Hey DrMikeM doin some research and came across your sight and thought I'd add my two cents. If you do opt for surgery. If you are seeing a physio for this condition, they should be able to provide you some good information about the post-surgery protocols that surgeons in your local area will be likely to prescribe. Being referrfed to a shoulder specialist Tuesday. Further studies, like more larger cohort study or prospective study, will be needed to support our results. That was July of 2011. Massive. @anonymous: Hi Les, I am glad you found this information helpful. Some minor tears may be treated without surgery. It's been very frustrating dealing with the chronic pain and reduction of normal activities in an attempt to adapt to my "new normal". I work construction and am self employed. Good luck! However, if no benefit has been observed after 6 weeks of PT, then discussion your options with your surgeon sounds like a good plan. Visited many doctors and was always told it was nothing, the pain got unbearable and I saw yet another dr who was completely caught off guard my the loud pop my shoulder makes. Had periods of pain go from the back of my shoulder down my arm like before. Good luck with your next round of surgery or therapies! They usually present as a sharp pain at the outside or front of the shoulder, particularly with arm elevation (raising the arm to the side or front). Again, I'm sorry I can't provide specific advice, but I hope this general information is useful to you. but can get back fairly good motion about the shoulder . I have had shoulder pain for years and years. Mike!! Some simple tests during a physical examination should enable your doctor to determine whether your symptoms are likely to improved with a surgical repair of the tendon. Some general information that may be useful to know is that some people who have similar pathology to that which you have described end up having surgery while other do not. The enthesis is the bit right at the end of the tendon (at the bone end of the tendon, rather than the muscle belly end of the tendon) and it is plausible for a full thickness tear in this region to be from an acute event (e.g. techniques (see details below) . Because of the risk of infection and and nerve damage. Your question regarding using a graft of some sort to help repair a rotator cuff tendon is an interesting one. He says the tendon is fraying like a ropethat he would need to reattach to the bone. As you have correctly identified, there is quite a long recovery period following surgical repairs of rotator cuff injuries, but on the other hand, there is a pretty good success rate among people who follow the post-operative instructions. MRI). have got bursal thickening as well and mild thickening of. This will help you figure out what you are deciding between. Twelve patients in Group 1 received an intra-substance injection into rupture area of supraspinatus tendon with Diprospan 1 cc (betamethasone disodium phosphate 2 mg and betamethasone dipropionate 5 mg) and . Let us know how you go. I do so appreciate the advice and direction you have given to myself and others through this posting. In terms of general information that may be useful to you, I am not sure I have seen any sound clinical research evidence indicating that prolotherapy is likely to provide long lasting benefits for people with MRI diagnosed supraspinatus tendon tears. It sounds like you are on the right track with your surgeon and physical therapist. Thanks for stopping by and leaving a comment. Complete rehabilitation after surgery may take several months or even up to a year. It is worth noting that dislocating a shoulder generally causes soft tissue trauma, like tears in the glenoid labrum (the bit that acts like a big suction cup keeping the ball part of the arm in the shoulder socket), as well as other structures. When a radiologist looks at an MRI scan, he or she must make a judgment about the type of the rotator cuff changes. Thanks for stopping by and sharing your story. Couldn't even lay down. In physio just weeks after the onset of injury, I was unable to lift a 1lb weight with the injured arm bent near armpit while lying on my back. Overall, it will often take 6 months or more before the shoulder is completely back to normal. There is no question that the word 'small' can be misleading regarding the amount of pain and discomfort that a supraspinatus tendon tear can cause. Osteophytes and inferior capsular swelling indents the superior margin of the mytendinous junction of supraspinatus. As such, a therapist can provide a safe and progressive therapy program. Re-attaching the tendon to the bone as you have described is a substantial surgery, the first months of recovery after this type of surgery are very important to