Bankart Lesion and Shockwave Therapy for Shoulder Pain - Orthopedics

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A Bankart lesion is a specific type of injury to the shoulder joint, particularly affecting the labrum, which is a ring of cartilage that surrounds the socket of the shoulder joint. This injury typically occurs when there is a dislocation of the shoulder, leading to damage at the anterior (front) part of the labrum. The Bankart lesion can result in shoulder instability, pain, and a decreased range of motion, which may explain the persistent shoulder pain you have experienced over the years.

In your case, the MRI findings indicating a new growth on the upper edge of the humerus, along with significant ligament tears and inflammation, suggest that your shoulder has not healed properly since the initial injury. The presence of fluid accumulation (effusion) in the joint can also contribute to pain and limited mobility. These findings highlight the complexity of your shoulder condition and the need for a comprehensive treatment approach.

Regarding shockwave therapy, also known as extracorporeal shock wave therapy (ESWT), it is a non-invasive treatment option that uses acoustic waves to promote healing in musculoskeletal conditions. This therapy is often used for chronic pain and tendon injuries, and it has gained popularity in various countries, including the United States and parts of Europe. In Taiwan, while the technology is becoming more recognized, its availability and acceptance may vary by institution and specific clinical settings.

The fact that your doctor mentioned the shockwave device is in an experimental phase and not charging for the treatment suggests that they are still evaluating its efficacy in clinical practice. It's important to note that while shockwave therapy can be beneficial for some patients, its effectiveness can vary based on the specific condition being treated and individual patient factors.

Your concerns about the lack of anesthesia during the procedure are valid. Shockwave therapy can be uncomfortable, and many practitioners do recommend local anesthesia or analgesics to minimize discomfort during treatment. If you felt significant pain during the session, it would be appropriate to discuss this with your physician. They may have opted not to use anesthesia based on their assessment of your condition or the expected pain level, but patient comfort should always be a priority.

As for the costs associated with shockwave therapy, this can vary widely depending on the facility, the number of sessions required, and whether the treatment is covered by insurance. Typically, a course of treatment may involve multiple sessions, and costs can range from a few hundred to several thousand dollars. It’s advisable to consult with your healthcare provider or the billing department of the facility to get a clear understanding of the financial aspects.

If shockwave therapy does not yield the desired results, surgical intervention may indeed be considered, especially if there are significant structural issues such as the Bankart lesion and associated ligament tears. Surgical options may include arthroscopic repair of the labrum and stabilization of the shoulder joint. The decision to proceed with surgery should be made collaboratively with your orthopedic surgeon, taking into account your specific symptoms, functional limitations, and overall health status.

In summary, a Bankart lesion represents a significant injury to the shoulder that can lead to chronic pain and instability. Shockwave therapy may offer some relief, but if it proves ineffective, surgical options should be explored. Open communication with your healthcare team is essential to ensure that you receive the most appropriate and effective treatment for your condition.