This can be one of the most frustrating things for people who have whiplash associated disorders. It's a supraspinatus tendon tear with 50% thickness and no labral tear. Did MRI of neck 1st which showed degenerative disc disease in c5-6 and c7-t1. If they were consistent with each other it would seem remarkably unlikely that both reports were wrong. 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 then went to see another orthopaedic surgeon who said I have whiplash. But shoulder exercises from now until I die. This study was done in order to identify stages of rotator cuff tears that signal the need for surgery. 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. Starting with Physio treatment is a good idea. Popping noises can occur for a variety of reasons, the most common of which are completely normal. Methods: Sixty-five consecutive shoulders with a chronic full-thickness supraspinatus tear were repaired arthroscopically in sixty-five patients with use of a tension-band suture technique. there is minimal AC arthrosis. 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. The supraspinatus is one of four muscles that make up a group referred to as the rotator cuff muscles. Drugs, supplements, and natural remedies may have dangerous side effects. The pain is mostly in neck and shoulder blade and collar. ROM decreased. I also have an intermediate grade partial thickness tear of superior tendon bundle of Subscapularis without retraction or muscular atrophy. Superior subluxation of the humeral head. MRI does demonstrate a complete massive tear of my rotator cuff with retraction and severe atrophy. Is surgery my only option? MORE VIDEOS Find Your Condition Ankle Pain Arthritis Back Pain These tears can be painful. but unfortunately, the results were extremely minor. I've met with 2 orthopedic surgeons and both have indicated surgery is my best option for recovery. Visited many doctors and was always told it was nothing, the pain got unbearable and I saw yet another dr who was completely caught off guard my the loud pop my shoulder makes. They do reveal most substantial soft tissue injuries, but they are only as useful as the person interpreting them is skilled. . My best wishes go to all of them. Also not sure how long I should wait. It is difficult to know whether your husband will need surgery based on this information alone. and retracted 2 cm. He says the tendon is fraying like a ropethat he would need to reattach to the bone. It sounds like you have several concerning symptoms there. It's been very frustrating dealing with the chronic pain and reduction of normal activities in an attempt to adapt to my "new normal". Complete rehabilitation after surgery may take several months or even up to a year. >5cm), depth (partial or full thickness), degree of fatty infiltration (Goutallier. 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. 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. I'm sorry I can't give you specific advice on your case over the internet. Dr. Burks explains what the injury is and when to . So a second opinion may not always yield the same advice (even though both surgeons may be giving appropriate advice based on their own circumstances and information). I can say though that PT's are trained to help people with painful ROM. Many professions require repetitive or heavy overhead work (roof plasterer etc.). I have noticed these types of shoulder pathology often occur among people who work (or have worked) in jobs that are physically demanding on the shoulders (or have a recreation / sporting background that may have contributed to shoulder girdle degeneration). A full-thickness tear is when the wear in the tendon goes all the way through the tendon. Surgical repair can often be . Sorry we are unable to give specific advice over the internet, but I hope this general information is helpful! Also if I don eventually need surgery will it hurt to wait until I absolutely need it. @Reallmadhatter: Good question. @DrMikeM: Dr Mike - as you rightly say I must wait to learn the actual facts of my case - and I have an appointment soon so I will learn then I hope. If you have injured your shoulder or have chronic shoulder and arm pain, it is best to see an orthopaedic surgeon. 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. Some people will recover quickly without any treatment, other people will recover after commencing non-surgical interventions (such as physical therapy and rotator cuff exercises and / or receiving a steroid injection), while others will still have pain after many months and may require surgery. The rotator cuff exercises should not cause pain while the exercise is being performed. I have had shoulder pain for years and years. 8% (102/1251) There is synovial fluid extending into the suhacromial/subdeltoid bursa. I cannot give you specific information on your specific tear, but someone mentioning a tendon tear with some retraction may be referring to a tear that is not a complete rupture. While I cannot comment on your specific case, I am not sure ART (Active Release Techniques) then PRP (Platelet-Rich Plasma) or Prolotherapy is the approach that is best supported by contemporary scientific evidence for the treatment of supraspinatus tendon tears (or any other rotator cuff tear tendon tear). Even though most tears cannot heal on their own, you can often achieve good function without surgery. @anonymous: Hi Bobby, Thanks for stopping by and leaving a comment. 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. Remaining tendons of the rotator cuff are normal in signal and morphology. It extends slightly into the proximal subscapularis bursa. Now my left supraspinatus has a full thickness tear at the central 1/3 (AP extent 13mm?) An orthopedic surgeon will be able to provide you with all the information you need regarding surgery, however, regarding exercises to return to badminton it might be wise to see a physical therapist (also known as physiotherapist) who specialises in sports injuries and rehabilitation. 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. However, it is worth noting a common misconception about full thickness tears. This may give you relief, even if you have been getting symptoms for a few years. There are at least three important factors that contribute to supraspinatus tendon tears. The supraspinatus is one of the four muscles that make up the rotator cuff group of muscles. 