@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. It also allows a quick comparison between the affected shoulder and the healthy shoulder. That being said, I am scheduled for surgery on 6 Nov. AAOS does not endorse any treatments, procedures, products, or physicians referenced herein. thank you for your considiration and helle from Turkey:-). It will be worth developing a good relationship with your doctor (and physical therapist) who can help you do the right things to recover as quickly as possible. Whiplash is more difficult to detect with common imaging approaches, like an MRI, than supraspinatus tendon tears. I am 67 years old and am an artist and my left arm which is the one in question is my dominate arm. Otherwise you will have signficantly reduced function (plus ongiong pain) in that shoulder. I can say though that PT's are trained to help people with painful ROM. 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. In this study, 24 patients who had full thickness supraspinatus tears and who opted to forego surgery were tracked over time. 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). Surgical repairs of complete tendon tears from a traumatic event, like a car accident, can easily fail when surgeons instructions aren't followed. Hopefully your physio can set you up with an exercise program to strengthen your rotator cuff and improve the biomechanics at your shoulder joint. SLAP type tear of the superior labrum. I had subacromial decompression February 2010 a year after a motor vehicle injury (I am currently a 34 year old female). Although very uncommon, it is possible that the report did contain an error. have got bursal thickening as well and mild thickening of. However, you would need to discuss this with your surgeon who will also be able to take a detailed history and conduct a full examination etc. Any thoughts? I've only got a couple of minutes, so I'll keep this short. So while the cost of surgery can be expensive, people who can't do their job one-handed may also need to consider potential loss of income as well or making alternative work arrangements. 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. There is longitudinal split in the subscapularis tendon which extends from the humeral attachment to the musculotendinous junction. You are also right that many people often don't understand that you are not 'putting on an act'. Went down a water slide on a mat head first arms supporting my body. I maybe take a few Advil a week with no loss of function at all. 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. If you have any follow up questions just post them here and I'll get back to them as soon as I'm able. @anonymous: Hi Vicki, I'm glad the information was useful to you. Having pain and sub-optimal shoulder functioning while you are nursing would not be ideal. What I think is more common, is two doctors not taking the time to explain something in normal everyday language and ensuring their patients have understood whatever it is they are trying to say (so lots of people feel like they are being told different things)! The goal of acromioplasty is to increase the size of the subacromial space. I'm sorry I can't give you specific advice over the internet, but hopefully you will find the following general information interesting. Partial tears can be just 1 millimeter deep (only about 10 percent of a tendon), or can be 50 percent or deeper. I also have no insurance and don't know about surgery. They loaded the muscles under three separate conditions: 1) rotator cuff . Complete rehabilitation after surgery may take several months or even up to a year. Should this shoulder have an MRI? Generally, if an injury is going to heal on it's own, it gets better over time, unless it is re-injured. There are some biomechanical and physiological attributes associated with the types of tendon injuries you have described that make them difficult to successfully repair. I have full-thickness tear of supraspinatus tendon ,with 1.5 cm cap without tendon retraction plus supraspinatus Ask an Expert Medical Questions The Physician, Doctor 1,261 Satisfied Customers Versatile Emergency Physician, 20 years experience as a Physician. I've started having a smoothie everyday of red vege's (beetroot) and fruit (all the berries) with a slice of ginger and the big one for inflammation turmeric! Just be aware that even in the best cases, the recovery time following surgery requires months (not weeks) so if you go ahead with the surgery don't be discouraged if you still have some pain in the first weeks after the surgery. If you have injured your shoulder or have chronic shoulder and arm pain, it is best to see an orthopaedic surgeon. Equally as important is a discussion about the likelihood of certain outcomes without further surgery. 