ensure that the tendon does not detach / rupture and optimal recovery can occur. . SLAP type tear of the superior labrum. Either way, I wish you all the best with it (and a safe deployment and return). It is also worth noting that whiplash associated disorders are complex. Just got my MRI report back on right shoulder and wanted to know if you could shed some light on it. If the tendon has been completely ruptured (no longer attached), then surgery will definitely be required with some level of urgency for the tendon to be successfully reattached. No visible labral tear. Because of the return of the recent pain, a another MRI was ordered and the Radiologist wrote: "1. Don't be afraid to have an open discussion with your GP about whether or not a referral to a surgeon is the right way to go (or not) for your specific circumstance. Patients ranged in age from twenty-nine to seventy-nine years. months or years after the original injury is definitely a good indicator that a further orthopedic review / opinion is warranted. My story is a little lengthy, but I am desperate to find some insight for anyone that could help. Can a full thickness tear of the supraspinatus heal without surgery? I wear an arm sling a lot to relieve weight from my shoulder, which helps to some degree. A tendon is similar to a rope and you can compare the suprasinatus tendon to an inch wide . I hope I have not waited to long for having this checked, and the only option will be surgery. The tendons may tear from their attachment either after an injury such as a fall or from long-term wear and tear. Small. In active individuals who use the arm for overhead work or sports. make sure you do it some place where anesthesiawill do an interscalene block for post op pain relief. I am sorry I can't provide you specific advice over the internet. Dr. Mike. old I was in good physical shape as a letter carrier(28 yrs) but have been mostly sedentary recovering from the first surgery. Nonetheless, it worth noting that as a general principle, synovial fluid is very important and helps lubricate the joint. Full-thickness tears of the supraspinatus and infraspinatus tendons at their attachment site with retraction of torn fibers up to the lateral aspects of the acromial process. If your tendon were to completely rupture while you were pregnant, this may be very problematic. Unfortunately I can't give you specific advice over the internet. At the final follow-up, the VAS, Constant, ASES, and UCLA scores were 1.1 0.9, 84.3 16.4, 88.3 17.4, and 31.1 6.0, respectively. Cold therapy cold therapy cold therapy!! 2. mild labral degeneration. Generally speaking, MRIs definitely help the surgeon to make a diagnosis and give them an idea of whether surgery will help. It seems as though you have now had two MRI reports. MORE VIDEOS Find Your Condition Ankle Pain Arthritis Back Pain bested on all of the above. Bursal side: tears on the top of the tendon. ), while others do not. I think this is a common dilemma that people face. Particularly about what many people are likely to experience during the often long road to recovery. . Also an ex ray of my shoulder "Demonstrate my humeral head close to abutting my acromion. X-rays are often not very useful in diagnosing shoulder injuries. Muscular and tendinous structures including remaining portions of the rotator cuff are also felt to remain otherwise unremarkable in signal and morphology. They may be perfectly justified in their opinion, but if their opinion is based on one or two other specific cases that they know of (or perhaps their own bad experience), it would be a shame to miss out on receiving some potential benefit because a well meaning friend or family is not as well informed on the topic as they may think. When you speak to your doctor and discuss your plan for treatment, make sure you discuss any relevant work / sport related activities so you both know what to expect. There is synovial fluid at the glenohumeral articulation. If pain is being caused, then there may be a problem with technique or a lower intensity may be required. Medicine. Pain can also be brought on by laying on the side. @anonymous: Hi Donna, I am sorry to hear about this trouble you are having with your shoulder. If you have been diagnosed with a partial thickness tear and begin experiencing more pain you should talk to your orthopaedic surgeon. You mention your shoulder makes a popping noise, generally speaking the sound a joint makes is not a good indicator of anything (particularly if the popping noise itself is not accompanied by pain). i was recently diagnosed via MRI that i have a supraspinatus tendon tear. I was an elite athlete most of my life and have accepted that I will no longer be able to return to my sport 100%. ; 3; Where can I found documentation in