I’m 20 and very active p.s.s. i was able to play basketball smoothly today. Thanks in advance :)
i also forgot to mention that i have been doing physiotherapy everyday for the past month or so.

admin answers:

Saab, if you are able to play basketball without having problems then things are going well. Try these movements to see if they speed up the process. Stand in front of a wall or the back of a chair. Place your fingertips on the wall at shoulder height or on the top of the chair. Keep your knee of the Uninjured leg straight and bend the knee of the injured leg. Using only the Uninjured leg raise that heel up as high and hard as you can and then return it to the floor. Do this 15 times and then rest it for one minute. Repeat that cycle twice more. Now go to the arm of a sofa and sit on it. Using only the Uninjured leg raise yourself up and then return to the seated position. Do this 20 times as smoothly as possible then rest for 1 minute. Repeat that cycle twice more. Now go to the rear of a sofa and sit on the top of the sofa. Using only the Uninjured leg stand up as quickly as you can and return to the seated position. Do this 10 times and rest for a minute. Repeat this cycle twice more. Now move around and test the injured ankle it should be stronger and more stable. It will seem funny working on the uninjured leg to gain stability with the injured one but it works. Continue working this way and when the injured ankle feels 100% then start to strengthen it but only after you have worked the opposite leg first.

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