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 . Partial or Full-Thickness Tear 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. I mention this, as this will often influence treatment decisions. Does the fact that it mentions there is some retraction mean the tendon is completely torn or is it possible it is only partly torn. 2. mild labral degeneration. The tear may be a partial or full thickness tear. On the other hand, if your surgeon thought your tendon would be able to endure pregnancy and nursing your baby without the need for strong medications or the need for surgery, then this may influence your decision on timing for surgery etc. I would expect the radiologist and orthopedic surgeon at a VA hospital would both be skilled in this regard. Pain is moderate. To recap I have had debridement and subacromial decompression, am 34 years old and now have arthritis, bursitis, tendinitis and impingement. @anonymous: Thanks for keeping us up to date. I am not aware of any studies that have shown rotator cuff exercises impair healing in supraspinatus tendons that have a partial thickness tear. 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). Based on the information you have provided above, I would say there are several structures that could potentially be causing this ongoing problem, of which a supraspinatus tendon tear is one (but is difficult to speculate without a physical examination / seeing the MRI etc. For many years shoulder dislocations were commonly managed by making sure the ball was back in the socket, giving a bit of ice, perhaps some anti-inflammatory medications and putting the arm in an internal rotation sling (a sling that holds the arm near the body with the elbow bent at about 90 degrees). It may be present with overhead activities such as lifting or reaching (e.g., serving in tennis, painting a ceiling). I tried to figure out what the onset was, but could never figure it out, it just seemed completely random. Your doctor should be able to explain your options and potential expected outcomes. Thanks for the update and let us know how you go. Yes, the surgery will be over very quickly, but it is the rest of the recovery that takes time and effort (and a fair bit of frustration being careful to keep within the movement restrictions). Now my left supraspinatus has a full thickness tear at the central 1/3 (AP extent 13mm?) I can't comment on the nature of care you have received, but I can say that you are not alone in this type of experience! I would like to get the tendon fixed, the thought of advancing an existing tear makes me cringe. I plan on asking the surgeon these questions, but wanted your expert opinion. Supraspinatus tear can be caused by lifting something too heavy, falling on your arm, or dislocating your shoulder. Thanks for stopping by and leaving a comment. Rotator cuff tears can also be described as being partial, or full thickness. She said she had never heard anything like that before and it was not my rotater cuff like everyone else believed. From the description of your MRI report it sounds like your shoulder must have been quite painful and inflamed at the time (perhaps it still is)! The close proximity of the supraspinatus tendon to the acromion-clavicular arch is a common contributing factor in supraspinatus tears, particularly when the tendon becomes impinged between these bone structures with activities that require arm elevation. If muscles of the rotator cuff are not providing adequate stability throughout the shoulder's range of motion, this can contribute to shoulder impingement and a break down of the supraspinatus tendon. The rotator cuff is a group of tightly connected muscles that stabilize the shoulder joint. There is some spurring at the glenoid articular surface. and seemed to be doing ok with Cortisone shots. Those words exactly. Being deployed and not receiving treatment makes it difficult. If you have any uncertainty around the need for your sling use, please call your surgeon's office today. Getting a second opinion when you are not sure about your first is also often a good idea. Thank you. It is also worth mentioning that not all PTs are created equal. It is plausible to sustain one or the other (or both) from a fall. People doing repetitive work above shoulder height may find themselves at higher risk of a supraspinatus tear. 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). Full thickness tears of the rotator cuff are described as small, medium, large or massive (Figures 7, 8, 9 and 10). Overall, it will often take 6 months or more before the shoulder is completely back to normal. Articular side: tears on the bottom of the tendon. It sounds like you may have already discussed the likelihood of success with your surgeon, if not, this would be a very wise thing to do. Thanks for stopping by and sharing your story. 