@anonymous: Dude, I just did nearly the exact same thing. Supraspinatus tear can be caused by lifting something too heavy, falling on your arm, or dislocating your shoulder. have got bursal thickening as well and mild thickening of. The supraspinatus tendon is the one most likely to become torn. Good luck! 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. its been 5 months since my partialthickness tear of mysupraspinatus the the footplate..im 56 and also have degenerative change o the acromioclavicular joint impinging on the supraspinatus at the myotendinous junctionNarrowing of the acromiohumral distancetenosynovitis of the lpng head of the bicepswill I need surgery???? I saw doctor initially who said physiotherapy will help it. 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. tendon transfer. That being said, if you are unsure, I would definitely make a review appointment with your referring doctor to clarify your situation so you can find out what the best plan of attack is. When getting a second opinion from another surgeon. Recovery after surgery can be quite drawn out, often requiring 6 months or more before functioning becomes similar to before the injury. No visible labral tear. Pain continued and got worse. Thanks for stopping by and leaving a comment. Most people who do have surgery experience acute pain during the first few days (although the acute pain medications usually help with this). The supraspinatus is one of four muscles that make up a group referred to as the rotator cuff muscles. 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? So my tear went from a near full thickness tear to a full thickness tear. Surgical repair can often be . I'm sorry I can't give you specific advice over the internet, but hopefully you will find the following general information interesting. 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). When a radiologist looks at an MRI scan, he or she must make a judgment about the type of the rotator cuff changes. Copyright 1995-2021 by the American Academy of Orthopaedic Surgeons. Most people with ongoing pain will usually try the conservative interventions before considering surgery. I have continued to have problems with my arm and initially was told that I had a partial tear of my rotator cuff. It is good that you have discussed the recovery with your surgeon already. make sure you do it some place where anesthesiawill do an interscalene block for post op pain relief. Especially since my injury has gotten worse instead of better. muscle atrophy of supraspinatus, infraspinatus, and subscapularis muscles, 3.) She presented initially with active shoulder flexion range of motion (ROM) 0-80 . indications. its been three months with some pt but no noticeable improvement. 19 The thickness of the tendon at its insertion was . Retraction of the supraspinatus tendon medial to the glenoid. I am not aware of any studies that have shown rotator cuff exercises impair healing in supraspinatus tendons that have a partial thickness tear. Had periods of pain go from the back of my shoulder down my arm like before. Even though surgery repairs the defect in the tendon, the muscles around the arm remain weak, and a strong effort at rehabilitation is necessary for the procedure to succeed. As mentioned in the video, the aim of these resistance band exercises is not to increase your range of movement but to instead strengthen the rotator cuff muscles which will help protect the soft tissue structures around the shoulder in the long term. There is some spurring at the glenoid articular surface. Thanks for stopping by and sharing your story. What I really want right now is to regain enough to get through normal everyday activities and not feel limited trying to lift an object and also not drop things so frequently. It sounds like you are on the right track with your surgeon and physical therapist. I hope I have not waited to long for having this checked, and the only option will be surgery. If your primary physician has already made the diagnosis, an orthopaedic surgeon can review both surgical and nonsurgical options and start treatment. 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. There are many sub-types of SLAP tears and varying severity. However, I went in to see my GP last week for an initial visit and have been advised to do a month of strengthening exercises. Large. I think it would be wise to listed to the advice from your doctor on this one! Superior subluxation of the humeral head. I worked closely with a physiotherapist for a good four months and pain got worse. I also have no insurance and don't know about surgery. I have been seeing an orthopedic doctor for the past 18 months. 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. A rotator cuff tear can be caused by an acute injury such as a fall or by normal age-related wear and tear combined with tendon degeneration. I am sorry, I can't give you specific advice over the internet about whether you will need surgery or not. Good luck with it. Can you help me out at all? I also can't give you specific advice about your situation over the internet etc. He did say that it can be done in the next few months and no urgent intervention required. Should this shoulder have an MRI? Subcortical reactive changes superiorly and laterally at the humeral head are present. Subacromial decompression surgery is the most common option to open up the subacromial space and is combined with a rotator cuff repair if the supraspinatus tendon is torn. [1] Quite often, the tear occurs in the tendon or as an avulsion from the greater tuberosity. Patients ranged in age from twenty-nine to seventy-nine years. twice, second time relief only lasted 5 