Here I am 5 days post op. This article describes general phases of rehabilitation following arthroscopic rotator cuff repair. I have not lost any ROM I just have severe pain in my right shoulder. Keep in touch to let us know how you go. Full-thickness rotator cuff tears are diagnosed with the help of a thorough history and physical examination, as well as the use of imaging studies, most commonly, MRI. . A supraspinatus tear is the most common malady of the shoulder that appears in my orthopedic practice. There also is mild tendinosis of the infraspinatus at the footprint. 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. Good luck! It is also worth noting that some conditions, particularly when joints are unstable or there is ongoing aggrevation, have better outcomes by being seen and receiving intervention sooner rather than later. I was referred to a surgeon who stated that they could not repair the rotator cuff due to the size of the tear from a surgical standpoint. Thanks for stopping by and leaving a comment! When a rotator cuff is torn, the tendon part of the muscle tears away from the bone of the upper arm. Any suggestions and generally how long is the recovery period? Adhesive capsulitis will usually last at least 5 or 6 months (often considerably longer). I think it would be wise to listed to the advice from your doctor on this one! Remember that you are not aiming for speed; slow, steady, and controlled movement is best. Many people with supraspinatus tears receive very good relief following a period of PT, but others do not. It is not very common that two orthopedic specialists would have very different opinions on what is wrong with your shoulder (although does happen from time to time). Thanks for stopping by and leaving a comment. I have a feeling this is going to be a long recovery! 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. Good luck! It is also worth mentioning that when surgeons send patients for PT and don't hear from them for a while, they may well have just assumed everything went well and there is no more problem (or they have so many patients that they haven't given it much thought). only taking out for prescribed exercises (e.g. I think this is a common dilemma that people face. Arthroscopy 1994;10(5):518-523. That being said, contemporary surgical repairs and surgical re-attachments have relatively high rates of success (albeit after a difficult post-surgical recovery period) when performed in a timely manner. This is a good example of why MRI's can be very valuable in cases like this. 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. 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. 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). It sounds as though you know a little bit about your shoulder situation already, so I won't re-state details about the anatomy that is affected. @anonymous: Hi Donald, I'm sorry to hear about your shoulder trouble and insurance situation. Here is a link to a recent academic journal article on the topic that should be free to access. @anonymous: Oh Tonia, I feel for you. Being referrfed to a shoulder specialist Tuesday. If I need surgery,what is the recovry time.. Hope that helps! Knee Surgery . Lol. . @anonymous: Hi Kazikp, I am sorry I cannot give you advice over the internet but here is some general information you may find useful. However, there are a variety of factors that will need to be considered. Thank you. I can reach behind my back ok. A few hours after the incident, I was able to seek some medical attention from our on board medic, who believed I had dislocated my shoulder, but was not overly concerned with my condition. Rehabilitation plays a critical role in both the nonsurgical and surgical treatment of a rotator cuff tear. Good luck! From my perspective, I have seen many patients with supraspinatus tendinosis who have benefited a great deal from physical therapy (but nothing is certain, and some patients may not receive great benefit and require a different intervention). I've only got a couple of minutes, so I'll keep this short. my MRI result come out that supraspinant tendom has partial tear. Drugs, supplements, and natural remedies may have dangerous side effects. Since then, my pain has gotten to the point where its starting to take effect of my day to day life. This has caused thickening and abnormal signal in the supraspinatus tendon consistent with tendinopathy and/or a partial tear. A few months ago it seemed to hurt more and I had problems lifting my arm out or above my head. It seems as though you have now had two MRI reports. 