Monday, December 03, 2007

adventure with a shoulder, day 2

I went for physio this morning and, once again, had a quite astounding reaction to the slope of my shoulders. Barb, my therapist, asked me "have you always been that asymmetric?!". Nope! So she did a bit of probing and diagnosed the separation as 2nd degree, as well as a separation of the sternum-clavicle (SC) joint, which further explains why my shoulder is so low. She was actually impressed and said it's rare to see such an injury as usually, with that much impact, the clavicle breaks. So I don't know if I'm lucky or just a freak of nature! So a course of physio, every day, is in order - ultrasound, interferential, massage, etc. And with my arm in a sling for a while, plus the pain killers. I get the results of my x-ray tomorrow. I also have the name of a good ART specialist, so I will try him as well.

No training. No running. I can try spinning, provided I don't use my right arm.

This totally sucks. What are the chances of doing this much serious injury to myself 16 days before leaving for Thailand?! Horrible, horrible luck. Fighting in Thailand is now out of the question. Training should be ok, but I'll just be getting back to it by the time I arrive in Phuket. I just want it to get better, be as strong as before, so that I can train and be able to work as hard as I want to. Right now, I'm just in pain, from my shoulder up into my neck and a bit across my collar bone. I don't know what happens when I stop taking the pain killer, Toradol, and go back to normal Aleve or Advil.

TORADOL (ketorolac tromethamine) is a member of the pyrrolo-pyrrole group of nonsteroidal anti-inflammatory drugs (NSAIDs). The chemical name for ketorolac tromethamine is (±)-5-benzoyl-2,3-dihydro-1H-pyrrolizine-1-carboxylic acid, compound with 2-amino-2-(hydroxymethyl)-1,3-propanediol (1:1), and the chemical structure is:

Prinivil (Lisinopril) Structural Formula Illustration

Ketorolac tromethamine is a racemic mixture of [-]S and [+]R ketorolac tromethamine. Ketorolac tromethamine may exist in three crystal forms. All forms are equally soluble in water. Ketorolac tromethamine has a pKa of 3.5 and an n-octanol/water partition coefficient of 0.26. The molecular weight of ketorolac tromethamine is 376.41. Its molecular formula is C19H24N2O6.

TORADOLORAL is available as round, white, film-coated, red-printed tablets. Each tablet contains 10 mg ketorolac tromethamine, the active ingredient, with added lactose, magnesium stearate and microcrystalline cellulose. The white film-coating contains hydroxypropyl methylcellulose, polyethylene glycol and titanium dioxide.

The tablets are printed with red ink that includes FD&C Red #40 Aluminum Lake as the colorant. There is a large T printed on both sides of the tablet, as well as the word TORADOL on one side, and the word ROCHE on the other.

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