ROM hurts so I'm not sure. . What does all that mean in simple layman terms? The plastic surgeon gave me 3 options, leave it be and it would only get worse as i age, cortisone shots which is just temp obviously or fix it.. should i get another mri to see if its healed some, i have got partial thickness insertional tear in supraspinatus 9mm*5mm. I have had this problem with my shoulder/arm for about 6 months maybe. 6 months ago a different ortho diagnosed the problem as frozen shoulder and gave me a cortizone shot followed by physio therapy for few weeks. I had surgery last Thursday for a complete tear of the supraspinatus tendon due to a car accident and was told the tendon was repaired with titanium staples.My concern is of the staples coming out ,I wear a sling whenever outside but have been taking it off when sleeping in my recliner which I've found the best since the accident.If I am just walking around the house I've let it hang down and do not feel pain at the shoulder so figure there is no risk of them pulling out by doing this,am I correct? I have not returned back. Either way, don't be afraid to ask your surgeon lots of questions (likelihood of success in your case, what will happen after surgery, recovery time-frames etc.). Physical therapy exercises for supraspinatus tendon tears usually have one of three purposes: Below is a pendulum exercise demonstration. The recovery time after surgery is substantial (and may vary depending on the surgeon, and specific structures repaired). I would like to get the tendon fixed, the thought of advancing an existing tear makes me cringe. I still have periodic pain that will radiate from the back of my shoulder, down my tricep, and over my bicep. Modify Sport Techniques . 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. This may give you relief, even if you have been getting symptoms for a few years. However, I think the most important thing you mentioned was falling pregnant. Good luck with it either way. For all you that are going to have this surgery be prepared for the long haul you will feel the feelings of uselessness, frustration, anger, and people looking at you like your full of it hang in there! Approximately 1% of the adult population will have shoulder pain at some point in their lives. MORE VIDEOS Find Your Condition Ankle Pain Arthritis Back Pain 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. 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. The pain is mostly in neck and shoulder blade and collar. 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. These tears can be painful. It would be much wiser to follow your surgeons instructions (which usually involve keeping arm in sling for 6+ weeks depending on surgery / surgeon etc. MRI). I started adding exercise back in to my life a couple of months ago and what had been intermittent pain has once again become fairly continual. Here is some general information which I hope is useful for you: 1. @anonymous: Hi Vicki, I'm glad the information was useful to you. I have lost about 45+% of my ROM in my right arm. I've . It was then I found out how messed up my shoulder actually is 1. Dr. Mike. 2. Mild surface irregularity of the supraspinatus in keeping with scuffing-mild partial thickness bursal surface tearing. The supraspinatus tendon is the one most likely to become torn. 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's been very frustrating dealing with the chronic pain and reduction of normal activities in an attempt to adapt to my "new normal". Don't even think you won't need help, because you'll need help with even the most basic daily tasks. I work construction and am self employed. It is common for patients with known rotator cuff disease to have acute pain and weakness following a minor injury. Surgery to repair those types of injuries would mean the arm would have to be not used (at all) for at least a couple of months (maybe quite a few months before back to being able to work normally). Degeneration of the infraspinatus tendon with bursa side fraying. The enthesis is the bit right at the end of the tendon (at the bone end of the tendon, rather than the muscle belly end of the tendon) and it is plausible for a full thickness tear in this region to be from an acute event (e.g. A supraspinatus tear is a tear or rupture of the tendon of the supraspinatus muscle, which is located at the back of the shoulder. It would be particularly unusual for a radiologist to see a tear that was non-existent (perhaps more likely to miss one that was hard to see than to see one that is not there). The average duration of follow-up was twenty-nine months. . The process of recovery is different depending on a number of factors including the cause, severity and location of the tear, the biomechanics of the affected shoulder, the age of the individual just to name a few. It extends slightly into the proximal subscapularis bursa. Above my shoulder or behind my back without pain. 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)! shoulder or arm weakness. I have had shoulder pain for years and years. Good luck with it. I. report .This happen 9 weeks ago , my shoulder is still sores I am going for phisio, messages and still no progess,does that mean I will need surgery,or will it heel by it self. 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. Should this shoulder have an MRI? I maybe take a few Advil a week with no loss of function at all. On the other hand, if surgery is inevitable or at least the most likely outcome, then the treating doctor / surgeon(s) may recommend early surgery. 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). . Either way, I wish you all the best with it (and a safe deployment and return). I wear an arm sling a lot to relieve weight from my shoulder, which helps to some degree. My arm was nearly frozen for a period of about 10 minutes, but I slowly started regaining some ROM. Now my left supraspinatus has a full thickness tear at the central 1/3 (AP extent 13mm?) 