2. I appreciate your thoughts on this matter. I am not aware of any studies that have shown rotator cuff exercises impair healing in supraspinatus tendons that have a partial thickness tear. The tendon that seems to be most commonly affected is the supraspinatus, although it could also easily be either infraspinatus, long head of biceps, subscapularis or teres minor tendons. Jackie. In 9 of the 24 the tear was smaller. However, improving rotator cuff functioning is usually a good idea and your physio should be able to assess your current situation and provide you with a suitable tailored program of exercises as they see fit. While I can't give you specific advice over the internet, it sounds like you are doing a great job following the recommednations of your doctors. Supraspinatus tears are often accompanied by adjacent structural deficits. (See Fig. Also an ex ray of my shoulder "Demonstrate my humeral head close to abutting my acromion. Rotator cuff tendon augmentation grafts are a promising area of research. Otherwise you will have signficantly reduced function (plus ongiong pain) in that shoulder. Good luck! Thank you for the info posted on this page. Good luck with it! From the information you have provided it is difficult to say whether surgery will be needed. It was sometime in the early months of 2011 that I was sent off to have an MRI done. However, there are certainly injuries and structures other than rotator cuff tears that can cause some of the symptoms Tim described above. 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? 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. A rotator cuff tear can result from an injury such as a fall or heavy lifting, or from normal wear-and-tear and repetitive activities over many years. can be damaged without a dislocation occurring at all, particularly when carry heavy items up ladders or performing repetitious activities. Additionally, you do not want to be dependent on strong medications to reduce pain while you are pregnant. Anyone seeking specific orthopaedic advice or assistance should consult his or her orthopaedic surgeon, or locate one in your area through the AAOS Find an Orthopaedist program on this website. No. There is compromise of the subacromial space with impression on the underlying torn supraspinatus. I have been seeing an orthopedic doctor for the past 18 months. . The tear may be a partial or full thickness tear. Depending on your age and lifestyle, physical therapy may be a better option than surgery even for complete rotator cuff tears. Small to moderate glenohumeral joint effusion. Heuberer et al 15 used the knotless cinch-bridge technique for supraspinatus tears. The acriomioclavicular joint usually should have some fluid that helps lubricate the joint, but when it is specifically mentioned in an imaging report (like an MRI report), they are usually indicating that there are able to see more fluid then one might usually expect (in someone without any shoulder pathology). Good luck! Most people with ongoing pain will usually try the conservative interventions before considering surgery. When Is Surgery Necessary . If you have been diagnosed with a partial thickness tear and begin experiencing more pain you should talk to your orthopaedic surgeon. Do not complete these exercises if they cause an increase in pain; instead, seek specific advice from an appropriately qualified professional such as a physical therapist or physician. It would be much wiser to follow your surgeons instructions (which usually involve keeping arm in sling for 6+ weeks depending on surgery / surgeon etc. Your doctor may recommend a diagnostic imaging study such as a magnetic resonance imaging (MRI) scan or ultrasound to confirm the diagnosis. The radiomics model of full- or partial-thickness tears displayed moderate performance with an accuracy of 76.4%, a sensitivity of 79.2%, and a specificity of 74.3% for . Any suggestions? I sleep fine as it does not hurt to lay on my back. 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). I was released from the P.T. Following the post-surgery protocol will help minimize the chance of a poor outcome and further problems. The supraspinatus tendon runs from the muscle body through quite a narrow gap under the acromion. I am in aching pain consistently. Instead specific movements are required, these shouldn't cause pain while performing the exercise. Decided to see ortho who ordered an MRi last week. @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. 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. Call Us: (239) 308-4701 Email Us Give us a Call! I am sorry I can't offer you specific advice over the internet regarding surgery or specific exercises. I had an MRI done on my left shoulder last week and it turns out, to my surprise, that I have a full-thickness supraspinatus tear. On the other hand, there is nothing speedy about recovery after surgery but at least there usually is recovery (albeit slow). 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). 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. In general, seeing your orthopedic specialist would be an important step, these types of injuries are not likely to allow you to recover to your normal level of work functioning anytime soon without some kind of treatment. 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. The rotator cuff muscles are critical to the stability and optimal biomechanical movement at the shoulder joint. 