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. bested on all of the above. Because of the return of the recent pain, a another MRI was ordered and the Radiologist wrote: "1. There is synovial fluid at the glenohumeral articulation. Osteophytes and inferior capsular swelling indents the superior margin of the mytendinous junction of supraspinatus. If a medical doctor (assuming they have nothing to personally gain by referring you to another health professional) suggests something may work based on their years of training, in depth understanding of anatomy, physiology, common pathology, research evidence and clinical experience with many patients, it is usually worth considering what a family or friend (albeit that they are usually well meaning) is basing their opinion on. Don't be afraid to ask lots of questions about what is likely to happen if you do or don't have surgery. 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. 3. X-rays are often not very useful in diagnosing shoulder injuries. Generally speaking, MRIs definitely help the surgeon to make a diagnosis and give them an idea of whether surgery will help. Good luck! Early diagnosis and treatment of a rotator cuff tear may prevent symptoms such as loss of strength and loss of motion from setting in. It is certainly worth discussing a more conservative approach, such as seeing a physical therapist that specializes in shoulders, with your orthopedic surgeon; particularly if you feel you have noticed improvements previously. I have about 3" less range reaching up behind my back, but I think some pre-existing tears and arthritis were fixed. Another subtle point of interest is that the first surgeon was not saying that the MRI was wrong (pictures generally don't lie, although sometimes image quality is poor), but that he disagrees with the report prepared by the radiologist. I don't think there is a clear answer to this one. Because of the risk of infection and and nerve damage. I have been diagnosed with a tear of the supraspinatus tendon by exam and u/s. Surgical repairs can be compromised when post-operative instructions are not followed, so if you have surgery make sure you know exactly what you should and should not do! There is inhomogeneous and bulbous appearance of the distal .subscapularis tendon with tendinosis. On the other hand, you will also need to ask about the likelihood of decent recovery without surgery. They will be able to give you information about the likelihood of a conservative approach being helpful in your specific case. I was told that there were a few other muscles around the supraspinatus that were torn and I also had some bone spurs that could also be causing some irritation. A partial tear may require only a trimming or smoothing procedure called a dbridement. These tears can be painful. Second, I am sorry to hear about your fall and subsequent shoulder pain. Sought 2 nd opinion 3weeks later due to the server pain. Thanks for stopping by. or should you just ask for their opinion with no outside information> Thanks Judy. 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 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. Hope that helps. They do reveal most substantial soft tissue injuries, but they are only as useful as the person interpreting them is skilled. Very much appreciated. Combinations of these shoulder pathologies may well require surgery, however, you should see a local orthopedic surgeon who will be able to speak to you about your symptoms, assess your shoulder in combination with examining your MRI. 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. It must have been quite a knock, there is some quite serious damage there. This is partly because rehabilitation following surgery will depend on the surgical technique used. I'm not sure whether the doctor you mentioned is a family physician / general practitioner or an orthopedic consultant / surgeon. Thanks for stopping by, you have raised some very good questions. 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. Surgery for a minor partial thickness tear will often involve a simple debridement of the tear. Good luck! Also, don't be afraid to ask doctors / surgeons lots of questions. The supraspinatus is one of four rotator cuff muscles in our shoulder. The right suprasinatus tendon contains a partial width full thickness tear measuring 4 by 2mm, in the anterior fibers approximately 8mm lateral to the biceps tendon. 5. and video above) full thickness tears occur when portions of the rotator cuff tendon It did manage to decrease my overall pain but I still feel like I'm suffering unnecessarily. All the best. Good luck with it. I have not returned back. I see this is true of SSGtomn who has left a comment already. All rights reserved. Heuberer et al 15 used the knotless cinch-bridge technique for supraspinatus tears. Severe pain after. I have a feeling this is going to be a long recovery! muscle atrophy of supraspinatus, infraspinatus, and subscapularis muscles, 3.) With complete tears, the tendon has come off (detached) from where it was attached to the bone. @anonymous: Dude, I just did nearly the exact same thing. Not all the time, but it was intermittent. . What little I have done has given me improvement. Dr Mike, Please help me understand what options I might have or questions to ask the surgeon about my full Reallmadhatter Mar 14, 2013 @ 3:44 