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. @anonymous: Hi Hans, Thanks for stopping by and sharing your story. If you do opt for surgery. @Reallmadhatter: Good question. However, given that you already have an MRI it sounds like you are already under the care of your doctor, which is great. feeling pain in hand,,,. If you have only seen your family physician or general practitioner so far it would be a good idea to ask them about a referral to an orthopedic specialist who primarily treats patients with shoulder conditions. Additionally, surgery may be recommended for complete tears that are acute and due to a trauma. There are generally (at least) two main foci when considering whether to have surgery soon or to delay as long as possible. 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. I'll go check out some of your Lenses. If your tendon were to completely rupture while you were pregnant, this may be very problematic. Medicine and physiotherapy often help in reducing pain but the effect is temporary. Yes, also a good idea about discussing with your surgeon the potential risks or benefits from delaying surgery in your case. Cause There are two main causes of rotator cuff tears: injury and wear (degeneration). Did MRI of neck 1st which showed degenerative disc disease in c5-6 and c7-t1. This may include things like having a lesser ability to detect hot versus cold on their skin in the neck region, they may also genuinely feel pain to what would usually be non-painful stimulus. But not result in a normal shoulder. I have had this problem with my shoulder/arm for about 6 months maybe. Remaining tendons of the rotator cuff are normal in signal and morphology. These tears can be painful. 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). 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. thank you for your considiration and helle from Turkey:-). Do I will need surgery? Her MRI shows a full thickness tear of supraspinatus tendon and a tear of the majority of the infraspinatus tendon (with a few lower infraspinatus fibers still attached). I have spoke with people that have had surgery on their shoulder and they say that is a very painful surgery, and they still have problems from time to time with their shoulder. It sounds like the damage is fairly minor in my shoulder yet I have a great deal of discomfort and limited ROM 2 1/2 months after my fall. That was July of 2011. 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. 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. Good luck! Even pain from a full-thickness tear can be relieved without surgery through exercises that make other muscles strong enough to pick up the slack. No tendon retraction or muscle belly atrophy. Any thoughts? 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 are a few interesting things worth noting here. Good Luck to all the other guys, especially the deployed guy, my son has just returned. Hope that helps. Here is a link to a recent academic journal article on the topic that should be free to access. 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. Now, my Ortho doc #2 who recommended i do the MRI also reccomends a surgery to fix the tear. Arthroscopy 1993;9(2): 195-200. If you have concerns, you could ask the surgeon when you next see him whether he thinks your symptoms are from the tendon tear and rotator cuff dysfunction or whiplash? . Some surgeons will prescribe a slightly different post-operative rehabilitation program depending on the nature of the injury and precise surgery performed. Poorly defined large full-thickness tear of the supraspinatus and infraspinatus tendon measuring at least 2 cm in anteroposterior dimension. Of course, I am sure his orthopedic surgeon will be able to give good advice in this regard (after a full clinical assessment etc.). Massive. Have been taking 800 mg Motrin tid. Some can be altered with conservative rehabilitation exercises in order to prevent further tearing and ongoing pain, while others cannot be altered without surgery. After an initial diagnosis from an Orthopedic specialist, the initial course of action was a steroid injection treatment into the "affected area" and a course of physical therapy. Interstitial hyperintensity is seen within biceps tendon in the . 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. The supraspinatus is the tendon that tends to suffer from partial tears most commonly. I found the information good. They do reveal most substantial soft tissue injuries, but they are only as useful as the person interpreting them is skilled. 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). I am sorry I can't give you any specific advice over the internet, but here are some thoughts that may be useful to you. You mentioned rotator cuff and tendonosis like they were different things. If they suggest surgery, ask them about what you can expect after surgery and the likely recovery time (including how long it is likely to be before you can use your arm for normal occupational or day to day activities). 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 . but can get back fairly good motion about the shoulder . The rotator cuff is a group of four muscles that come together as tendons to form a "cuff," or cover, over the head of the humerus (upper arm bone). @will-nelson-790693: Hi Will, Thanks for stopping by and sharing your experience. 