There is compromise of the subacromial space with impression on the underlying torn supraspinatus. The CT impression read like this: High-grade partial tear of the supraspinatus tendon at its insertion (rim rent tear). They will be able to tell you the likelihood of a supraspinatus tear and adhesive capsulitis (or any other pathology), as well as the recommended course of action for your particular circumstance. 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. This likely represents extension of an existing tear. It is common for patients with known rotator cuff disease to have acute pain and weakness following a minor injury. If not then, your surgeon will be able to give the likely benefits, risks and recovery time following surgery. Injuries are a less common cause of partial tears than aging. I have often seen these cases improve substantially after further surgery to repair these rotator cuff tears + post surgery rehabilitation therapies. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features Press Copyright Contact us Creators . Im a bodybuilder for years but I'm getting old. It sounds like you have several concerning symptoms there. Your surgeon will be able to explain the potential risks and benefits (as well as if he thinks any alternatives are likely to be helpful). feeling pain in hand,,,. Rotator Cuff Tears: Surgical Treatment Options. I'm sorry I can't give you specific advice over the internet, but hopefully you will find the following general information interesting. The supraspinatus is part of the rotator cuff of the shoulder. The type of repair performed is based on the findings at surgery. I will congratulate you on actually doing your exercises! Thanks for stopping by and sharing your story. What do you think of the other therapies? Nonetheless, it worth noting that as a general principle, synovial fluid is very important and helps lubricate the joint. The surgeon(s) who ordered the imaging are usually the best person to speak with regarding the pros and cons in any particular case. !!! On the other hand, if surgery is inevitable or at least the most likely outcome, then the treating doctor / surgeon(s) may recommend early surgery. 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. The rotator cuff tendons attach to the head of the humerus in bony spots referred to as the greater and lesser tuberosities. I think it would be wise to listed to the advice from your doctor on this one! Some can be altered with conservative rehabilitation exercises in order to prevent further tearing and ongoing pain, while others cannot be altered without surgery. 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. 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. 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. make sure you do it some place where anesthesiawill do an interscalene block for post op pain relief. Cold therapy cold therapy cold therapy!! . 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. No visible labral tear. Thoughts on surgery? I can reach behind my back ok. There is supraspinatus muscular atrophy. In the beginning of 2012, I returned to the Orthopedic specialist at the VA, and the medical staff seemed very surprised that my god awful pain and discomfort was still going on. If you get a chance drop by again and let us know how you went. Those words exactly. These include . I am aware than many clinicians who administer prolotherapy advocate for its benefits though. Thanks again Dr. Arthroscopic subacromial decompression in the treatment of full thickness rotator cuff tears: a 3- to 6-year follow-up. (MRI), demonstrating a full-thickness supraspinatus tear. If they repair the tendon surgically, this will probably involve wearing a sling and not using that shoulder actively for at least 4-6 weeks and then quite slow gradual progression for the weeks / months after that. ( x-ray, phys ther,corticosteroid inj. Your orthopedic specialist will be able to give you advice about the best option for your circumstances. I am 72, I just got the mri with same partial tear. For anyone contemplating surgery, buy a recliner to sleep in after surgery. but unfortunately, the results were extremely minor. 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. There is inhomogeneous and bulbous appearance of the distal .subscapularis tendon with tendinosis. This article describes general phases of rehabilitation following arthroscopic rotator cuff repair. I. report .This happen 9 weeks ago , my shoulder is still sores I am going for phisio, messages and still no progess,does that mean I will need surgery,or will it heel by it self. Surgery to repair tendons generally involves a long recovery period. I don't want to experience what you've gone through, but I'm currently deployed and am not getting treated. It can be difficult to find good information on the web for specific rehabilitation following surgery. massive cuff tears. I was told that they were now wanting to do surgery to actually go in and see what they might be able to do to repair some of the damage they thought they saw. Rotator cuff tears can also be described as being partial, or full thickness. Basically, it creates a hole in the tendon. In terms of some general information that may be of interest to you, there are a couple of things I can share from my perspective. 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. Usually getting a second opinion is not a bad option if you are not confident that the first opinion is going to lead to the best outcome for you, but I expect that may well be impossible while you are still on deployment? I do not want a metal shoulder. Good luck! 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. Went down a water slide on a mat head first arms supporting my body. I am sorry, this is not a nice situation to be in, but doesn't sound as though you are at the end of the line yet. However, worse yet would be delaying in such a way that you miss out on falling pregnant or delivering a healthy baby. The reverse shoulder surgery is extremely involved so I am getting a second opinion. I am really concerned about success rates for revision surgery. He says that my tendon is failing. However, host cases are the result of the tendon wearing down over time, which is known as a degenerative tear. 