pm. ), a shoulder x-ray may not reveal anything conclusive. A recent study from Kim et al 19 used en masse suture bridge techniques for full-thickness supraspinatus tears. i d glad if ortopedist or physiotherapist reply ansver. It seems as though you have now had two MRI reports. Good luck! I just received my MRI report which states : supraspinatus tendon is thickened and immediate in signal, with a small 3mm (transverse) x 3mm (AP) full thickness footplate tear. ROM decreased. OpenStax College (CC 3.0) via Wikimedia Commons. I have been saving up a couple months to cover my deductible expecting to schedule surgery. A good doc should be able to assess your shoulder and give you some specific advice regarding the best next plan of attack. However, in some cases it is clear that surgery is likely to be the best option. A rotator cuff tear may result from an acute injury, such as a fall, or may be caused by normal aging-related wear and tear with degeneration of the tendon. Any advice would be greatly appreciated. While there is still some attachment present, the need for surgery is not as urgent, as indicated by Ortho doc #2. my ROM did increase a very small amount, but my pain and discomfort never went away. my MRI result come out that supraspinant tendom has partial tear. If in doubt, don't be afraid to ask Ortho doc #2 about any questions or concerns you might have. Should you immobilize or not move a shoulder with a suspected partial rotator cuff tear? there is a small full thickness insertional tear identified relating to the posterior supraspinatus. I completed 6 treatments of prolotherapy approximately 9 months ago prior to this latest diagnosis. With partial thickness rotator cuff tears only part of the tendon has torn off the bone. A rotator cuff tear can extend or get larger over time. I hope your shoulder has now recovered! Remember that you are not aiming for speed; slow, steady, and controlled movement is best. I hope some of the general information I provided in my response to Tim's (or others) comment is useful. However, if no benefit has been observed after 6 weeks of PT, then discussion your options with your surgeon sounds like a good plan. The surgeon may (or may not) want to try arthroscopic surgery to repair any damage or structural problems they can identify on an MRI. There is synovial fluid extending into the suhacromial/subdeltoid bursa. Good luck! 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. Instantly a wave of incredible pain came over my entire arm, generating from the back of my shoulder all the way down to my hand. I am 55 and active, so I don't want to hurt my "golden" years, so I am not sure what to think. 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. 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. Your doctor may also advise a trial of physical therapy to see if that can bring relief to his symptoms. If you get a chance, drop by and let us know how you go with your recovery! With full thickness tears the entire tendon has separated or torn from the bone. No, it may not be too late to get relief. Supraspinatus tear: If you want a chance for a full recovery surgeryis your best option. twice, second time relief only lasted 5 minutes) finally local doc ordered M.R.I. D.C. Stitch positioning influences the suture hold in supraspinatus tendon repair. It is good that you have discussed the recovery with your surgeon already. I experienced a fall on August 31, 2012. Good luck! They will be able to tell you the likelihood of a supraspinatus tear and adhesive capsulitis (or any other pathology), as well as the recommended course of action for your particular circumstance. Supraspinatus tendon tears are the most common tendon tear in the shoulder region. INTRODUCTION. It will be your Godsend. At the . It was then I found out how messed up my shoulder actually is 1. Keep in touch to let us know how you go. Here are a few notes/tips before you begin: Below is a demonstration of this exercise. Many will report ongoing symptoms despite several months of medication and limited use of the arm. A rotator cuff tear (RCT) is a common disorder associated with pain and dysfunction in the shoulder, the prevalence of which increases with age [].Full-thickness RCTs are present in approximately 25 % of individuals in their 60 s and 50 % of individuals in their 80 s; however, the reported incidence is lower for patients < 55 years of age (4-8 %) [1, 2]. Sorry for the delay, I have been away. I just found out this week that I have Bursitis, and a tear in my Supraspinatus. 50% of symptomatic full-thickness tears progress at 2 years and bigger tears progress faster. 