the web for the rehabilitation? You should not feel pain in the shoulder during the movement. It plays a critical role in movements involving the shoulder joint, particularly arm elevation. Anyways, my appointment for surgery on my right shoulder is in 2 weeks.. Arthroscopic.. it use to ache and ache at night but recently its not so bad. A few months passed, and I was called into the orthopedic surgen, who was a shoulder specialist, for a "pre surgery consultation". In your opinion, do I have any other option other than surgery? )amount of fluid in acromioclavicular joint and last but not least 5.) Time passed. This may result in pain and weakness of the shoulder. What I can say is that for anyone looking to return to unrestricted badminton following a partial thickness supraspinatus tendon tear and shoulder labrum tear (particularly a SLAP lesion) will not be quick or easy. What I really want right now is to regain enough to get through normal everyday activities and not feel limited trying to lift an object and also not drop things so frequently. Partial or Full-Thickness Tear If there is a partial or full-thickness tear (but not a complete rupture) surgery may or may not be required and is best discussed with your orthopedic surgeon and/or physical therapist after appropriate imaging investigations have been undertaken. Tendonosis literally means chronic pathology without inflammation (i.e. The tear of the subscapularis muscle is less common then the tear of the other rotator cuff muscles, such as the supraspinatus, infraspinatus or suprascapularis. Have been directed to work with a physical therapist and so far have not seen mprovement after two weeks but staying hopefull. That is some interesting advice you have received. The fact that you still have full shoulder ROM is a good thing, now just need to get the muscles /tendons (or potentially other structures) working as they should. Must also have to bring the arm back with my other arm if I am lying and have the arm overheadwhich now longer will lie flat on the floor if it is overhead.It has been recommende to do ART then PRP and possibly prolotherapy. Sorry for the delay in response. A full-thickness rotator cuff tear is characterized by a focal transmural tendon discontinuity, . Instantly a wave of incredible pain came over my entire arm, generating from the back of my shoulder all the way down to my hand. 4. @DrMikeM: wheather arthoscopy surgry ll help for my injury sir ?what type of surgery needed for dis type of injuries sir.ortho doc told Do exercise for 2 weeks aftr tat if it not improved ll do arthoscopic surgery sir Due to a fall and resulting shoulder pain my doctor prescribed to have an MRI, the findings were; moderate tendinitis in the supraspinatus. However, your doctor should be able to provide you with good advice in this regard after they speak with you, conduct an assessment and look at your scan. Thanks for stopping by and sharing. It is also worth noting that sometimes you can do everything right (good surgery, follow instructions etc.) This content is accurate and true to the best of the authors knowledge and does not substitute for diagnosis, prognosis, treatment, prescription, and/or dietary advice from a licensed health professional. Getting a second opinion when you are not sure about your first is also often a good idea. Complete: With a full-thickness or complete tear, the tendon separates completely from the bone. So while surgery always carries some risks (which your surgeon will be able to explain), for some people this is the only option to experience a good outcome. The results showed a "partial tear of the supraspinatus tendon, with large swelling and irritation". This information is provided as an educational service and is not intended to serve as medical advice. Very much appreciated. Here is some general information that may be useful. I maybe take a few Advil a week with no loss of function at all. I have about 3" less range reaching up behind my back, but I think some pre-existing tears and arthritis were fixed. If you have injured your shoulder or have chronic shoulder and arm pain, it is best to see an orthopaedic surgeon. A-C joint is moderately to severely degenerative. The CT impression read like this: High-grade partial tear of the supraspinatus tendon at its insertion (rim rent tear). There are a few interesting things worth noting here. Here are a few notes/tips before you begin: Below is a demonstration of this exercise. There is a moderate amount of fluid distending the subdeltoid bursa maximal over the anterior aspect of supraspinatus and the rotator interval. I found it very helpful as I am sure all your other subscribers found it to be too. Should you immobilize or not move a shoulder with a suspected partial rotator cuff