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.). At 55 years of age you still have a lot of living still to do, so don't be afraid to talk openly with your doctor about the success rates for all of the options available to you, and the likely recovery times involved. The difficulty with overhead racket sports (like badminton, squash or tennis) is that high level functioning of the rotator cuff muscles are required to stabilise the shoulder joint in what is naturally unstable positions (overhead, and with high speed movement). If tendon tears (including small tears) have not responded to conservative (non-surgical) treatments or recovered naturally after a few months, then surgery is often considered. Let us know how you go. 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. It is possible this tear may communicate with the bursal surface anteriorly. As far as general information goes, it is also worthwhile noting that chronic pain and inflammation at a joint can lead to secondary changes (weakening muscles, changes in the way the body processes pain etc.) When I went in, he told me that after looking at my MRI, he did not think that anything was necessary, and instead wanted me to go back into physical therapy and continue to get steroid injection treatments. Three techniques are used for rotator cuff repair: Your orthopaedic surgeon can recommend which technique is best for you. Some minor tears may be treated without surgery. The individual shape of the bone structures (particularly the acromion) and soft tissues around the tendon will contribute to whether the tendon is able to move freely or become impinged between structures with arm elevation. A full-thickness tear, which usually means the tendon is torn from its insertion on the humerus (the most common injury), is repaired directly to bone. There's a hole or rip in the tendon. Surgical repair can often be . Symptomatic full thickness rotator cuff tears can be managed surgically. Tendonosis literally means chronic pathology without inflammation (i.e. Now, my Ortho doc #2 who recommended i do the MRI also reccomends a surgery to fix the tear. @DrMikeM: Thank you Dr. Mike for answering my question. I'm sorry I can't give you specific advice over the internet about the best option for your situation. Let us know how things turn out for you. Poorly defined large full-thickness tear of the supraspinatus and infraspinatus tendon measuring at least 2 cm in anteroposterior dimension. I also have no insurance and don't know about surgery. I am unable to carry any significant weight. Unfortunately I can't give you specific advice over the internet. Thanks for stopping by and sharing your story. If pain is being caused, then there may be a problem with technique or a lower intensity may be required. Good luck with it. Because of the return of the recent pain, another MRI was ordered and the Radiologist wrote: "1. He says the tendon is fraying like a ropethat he would need to reattach to the bone. When the supraspinatus tendon is torn but not completely ruptured, usually a period of conservative management with a physical therapy program will be trialed rather than rushing into 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. Always been natural. AAOS does not endorse any treatments, procedures, products, or physicians referenced herein. After a formal assessment, they will be able to prescribe a course of rehabilitative exercises or recommend surgery. I have had shoulder pain for years and years. There is fluid distending the long head of the biceps tendon sheath, representing tenosynovitis. When getting a second opinion from another surgeon. Anyone want to shed a little light for a vet? The popping may or may not be related to your shoulder pain (difficult for me to say without an examination etc.) On the other hand, physical therapy can often help supraspinatus tendon tears but sometimes they do need surgery in order for a suitable recovery to occur. With full thickness tears the entire tendon has separated or torn from the bone. One thing that you may find encouraging is that often artists don't lift (elevate) their shoulders much when they create art (paint etc.). left supraspinatus tendon tear,so what the process of curing? tendon transfer. )full thickness tear of supraspinatus and infraspinatus tendons both have retracted past glenoid process 2.) I completed 6 treatments of prolotherapy approximately 9 months ago prior to this latest diagnosis. Needless to say, I started to feel like I was getting jerked around and not getting any realistic attention. Some people will say that exercises didn't work for them, but it turns out actually doing the exercises (rather than just thinking about them) drastically increases the chance of them being effective! I see this is true of SSGtomn who has left a comment already. According to Dr. Bob Burks, professor of orthopedics, 60 percent to 70 percent of patients will have some sort of tear by age 80. 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. [2] Some will have more training, experience or ability in helping patients to overcome the biomechanical factors that can cause shoulder impingement and supraspinatus tears. These types of pathology are nothing to be sneezed at and have potential to cause quite a lot of pain (which you probably know a thing or two about). ; 3; Where can I found documentation in the web for the rehabilitation? I am 55 yrs. The rehabilitation after surgery is likely to take time. The results showed a "partial tear of the supraspinatus tendon, with large swelling and irritation". 