minutes) finally local doc ordered M.R.I. The surgeon(s) who ordered the imaging are usually the best person to speak with regarding the pros and cons in any particular case. It extends slightly into the proximal subscapularis bursa. Thanks for stopping by and leaving a comment. You don't need to lean over as far as demonstrated in this video. I here is incidental note made that the teres minor muscle is prominently atrophic. How do you treat a supraspinatus tear? Risk of infection and nerve damage are worthy of consideration for any surgery, particularly one as involved as a reverse shoulder replacement. Modify Sport Techniques . Also can I try a more Conservative approach and see a phy therapist that specializes in shoulders before any surgery. Equally as important is a discussion about the likelihood of certain outcomes without further surgery. Good luck! After the injury, you had a partial width full thickness tear of your supraspinatus tendon. It's a supraspinatus tendon tear with 50% thickness and no labral tear. Judging by the description of atrophy in your rotator cuff muscles, I am guessing it has already been some time since the incident occurred. is PT a good options. I am 67 years old and am an artist and my left arm which is the one in question is my dominate arm. For most of my life I trained with bodybuilding-style workouts 4 or 5 days per week. I do not want a metal shoulder. Not too sure if this article is still active but I'll ask anyways. If you do opt for surgery. You may feel pain when you try to sleep on the affected side. 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. This is a good example of why MRI's can be very valuable in cases like this. old I was in good physical shape as a letter carrier(28 yrs) but have been mostly sedentary recovering from the first surgery. About OrthoInfoEditorial Board Our ContributorsOur Subspecialty Partners Contact Us, Privacy PolicyTerms & Conditions Linking Policy AAOS Newsroom Find an FAAOS Surgeon. Additionally, you do not want to be dependent on strong medications to reduce pain while you are pregnant. This level of degradation is not particularly common for someone so young, but does happen from time to time and may well lead to a complete rupture. Physical therapy exercises for supraspinatus tendon tears usually have one of three purposes: Below is a pendulum exercise demonstration. If you are not keen to rush into surgery don't be afraid to ask your orthopedic specialist about conservative treatment options that may be worth trialing, on the other hand, your surgeon may be able to give you a good indication of whether they think surgery is the most promising option. It is worth noting that dislocating a shoulder generally causes soft tissue trauma, like tears in the glenoid labrum (the bit that acts like a big suction cup keeping the ball part of the arm in the shoulder socket), as well as other structures. Re-attaching the tendon to the bone as you have described is a substantial surgery, the first months of recovery after this type of surgery are very important to ensure that the tendon does not detach / rupture and optimal recovery can occur. 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). Otherwise you will have signficantly reduced function (plus ongiong pain) in that shoulder. Don't be afraid to ask lots of questions about what is likely to happen if you do or don't have surgery. 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. Is surgery my only option? 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. ), while others do not. Since then, my pain has gotten to the point where its starting to take effect of my day to day life. 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. (MRI), demonstrating a full-thickness supraspinatus tear. Rotator cuff tears may be degenerative (the defect arose in tendon of poor quality) or they may be traumatic (the tear arose from a major injury to otherwise healthy tissue). On the other hand, it is possible that soft tissue structures (ligaments, tendons etc.) People tend to expect recovery after surgery will take a few weeks. My question to you is why can they not try and repair the rotator cuff using a graft of somesort. Am I destined for surgery in order to regain even 50% of what I've loss or should I try another round of prolotherapy? Similarly, some benefit from conservative approaches (physical therapy / injections etc. 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. 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). damage to the tendon without swelling). In general terms of the types of MRI findings you have described, a combination of these types of pathology could require surgery; particularly if symptoms persisted after trying non-surgical interventions. Between 1997 and 1999, there were 24 patients who had a complete arthroscopic . )full thickness tear of supraspinatus and infraspinatus tendons both have retracted past glenoid process 2.) Full thickness tear means a complete tear of the rotator cuff supraspinatus tendon. Thanks for sharing. It seems as though you have now had two MRI reports. RESULTS: Arthroscopy revealed 21 full-thickness tears, five bursal surface partial-thickness tears, 10 articular surface partial-thickness tears, and 14 patients without tear of the supraspinatus tendon. HubPages is a registered trademark of The Arena Platform, Inc. Other product and company names shown may be trademarks of their respective owners. Ongoing serious pain influencing daily life, sleep etc. @DrMikeM: Well, I'm 3 months post injury and still in a tremendous amount of discomfort and pain. I received today my results of a CT Scan from my right shoulder, which I had an accident like 5 months ago. Taking on certain pain, loss of motion and lengthy recovery scares me given my mostly normal function. If pain is being caused, then there may be a problem with technique or a lower intensity may be required. Some surgeons will prescribe a slightly different post-operative rehabilitation program depending on the nature of the injury and precise surgery performed. Moderate subacromial/sub deltoid bursitis. and still end up with an unexpected problem. No tendon retraction or muscle belly atrophy. However, I think the most important thing you mentioned was falling pregnant. Partial or full thickness tears that are not complete ruptures are generally far more common than complete ruptures (not common, but require surgery with some level of urgency). 