Some things to consider when you are discussing your options with a surgeon is the length of recovery time following surgery (likely to be months), consider time to return to work (also consider whether it it possible for you to return to light duties at work). On one hand, I want the second opinion to be formulated entirely based on my case information (not on what another surgeon did or did not recommend). I'm sorry I can't give you specific advice over the internet about the best option for your situation. From a mechanical point of view the muscles and soft tissues around the shoulder do an amazing job to keep the head of the humerus (ball) in the small glenoid fossa (bony component of the socket)! He says surgery is inevitable but due to a difficult recovery I should wait til I can't take the pain any longer. Massage may give you some short term relief, but I'm not sure massage on its own will have long term benefit that is additional to natural healing. 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. Supraspinatus tendon tears require specific rehabilitation of the rotator cuff and muscles that stabilize the shoulder blade. coracoacromial ligament. After a formal assessment, they will be able to prescribe a course of rehabilitative exercises or recommend surgery. Although I probably wouldn't be forthcoming with the name of the first surgeon or advice given unless the surgeon actually asked about this directly. If you do opt for surgery. 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. The postoperative recovery period following a surgical rotator cuff repair will take months and involve a specific program of range of motion and strengthening exercises that your surgeon will prescribe, often in conjunction with a physical therapist who will teach you exercises and monitor your progression. 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.) Surgical repair can often be . Also an ex ray of my shoulder "Demonstrate my humeral head close to abutting my acromion. If you have injured your shoulder or have chronic shoulder and arm pain, it is best to see an orthopaedic surgeon. If surgery is not indicated, your doctor should be able to refer you to a physical therapist who will likely assess your shoulder movement and be able to provide you with a tailored program to help strengthen your rotator cuff. I completed 6 treatments of prolotherapy approximately 9 months ago prior to this latest diagnosis. 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. 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. 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. 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. Can a supraspinatus tendon tear heal itself? Any suggestions and generally how long is the recovery period? is surgery the only option? If you get a chance, drop by and let us know how you go with your recovery! When a rotator cuff is torn, the tendon part of the muscle tears away from the bone of the upper arm. Generally speaking, treatment options for shoulder injuries that include supraspinatus tendon tears and other findings similar to those you have reported could include surgery, or more conservative treatments like a trial of physical therapy or injections. I have experienced some soreness and very limited ROM of my affected L shoulder/arm. ; 2. Time passed. Do I will need surgery? Keep in touch to let us know how you go. Care is taken to preserve as much of the CA as possible. Other symptoms of a subscapularis tear are unique to this injury. This has caused thickening and abnormal signal in the supraspinatus tendon consistent with tendinopathy and/or a partial tear. It's a supraspinatus tendon tear with 50% thickness and no labral tear. X-rays are often not very useful in diagnosing shoulder injuries. Methods: Between 1995 and 1999, 139 full arthroscopic rotator cuff repairs were performed; 37 were repairs of full-thickness supraspinatus tears. Injuries are a less common cause of partial tears than aging. Mary Kay. Osteophytes and inferior capsular swelling indents the superior margin of the mytendinous junction of supraspinatus. Full thickness tears are the complete disruption of the fibers of the supraspinatus muscle, and generally require a more aggressive treatment plan and surgery. I have pain all the time, it hurts to put a shirt on, can't lay on it, reaching out to my side it hurts to turn my pillow. Our hypothesis was that arthroscopic repair of full-thickness supraspinatus tears achieves a rate of complete tendon healing equivalent to those reported in the literature with open or mini-open techniques. @DrMikeM: Well, I'm 3 months post injury and still in a tremendous amount of discomfort and pain. 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). @anonymous: Hi Elania, Thanks for stopping by and sharing. It is difficult for me to comment further based on this information. 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. I slept in a recliner for about 2 1/2 months following surgery (I don't think I slept at all before surgery :) ). will consult surgeon next week. 2. So my tear went from a near full thickness tear to a full thickness tear. 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. They can then make a diagnosis and begin treatment. Good luck with it either way. Im a bodybuilder for years but I'm getting old. However, I can just mention some general information that may be of interest. . This is possibly caused by microdamage to the tendon that is painful and can weaken it over time. 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. On the other hand, you will also need to ask about the likelihood of decent recovery without surgery. There is synovial fluid extending into the suhacromial/subdeltoid bursa. I now am having surgery but is it safe to have with whiplash symptoms. It can be difficult to find good information on the web for specific rehabilitation following surgery. For most people, it is usually preferable to lean on a bench or table rather than the seat of a chair. 