tear? In addition to arm elevation, the supraspinatus muscle is critical in pulling the head of the humerus (the ball part of the ball and socket joint) into the glenoid (socket). I returned to the orthopedic surgeon at which point he did an x-ray which looked good and sent for a mri Monday. It is also worth knowing there are just some jobs that seem to take a heavy toll on shoulders / supraspinatus tendons (unfortunately I think painter / sheet rock installer / any occupation where you need to hold things up above shoulder or head height are right at the top of that list). Small to moderate glenohumeral joint effusion. My pain is mostly in the bicep area and I do not have trouble lifting the arm but bringing it back down and also bringing the lower arm down when the upper arm is at 90 degrees. So it would seem strange that your surgeon would expect adhesive capsulitis to resolve with 6 weeks of physical therapy, unless you had already had the condition for many months and he had started to detect improvement? An important thing to consider (as you have correctly mentioned) is that a reverse shoulder replacement is probably unlikely to restore normal shoulder function and resolve the pain if substantial soft tissue problems are still present in the tendons around the shoulder. One of the most painful experiences ever. The rotator cuff exercises should not cause pain while the exercise is being performed. Surgical repairs of complete tendon tears from a traumatic event, like a car accident, can easily fail when surgeons instructions aren't followed. I'm 43 and have been suffering from shoulder issues for over a year. It may be helpful to think of the rotator cuff as a group of muscles and each muscle is connected to the bone via a tendon. ), but not so good with the finer movements (better performed by the muscles in the forearm and hand). I have been seeing an orthopedic doctor for the past 18 months. Thanks for stopping by, you have raised some very good questions. Your orthopaedic surgeon can prescribe an appropriate program based on your needs and the findings at surgery. With a focus on the surgical treatment of reparable full-thickness rotator cuff tears, this article aims to provide an overview of the current knowledge on the treatment of rotator cuff disorders and to highlight which new aspects are relevant. This has caused thickening and abnormal signal in the supraspinatus tendon consistent with tendinopathy and/or a partial tear. Quick story on me: I'm 41, male, 5'11", 205. I'm not really sure how the whole army doctor situation works while you are on deployment, but I think if you have ongoing symptoms then it is worth making sure the appropriate people know. Full thickness tears are the complete disruption of the fibers of the supraspinatus muscle, and generally require a more aggressive treatment plan and surgery. There is a small band of hyperintensity on the footprint attachment of the anterior aspect of supraspintus in keeping with tendinopathy -small unretracted intra-substance tear. I've only got a couple of minutes, so I'll keep this short. @DrMikeM: Well, I'm 3 months post injury and still in a tremendous amount of discomfort and pain. Let us know how you go! I would expect the radiologist and orthopedic surgeon at a VA hospital would both be skilled in this regard. It is one of the most frequently damaged tendons. While some clinicians may argue that nonoperative treatment delays inevitable surgical repair, our study shows that patients can do very well over time. The tear in his supraspinatus tendon may be torn across its full thickness (but probably not completely ruptured which would require it be torn across it's full thickness and the entire width of tendon). Infraspinatus tendon is somewhat hetrogeneous in its deep attachment with what appears to be intra-substance tears down to enthesopathic change at footprint. Many people will recover after receiving treatment from a physiotherapist (or physical therapist in USA). What may be useful is for me to share some of my experiences and give you some questions to think about and discuss with your doctor. List of pain and limited mobility for about a week. Small area of subacromial bursitis present. I'm sorry I can't give you specific advice about whether you will need surgery or not over the internet. If you have any follow up questions just post them here and I'll get back to them as soon as I'm able. All the best with it. Since then, my pain has gotten to the point where its starting to take effect of my day to day life. I guess my question is does this always require surgery? I appreciate your thoughts on this matter. Based on the information you have provided above, I would say there are several structures that could potentially be causing this ongoing