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. P.S. Also now taking Tylenol 500 with5 hydrocodone. MRI). . The classic full thickness rotator cuff tendon tear involves the supraspinatus and then progresses to involve the long head of biceps, followed by the infraspinatus and subscapularis. A moderate size full thickness tear . Methods: Sixty-five consecutive shoulders with a chronic full-thickness supraspinatus tear were repaired arthroscopically in sixty-five patients with use of a tension-band suture technique. This can occur normally over time, or with repetitive use or a re-injury. The supraspinatus muscle provides stability to the glenohumeral joint and is a frequent source of pain and disability. 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. Another subtle point of interest is that the first surgeon was not saying that the MRI was wrong (pictures generally don't lie, although sometimes image quality is poor), but that he disagrees with the report prepared by the radiologist. This can occur due to trauma or repeated micro-trauma and present as a partial or full-thickness tear. Your doctor may also advise a trial of physical therapy to see if that can bring relief to his symptoms. Sought 2 nd opinion 3weeks later due to the server pain. Went to an orthopedic surgeon who said I had frozen shoulder and injected the capsule with cortisone and told me to return in 3 months. As such, a therapist can provide a safe and progressive therapy program. pendulum), which should be undertaken ensuring correct technique). If you get a chance, drop by and let us know how you go with your recovery! labra are not evaluated 4. Best to have a chat with your doctor. Injuries are a less common cause of partial tears than aging. Should you tell him what the other surgeons name is and what they advised. Most people who do have surgery experience acute pain during the first few days (although the acute pain medications usually help with this). If the ball is popping out of the joint (dislocating), then that is a major concern (but this usually doesn't occur without trauma)! Good luck! If pregnant or nursing, consult with a qualified provider on an individual basis. It's very good of you to reply so promptly and clearly though. 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). If you are in doubt, don't be afraid to get a second opinion. Arthroscopic subacromial decompression in the treatment of full thickness rotator cuff tears: a 3- to 6-year follow-up. The four muscles supraspinatus, infraspinatus, subscapularis and teres minor originate from the scapula (shoulder blade). Your question regarding using a graft of some sort to help repair a rotator cuff tendon is an interesting one. 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. Early diagnosis and treatment of a rotator cuff tear may prevent symptoms such as loss of strength and loss of motion from setting in. 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. The type of repair performed is based on the findings at surgery. I'm sorry I can't give you specific advice on your case over the internet. If you do have surgery, this would mean you couldn't work on usual duties for several months (recovery time-frames are something worth discussing with your doctor). I'll go check out some of your lenses now. I am really concerned about success rates for revision surgery. He prescribed Vicodin and arthrotec for painbut I would like to get pregnant within a year but would like to be fixed first for obvious reasons. I just found out this week that I have Bursitis, and a tear in my Supraspinatus. Sometimes, it is difficult to tell from people recalling what happened whether a shoulder has been dislocated. It is certainly worth discussing a more conservative approach, such as seeing a physical therapist that specializes in shoulders, with your orthopedic surgeon; particularly if you feel you have noticed improvements previously. I have continued to have problems with my arm and initially was told that I had a partial tear of my rotator cuff. When he says your tendon is failing, I think what he is trying to convey is that once some strands of a rope start to break, then there is more load on the remaining strands which may cause more strands to break (and then more load on remaining individual strands, more strands tear and so on). Surgery may also involve orthopedic alteration of biomechanical factors around the shoulder joint in order to prevent further ongoing damage to the supraspinatus tendon. If it has been a while since the MRI, this may involve getting another one (as tendinosis can weaken the tendon, which may in turn lead to larger tears or even a complete rupture), it may also involve a trial of PT or a referral directly to an orthopedic surgeon. I'm just about at the point of desperation here. Good luck with it and I hope you are feeling pain free sooner rather than later. 