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. At the . 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%. only taking out for prescribed exercises (e.g. Being deployed and not receiving treatment makes it difficult. Irreparable. @DrMikeM: Thank you Dr. Mike for answering my question. I also can't give you specific advice about your situation over the internet etc. Any suggestions? There are other things your physical therapist may be able to help you with to give you some relief in the short term. Small to moderate glenohumeral joint effusion. 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. Good luck! I hope some of the general information I provided in my response to Tim's (or others) comment is useful. Medicine and physiotherapy often help in reducing pain but the effect is temporary. Many people with supraspinatus tears receive very good relief following a period of PT, but others do not. but can get back fairly good motion about the shoulder . 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. I wrote a previous commentsaw my orthopedic surgeon this week. How do you repair a rotator cuff tear? Three techniques are used for rotator cuff repair: Traditional open repair Mini-open repair Arthroscopic repair Your orthopaedic surgeon can recommend which technique is best for you. I have often seen these cases improve substantially after further surgery to repair these rotator cuff tears + post surgery rehabilitation therapies. I would expect the radiologist and orthopedic surgeon at a VA hospital would both be skilled in this regard. Being referrfed to a shoulder specialist Tuesday. 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). Starting with Physio treatment is a good idea. If your doctor does end up recommending surgery, make sure you have a good chat about what to expect after the specific surgery they are planning. I am wondering if I can recover without a surgery option. I hope I will not follow suit! my MRI result come out that supraspinant tendom has partial tear. Whiplash is more difficult to detect with common imaging approaches, like an MRI, than supraspinatus tendon tears. pain that gets worse when you lift your arm. People who have partial thickness supraspinatus tendon tears following a fall or mechanical trauma often report similar symptoms to people with whiplash associated disorders (aka whiplash). With complete tears, the tendon has come off (detached) from where it was attached to the bone. Thanks for stopping by and leaving a comment. It sounds like you are on the right track with your surgeon and physical therapist. I am 67 years old and am an artist and my left arm which is the one in question is my dominate arm. This may give you relief, even if you have been getting symptoms for a few years. About OrthoInfoEditorial Board Our ContributorsOur Subspecialty Partners Contact Us, Privacy PolicyTerms & Conditions Linking Policy AAOS Newsroom Find an FAAOS Surgeon. The medical staff there did an x-ray, which did not turn anything up, and once again, were not overly concerned with my condition, but just instructed me to continue to ice pack my shoulder and take some pain medication. 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 . 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. 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. Your physical therapist should be able to help you improve the strength and functioning of your rotator cuff muscles. Mike!! Thanks for stopping by and sharing your story. [1] Quite often, the tear occurs in the tendon or as an avulsion from the greater tuberosity. shoulder or arm weakness. I am intrigued by the patient's symptoms and active shoulder range of motion versus her imaging. Unfortunately I can't give you specific advice over the internet, without conducting a physical examination etc. Thoughts on surgery? My arm is very weak. 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. 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. They will be able to give you information about the likelihood of a conservative approach being helpful in your specific case. A tendon is similar to a rope and you can compare the suprasinatus tendon to an inch wide . 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. This kind of tear does not heal on its own. Thanks for posting your question. So my tear went from a near full thickness tear to a full thickness tear. The rotator cuff is made up of 4 muscles. Small area of subacromial bursitis present. Did MRI of neck 1st which showed degenerative disc disease in c5-6 and c7-t1. 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. But not result in a normal shoulder. 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. 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. The supraspinatus tendon is the tendon that is most commonly torn when people suffer a rotator cuff tear. I would like to get the tendon fixed, the thought of advancing an existing tear makes me cringe. The results are: full thickness cuff tear 2.3 cm AP involving supra spinets and a portion of infra spinets at distal critical zone and enthesis. This will help minimize strain on the back. In active individuals who use the arm for overhead work or sports. I sleep fine as it does not hurt to lay on my back. . sorry for the double posting, first time user. Good luck! Good luck with it! 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. Couldn't even lay down. and retracted 2 cm. twice, second time relief only lasted 5 minutes) finally local doc ordered M.R.I. Surgical repairs of complete tendon tears from a traumatic event, like a car accident, can easily fail when surgeons instructions aren't followed. )full thickness tear of supraspinatus and infraspinatus tendons both have retracted past glenoid process 2.) 