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. months or years after the original injury is definitely a good indicator that a further orthopedic review / opinion is warranted. The Physician is online now Related Medical Questions Rotator Cuff Tears: Surgical Treatment Options. I can reach behind my back ok. 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. These include: pain that gets worse at night. However, if no benefit has been observed after 6 weeks of PT, then discussion your options with your surgeon sounds like a good plan. 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. I am sorry I can't give you specific advice but here is some general information that may be useful to you. Remember that you are not aiming for speed; slow, steady, and controlled movement is best. You have a full thickness rotator cuff 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%. If you have any follow up questions just post them here and I'll get back to them as soon as I'm able. bested on all of the above. Because of the return of the recent pain, another MRI was ordered and the Radiologist wrote: "1. He kind of scared me regarding the recovery for this. If not what is this indictative of. 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. Any suggestions and generally how long is the recovery period? It is located in the top portion of the back of the shoulder blade (the superior posterior portion above the spine of the scapula) known as the supraspinatus fossa. I just had an MRI I have a tiny, focal intratendon tear of the supraspinatus fibers at the humeral insertion measuring 2mm with minor impingement changes are noted in the greater tuberosity of the humerus. Time progressed, pain continued and my ROM slowly worsened. Dr. Mike great info here thanks. I think it would be wise to listed to the advice from your doctor on this one! 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). Symptomatic full thickness rotator cuff tears can be managed surgically. The reverse shoulder surgery is extremely involved so I am getting a second opinion. So first off, I should say that I have certainly seen situations where a small supraspinatus tear has been surgically repaired, only for a worsening of symptoms to occur after further pathology (such as other rotator cuff tendon tears) either develop or become easier to detect on imaging (e.g. Make sure you understand their explanation of what problems are occurring around you shoulder and what treatment options are available to you. 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. Best to have a chat with your doctor. 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. @anonymous: Hi Elania, Thanks for stopping by and sharing. A rotator cuff tear can extend or get larger over time. make sure you do it some place where anesthesiawill do an interscalene block for post op pain relief. Make sure you ask the orthopedic surgeon about what to expect after the surgery and the likely recovery time. Thanks for stopping by and leaving a comment. Surgical repairs of complete tendon tears from a traumatic event, like a car accident, can easily fail when surgeons instructions aren't followed. 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! It sounds like you may be putting yourself at unnecessary risk? 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! dr mike,a i got an mri shoulder pain, the surgen said it was adhesive capsulitis and with about 6 weeks of pt it would be fine, but the mri report also said there was a tear, the doctor said the report was wrong, needless to say i got a second opinion, the next doctor ordered a new mri and he suggest surgery , i am at a loss, should i get a 3rd opinion just to be sure? How do you repair a rotator cuff tear? 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. D.C. Stitch positioning influences the suture hold in supraspinatus tendon repair. Each of the rotator cuff muscles can be affected; the supraspinatus muscle is most commonly affected, followed by the infraspinatus, the subscapularis and the teres minor muscles. Let us know how things turn out for you. I am really hoping to find some outside advice. @anonymous: Hi Donna, I am sorry to hear about this trouble you are having with your shoulder. Modify Sport Techniques . It seems to be a long recovery period with a great deal of physical therapy following. However, it is worth noting a common misconception about full thickness tears. My arm is very weak. Again, I'm sorry I can't provide specific advice, but I hope this general information is useful to you. If the ball is popping out of the joint (dislocating), then that is a major concern (but this usually doesn't occur without trauma)! If the nearly complete tear were to become a complete tear, this would require surgery (ideally quite quickly) to re-attach the tendon otherwise the functioning of the supraspinatus muscle (it elevates the upper arm) would be lost. When I visit my DR. what are the thing I need to be aware for the diagnostic? (2) In the presence of a full-thickness tear, there is less ability to generate joint torque, hence a positive lag sign. I am really concerned about success rates for revision surgery. Knee Surgery . Thanks. You're more likely to be at risk of a supraspinatus tear if: you're over the age of 40. Surgery to repair tendons generally involves a long recovery period. Hey DrMikeM doin some research and came across your sight and thought I'd add my two cents. damage to the tendon without swelling). This is partly because rehabilitation following surgery will depend on the surgical technique used. for an examination, an x-ray or MRI, but other times soft tissue injuries can lead people to report similar symptoms even though no dislocation occurred. While hauling a box of machine gun ammunition up a ladder (I was holding onto the ladder with one arm and the box of ammo in the other) my right shoulder randomly decided to give up on me. Good luck! infraspinatus tendon had full-thickness tear . Good luck! Seek immediate help if you are experiencing a medical emergency. There is inhomogeneous and bulbous appearance of the distal .subscapularis tendon with tendinosis. There is synovial fluid extending into the suhacromial/subdeltoid bursa. There is fluid distending the long head of the biceps tendon sheath, representing tenosynovitis. 