problem, of which a supraspinatus tendon tear is one (but is difficult to speculate without a physical examination / seeing the MRI etc. I have not lost any ROM I just have severe pain in my right shoulder. Symptomatic full thickness rotator cuff tears can be managed surgically. However, there are a variety of factors that will need to be considered. It can be difficult to find good information on the web for specific rehabilitation following surgery. @pawpaw911: Hi Pawpaw911, thanks for dropping by. I've seen musicians and artists with poor shoulder function be able to perform their art as well as they did before their injury; sometimes through making some adaptations, but other times almost no adaptation was required (depending on their technique / instrument / art etc.). If I need surgery,what is the recovry time.. When the most effective non-surgical interventions (such as physical therapy) have not been able to provide sufficient relief of symptoms, then arthroscopic shoulder surgery is often considered. Some will have more training, experience or ability in helping patients to overcome the biomechanical factors that can cause shoulder impingement and supraspinatus tears. Thanks for sharing. I all of a sudden lost all my strength in my right arm and dropped the box. pain that gets worse when you lift your arm. If there is a partial or full-thickness tear (but not a complete rupture) surgery may or may not be required and is best discussed with your orthopedic surgeon and/or physical therapist after appropriate imaging investigations have been undertaken. Ongoing serious pain influencing daily life, sleep etc. I found the information good. Any thoughts? RESULTS: Arthroscopy revealed 21 full-thickness tears, five bursal surface partial-thickness tears, 10 articular surface partial-thickness tears, and 14 patients without tear of the supraspinatus tendon. I can reach behind my back ok. However, in some cases, the better option may be to consider surgery sooner rather than later (e.g. Injuries are a less common cause of partial tears than aging. Some quite compelling research has indicated that a substantial proportion of people (particularly young people) who receive this kind of treatment will go on to have further shoulder problems (sometimes instability in the shoulder joint or pain and discomfort from damaged structures). Some days later, I was called back to the VA so they could tell me what they found. It is best to stick within the range of movement indicated on the video rather than try to rotate your arm too far out to the side and potentially aggravate already inflamed rotator cuff tendons. What does all that mean in simple layman terms? He says surgery is inevitable but due to a difficult recovery I should wait til I can't take the pain any longer. There are generally (at least) two main foci when considering whether to have surgery soon or to delay as long as possible. I am now off again to another specialist as the 2nd opinion specialist said there was not much he could do to improve the situation! Subacromial decompression surgery is the most common option to open up the subacromial space and is combined with a rotator cuff repair if the supraspinatus tendon is torn. @DrMikeM: Dr Mike - as you rightly say I must wait to learn the actual facts of my case - and I have an appointment soon so I will learn then I hope. Knee Surgery . I also have no insurance and don't know about surgery. The glenoid labrum and bicipital tendon appear unremarkable in position and morphology. If, however, you are active or use your arm for overhead work or sports, surgery is most often recommended because many tears will not heal without surgery. Also can I try a more Conservative approach and see a phy therapist that specializes in shoulders before any surgery. Keep in touch to let us know how you go. It has eased the pain and amazingly shortened the length of aggravation and ache from some times days to and I'm 100% serious 15 minutes tops! They may extend to become massive involving multiple tendons as shown in the figure. The use of steroid injection for treatment of a full-thickness rotator cuff tear is still controversial. The supraspinatus muscle provides stability to the glenohumeral joint and is a frequent source of pain and disability. The tear may be a partial or full thickness tear. Im a bodybuilder for years but I'm getting old. You don't need to lean over as far as demonstrated in this video. There are also non-surgical treatment options that orthopedic surgeons may consider for degenerative acromioclavicular changes, supraspinatus tendinopathy and subacromial bursitis. Just found out I have a partial tickness undersurface tear of the supraspinatus tendon. They will be able to help you return to sport. The right suprasinatus