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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. Must also have to bring the arm back with my other arm if I am lying and have the arm overheadwhich now longer will lie flat on the floor if it is overhead.It has been recommende to do ART then PRP and possibly prolotherapy. In 2 of the 24 patients, the rotator cuff tear completely healed on its own. I returned to the orthopedic surgeon at which point he did an x-ray which looked good and sent for a mri Monday. 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. 2. Did MRI of neck 1st which showed degenerative disc disease in c5-6 and c7-t1. Tendinosis means that the tendon has some damage at the cellular level (generally where there has been repeated amounts of small damage (sometimes called microtrauma) that your body has tried to repair), but there is not swelling (inflammation) currently present. 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. Many people will recover after receiving treatment from a physiotherapist (or physical therapist in USA). If in doubt, don't be afraid to ask Ortho doc #2 about any questions or concerns you might have. If you do opt for surgery. As a general principle, when soft tissues like tendons or ligaments are damaged (think sprain or strain), but are in very close proximity to one another (I don't consider 1cm retracted to be very close in this context), the structures can often heal and become as strong (or perhaps stronger) than they were before. 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. While it is true that rotator cuff tears are more common among middle aged and older people, they can indeed occur among younger people too; particularly when they are performing heavy work or have some kind of trauma event (contact sport, car accident, gym accident etc.). Time progressed, pain continued and my ROM slowly worsened. It gets weak and tired pretty quickly, I can't sleep on my side and it aches all the time. But shoulder exercises from now until I die. Sometimes in cases like this your surgeon may want to try an injection. I plan on asking the surgeon these questions, but wanted your expert opinion. >5cm), depth (partial or full thickness), degree of fatty infiltration (Goutallier. This can be one of the most frustrating things for people who have whiplash associated disorders. If you get a chance drop by again and let us know how you went. My pain is mostly in the bicep area and I do not have trouble lifting the arm but bringing it back down and also bringing the lower arm down when the upper arm is at 90 degrees. 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. I appreciate your thoughts on this matter. Supraspinatus full thickness tear clu801 686 subscribers Subscribe 215 Share 7.8K views 2 years ago I am just sharing my experience with recovering from a shoulder surgery to repair a. Sleeping on my right side became impossible. . Don't be afraid to ask your surgeon about all your treatment options. You have asked for information about potential options. They may extend to become massive involving multiple tendons as shown in the figure. That being said, a surgeon's own experiences, skills and abilities (as well as risk tolerance) may factor into their decision as to whether a surgical repair (and the nature of the repair) is something they will advise. perhaps if delay is likely to lead to a complete rupture that could be prevented with early surgery). The tear may be a partial or full thickness tear. Partial thickness tears. They usually present as a sharp pain at the outside or front of the shoulder, particularly with arm elevation (raising the arm to the side or front). Typically, you will feel pain in the front of your shoulder that radiates down the side of your arm. I can reach behind my back ok. I have continued to have problems with my arm and initially was told that I had a partial tear of my rotator cuff. Any thoughts on treatment for this considering previous surgery? Thanks for stopping by. Many people have seen sporting heroes dislocate a shoulder during a heavy contact, have a medic "pop" it back in, then continue on 15 minutes later. Your doctor should be able to explain your options and potential expected outcomes. This muscle is often used by people who practice different types of sports, including swimming, racquetball and throwing spears or weights. Having pain and sub-optimal shoulder functioning while you are nursing would not be ideal. While it is estimated that 65-70% of all shoulder pain involves the rotator cuff tendon, it has been estimated that 5 to 40 % of people without shoulder pain have full-thickness tears of the rotator cuff. I'm not sure whether the doctor you mentioned is a family physician / general practitioner or an orthopedic consultant / surgeon. Should this shoulder have an MRI? This may not give immediate relief, but hopefully will show some benefit within 6 weeks. Does a full thickness tear of the supraspinatus tendon need surgery? I think these are promising approaches for the types of pathology you described. Good luck! An exercise or physical therapy program is necessary to regain strength and improve function in the shoulder. I am sure lots of people would like to hear how it turns out for you. Rotator cuff exercises are often prescribed for people with a partial tear of the supraspinatus tendon. Her MRI shows a full thickness tear of supraspinatus tendon and a tear of the majority of the infraspinatus tendon (with a few lower infraspinatus fibers still attached). I am sorry I am unable to provide any specific advice over the internet without conducting a physical examination etc. Early diagnosis and treatment of a rotator cuff tear may prevent symptoms such as loss of strength and loss of motion from setting in. Again, because your case is not straightforward, seeking advice from your surgeon(s) in this regard is certainly wise. Taking on certain pain, loss of motion and lengthy recovery scares me given my mostly normal function. The lack of a normal amount of synovial fluid in the joint space could potentially be a sign of adhesive capsulitis (also known as frozen shoulder) among some people. From my perspective, I have seen many patients with supraspinatus tendinosis who have benefited a great deal from physical therapy (but nothing is certain, and some patients may not receive great benefit and require a different intervention). SLAP type tear of the superior labrum. I am unable to carry any significant weight. I am sorry I can't give you specific advice but here is some general information that may be useful to you. I here is incidental note made that the teres minor muscle is prominently atrophic. Many professions require repetitive or heavy overhead work (roof plasterer etc.). A supraspinatus tear is a tear or rupture of the tendon of the supraspinatus muscle, which is located at the back of the shoulder. I'm sure it is no surprise to you, but when someone is experiencing worsening pain with conventional conservative management like physical therapy this is also not a good sign for a speedy recovery without surgery. It must have been quite a knock, there is some quite serious damage there. 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. It is also worth mentioning that not all PTs are created equal. twice, second time relief only lasted 5 minutes) finally local doc ordered M.R.I. Small. Your shoulder specialist will be able to provide you with specific advice regarding your chance of recovery without surgery, as well as what to expect if you do decide to go down the surgery path. People tend to expect recovery after surgery will take a few weeks. I was instructed to ice pack my shoulder and take it easy. A full-thickness tear, which usually means the tendon is torn from its insertion on the humerus (the most common injury), is repaired directly to bone. 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. However, there are a variety of factors that will need to be considered. I can reach behind my back ok. She did an MRI and said it was tendonosis, and suggested PT. You mention your shoulder makes a popping noise, generally speaking the sound a joint makes is not a good indicator of anything (particularly if the popping noise itself is not accompanied by pain). If the injection does give you pain relief, it may allow you a couple of months without pain to do exercises that can strengthen your rotator cuff and improve the biomechanics at your shoulder in an effort to reduce irritation of the bursa and Supraspinatus tendon. Wish me luck!!! You mentioned rotator cuff and tendonosis like they were different things. (See Fig. Basically, it creates a hole in the tendon. Ongoing serious pain influencing daily life, sleep etc. @anonymous: Hi Kazikp, I am sorry I cannot give you advice over the internet but here is some general information you may find useful. It sounds like you have several concerning symptoms there. Went down a water slide on a mat head first arms supporting my body. That way you can make an informed decision in consultation with advice from your doctor. All the best. The tendon that seems to be most commonly affected is the supraspinatus, although it could also easily be either infraspinatus, long head of biceps, subscapularis or teres minor tendons. Mild surface irregularity of the supraspinatus in keeping with scuffing-mild partial thickness bursal surface tearing. It is difficult to know whether your husband will need surgery based on this information alone. 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. 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???? 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