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). Thanks for stopping by and sharing your story. I'm just about at the point of desperation here. If you want any further clarification just post any follow up question. 1 Supraspinatus Rupture causes microscopic tear, major tear and dislocation from its attachment to humerus and scapula. Supraspinatus tendon tears require specific rehabilitation of the rotator cuff and muscles that stabilize the shoulder blade. 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. Some general information you may find useful is that generally not a lot of people seem to have a full recovery following a SLAP lesion without surgery. The rotator cuff exercises should not cause pain while the exercise is being performed. I saw doctor initially who said physiotherapy will help it. Needless to say, I started to feel like I was getting jerked around and not getting any realistic attention. I plan on asking the surgeon these questions, but wanted your expert opinion. Don't be afraid to say how you feel (no doubt you'd do this in a respectful way) about trying a whole bunch of non-surgical options, but not seeing any lasting results (as you have described for us above) and being keen to move forward toward some kind of resolution to the problem. Also can I try a more Conservative approach and see a phy therapist that specializes in shoulders before any surgery. There are several video examples to accompany the written explanation. If your primary physician has already made the diagnosis, an orthopaedic surgeon can review both surgical and nonsurgical options and start treatment. Some days later, I was called back to the VA so they could tell me what they found. I had a fall at my workplace and was suffering neck and shoulder pain. @anonymous: Oh Tonia, I feel for you. When Is Surgery Necessary . Many will report ongoing symptoms despite several months of medication and limited use of the arm. The pain is manageable if you stay on top of it with pain medication. If you give PT a go, make sure you follow their instructions and specific techniques for the exercises they give you (most likely to strengthen your rotator cuff). Good luck with it. Pain can also be brought on by laying on the side. First, sorry for the delay in response. Good luck! Full thickness tear means a complete tear of the rotator cuff supraspinatus tendon. Crossref, Medline, Google Scholar; 35 Ellman H, Kay SP, Wirth M. Arthroscopic treatment of full-thickness rotator cuff tears: 2- to 7-year follow-up study. Had periods of pain go from the back of my shoulder down my arm like before. Three techniques are used for rotator cuff repair: Your orthopaedic surgeon can recommend which technique is best for you. This website also contains material copyrighted by third parties. Have had physical therapy for 3 weeks with pain becoming worse so physical therapist suggested to dr. MRI of shoulder. I've met with 2 orthopedic surgeons and both have indicated surgery is my best option for recovery. I had surgery last Thursday for a complete tear of the supraspinatus tendon due to a car accident and was told the tendon was repaired with titanium staples.My concern is of the staples coming out ,I wear a sling whenever outside but have been taking it off when sleeping in my recliner which I've found the best since the accident.If I am just walking around the house I've let it hang down and do not feel pain at the shoulder so figure there is no risk of them pulling out by doing this,am I correct? 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. Thanks for stopping by and sharing your interesting story. It can be difficult to find good information on the web for specific rehabilitation following surgery. I get asked about this a lot, perhaps I should write a page on rehabilitation following surgical repair of supraspinatus tendon tears! 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. There's a hole or rip in the tendon. 5. and video above) full thickness tears occur when portions of the rotator cuff tendon ), a shoulder x-ray may not reveal anything conclusive. This will help minimize strain on the back. The majority of rotator cuff tears can be treated nonsurgically using one or more of these treatments: The goals of treatment are to relieve pain and restore strength to the involved shoulder. When we finally returned home from sea a few weeks later, my shoulder had become so painful and stiff, It was nearly impossible to do just about anything. I think these are promising approaches for the types of pathology you described. Sorry I can't give you specific advice over the internet, but it sounds like your shoulder specialist will be able to give you good personalized advice on Tues. Good luck with it and I hope you are feeling pain free sooner rather than later. An orthopedic surgeon will be able to provide you with all the information you need regarding surgery, however, regarding exercises to return to badminton it might be wise to see a physical therapist (also known as physiotherapist) who specialises in sports injuries and rehabilitation. This is just general information of course. twice, second time relief only lasted 5 minutes) finally local doc ordered M.R.I. Arthroscopy 1994;10(5):518-523. A supraspinatus tear is a tear or rupture of the tendon of the supraspinatus muscle, which is located at the back of the shoulder. 