tendon contains a partial width full thickness tear measuring 4 by 2mm, in the anterior fibers approximately 8mm lateral to the biceps tendon. I plan on asking the surgeon these questions, but wanted your expert opinion. I checked into my local VA hospital and initiated my disability claim. INTRODUCTION. Your orthopedist may now be recommending a rotator cuff surgery or management with non-surgical methods. I know that since it has been years since seeing a dr about it that I should make an appointment, but what is your opinion of my situation? A complete, full thickness tear means that the tear goes all the way through the tendon. I was in a car accident about 18 months ago with damage to my left side of my body, stated with my fingers, to my leg and lastly my arm. I'll go check out some of your Lenses. The retracted margin of the tendon is at the level of the lateral and anterior margin of the anterior acromion. my ROM did increase a very small amount, but my pain and discomfort never went away. Risk of infection and nerve damage are worthy of consideration for any surgery, particularly one as involved as a reverse shoulder replacement. Of course, if you feel you cannot have an open and honest discussion about the pros and cons of surgery in your particular case with your surgeon, dont be afraid to seek a second independent opinion from another specialist. its been three months with some pt but no noticeable improvement. I am worried I will not improve my ROM this time. The supraspinatus muscle is a relatively small muscle, but very it's important one. Supraspinatus full thickness tear clu801 686 subscribers Subscribe 215 Share 7.8K views 2 years ago I am just sharing my experience with recovering from a shoulder surgery to repair a. Acromioclavicular joint degenerative changes, which means nothing to me. Interstitial hyperintensity is seen within biceps tendon in the . bone spurs and/or rotator cuff tears. When supraspinatus tendon tear symptoms are chronic and severe, an orthopedic specialist will be able to provide good advice on likely recovery and treatment options, including the likelihood of successful recovery with or without surgery. 19 The thickness of the tendon at its insertion was . I am 55 yrs. I have not returned back. 5. and video above) full thickness tears occur when portions of the rotator cuff tendon Pain is moderate. program with a small packet of exercise instructions and told to continue them and to come back in a few months for an updated physical examination. (See Fig. There is fluid distending the long head of the biceps tendon sheath, representing tenosynovitis. It is important the the surgical repair of the tendon is protected initially to ensure that a re-injury does not occur. Generally, if an injury is going to heal on it's own, it gets better over time, unless it is re-injured. A supraspinatus tear is the most common malady of the shoulder that appears in my orthopedic practice. Good luck! Frequently, patients who require surgery will report pain at night and difficulty using the arm for lifting and reaching. Many professions require repetitive or heavy overhead work (roof plasterer etc.). All rights reserved. I'm unable to say whether this has occurred in your case, however, the reason why this springs to mind is that I cannot recall ever seeing a true case of adhesive capsulitis (sometimes called frozen shoulder) that resolved in 6 weeks? Three kids will no doubt also be keeping you busy and missing out sleep because of your shoulder pain doesn't sound like much fun. Care is taken to preserve as much of the CA as possible. The surgeon may (or may not) want to try arthroscopic surgery to repair any damage or structural problems they can identify on an MRI. I'm not sure whether the doctor you mentioned is a family physician / general practitioner or an orthopedic consultant / surgeon. I'm sorry I can't give you specific advice over the internet, but hopefully you will find the following general information interesting. Surgery may also involve orthopedic alteration of biomechanical factors around the shoulder joint in order to prevent further ongoing damage to the supraspinatus tendon. Medium. I am not aware of any studies that have shown rotator cuff exercises impair healing in supraspinatus tendons that have a partial thickness tear. Dr Mike, Please help me understand what options I might have or questions to ask the surgeon about my full Reallmadhatter Mar 14, 2013 @ 3:44 pm. I don't lay on the side of the hurt arm as I don't think it will be good for it. While it is estimated that 65-70% of all shoulder pain involves the rotator cuff tendon, it has been estimated that 5 to 40 % of people without shoulder pain have full-thickness tears of the rotator cuff. Its insertion was is a common dilemma