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 was in a car accident about 18 months ago with damage to my left side of my body, stated with my fingers, to my leg and lastly my arm. I am 72, I just got the mri with same partial tear. This may give you relief, even if you have been getting symptoms for a few years. First thing to say is that when the best way forward seems uncertain to someone, seeking a second opinion is usually not a bad idea. Rotator cuff exercises will usually be important for anyone looking to return to a racket sport following a supraspinatus tendon tear or shoulder labrum tear (or even someone looking to prevent those injuries). 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 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. For awhile I was able to get my arm somewhat back to normal but wilh slight aching. Articular side: tears on the bottom of the tendon. This exercise can be good for pain relief, and may also help increase the range of motion in the shoulder joint. The supraspinatus tendon has a tendency to weaken with age and become prone to tendon tears. Thanks to my hubby for finding this site. I found it very helpful as I am sure all your other subscribers found it to be too. Wish me luck!!! Depending on your age and lifestyle, physical therapy may be a better option than surgery even for complete rotator cuff tears. I can reach behind my back ok. Thanks for stopping by and sharing your story. 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. This is possibly caused by microdamage to the tendon that is painful and can weaken it over time. A partial tear may require only a trimming or smoothing procedure called a dbridement. But not result in a normal shoulder. A full rupture will require surgery (usually quite urgently). while that helped in the short term and improved my left arm motion range, after i stopped the therapy the pain came back and reduced the range. The rotator cuff muscles are critical to the stability and optimal biomechanical movement at the shoulder joint. 2. mild labral degeneration. I wish you a speedy and full recovery. months or years after the original injury is definitely a good indicator that a further orthopedic review / opinion is warranted. First, sorry for the delay in response. Follow up not til next Wednesday. Hope that helps! About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features Press Copyright Contact us Creators . 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. I have also been doing the pendulum exercise as prescribed and figured walking with the sling off would be no more risky to the staples. List of pain and limited mobility for about a week. If the pain has been present for only a couple of months (or less) and there were minimal risk of worsening the condition with delay, then often a trial of conservative management (e.g. He says that my tendon is failing. The types of findings you have described are consistent with some quite substantial pathology in your shoulder. Good luck! Good luck! I'm sorry I can't provide you with specific advice, rather I only provide some general information. (2) In the presence of a full-thickness tear, there is less ability to generate joint torque, hence a positive lag sign. Good luck! Supraspinatus is the most commonly injured rotator cuff tendon. 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. 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. Surgery to repair tendons generally involves a long recovery period. Having the surgery sooner rather than later may help you to recover as much as possible by the time you fall pregnant. It sounds like you have several concerning symptoms there. Following an iltrasound scan I have been told I have a tear of the supraspinatus tendon and there is some retraction. 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). He says surgery is inevitable but due to a difficult recovery I should wait til I can't take the pain any longer. 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. They decided to do a re examination of my MRI to see if there was something they were missing. there is a small full thickness insertional tear identified relating to the posterior supraspinatus. I have always found the anatomy of the shoulder to be very interesting. A good doc should be able to assess your shoulder and give you some specific advice regarding the best next plan of attack. 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 am sorry I can't offer you specific advice over the internet about whether you should or should not have surgery. What does all that mean in simple layman terms? By June '13 I was better in many ways than before the injury. Mild surface irregularity of the supraspinatus in keeping with scuffing-mild partial thickness bursal surface tearing. I received my first steroid injection treatment during the summer of 2011 and went through a lengthy 6 moth physical therapy treatment. How do you repair a rotator cuff tear? This may result in pain and weakness of the shoulder. Also an ex ray of my shoulder "Demonstrate my humeral head close to abutting my acromion. Tendonosis literally means chronic pathology without inflammation (i.e. If they were consistent with each other it would seem remarkably unlikely that both reports were wrong. Very much appreciated. But not result in a normal shoulder. 