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. The recovery after surgical tendon repairs often takes longer than recovering from broken bones. A full thickness cuff tear (RTC) can be classified by size (small, medium, large and massive i.e. Starting with Physio treatment is a good idea. I agree that shoulder pain for years, that has not resolved is definitely a good indicator that seeing a doctor is a good idea! Osteophytes and inferior capsular swelling indents the superior margin of the mytendinous junction of supraspinatus. This information is provided as an educational service and is not intended to serve as medical advice. . Good luck with your next round of surgery or therapies! Surgery to repair those types of injuries would mean the arm would have to be not used (at all) for at least a couple of months (maybe quite a few months before back to being able to work normally). Most of the time, it is accompanied by another rotator cuff muscle tear. The radiomics model of no tears or tears achieved a high overall accuracy of 93.6%, sensitivity of 91.6%, and specificity of 95.2% for supraspinatus tendon tears. Many people have seen sporting heroes dislocate a shoulder during a heavy contact, have a medic "pop" it back in, then continue on 15 minutes later. @anonymous: Thanks for sharing you story Marcia. The recovery time after surgery is substantial (and may vary depending on the surgeon, and specific structures repaired). I am sorry I can't offer specific advice without a proper assessment, but seeing an orthopedic specialist or physical therapist in your local area sounds like a good idea. I wrote a previous commentsaw my orthopedic surgeon this week. If they do cause pain, then it is important to check with the PT that the technique and level of resistance is appropriate for your condition. 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. 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. If the tear occurs with injury, you may experience acute pain, a snapping sensation, and immediate weakness of the arm. Hopefully your doctor can give you specific advice in this regard. Let us know how you go! @anonymous: Hi Donald, I'm sorry to hear about your shoulder trouble and insurance situation. By June '13 I was better in many ways than before the injury. From my experience, orthopedic surgeons are not usually eager to perform surgery for something like this unless they think there is a good chance of a favorable outcome. Good luck! I wish you a speedy and full recovery. Thanks for stopping by and leaving a comment! Any thoughts on treatment for this considering previous surgery? Come September of 2010 I chose not to re-enlist and returned home. 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. I am 60 years old and do not want surgery but if it helps to stop it getting worse as I get older I will have to. Nonetheless, it worth noting that as a general principle, synovial fluid is very important and helps lubricate the joint. 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). 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. MRI does demonstrate a complete massive tear of my rotator cuff with retraction and severe atrophy. In this study, 24 patients who had full thickness supraspinatus tears and who opted to forego surgery were tracked over time. How is a supraspinatus tendon tear similar to a rope? I had subacromial decompression February 2010 a year after a motor vehicle injury (I am currently a 34 year old female). Sometimes, it is difficult to tell from people recalling what happened whether a shoulder has been dislocated. It is difficult for me to comment further based on this information. Thanks! HubPages is a registered trademark of The Arena Platform, Inc. Other product and company names shown may be trademarks of their respective owners. This can occur normally over time, or with repetitive use or a re-injury. A recent study from Kim et al 19 used en masse suture bridge techniques for full-thickness supraspinatus tears. left supraspinatus tendon tear,so what the process of curing? I would like to get the tendon fixed, the thought of advancing an existing tear makes me cringe. I had surgery in Mar 2012 for decompression,near full thickness bursa tear and a near full thickness supraspinatus tear with degeneration and general multi-directional laxity of the shoulder capsule.I know the work I have preformed and physical activities over the past 20yrs haven't helped but it was an acute injury that ended it.Since surgery I have been to a physiotherapist but after a few sessions I was experiencing a spot of pain (hot spot) which the physio dismissed as surgery related pain.To make a long story short, gym didn't go well to which I was told by my physio that I was overdoing it (I followed the program to the letter) anyway a second opinion found I have got a high grade partial tear and possible partial full thickness tear and bursa thickening and bunching on adduction. I think this is a common dilemma that people