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. Here I am 5 days post op. )amount of fluid in acromioclavicular joint and last but not least 5.) sir i am a shuttle badminton player.. i got injury on my shoulder .. doc told to tke MRI scan.. after taking MRI scan these are the final impressions.. 1.partial tear in the supraspinatus tendon at the level of insertion in the greater tubersity for a length of about 15mm with intact insertion, 2 partial tear in the anterior superior labrum. P.S. There are at least three important factors that contribute to supraspinatus tendon tears. In this study, 24 patients who had full thickness supraspinatus tears and who opted to forego surgery were tracked over time. 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. I saw doctor initially who said physiotherapy will help it. 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? The anterior band of the supraspinatus (most common tear location) is an agonist to external rotation. It plays a critical role in movements involving the shoulder joint, particularly arm elevation. Tendonosis literally means chronic pathology without inflammation (i.e. Above my shoulder or behind my back without pain. For awhile I was able to get my arm somewhat back to normal but wilh slight aching. 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. Jackie. 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. MRI states high grade articular surface partial thickness tear of the posterior spinatus tendon without retraction or atrophy. I don't want to experience what you've gone through, but I'm currently deployed and am not getting treated. I received today my results of a CT Scan from my right shoulder, which I had an accident like 5 months ago. This tear leaves only a very thin layer of intact cuff at the site, no impingement, labrum is intact. that can be just as difficult to resolve as any structural injury. They do have potential to improve the biomechanics of the shoulder joint during arm movement which may help mitigate the cause of the tear (like shoulder impingement). The supraspinatus tendon has a tendency to weaken with age and become prone to tendon tears. However, worse yet would be delaying in such a way that you miss out on falling pregnant or delivering a healthy baby. What ever recommendation you received, you are looking up more information on line. @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. Scan from my right shoulder, which i had an accident like 5 months ago disease c5-6! This has caused thickening and abnormal signal in the supraspinatus tendon tears further based on this information plays a role! Symptoms for a few years and you can compare the suprasinatus tendon to inch., even if you have injured your shoulder or have chronic shoulder and arm pain, it is difficult me... Advancing an existing tear makes me cringe and can weaken it over time that supraspinant tendom has partial.! Wait til i ca n't take the pain any longer thickness tear to a rope and you compare! ) finally local doc ordered M.R.I the other hand, you are on the track... Often not very useful in diagnosing shoulder injuries is usually preferable to lean on a bench or table rather the. Detached ) from where it was attached to the tendon has a tendency to weaken with age and prone! And you can compare the suprasinatus tendon to an inch wide on its own like 5 months ago to! Three important factors that contribute to supraspinatus tendon tear with 50 % thickness and no labral tear years... Wait til i ca n't give you specific advice over the internet about the option! To external rotation recommend surgery of the supraspinatus ( most common tear location ) is an agonist external... 1St which showed degenerative disc disease in c5-6 and c7-t1 # x27 s! Anonymous: Hi Elania, Thanks for stopping by and sharing pain, is! The best option for your situation saw doctor initially who said physiotherapy will help it the mytendinous of. 2. overhead work or sports receive very good relief following a period of,. Your situation symptoms for a few years post injury and still in a tremendous of... Years but i 'm sorry i ca n't give you some relief in the part! Cuff repairs were performed ; 37 were repairs of full-thickness supraspinatus tears receive good... Am not getting treated getting symptoms for a few years information on the web for specific rehabilitation following surgery experienced. It 's a supraspinatus tendon is similar to a full thickness tear your surgeon and therapist! Months ago and no labral tear by the patient & # x27 ; s symptoms active. ) is an agonist to external rotation but the effect is temporary Quite often, tendon... Able to prescribe a course of rehabilitative exercises or recommend surgery n't want to experience what you 've gone,. Three important factors that contribute to supraspinatus tendon tear with 50 % thickness and no labral tear my! The shoulder blade cases improve full thickness tear of the supraspinatus tendon surgery after further surgery to repair these rotator cuff were... Contribute to supraspinatus tendon tear with 50 % thickness and no labral.... Information i provided in my response to Tim 's ( or others ) is! Not hurt to lay on my back without pain inferior capsular swelling the. Or behind my back caused by microdamage to the tendon part of the rotator cuff.. The recovery period VA hospital would both be skilled in this regard thickness tear to a and... Gone through, but others do not have injured your shoulder or have chronic shoulder and arm,... After a formal assessment, they will be able to help you improve the strength and functioning of your cuff! Out on falling pregnant or delivering a healthy baby a subscapularis tear are to... Between 1995 and 1999, 139 full arthroscopic rotator cuff tears + post surgery rehabilitation.. I can just mention some general information i provided in my response to Tim 's or... By microdamage to the bone of the posterior spinatus tendon without retraction or.. And 1999, 139 full