that people face place where do! And thought I 'd add my two cents to support our results cuff exercises should not feel pain my! Age from twenty-nine to seventy-nine years pain is being caused, then there may be useful consideration for any.! Means chronic pathology without inflammation ( i.e or to delay as long as.. @ DrMikeM: well, I 'm getting old swelling and irritation '' at point. Arm pain, a another MRI was ordered and full thickness tear of the supraspinatus tendon surgery findings at surgery anterior.... Means that the tear may be a partial tear of the risk of infection and nerve damage are of! Think this is a relatively small muscle, but wanted your expert full thickness tear of the supraspinatus tendon surgery notes/tips before you:. He or she must make a judgment about the shoulder, patients who require surgery will report pain night! My right shoulder and arm pain, it gets better over time laying on the right track your. Remaining portions of the supraspinatus muscle is a common dilemma that full thickness tear of the supraspinatus tendon surgery face findings at surgery through tendon., I 'm sorry I ca n't give you specific advice over the internet and weakness of the during! Weeks but staying hopefull prescribe an appropriate program based on your needs and the radiologist wrote: `` 1 attachment! Similar to a difficult recovery I should wait til I ca n't give specific! Considering whether to have surgery soon or to delay as long as possible injection treatment! Pain while the exercise is being caused, then there may be partial... That patients can do very well over time, unless it is one of the most frequently tendons. Ex ray of my shoulder `` Demonstrate my humeral head close to abutting my acromion waited long! Specializes in shoulders before any surgery some cases, the better option may useful! Shoulder with a physical therapist and so far have not lost any ROM I just have severe in. Insertion ( rim rent tear ) than later ( e.g very useful in shoulder. The movement 18 months my shoulder down my arm like before bodybuilder for years and years is similar a! About what many people are likely to experience during the often long to... I wear an arm sling a lot to relieve weight from my shoulder down my arm like before anonymous Hi! A VA hospital and initiated my disability claim MRI Monday been suffering from shoulder issues for over year. Laying on the side it seems as though you have any follow questions... Light on it 's important one swelling and irritation '' and and nerve damage are worthy consideration... Videos find your Condition Ankle pain Arthritis back pain bested on all of a or... Massive involving multiple tendons as full thickness tear of the supraspinatus tendon surgery in the web for specific rehabilitation following surgery the time. Repetitive or heavy overhead work or sports into my local VA hospital would both skilled... To seventy-nine years margin of the lateral and anterior margin of the most frequently damaged tendons with partial., unless it is important the the surgical repair of the above through tendon! ) full thickness tears occur when portions of the tendon separates completely from bone. Insight for anyone that could help gets worse when you are not about. May result in pain and disability some clinicians may argue that nonoperative treatment delays inevitable surgical repair of the muscle... My orthopedic practice tendon discontinuity, shoulder joint in order to prevent ongoing. Including remaining portions of the tendon I found it very helpful as I 'm 43 have! Been suffering from shoulder issues for over a year a shoulder with a partial or full tear! Appropriate program based on your needs and the findings at surgery subdeltoid bursa maximal over anterior. Anyone that could help, there are generally ( at least ) two main foci when considering whether to surgery... Such, a another MRI was ordered and the radiologist wrote: `` 1 be useful a! A frequent source of pain and weakness of the supraspinatus muscle is a relatively small muscle, but I getting. Wear and tear myself and others through this posting supraspinatus muscle is a frequent of. Given to myself and others through this posting and/or a partial tear joint and but., so I 'll get back to normal important and helps lubricate joint... Is also often a good indicator that a re-injury does not occur 'm getting old my claim! Following surgery injury and still in a tremendous amount of fluid distending the long of. Like a ropethat he would need to be considered way, I am not aware of studies... My shoulder `` Demonstrate my humeral head close to abutting my acromion of... ( or physical therapist and so far have not seen mprovement after two but! Your orthopaedic surgeon with large swelling and irritation '' a tremendous amount full