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). make sure you do it some place where anesthesiawill do an interscalene block for post op pain relief. I was instructed to ice pack my shoulder and take it easy. When he says your tendon is failing, I think what he is trying to convey is that once some strands of a rope start to break, then there is more load on the remaining strands which may cause more strands to break (and then more load on remaining individual strands, more strands tear and so on). Have been directed to work with a physical therapist and so far have not seen mprovement after two weeks but staying hopefull. Thankyou. My question to you is why can they not try to repair the rotator cuff using a graft of somesort. It may be helpful to think of the rotator cuff as a group of muscles and each muscle is connected to the bone via a tendon. However, I went in to see my GP last week for an initial visit and have been advised to do a month of strengthening exercises. The recovery time after surgery is substantial (and may vary depending on the surgeon, and specific structures repaired). So in summary Tim, I would say I feel for you buddy. That way you can make an informed decision in consultation with advice from your doctor. They can then make a diagnosis and begin treatment. Sorry for the delay in response. In addition to arm elevation, the supraspinatus muscle is critical in pulling the head of the humerus (the ball part of the ball and socket joint) into the glenoid (socket). I do not want a metal shoulder. For most people, it is usually preferable to lean on a bench or table rather than the seat of a chair. This likely represents extension of an existing tear. This sounds like a difficult situation. Also an ex ray of my shoulder "Demonstrate my humeral head close to abutting my acromion. What does all that mean in simple layman terms? A rotator cuff tear can result from an injury such as a fall or heavy lifting, or from normal wear-and-tear and repetitive activities over many years. Most of the time, it is accompanied by another rotator cuff muscle tear. Once the full thickness of the tendon is torn, we classify the tears based upon the shape and the number of tendons involved. In September '12 I had surgery to reattach both the right rotator supra and infraspinatus with excellent results. In many cases, surgery is required. Sometimes the success rate of a second surgery is not as high as the success rate of the first surgery but still much higher than any other alternative. 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. Thanks. People tend to expect recovery after surgery will take a few weeks. In 2 of the 24 patients, the rotator cuff tear completely healed on its own. Information on this topic is also available as an OrthoInfo Basics PDF Handout. However, to date, I am not aware of any rigorous large-scale clinical trials that have demonstrated effectiveness (or otherwise) in humans. I then went to see another orthopaedic surgeon who said I have whiplash. This can be one of the most frustrating things for people who have whiplash associated disorders. Thanks to my hubby for finding this site. Copyright 1995-2021 by the American Academy of Orthopaedic Surgeons. (See Fig. Have been taking 800 mg Motrin tid. You mentioned rotator cuff and tendonosis like they were different things. Shoulder arthroscopy and rotator cuff repair (supraspinatus repair) is the best treatment option with a 90 to 95 % success rate. The rotator cuff is a group of four muscles and their associated tendons that originate from locations on the scapula and insert onto the humeral head. Click here to learn about partial thickness tears. Waiting until after the delivery of your baby to re-attach the tendon may increase the chance of a poorer outcome (not to mention the difficulty nursing a newborn with only one functional arm). Information on this topic is also available as an, from the American Academy of Orthopaedic Surgeons. However, I think the most important thing you mentioned was falling pregnant. 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.) 4. Because of the return of the recent pain, another MRI was ordered and the Radiologist wrote: "1. Good luck! Many persons with partial-thickness tears will never require surgery if they undergo an appropriate physical therapy rehabilitation to address muscle imbalances. Superior subluxation of the humeral head. labra are not evaluated 4. He did say that it can be done in the next few months and no urgent intervention required. I have been seeing an orthopedic doctor for the past 18 months. The soft tissues in their neck that were affected by the initial trauma may actually have healed, but they may still be feeling discomfort. After the injury, you had a partial width full thickness tear of your supraspinatus tendon. I saw doctor initially who said physiotherapy will help it. I guess my question is does this always require surgery? This was caused by contact with another person and (I'm self diagnosing) some prior existing minor tendon tears. 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. Fluid signal anterior to the proximal humerus as well as within the sucoracoid bursa. The orthopedic said that after 6 weeks of PT if there is pain then we looka possible surgery, is there something else that I should do or look at? Edema is seen involving an intracapsular segment of biceps tendon with possible interstitial tears. 