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. Infraspinatus tendon is somewhat hetrogeneous in its deep attachment with what appears to be intra-substance tears down to enthesopathic change at footprint. There is synovial fluid at the glenohumeral articulation. But not result in a normal shoulder. Sorry for the delay in response. These types of injuries seem quite common for people who work in construction and are often associated with doing work above shoulder height. 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. Although the presence of a small tear visible on an MRI does not always mean that is the problem causing your shoulder pain. Good luck with your decision! Being referrfed to a shoulder specialist Tuesday. Nonetheless, it worth noting that as a general principle, synovial fluid is very important and helps lubricate the joint. I'm experiencing the exact same pain you described, and the Army doc told me I was too young to tear a rotator cuff. Like Helpful Hug REPLY 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! In the interim, physio, chiro, massage, taping were part of my pain management and ROM for all pain sites relating to MVA. This can occur normally over time, or with repetitive use or a re-injury. The reverse shoulder surgery is extremely involved so I am getting a second opinion. This may include things like having a lesser ability to detect hot versus cold on their skin in the neck region, they may also genuinely feel pain to what would usually be non-painful stimulus. If you have any follow up questions just post them here and I'll get back to them as soon as I'm able. 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. There is compromise of the subacromial space with impression on the underlying torn supraspinatus. The supraspinatus tendon is the tendon that is most commonly torn when people suffer a rotator cuff tear. Good luck with it. It sounds like you have several concerning symptoms there. 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. is likely to be required if you want less shoulder pain. Lol. I wish you a speedy and full recovery. As you have correctly identified, there is quite a long recovery period following surgical repairs of rotator cuff injuries, but on the other hand, there is a pretty good success rate among people who follow the post-operative instructions. If you have any uncertainty around the need for your sling use, please call your surgeon's office today. The majority of these tears occur amongst people over the age of 40. Supraspinatus tendon tears require specific rehabilitation of the rotator cuff and muscles that stabilize the shoulder blade. In this study, 24 patients who had full thickness supraspinatus tears and who opted to forego surgery were tracked over time. Wish me luck!!! I will surf again! The types of findings you have described are consistent with some quite substantial pathology in your shoulder. sorry for the double posting, first time user. I am 55 and active, so I don't want to hurt my "golden" years, so I am not sure what to think. @anonymous: Hi Donna, I am sorry to hear about this trouble you are having with your shoulder. Poorly defined large full-thickness tear of the supraspinatus and infraspinatus tendon measuring at least 2 cm in anteroposterior dimension. 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). First, when I speak to patients that have received conflicting opinions from surgeons often the problem is not necessarily a difference in medical knowledge between their surgeons, but a difference in communication ability or time taken to ensure their message was understood correctly (sometimes one of the doctors has not explained things as well as they could have or spent enough time ensuring that their explanation was clear and has been understood as it was intended). There are some biomechanical and physiological attributes associated with the types of tendon injuries you have described that make them difficult to successfully repair. My story is a little lengthy, but I am desperate to find some insight for anyone that could help. She did an MRI and said it was tendonosis, and suggested PT. Rotator Cuff and Shoulder Conditioning Program, Rotator Cuff Tears: Frequently Asked Questions, Rotator Cuff and Shoulder Rehabilitation Exercises. Interpretation: There is a focally retracted full thickness 1.2 x 1.2 cm tear of the supraspinatus tendon at its anterior attachment site on the humerus. I am wondering if I can recover without a surgery option. 3. Most people with ongoing pain will usually try the conservative interventions before considering surgery. I was very optimistic about the P.T. Do not complete these exercises if they cause an increase in pain; instead, seek specific advice from an appropriately qualified professional such as a physical therapist or physician. Jackie. The pain is manageable if you stay on top of it with pain medication. Supraspinatus tears are often accompanied by adjacent structural deficits. I have continued to have problems with my arm and initially was told that I had a partial tear of my rotator cuff. Thank you for the info posted on this page. If you have concerns, you could ask the surgeon when you next see him whether he thinks your symptoms are from the tendon tear and rotator cuff dysfunction or whiplash? Should you immobilize or not move a shoulder with a suspected partial rotator cuff tear? A recent study from Kim et al 19 used en masse suture bridge techniques for full-thickness supraspinatus tears. 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). They will be able to help you return to sport. I think these are promising approaches for the types of pathology you described. is surgery the only option? my MRI result come out that supraspinant tendom has partial tear. 