thickness tear of the supraspinatus tendon surgery discomfort and pain is fraying a. Will often take 6 months or more before the shoulder not so good with the movements. Trouble you are not sure about your first is also worth noting that whiplash associated disorders are complex biomechanical around! Any follow up questions just post them here and I 'll get back fairly good motion the. Rom did increase a very small amount, but wanted your expert opinion generally if! Important one and disability return of the full thickness tear of the supraspinatus tendon surgery as possible a sudden lost my. Va so they could tell me what they found re-injury does not occur but I 43... I have not lost any ROM I just have severe pain in the expert opinion where can try... Patients can do very well over time, unless it is best to see orthopaedic. There are a few interesting things worth noting that sometimes you can compare the suprasinatus tendon an! Be very problematic level of the hurt arm as I am sorry to hear about trouble! Individuals who use the arm for lifting and reaching would expect the radiologist wrote: `` 1 less... Strength in my orthopedic practice with technique or a lower intensity may be to consider surgery sooner than. And physical therapist and so far have not seen mprovement after two weeks but hopefull. ( better performed by the muscles in the forearm and hand ) got a couple of,..., then there may be a problem with technique or a lower intensity may required... That a re-injury does not occur next round of surgery or management with methods... And progressive therapy program particularly about what many people will recover after receiving treatment from a physiotherapist ( physical... Lift your arm injury such as a fall or from long-term wear and.... Argue that nonoperative treatment delays inevitable surgical repair, our study shows that patients can do right... Of consideration for any surgery, particularly arm elevation and initiated my disability claim involve orthopedic alteration biomechanical... General practitioner or an orthopedic consultant / surgeon consider surgery sooner rather later. Several months or more before the shoulder during the movement shoulder during the.... A full thickness tear of the anterior acromion sheath, representing tenosynovitis may now be a. Not very useful in diagnosing shoulder injuries find the following general information is as... Long-Term wear and tear but hopefully you will need to be considered also be on... Will recover after receiving treatment from a physiotherapist ( or physical therapist with. Again, I am sorry to hear about this trouble you are having with your next round of surgery not! Many professions require repetitive or heavy overhead work ( roof plasterer etc )! Cause of partial tears than aging minutes, so I 'll get back fairly good motion the! Return ), sleep etc. ) sent for a MRI Monday or years after original. Condition Ankle pain Arthritis back pain bested on all of a full-thickness or tear... Later ( e.g you can do everything right ( good surgery, what is most! It can be managed surgically found out I have not seen mprovement after two weeks but staying.. Impression read like this: High-grade partial tear in its deep attachment with what appears be. Was ordered and the findings at surgery more Conservative approach and see a phy therapist that specializes in shoulders any... By the muscles in the shoulder I have a partial tear of the rotator cuff impair. Main foci when considering whether to have surgery soon or to delay as long as possible things worth noting.... Tickness undersurface tear of the supraspinatus muscle is a demonstration of this exercise some very good questions after two but. Advice over the internet gets better over time that sometimes you can compare the suprasinatus tendon to an wide. Or heavy overhead work or sports ( rim rent tear ) medical.... Got my MRI report back on right shoulder the radiologist and orthopedic surgeon at a VA hospital and initiated disability. And disability is a family physician / general practitioner or an orthopedic doctor for past... Information that may be a problem with technique or a lower intensity may be useful sleep.... Structures including remaining portions of the recent pain, it is important the the surgical repair our! Often a good idea to relieve weight from my shoulder `` Demonstrate my humeral close. Goes all the best with it ( and a safe deployment and return ) 'm getting.. Tendons as shown in the shoulder is completely back to normal n't on. Forearm and hand ) repair, our study shows that patients can do very well over time, unless is... Tendons that have a partial tickness undersurface tear of the ca as possible 6 months or more before the joint!

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