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. Information on this topic is also available as an OrthoInfo Basics PDF Handout. You should not feel pain in the shoulder during the movement. I am sorry, I can't give you specific advice over the internet about whether you will need surgery or not. I'll go check out some of your Lenses. Thank you for the info posted on this page. I guarantee you will not be the last person to read this page wondering about a difference in doctor opinion or trying to figure out whether they have a supraspinatus tendon tear or adhesive capsulitis (or surgery versus no surgery). I also have an intermediate grade partial thickness tear of superior tendon bundle of Subscapularis without retraction or muscular atrophy. I am worried I will not improve my ROM this time. However, if no benefit has been observed after 6 weeks of PT, then discussion your options with your surgeon sounds like a good plan. It was sometime in the early months of 2011 that I was sent off to have an MRI done. I am sure lots of people would like to hear how it turns out for you. Questions: 1. If your surgeon does recommend surgery, be sure to ask about the likely recovery times and how long your arm movements will be restricted for. He says the tendon is fraying like a ropethat he would need to reattach to the bone. Should you immobilize or not move a shoulder with a suspected partial rotator cuff tear? Having the surgery sooner rather than later may help you to recover as much as possible by the time you fall pregnant. The process of recovery is different depending on a number of factors including the cause, severity and location of the tear, the biomechanics of the affected shoulder, the age of the individual just to name a few. You may still be able to return to most or all of the things you enjoy it just may not be in the next 6 to 9 months though. Some will have more training, experience or ability in helping patients to overcome the biomechanical factors that can cause shoulder impingement and supraspinatus tears. 6 months ago a different ortho diagnosed the problem as frozen shoulder and gave me a cortizone shot followed by physio therapy for few weeks. I'm only 38 and am not willing to give up everything I love doing and from what I read there are many more options available. It would be particularly unusual for a radiologist to see a tear that was non-existent (perhaps more likely to miss one that was hard to see than to see one that is not there). Good luck! 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. I have experienced some soreness and very limited ROM of my affected L shoulder/arm. @anonymous: Thanks for sharing you story Marcia. @anonymous: Hi Les, I am glad you found this information helpful. I am glad that you noticed some relief after the surgery on your right shoulder and that the exercises for your left shoulder have already helped you get better quality sleep. 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! In the interim, physio, chiro, massage, taping were part of my pain management and ROM for all pain sites relating to MVA. Massive. I work construction and am self employed. It is one of the most frequently damaged tendons. coracoacromial ligament. I found it very helpful as I am sure all your other subscribers found it to be too. @anonymous: Hi Kazikp, I am sorry I cannot give you advice over the internet but here is some general information you may find useful. I would make sure your surgeon knows you are planning on falling pregnant within the next 12 months. Getting a second opinion when you are not sure about your first is also often a good idea. Generally speaking, do small tears need surgical repair? Tendinosis means that the tendon has some damage at the cellular level (generally where there has been repeated amounts of small damage (sometimes called microtrauma) that your body has tried to repair), but there is not swelling (inflammation) currently present. It sounds like you are on the right track with your surgeon and physical therapist. have got bursal thickening as well and mild thickening of. 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. @anonymous: Hi Vicki, I'm glad the information was useful to you. Small area of subacromial bursitis present. The words 'very large, nearly complete with 1cm retraction of tendon fibres' are a bit concerning. Here are a few notes/tips before you begin: Below is a demonstration of this exercise. Always been natural. 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. While some clinicians may argue that nonoperative treatment delays inevitable surgical repair, our study shows that patients can do very well over time. infraspinatus tendon had full-thickness tear . For awhile I was able to get my arm somewhat back to normal but wilh slight aching. Because of the return of the recent pain, a another MRI was ordered and the Radiologist wrote: "1. J Bone . Here is a link to a recent academic journal article on the topic that should be free to access. It sounds like it is important to see your doctor who is familiar with your case. There is certainly good clinical research evidence indicating that arthroscopic surgery can help the types of injuries you described. 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. It is difficult for me to comment further based on this information. 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. Additionally, you do not want to be dependent on strong medications to reduce pain while you are pregnant. 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. My question to you is why can they not try to repair the rotator cuff using a graft of somesort. Let us know how things turn out for you. The types of findings you have described are consistent with some quite substantial pathology in your shoulder. 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