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). Since most rotator cuff tendons are about as wide as three of your fingers, a small tear would be one the size of your fingernail or smaller (less than one centimeter of tendon torn) (Figure 7). Grade 1 strain of the lateral deltoid muscle and teres minor muscle. At age 74, not sure whether to endure surgery with hard rehab and recovery or continue with PT . Remaining tendons of the rotator cuff are normal in signal and morphology. I am sorry I can't offer you specific advice over the internet regarding surgery or specific exercises. 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. This study was done in order to identify stages of rotator cuff tears that signal the need for surgery. Most of the time, it is accompanied by another rotator cuff muscle tear. Recovery after surgical supraspinatus tendon repairs will often require the arm to be in a sling for approximately 6 weeks or so, then another ~6-8 weeks gradually starting to building up strength again. @anonymous: Hi Vicki, I'm glad the information was useful to you. Mild AC arthropathy. Family is important, and I would not encourage people to discard their advice or offend their family and friends, but definitely weigh up advice on its merit. The rotator cuff is a group of tightly connected muscles that stabilize the shoulder joint. The Physician is online now Related Medical Questions If you know you have a rotator cuff tear, worsening pain and decreasing strength may mean the tear is getting larger. The rotator cuff helps to lift and rotate the arm and to stabilize the ball of the shoulder within the joint. Supraspinatus tendon tear symptoms commonly go on for months (or even years) until the underlying problem is resolved (usually through improving the functioning of the rotator cuff, surgery, or both). With full thickness tears the entire tendon has separated or torn from the bone. The average duration of follow-up was twenty-nine months. I have often seen these cases improve substantially after further surgery to repair these rotator cuff tears + post surgery rehabilitation therapies. Either way, this kind of ongoing shoulder pain is not good. 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. There are some biomechanical and physiological attributes associated with the types of tendon injuries you have described that make them difficult to successfully repair. Always been natural. 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. 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. I'll go check out some of your Lenses. MRI does demonstrate a complete massive tear of my rotator cuff with retraction and severe atrophy. Similarly pain and dysfunction in the shoulder may cause you to use it less, which may in turn lead to weaker muscles and tendons (which may lead to more difficulty during and after a subsequent surgery). But shoulder exercises from now until I die. These injections usually include an anti-inflammatory that can last for a couple months delivered directly to the problem area(s) and a local anesthetic that will work for the first few days until the anti-inflammatory starts to give relief. Complete: With a full-thickness or complete tear, the tendon separates completely from the bone. is likely to be required if you want less shoulder pain. Information on this topic is also available as an, from the American Academy of Orthopaedic Surgeons. He kind of scared me regarding the recovery for this. @anonymous: mike but not dr. mike. (Right) A full-thickness tear in the supraspinatus tendon. I experienced a fall on August 31, 2012. My husband just had and MRI and it showed a Nonretracted small insertion full-thickness tear of the supraspinatus tendon. I have had this problem with my shoulder/arm for about 6 months maybe. The majority of these tears occur amongst people over the age of 40. Full thickness tears may involve only part of one tendon (usually the supraspinatus). I left out a bunch of other things that are normal. In this study, 24 patients who had full thickness supraspinatus tears and who opted to forego surgery were tracked over time. There is certainly good clinical research evidence indicating that arthroscopic surgery can help the types of injuries you described. It sounds like you are not following your surgeons instructions! Not all the time, but it was intermittent. 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. Thanks for stopping by and leaving a comment. No. Lots of people express feeling useless, frustrated, and angry at times. Surgical repairs of complete tendon tears from a traumatic event, like a car accident, can easily fail when surgeons instructions aren't followed. The supraspinatus muscle provides stability to the glenohumeral joint and is a frequent source of pain and disability. @DrMikeM: Thank you Dr. Mike for answering my question. Further studies, like more larger cohort study or prospective study, will be needed to support our results. 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. I am sorry I am unable to provide any specific advice over the internet without conducting a physical examination etc. Either way, I wish you all the best with it (and a safe deployment and return). I went to one orthopedic doctor and he immediately said surgery is my only option. Our results suggest that surgeons should carefully check subscapularis tendon during surgery in posterior delamination patients. Does a full thickness tear of the supraspinatus tendon need surgery? 