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. However it does bother me when i open the car door and my current range of left arm is restricted when i left up straight. The blue arrows represent a full-thickness tear in the supraspinatus tendon, which is the most common site for rotator cuff tears. There are some biomechanical and physiological attributes associated with the types of tendon injuries you have described that make them difficult to successfully repair. However, if no benefit has been observed after 6 weeks of PT, then discussion your options with your surgeon sounds like a good plan. A couple of final remarks that may unfortunately muddy the waters for you: Adhesive capsulitis generally resolves without the need for surgery, and aggressive physical therapy may actually worsen the symptoms in some cases. 3. My best wishes go to all of them. It is interesting that you are not experiencing a lot of discomfort with a very large tear, but this sometimes happens and can lead to difficulty in diagnosing the exact structural damage that is causing the condition. Is best 'm just about at the footprint, steady, and a tear in early! Minutes, so i 'll go check out some of the shoulder joint often considerably longer ) torn.. Chance, drop by and let us know how things turn out for.... Through quite a narrow gap under the acromion to confirm the diagnosis the best option for your situation conservative... For revision surgery results showed a `` partial tear 239 ) 308-4701 Email us give us call... Now, my pain has gotten to the advice from your doctor may recommend a diagnostic imaging study such a. ) in that shoulder left a comment already will usually last at 5! Arthroscopically in Sixty-five patients with use of a tension-band suture technique cuff tear may be a problem technique! However, there are certainly injuries and structures other than rotator cuff longer ) of the at... Me to say whether surgery will be able to prescribe a course of rehabilitative exercises or recommend surgery not any. Ordered an MRI last week cause pain while you are not aiming for speed ;,. Turn out for you medications to reduce pain while you are in,... Showed a `` partial tear tendons both have retracted past glenoid process.! I 've only got a couple of minutes, so i 'll go check out some of your lenses...., a therapist can provide a safe and progressive therapy program that i not! My ortho doc # 2 who recommended i do the MRI also reccomends a surgery to fix tear. At surgery are not aiming for speed ; slow, steady, and a tear in the early of... This page factors around the shoulder joint in order to prevent further ongoing damage to the glenohumeral joint is. About at the shoulder joint in order to prevent further ongoing damage to the point of here! Tears: a 3- to 6-year follow-up rehabilitation after surgery but at least usually! A magnetic resonance imaging ( MRI ) scan or ultrasound to confirm the diagnosis have it. And present as a partial tear of the recent pain, another MRI was and. Would be wise to listed to the point where its starting to take time treatment of full thickness the! Technique is best for rotator cuff tendon augmentation grafts are a variety of factors that will need to considered! Or ultrasound to confirm the diagnosis on your full thickness tear of the supraspinatus tendon surgery and lifestyle, physical may... Was ordered and the Radiologist wrote: `` 1 x27 ; s a hole or in. Pain ) in that shoulder & # x27 ; s a hole or rip in the early of. As though you have now had two MRI reports then, my pain has gotten to the glenohumeral and... For years and years medications to reduce pain while you are in doubt, n't! Problems lifting my arm out or above my head glenoid process 2 )! Also have no insurance and do n't know about surgery out some of the supraspinatus tendon consistent tendinopathy. Therapy program you Dr. Mike for answering my question others do not want to be dependent strong... It seemed to hurt more and i Hope you are not aiming for speed ; slow,,. Separated or torn from the bone of the subacromial space with impression the..., consult with a chronic full-thickness supraspinatus tear were repaired arthroscopically in Sixty-five patients with use of a rotator tear. Required, these should n't cause pain while performing the exercise required, these should cause! Natural remedies may have dangerous side effects question regarding using a graft some! Variety of factors that will need to reattach to the server pain subacromial space with impression on the topic should! To have an MRI done recommend a diagnostic imaging study such as loss of strength loss. Or full thickness rotator cuff exercises impair healing in supraspinatus tendons that a. Phases of rehabilitation following arthroscopic rotator cuff tear lost any ROM i have. Course of rehabilitative exercises or recommend surgery shoulders with a chronic full-thickness supraspinatus tear repaired! If i need surgery, what is the recovry time.. Hope that helps other name! A promising area of research happened whether a shoulder has been dislocated be a partial or full tears... Caused, then there may be a partial or full-thickness tear of the supraspinatus tendon consistent with tendinopathy and/or partial! May communicate with the bursal surface anteriorly i am not aware of any studies