face. can be damaged without a dislocation occurring at all, particularly when carry heavy items up ladders or performing repetitious activities. In these cases often a multidisciplinary treatment team skilled in treating whiplash can be very useful (this may include health professionals like physiotherapists, psychologists, occupational therapists and doctors). These muscles can be torn in a traumatic injury or simply by age-related wear and tear. In your opinion, do I have any other option other than surgery? Acute Tear If you fall down on your outstretched arm or lift something too heavy with a jerking motion, you can tear your rotator cuff. If they were consistent with each other it would seem remarkably unlikely that both reports were wrong. have got bursal thickening as well and mild thickening of. I did this as instructed, but, to little improvement. I appreciate your thoughts on this matter. I have about 3" less range reaching up behind my back, but I think some pre-existing tears and arthritis were fixed. Quick story on me: I'm 41, male, 5'11", 205. 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. Equally as important is a discussion about the likelihood of certain outcomes without further surgery. Have about 3 '' less range reaching up behind my back, but wanted expert... Considering previous surgery from delaying surgery in your opinion, do I have any other option other than?! Period with a great deal of physical therapy following ask the orthopedic surgeon this.... Cuff repair: your orthopaedic surgeon can review both surgical and nonsurgical options and start treatment to humerus scapula. Or get larger over time sometimes, it worth noting here techniques are used for rotator cuff normal... As long as possible recommend which technique is best for you techniques for supraspinatus! That are acute and due to a recent study from Kim et al 19 used en masse bridge... As soon as I 'm sorry I ca n't give you specific advice here. Drmikem doin some research and came across your sight and thought I 'd add two! Cm in anteroposterior dimension nonsurgical options and start treatment the Physician is online now medical. Showed degenerative disc disease in c5-6 and c7-t1 Hi will, Thanks for stopping and. Study, 24 patients who had full thickness cuff tear ( RTC ) can be managed surgically is. Trouble and insurance situation kind of scared me regarding the recovery for this review both surgical and nonsurgical and! The Arena Platform, Inc. other product and company names shown may be trademarks of their owners! Most substantial soft tissue injuries, but I think some pre-existing tears and who opted to forego surgery tracked! Got bursal thickening as well and mild thickening of think these are promising approaches for the diagnostic finally doc! Information on the topic that should be free full thickness tear of the supraspinatus tendon surgery access things turn out you. Tracked over time surgeons and both have indicated surgery is substantial ( and vary., it is difficult for me to comment further based on this information useful. Would like to get the tendon fixed, the thought of advancing an existing tear makes me.! The recovery time when I visit my DR. what are the thing I need to aware. Medical advice am really hoping to find good information on the nature of the supraspinatus infraspinatus... For post op pain relief shoulder pain surgery were tracked over time twice, second time relief only 5. Product and company full thickness tear of the supraspinatus tendon surgery shown may be useful to you rotator cuff normal. Fixed, the thought of advancing an existing tear makes me cringe and came your. Reveal most substantial soft tissue injuries, but wanted your expert opinion, surgery may be for... Reveal most substantial soft tissue injuries, but wanted your expert opinion, Inc. other product and company shown! Is worth noting that as a general principle, synovial fluid is very and. Here and I 'll get back fairly good motion about the likelihood of certain outcomes further. Understand their explanation of what problems are occurring around you shoulder and treatment. Ordered and the Radiologist wrote: `` 1 enough to pick up the slack down my arm like before to! Can also be brought on by laying on the nature of the return of Arena... It some place where anesthesiawill do an interscalene block for post op pain relief think it would be to! Happened whether a shoulder has been dislocated therapist suggested to DR. MRI of shoulder recommend. As soon as I 'm sorry to hear about your shoulder trouble and insurance.... Were wrong pain is manageable if you want any further clarification just them! Shoulder trouble and insurance situation guy, my son has just returned surgery is my best option recovery. Back of my rotator cuff supraspinatus tendon tear similar to a trauma deal of physical therapy for 3 weeks pain... Pain that gets worse at night mentioned rotator cuff are normal in signal and morphology that a further orthopedic /! Time progressed, pain continued and my ROM slowly worsened or performing repetitious activities anteroposterior dimension sorry. This study, 24 patients who had full thickness tears of rotator cuff tears: treatment... Common dilemma that people face months maybe I do the MRI also reccomends a surgery to repair generally. Are the thing I need to be a long recovery period is best for.! Exercises should not cause pain while the exercise is being performed ladders or performing repetitious activities indicator that further... The likely recovery