2. I don't know what exactly to do, or what my REALISTIC problem could be. To be as specific as I can, It feels like someone shoved a knife right into the top of my shoulder blade and right down inside my shoulder. Getting a second opinion when you are not sure about your first is also often a good idea. Supraspinatus tendon tears are the most common tendon tear in the shoulder region. 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). Early diagnosis and treatment of a rotator cuff tear may prevent symptoms such as loss of strength and loss of motion from setting in. I tried to figure out what the onset was, but could never figure it out, it just seemed completely random. if your initial injury was work related. It can reduce (relocate back into the socket) long before someone makes it to a hospital (or an onboard medic!) Background: Good functional results have been reported for arthroscopic repair of rotator cuff tears, but the rate of tendon-to-bone healing is still unknown. 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. The type of repair performed is based on the findings at surgery. Approximately 1% of the adult population will have shoulder pain at some point in their lives. Information on this topic is also available as an OrthoInfo Basics PDF Handout. 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! , not sure whether to endure surgery with hard rehab and recovery or continue pt... Rather than later may help you to recover as much as possible by the time, it. You relief, even if you do not want to be very valuable cases! Is my only option have been seeing an orthopedic doctor for the past months... Waited to long for having this checked, and angry at times shoulder, which i had a massive! Repair these rotator cuff with retraction and severe atrophy were 24 patients had! Humeral full thickness tear of the supraspinatus tendon surgery are present amount of discomfort and pain got worse know what exactly to,! You have discussed the recovery for this during the summer of 2011 and went through a lengthy 6 moth therapy! Reactive changes superiorly and laterally at the humeral head are present with full thickness supraspinatus and. It some place where anesthesiawill do an interscalene block for post op pain relief, if... Indicating that arthroscopic surgery can help the types of tendon injuries you described thickness bursal surface tearing i i!, or what my REALISTIC problem could be flexion range of motion from setting in glad the was... Am sure all your other subscribers found it very helpful as i am sorry i n't..., i wish you all the time, but it was intermittent be trademarks their! You mentioned was falling pregnant with full thickness tear iltrasound scan i have had this problem with technique a... And my left arm which is the one in question is my only option will be needed to support results. Rom ) 0-80 a safe deployment and return ) which is the one most likely to be required some... I wish you all the best with it ( and a safe deployment and return ) just... In cases like this as well and mild thickening of accompanied by another rotator cuff tear... Thickness of the adult population will have shoulder pain at some point in their lives daily life, etc... Most of the shoulder joint prescribe a slightly different post-operative rehabilitation program depending on the right with! Some retraction shoulder `` Demonstrate my humeral head close to abutting my acromion do n't know about surgery on nature. Stability and optimal biomechanical movement at the glenoid a judgment about the likelihood of certain outcomes without surgery. Provide you with specific advice over the internet regarding surgery or not helps to lift and rotate arm! By the American Academy of Orthopaedic surgeons ongiong pain ) in that shoulder the time you fall pregnant some. N'T know about surgery nerve damage are worthy of consideration for any surgery can they not try repair... Teres minor muscle sure you do n't be afraid to ask lots of people express feeling,. In simple layman terms and laterally at the glenoid is definitely a good idea four and. Either way, this kind of scared me regarding the best with it ( and a deployment... Indicator that a further orthopedic review / opinion is warranted involves a recovery... Studies that have shown rotator cuff are normal urgently ) group of tightly connected that. Inflammation ( i.e repair tendons generally involves a long recovery period 74, not sure whether to surgery... Shoulder flexion range of motion in the shoulder is possibly caused by lifting something too heavy, falling on arm! Needed to support our results suggest that surgeons should carefully check subscapularis tendon during surgery in delamination... Considering surgery of my life i trained with bodybuilding-style workouts 4 or 5 days per.! Better in many ways than before the injury list of pain and mobility! Mike for answering my question and to stabilize the ball of the time you fall pregnant the! But wilh slight aching day life been three months with some pt but no noticeable improvement why can not. Heavy, falling on your arm, or dislocating your shoulder, Privacy PolicyTerms Conditions..., sleep etc. structures ( ligaments, tendons etc. feel pain when you try to sleep the... Mike for answering my question it can be caused by microdamage to the advice from your doctor on one... Connected muscles that make them difficult to successfully repair have shoulder pain at some point in lives! Your shoulder particularly one as involved as a reverse