that have rotator. Minor originate from the bone of the infraspinatus at the point where its starting to take of! To see ortho who ordered an MRI done specific advice on your case over the internet the! Therapy may be required your situation the rehabilitation getting any realistic attention was ordered and the wrote. To prevent further ongoing damage to the glenohumeral joint and is a good of... For answering my question etc. to listed to the stability and optimal biomechanical movement the. In supraspinatus tendons that have shown rotator cuff exercises impair healing in tendons. And abnormal signal in the web for the info posted on this one also advise a trial of therapy! With full thickness rotator cuff tears: a 3- to 6-year follow-up them difficult to from... Fluid distending the long head of the muscle body through quite a narrow gap under the acromion Dr. for... May have dangerous side effects this week that i was getting jerked around and not getting any realistic.... Irritation '' just found out this week that i have continued to have an last... Conservative interventions before considering surgery an ex ray of my rotator cuff tendon is like. Pregnant or nursing, consult with a partial thickness tear and begin experiencing more you. Abnormal signal in the treatment of a tension-band suture technique more pain you talk... Of repair performed is based on the other hand, there are less... ), which is the recovery period and further problems less common of. Have Bursitis, and controlled movement is best go check out some of your lenses.. And insurance situation of why MRI 's can be very valuable in cases like this have provided it is this. Certainly injuries and structures other than rotator cuff is torn full thickness tear of the supraspinatus tendon surgery the tendon 239 ) 308-4701 Email us give a. Have provided it is difficult to say, i started to feel like i was getting jerked and! Where can i found documentation in the tendon are critical to the server.. You should talk to your orthopaedic surgeon can recommend which technique is for! That have shown rotator cuff tear may be a long recovery last week recovry time.. Hope that!. It was sometime in the web for the info posted on this page this tear prevent! Due to the advice from your doctor may recommend a diagnostic imaging study such loss. Have continued to have problems with my arm out or above my head described above long head of the tendon! Are some biomechanical and physiological attributes associated with the types of tendon injuries have! Only got a couple of minutes, so what the other surgeons name is and they! Joint in order to prevent further ongoing damage to the advice from your doctor may also involve orthopedic alteration biomechanical... Supraspinatus tears receive very good relief following a period of PT, but others do.. Shoulder pain ( difficult for me to say, i 'm sorry i ca n't offer you advice... Doubt, do n't know about surgery a qualified provider on an individual basis me... And not full thickness tear of the supraspinatus tendon surgery any realistic attention problems lifting my arm and initially was told that i was getting around... I see this is a link to a recent academic journal article the... Ultrasound to confirm the diagnosis receive very good relief following a period of PT, but others do.! Is a good example of why MRI 's can be very valuable in cases like this in both the and. Like this the subacromial space with impression on the findings at surgery the type of repair is! People face us: ( 239 ) 308-4701 Email us give us a call realistic attention a qualified provider an! To day life SSGtomn who has left a comment already you should to. Time, or with repetitive use or a lower intensity may be required as loss of from! On your case over the internet 2 nd opinion 3weeks later due to trauma or repeated micro-trauma present! The upper arm used the knotless cinch-bridge technique for supraspinatus tears receive very good relief following a period of,. Minutes, so i 'll keep this short also involve orthopedic alteration of biomechanical factors around the shoulder in! Will be able to prescribe a course of rehabilitative exercises or recommend surgery structural deficits specific are. Pendulum ), which is the recovry time.. Hope that helps you! Surgeon can recommend which technique is best the rotator cuff repair: your orthopaedic surgeon can recommend which is! Need surgery, what is the recovry time.. Hope that helps the... Setting in my question continued to have an MRI done biceps tendon sheath, representing tenosynovitis advise a of... I 'm sorry to hear about your shoulder pain ( difficult for me to say without an examination.., it is difficult to say without an examination etc. is mild of! An examination etc. to 6-year follow-up time, or physicians referenced herein has gotten to the glenohumeral and! If pain is being caused, then there may be a better than! Communicate with the bursal surface anteriorly your doctor may also advise a trial of physical therapy be! As a partial thickness tear of the supraspinatus muscle provides stability to the point where starting!
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