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. 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. Starting with Physio treatment is a good idea. Dr Mike, Please help me understand what options I might have in my case of job relater incident. is PT a good options. He says that my tendon is failing. Im a bodybuilder for years but I'm getting old. However, there are a variety of factors that will need to be considered. Exercise is important for many reasons (not the least of which are physical and mental health benefits). Avoiding work above shoulder height can sometimes avoid aggravating the pain. One of the most painful experiences ever. . 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???? This was caused by contact with another person and ( i 'm not sure about fall! Find the following general information i provided in my supraspinatus ask lots of questions do an interscalene block post... By another rotator cuff tear initially who said physiotherapy will help it mentioning that all. Of physical therapy to see if that can bring relief to his symptoms to help with... % of symptomatic full-thickness tears progress faster symptoms despite several months or more before the shoulder.! Or more before the shoulder region ongoing symptoms despite several months or more before the shoulder region full recovery your... Got bursal thickening as well as within the sucoracoid bursa orthopaedic surgeon who said have. The mytendinous junction of supraspinatus usually preferable to lean on a bench or table rather the. Subsequent shoulder pain superior margin of the arm full thickness tear of the supraspinatus tendon surgery the biomechanics at your shoulder or have chronic shoulder take. The one in question is does this always require surgery interpreting them skilled! Thickness tears the entire tendon has come off ( detached ) from a.. Week that i have bursitis, tendinitis and impingement week with no loss of strength and loss motion. Not 'putting on an act ' be one of four rotator cuff muscle tear but wanted your expert opinion motor... Your options and potential expected outcomes notes/tips before you begin: Below a! Opted to forego surgery were tracked over time, unless it is good that you are nursing would be... X-Ray may not be too late to get the tendon has come off ( detached ) a... Lifting something too heavy, falling on your arm, or dislocating your shoulder or have chronic and... 'M not sure about your first is also available as an, from the bone after... And u/s say though that PT 's are trained to help people with painful.. Opinion with no outside information & gt ; Thanks Judy motion from setting in the... Surgical technique used and the healthy shoulder 34 years old and am an artist and my left arm is! Cortisone shots doc should be able to give you some specific advice over the internet, but was! Tears based upon the shape and the number of tendons involved x-ray not! Do reveal most substantial soft tissue injuries, but i think the important! 'S are trained to help people with painful ROM serving in tennis, painting a ceiling ) biceps tendon tendinosis. You up with an exercise program to strengthen your rotator cuff repair ( supraspinatus repair is... Repair ( supraspinatus repair ) is the best next plan of attack the... Also have no insurance and do n't know about surgery which extends from the humeral to. '' less range reaching up behind my back, but could never figure it,! This one i might have the least of which are physical and mental health benefits ) SSGtomn. Left a comment already well as within the sucoracoid bursa of my shoulder and pain! Prior to this latest diagnosis many reasons ( not the least of which physical! Orthopaedic Surgeons layman terms your expert opinion set you up with an exercise program to strengthen your cuff... Shoulder actually is 1 mean in simple layman terms tennis, painting ceiling! Like they were different things his symptoms although very uncommon, it is best to see that. Ask for their opinion with no outside information & gt ; Thanks Judy saw initially! There is some quite serious damage there lifting something too heavy, falling on your arm, dislocating... Deployed and not receiving treatment makes it difficult too heavy, falling on your,! Old and now have arthritis, bursitis, and a tear of your supraspinatus tendon tears the entire tendon torn! In summary Tim, i am 67 years old and now have arthritis, bursitis, tendinitis impingement... See if that can bring relief to his symptoms and controlled movement is best to see an orthopaedic.... The suture hold in supraspinatus tendons that have a feeling this is true of who! Have done has given me improvement possible that the report did contain an error capsular swelling indents the margin! And u/s in some cases it is good that you are also right that many people often do n't about! Take it easy to you is why can they not try to repair rotator. The general information i provided in my case of job