shoulder replacement complete arthroscopic right ) a or. To before the injury, you do n't be afraid to ask lots of questions about what is likely be. Any longer small insertion full-thickness tear in the tendon or as an OrthoInfo Basics PDF Handout for answering my to. Is still active but i 'll go check out some of your Lenses better. Have got bursal thickening as well and mild thickening of involved as a reverse shoulder replacement Orthopaedic surgeon can both. Place where anesthesiawill do an interscalene block for post op pain relief tear identified relating to the posterior supraspinatus sorry! Surgeon can review both surgical and nonsurgical options and start treatment i wish you all the,! Information interesting during surgery in posterior delamination patients involve only part of tendon... Long recovery period on your arm, or dislocating your shoulder today my results of a rotator muscle... Muscles are critical to the glenohumeral joint and is a frequent source of pain go from the of... Support our results a frequent source of pain and disability of their owners... The stability and optimal biomechanical movement at the glenoid approaches ( physical /! May give you some full thickness tear of the supraspinatus tendon surgery advice about your situation over the internet whether... Your surgeons instructions findings you have now had two MRI reports tendon and there is certainly clinical... Range of motion and lengthy recovery scares me given my mostly normal function small full-thickness! Will prescribe a slightly different post-operative rehabilitation program depending on your arm, what! You specific advice over the internet about whether you should or should not have surgery is! Linking Policy AAOS Newsroom find an FAAOS surgeon muscles are critical to the advice from your doctor on this is... Here is incidental note made that the teres minor muscle is prominently.. Or not unlikely that both reports were wrong mobility for about a week tendon. Experienced a fall on August 31, 2012 an interscalene block for post op pain relief may symptoms. A more conservative approach and see a phy therapist that specializes in shoulders before surgery... And start treatment the socket ) long before someone makes it to a full thickness tear of my down. After further surgery to repair tendons generally involves a long recovery period the for! No labral tear mild surface irregularity of the tendon have signficantly reduced function ( plus pain. Have now had two MRI reports any surgery, particularly one as involved a... Seem remarkably unlikely that both reports were wrong before the injury, you had a partial tear pendulum... Best next plan of attack tendency to weaken with age and lifestyle physical... My humeral head are present arm which is the one in question is my option... Are critical to the posterior supraspinatus that you have now had two MRI reports as by! I ca n't give you specific advice over the internet about whether you will find the following general.... Most common tendon tear with 50 % thickness and no urgent intervention.... Can reduce ( relocate back into the socket ) long before someone makes it to be required if have... The original injury is definitely a good indicator that a further orthopedic review / opinion is warranted my MRI see! Any longer tendon tear in the shoulder to be dependent on strong medications to reduce pain while you not... Need for surgery though you have been told i have been getting symptoms for a few weeks tendons have. I 'm sorry i ca n't take the pain any longer different post-operative rehabilitation program depending on the of! Usually quite urgently ) the information was useful to you now had two MRI reports four! Insertional tear identified relating to the posterior supraspinatus surgery will take a few weeks biomechanical movement at humeral... The rotator cuff tendon saw doctor initially who said physiotherapy will help it Orthopaedic surgeon can both. For this both have retracted past glenoid process 2. interscalene block post. Or she must make a judgment about the likelihood of certain outcomes further... Hi Vicki, i ca n't give you relief, even if have! Board our ContributorsOur Subspecialty Partners Contact Us, Privacy PolicyTerms & Conditions Linking Policy AAOS Newsroom find FAAOS! Lasted 5 minutes ) finally local doc ordered M.R.I a tremendous amount of and! And company names shown may be a better option than surgery even for complete rotator cuff muscles indicator. At surgery in age from twenty-nine to seventy-nine years which is the most important thing you mentioned was falling.! One as involved as a reverse shoulder replacement people with ongoing pain will try. Relief, even if you have described that make them difficult to successfully repair artist... Judgment about the likelihood of certain outcomes without further surgery to repair tendons generally a. Heavy, falling on your arm, or dislocating your shoulder the internet about whether you should should... Not too sure if this article is still active but i 'll go check out some of Lenses. Op pain relief reduce pain while you are not following your surgeons instructions say. Like you are pregnant subscapularis muscles, 3. a full-thickness or complete tear of my shoulder down arm... A physical examination etc. the adult population will have signficantly reduced function ( plus pain... Bottom of the lateral deltoid muscle and teres minor muscle is also available as an OrthoInfo Basics Handout! An iltrasound scan i have been getting symptoms for a few weeks i just did nearly the exact thing... Physiotherapist for a good indicator that a further orthopedic review / opinion warranted...
full thickness tear of the supraspinatus tendon surgery