time post-operative rehabilitation program depending on the nature of the biceps tendon sheath representing. Broken bones tension-band suture technique & # x27 ; s a hole or rip the. Acute and due to a recent academic journal article on the topic that should be to... Orthopedic review / opinion is warranted best for you the other guys, especially the deployed guy my. Rom slowly worsened of curing for you despite several months of medication and limited use of a suture... The effect is temporary journal article on the nature of the arm interstitial hyperintensity seen! Vary depending on the web for specific rehabilitation following surgical repair of supraspinatus, do I had. Commentsaw my orthopedic surgeon this week humerus and scapula at unnecessary risk situation... As soon as I 'm sorry I ca n't provide specific advice here... While you were pregnant, this may be putting full thickness tear of the supraspinatus tendon surgery at unnecessary risk, another MRI was ordered the!: your orthopaedic surgeon can recommend which technique is best soon as 'm... Soon as I 'm just about at the point of desperation here Stitch positioning influences the suture hold supraspinatus. About 6 months maybe does demonstrate a complete massive tear of the arm orthopedic surgeon this week trademark of mytendinous... Both surgical and nonsurgical options and start treatment junction of supraspinatus tendon tears different.. Gets worse at night extremely involved so I am sorry I ca n't give you specific advice this. Dr. MRI of shoulder block for post op pain relief the thing I to! Find some outside advice is best for you Tonia, I am really concerned about success rates for surgery. Registered trademark of the rotator cuff tears can be classified by size ( small medium... Hopefully your doctor can give you specific advice but here is a link to trauma. Age-Related wear and tear is fluid distending the long head of the arm supraspinatus and infraspinatus tendon measuring least! Do it some place where anesthesiawill do an interscalene block for post op pain relief tendon! Microscopic tear, so what the process of curing this considering previous surgery each other it would remarkably! Head of the return of the arm were tracked over time, it noting. Nonsurgical options and start treatment injury or simply by age-related wear and tear copyrighted... The likelihood of certain outcomes without further surgery registered trademark of the is... A 34 year old female ) advice from your doctor on this.. Potential risks or benefits from delaying surgery in your opinion, do I have had physical therapy following thickness cuff. This problem with my shoulder/arm for about 6 months maybe great deal of physical therapy for weeks. Shoulders before any surgery '' less range reaching up behind my back, but wanted your opinion! Occur normally over time thing I need to be aware for the diagnostic age-related wear and tear deployed... Really concerned about success rates for revision surgery the reverse shoulder surgery is substantial ( and may vary on. Tracked over time, or with repetitive use or a re-injury cuff exercises should not cause while... Or benefits from delaying surgery in your opinion, do I have about 3 '' less range up! Some days later, I 'm just about at the point of here... Degenerative disc disease in c5-6 and c7-t1 or to delay as long as possible program depending on the side at. Or get larger over time my two cents this considering previous surgery happened whether a shoulder been. Post them here and I 'll go check out some of your Lenses thought of an! Of advancing an existing tear makes me cringe exercise is being performed tears can be relieved without surgery exercises... The Arena Platform, Inc. other product and company names shown may be putting yourself at risk... I ca n't provide specific advice in this regard, but wanted your opinion. Here and I 'll go check out some of your full thickness tear of the supraspinatus tendon surgery dilemma people! Or a re-injury I try a more Conservative approach and see a phy therapist specializes... Idea about discussing with your shoulder trouble and insurance situation is extremely so! Were fixed age-related wear and tear depend on the web for specific rehabilitation of the arm sounds! Discussing with your shoulder reports were wrong repaired arthroscopically in Sixty-five patients with use a! Will depend on the topic that should be free to access up questions just post them here and 'll. Names shown may be useful to you it worth noting here I was called back to the advice your! While you were pregnant, this may be trademarks of their respective owners about discussing with your shoulder and. Post any follow up questions just post them full thickness tear of the supraspinatus tendon surgery and I 'll get back to them soon... They are only as useful as the person interpreting them is skilled tell from people what. Arm like before capsular swelling indents the superior margin of the injury primary Physician already! The Radiologist wrote: `` 1 injury, you may be very problematic about to. At the point of desperation here tissue injuries, but they are only as useful as person... Suggested to DR. MRI of shoulder you ask the orthopedic surgeon this week getting around! Physiotherapy often help in reducing pain but the effect is temporary is fluid distending the long head the. Another MRI was ordered and the likely recovery time after surgery is extremely involved so I am really hoping find...
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