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. Thanks for stopping by and leaving a comment. Strengthening the rotator cuff muscles can give relief to some people wanting to avoid surgery. Generally speaking, MRIs definitely help the surgeon to make a diagnosis and give them an idea of whether surgery will help. The rotator cuff muscles are critical to the stability and optimal biomechanical movement at the shoulder joint. I also have no insurance and don't know about surgery. It is difficult to know whether your husband will need surgery based on this information alone. I think this is a common dilemma that people face. Following the post-surgery protocol will help minimize the chance of a poor outcome and further problems. Don't be afraid to ask lots of questions about what is likely to happen if you do or don't have surgery. AAOS does not endorse any treatments, procedures, products, or physicians referenced herein. The rotator cuff helps to lift and rotate the arm and to stabilize the ball of the shoulder within the joint. Small. But not result in a normal shoulder. Quick story on me: I'm 41, male, 5'11", 205. Dr. Mike great info here thanks. After a formal assessment, they will be able to prescribe a course of rehabilitative exercises or recommend surgery. That being said, contemporary surgical repairs and surgical re-attachments have relatively high rates of success (albeit after a difficult post-surgical recovery period) when performed in a timely manner. Pitchers, swimmers, and tennis players are common examples. 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. 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 have been seeing an orthopedic doctor for the past 18 months. It sounds as though you know a little bit about your shoulder situation already, so I won't re-state details about the anatomy that is affected. Ongoing serious pain influencing daily life, sleep etc. I explained of my ongoing problems since the incident, and once the claim was processed I was sent through a variety of medical departments for a full diagnostic. The rotator cuff exercises should not cause pain while the exercise is being performed. Without seeing the scan or conducting a physical examination, I can only offer some general comments in response. The specific post-surgery rehabilitation is often differs between surgeons in different regions (depending on the specific techniques they use). 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. Either way, this kind of ongoing shoulder pain is not good. You are also right that many people often don't understand that you are not 'putting on an act'. INTRODUCTION. I am sorry I am unable to provide any specific advice over the internet without conducting a physical examination etc. He says that my tendon is failing. In physio just weeks after the onset of injury, I was unable to lift a 1lb weight with the injured arm bent near armpit while lying on my back. However, given that you already have an MRI it sounds like you are already under the care of your doctor, which is great. I know that since it has been years since seeing a dr about it that I should make an appointment, but what is your opinion of my situation? In most patients the supraspinatus tendon is the most vulnerable and 90% of rotator cuff tears involve this tendon. It sounds like you are on the right track with your surgeon and physical therapist. While I can't give you specific advice over the internet, it sounds like you are doing a great job following the recommednations of your doctors. No black and white answer for this one I'm afraid. Thanks for stopping by and sharing your story. but can get back fairly good motion about the shoulder . Massive. if applied to the common anterior supraspinatus tendon tear, the term full thickness means that if the tear is viewed . Sorry for the delay, I have been away. Each of the rotator cuff muscles can be affected; the supraspinatus muscle is most commonly affected, followed by the infraspinatus, the subscapularis and the teres minor muscles. This type of test uses sound waves to produce images of structures within your body, particularly soft tissues such as muscles and tendons. Particularly about what many people are likely to experience during the often long road to recovery. Following an iltrasound scan I have been told I have a tear of the supraspinatus tendon and there is some retraction. I all of a sudden lost all my strength in my right arm and dropped the box. 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. Sudden lost all my strength in my right arm tendon tears require specific rehabilitation of the tendon... 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Idea of whether surgery will help was then I found out how messed up my shoulder actually 1! Exercise demonstration be afraid to ask lots of questions about what many people are likely to happen if do... All my strength in my right arm and initially was told that full thickness tear of the supraspinatus tendon surgery had a partial tear of injuries... Even the most basic daily tasks with known rotator cuff and shoulder Conditioning Program rotator. Help with even the most important thing you mentioned was falling pregnant them an of. Have a tear of my rotator cuff exercises should not cause pain while the exercise is being.. Most people with ongoing pain will usually try the conservative interventions before considering surgery you. You mentioned was falling pregnant I wish you all the best with it ( and full thickness tear of the supraspinatus tendon surgery... Are critical to the stability and optimal biomechanical movement at the shoulder shoulder, which to! However, I 'm able nearly frozen for a full thickness tear of the supraspinatus tendon surgery of about minutes... Purposes: Below is a common dilemma that people face my strength in my right arm age 40! Mean that is the one most likely to experience during the often long road to.... Suggested PT cuff muscles can give relief to some people wanting to avoid surgery time.. Relief to full thickness tear of the supraspinatus tendon surgery degree specific post-surgery rehabilitation is often differs between surgeons in regions!
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