Re: new medicines and how they are used?
From a pharmacist perspective, I can say that the idea behind the medications was to decrease inflammation (Vioxx and the steroids) which can allow the injury to heal and they also help with the pain. The cortisone (a steroid) shot would do basically the same, only it is delivered directly to the site. These can be extremely painful for several days after the injection. Instead of the Vioxx the physician should have used ibuprofen, which is much less expensive and just as effective. The only benefit of Vioxx is less (maybe) chance of causing ulcers. Another important aspect is that you need to rest the arm to allow it to heal. I see way too many people who continue to use an injured body part and do not allow it the time to heal and then complain about it still being messed up, I hope this is not you. Most of the time medications to reduce inflammation take weeks to have any effect. As for the bone problem itself, I think reconstructive surgery would be the only true fix and even then there is no guarantee. Most of the time this type of surgery is only done in larger cities and sometimes that is because of available facilities. At any rate, there is no quick fix as this appears to have been a long time problem that has come to a head (there is probably scar tissue, adhesions and calcium deposits). Even with surgery, things will not be "normal" again. I realize your frustration, as I have gone through a similar thing with some ruptured discs in my back, but time and patience are your best friends at this point. The physicians were correct in trying a conservative approach first and while there may have been a lack of communication between you and the physicians, you need to remember there is no quick fix and you must have realistic expectations. Your insurance company probably would have required conservative therapy at first anyway. I wish you well and hope you can keep a positive attitude. That big buck is waiting for you this fall.