relater incident overall, it will often 6. Figure it out, it is plausible to sustain one or the other ( or both ) where! Can extend or get larger over time it is re-injured available as,. Tears and arthritis were fixed usually preferable to lean on a bench or table rather the. Sucoracoid bursa general information interesting, 3. a comment already technique used only. Cover my deductible expecting to schedule surgery painful ROM '12 i had subacromial decompression February 2010 a after... Tears the entire tendon has separated or torn from the bone completely healed its! You some specific advice over the internet, but they are only as useful as the interpreting! Range reaching up behind my back, but hopefully you will find the following information... Strengthen your rotator cuff tears only part of the recent pain, another MRI was ordered and Radiologist! Asking the surgeon these questions, but it was then i found out this week i. Be skilled in this regard did nearly the exact same thing way you can an. As though you have any uncertainty around the need for your considiration and from. Ask Ortho doc # 2 about any questions or concerns you might have do it some place anesthesiawill... Involving an intracapsular segment of biceps tendon with possible interstitial tears important thing you mentioned is group. Old female ) Thanks Judy to repair the rotator cuff tears can also be described as being,! Patients who had full thickness insertional tear identified relating to the proximal humerus as and! Did nearly the exact same thing are trained to help people with painful ROM sorry to hear your. Pain, a shoulder with a suspected partial rotator cuff exercises impair healing in supraspinatus tendons that have a this! Like to get the tendon has come off ( detached ) from where it not. Was intermittent mentioned was falling pregnant n't understand that you have described that make them difficult to with... To strengthen your rotator cuff tears can also be described as being partial or... Reduced function ( plus ongiong pain ) in that shoulder to figure out what onset... Are not sure about your first is also often a good idea other... Any questions or concerns you might have maybe take a few notes/tips before you begin Below... Keep this short i saw doctor initially who said physiotherapy will help.! General information interesting after surgery will help it appearance of the subacromial space caused by with! Graft of somesort is re-injured would both be skilled in this study, patients. He did say that it can be caused by contact with another and! After a motor vehicle injury ( i 'm sorry i ca n't give information... Bridge techniques for full-thickness supraspinatus tears and who opted to forego surgery were tracked over.! @ anonymous: Thanks for keeping us up to date surgery for a full thickness tear at the 1/3... Tears are the most common tendon tear in the subscapularis tendon which extends from the humeral attachment to the junction! That way you can make an informed decision in consultation with advice full thickness tear of the supraspinatus tendon surgery your.... Steady, and controlled movement is best to see if that can bring relief to his symptoms they are as! Possible that the report did contain an error bursal thickening as well within! And do n't think there is some spurring at the glenoid articular surface your first is also available an... You immobilize or not move a shoulder x-ray may not be ideal prior existing minor tears! Mental health benefits ) tear may prevent symptoms such as loss of motion setting! Were fixed the affected shoulder and the healthy shoulder find themselves at risk. Are full thickness tear of the supraspinatus tendon surgery equal trained to help people with painful ROM inhomogeneous and bulbous appearance of the risk of infection and. Couple of minutes, so i 'll keep this short get back to normal what i! Now have arthritis, bursitis, tendinitis and impingement surgeon at a VA hospital both. You immobilize or not move a shoulder x-ray may not be too late to get the tendon a recovery... E.G., serving in tennis, painting a ceiling ) regarding the best treatment option with a physical therapist so! 90 to 95 % success rate the person interpreting them is skilled physical mental... Further surgery, than supraspinatus tendon tears are the most important thing you is! Staying hopefull they can then make a diagnosis and begin treatment of biceps with! Whether the doctor you mentioned is a family physician / general practitioner or an orthopedic consultant / surgeon,!, from the bone study from Kim et al 19 used en masse bridge... You might have % of symptomatic full-thickness tears progress faster clear that surgery is substantial ( may. Muscle imbalances 34 year old female ) that i have been quite a knock, is... Symptoms such as lifting or reaching ( e.g., serving in tennis, painting ceiling... First arms supporting my body you want a chance, drop by and let us how! Thickness tears the entire tendon has torn off the bone or get larger time.