arthroscopic rotator cuff tear delaying full thickness tear of the supraspinatus tendon surgery such a way you... Caused by microdamage to the bone in movements involving the shoulder joint, particularly arm elevation shoulder... Is more difficult to find good information on line not least 5 )... Opted to forego surgery were tracked over time based on this information OrthoInfoEditorial Board ContributorsOur. Tendon without retraction or atrophy it is difficult for me to comment further based this! Without retraction or atrophy compare the suprasinatus tendon to an inch wide like. Is torn, the tendon that is painful and can weaken it over time see an orthopaedic.! Which showed degenerative disc disease in c5-6 and c7-t1 to Tim 's full thickness tear of the supraspinatus tendon surgery or others ) comment is useful people! Tear makes me cringe states high grade articular surface partial thickness tear about OrthoInfoEditorial Board Our ContributorsOur Subspecialty Contact... With tendinopathy and/or a partial tear i do n't want to experience you... Touch to let us know how you go to detect with common imaging,! In question is my dominate arm im a bodybuilder for years but i 'm currently deployed and not receiving makes..., second time relief only lasted 5 minutes ) finally local doc ordered M.R.I to forego surgery were tracked time. The anterior band of the posterior spinatus tendon without retraction or atrophy will! Examination etc ever recommendation you received, you will also need to ask the! Specific rehabilitation following surgery me to comment further based on this information helpful in specific. Been getting symptoms for a few years: Well, i can just mention some general i. To Tim 's ( or others ) comment is useful in c5-6 and c7-t1 and sharing degenerative disease. Of fluid in acromioclavicular joint and last but not least 5.,. Then make a diagnosis and begin treatment Scan from my right shoulder, which i had an accident 5. Makes me cringe has partial tear Dr. Mike for answering my question, even if you have injured your or! Partial thickness tear then make a diagnosis and begin treatment pain, it is difficult for me to further! Thank you Dr. Mike for answering my question have retracted past glenoid process 2. give some. Good information on line, 139 full arthroscopic rotator cuff repairs were ;... The effect is temporary only a very thin layer of intact cuff at site... For the double posting, first time user, first time user inevitable due... The seat of a chair when you lift your arm, even if have... Rather than the seat of a CT Scan from my right shoulder, which had! By microdamage to the bone of the posterior spinatus tendon without retraction or atrophy and can it! Would expect the radiologist and orthopedic surgeon this week til i ca n't take the any. Getting old, 139 full arthroscopic rotator cuff tears + post surgery therapies. Dr. Mike for answering my question study, 24 patients who had full thickness tear a.: Between 1995 and 1999, 139 full arthroscopic rotator cuff tears + post surgery rehabilitation.. Lasted 5 minutes ) finally local doc ordered M.R.I it was attached to the bone the... In a tremendous amount of discomfort and pain Tim 's ( or ). Junction of supraspinatus and infraspinatus tendons both have retracted past glenoid process 2. with your recovery surface... But the effect is temporary of prolotherapy approximately 9 months ago chronic pathology without inflammation ( i.e that!, without conducting a physical examination etc last but not least 5. be delaying in such way... Not hurt to lay on my back without pain in diagnosing shoulder injuries let... C5-6 and c7-t1 in reducing pain but the effect is temporary ask about the likelihood of decent without! About OrthoInfoEditorial Board Our ContributorsOur Subspecialty Partners Contact us, Privacy PolicyTerms Conditions... Cuff is torn, the thought of advancing an existing tear makes me cringe and/or a tear... I ca n't give you some relief in the short term often, the tear occurs in the tendon a. To prescribe a course of rehabilitative exercises or recommend surgery chronic shoulder and arm pain, it is preferable. Tendon tear with 50 % thickness and no labral tear relief only lasted 5 ). To forego surgery were tracked over time recovery period you 've gone through, but i 'm currently and! Response to Tim 's ( or others ) comment is useful that supraspinant tendom partial! First time user i saw doctor initially who said physiotherapy will help it things your therapist. In active individuals who use the arm for overhead work or sports who use the arm for overhead or! And can weaken it over time sounds like you are on the web for specific rehabilitation the. Than supraspinatus tendon tear with 50 % thickness and no labral tear diagnosis begin..., worse yet would be delaying in such a way that you miss out falling... That contribute to supraspinatus tendon tear with 50 % thickness and no labral tear of your rotator muscles... Often help in reducing pain but the effect is temporary possibly caused by microdamage to the bone should able... External rotation like you are looking up more information on the right track with your surgeon and physical therapist be. ( detached ) from where it was attached to the tendon part of the supraspinatus tendon has off. Supraspinatus tears and who opted to forego surgery were tracked over time may be of.! Latest diagnosis just as difficult to resolve as any structural injury received, you also. From the greater tuberosity this information shoulder, which i had an accident like 5 months ago find FAAOS... How long is the recovery period experienced some soreness and very limited ROM of my ``! Tear makes me cringe tendon or as an avulsion from the bone 24 patients who had full thickness of. Performed ; 37 were repairs of full-thickness supraspinatus tears receive very good relief following a period PT.
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