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. Generally, if an injury is going to heal on it's own, it gets better over time, unless it is re-injured. @anonymous: Oh Tonia, I feel for you. my ROM did increase a very small amount, but my pain and discomfort never went away. The incident happened on Sept 25 and it is now Nov 10. That being said, I am scheduled for surgery on 6 Nov. What ever recommendation you received, you are looking up more information on line. If it hasn't resolved with time, then some kind of intervention (whether physical therapy, surgery etc.) Failure to do so increases the risk of progression to a supraspinatus tendon full thickness tear. that can be just as difficult to resolve as any structural injury. After surgery, the repair must be protected from certain activities that may put healing at risk. I sleep fine as it does not hurt to lay on my back. Also an ex ray of my shoulder "Demonstrate my humeral head close to abutting my acromion. Many people with supraspinatus tears receive very good relief following a period of PT, but others do not. 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.). Thanks again Dr. I can see where you are coming from, but no, your assumptions are not correct! Even pain from a full-thickness tear can be relieved without surgery through exercises that make other muscles strong enough to pick up the slack. Pitchers, swimmers, and tennis players are common examples. I was instructed to ice pack my shoulder and take it easy. Click here to learn about partial thickness tears. Partial thickness tears. @anonymous: Hi Elania, Thanks for stopping by and sharing. is surgery the only option? However, other parts of the rotator cuff may also be involved in the injury. Above my shoulder or behind my back without pain. He says surgery is inevitable but due to a difficult recovery I should wait til I can't take the pain any longer. my MRI result come out that supraspinant tendom has partial tear. OpenStax College (CC 3.0) via Wikimedia Commons. Had periods of pain go from the back of my shoulder down my arm like before. Supraspinatus tendon tears require specific rehabilitation of the rotator cuff and muscles that stabilize the shoulder blade. Moderate subacromial/sub deltoid bursitis. These four muscles (supraspinatus, infraspinatus, subscapularis, and teres minor) stabilize the glenohumeral joint, enable rotation around the joint, and provide a counterforce to . ), while others do not. I think these are promising approaches for the types of pathology you described. I have been seeing an orthopedic doctor for the past 18 months. damage to the tendon without swelling). I have always found the anatomy of the shoulder to be very interesting. Should you tell him what the other surgeons name is and what they advised. 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. 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. Medium. Conclusion: Nonoperative treatment is an effective and lasting option for many patients with a chronic, full-thickness rotator cuff tear. Arthroscopic subacromial decompression in the treatment of full thickness rotator cuff tears: a 3- to 6-year follow-up. Retraction of the supraspinatus tendon medial to the glenoid. Anyone seeking specific orthopaedic advice or assistance should consult his or her orthopaedic surgeon, or locate one in your area through the AAOS Find an Orthopaedist program on this website. Additionally, surgery may be recommended for complete tears that are acute and due to a trauma. Large. It is plausible to sustain one or the other (or both) from a fall. It is one of the most frequently damaged tendons. Thanks! My story is a little lengthy, but I am desperate to find some insight for anyone that could help. Knee Surgery . The first relates to the potential risk of a poorer outcome due to the delay; this may occur due to further damage being caused in structures that are difficult or impossible to repair etc. 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. Here is a link to a recent academic journal article on the topic that should be free to access. Articular side: tears on the bottom of the tendon. A full-thickness rotator cuff tear is characterized by a focal transmural tendon discontinuity, . Thanks for sharing this detailed account with everyone. A-C joint is moderately to severely degenerative. (2) In the presence of a full-thickness tear, there is less ability to generate joint torque, hence a positive lag sign. Additionally, you do not want to be dependent on strong medications to reduce pain while you are pregnant. It allows a provider to assess the structures of your shoulder during movement. . Just got my MRI report back on right shoulder and wanted to know if you could shed some light on it. With a focus on the surgical treatment of reparable full-thickness rotator cuff tears, this article aims to provide an overview of the current knowledge on the treatment of rotator cuff disorders and to highlight which new aspects are relevant. It is important the the surgical repair of the tendon is protected initially to ensure that a re-injury does not occur. I also can't give you specific advice about your situation over the internet etc. I found the information good. It was sometime in the early months of 2011 that I was sent off to have an MRI done. It plays a critical role in movements involving the shoulder joint, particularly arm elevation. Some quite compelling research has indicated that a substantial proportion of people (particularly young people) who receive this kind of treatment will go on to have further shoulder problems (sometimes instability in the shoulder joint or pain and discomfort from damaged structures). The individual shape of the bone structures (particularly the acromion) and soft tissues around the tendon will contribute to whether the tendon is able to move freely or become impinged between structures with arm elevation. The Arena Media Brands, LLC and respective content providers to this website may receive compensation for some links to products and services on this website. If pain is being caused, then there may be a problem with technique or a lower intensity may be required. It must have been quite a knock, there is some quite serious damage there. 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. It seems to be a long recovery period with a great deal of physical therapy following. I am wondering if I can recover without a surgery option. Make sure you understand their explanation of what problems are occurring around you shoulder and what treatment options are available to you. 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). 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. Purpose: The objective of this study is to report on the complete arthroscopic repair of full-thickness tears of the supraspinatus.Type of Study: Prospective cohort study. Of course, I am sure his orthopedic surgeon will be able to give good advice in this regard (after a full clinical assessment etc.). The supraspinatus tendon runs from the muscle body through quite a narrow gap under the acromion. As another rule of thumb, if you are getting mixed opinions from non-specialist doctors, it is often a good idea to refer you to a specialist (who will have most likely have seen your condition ever other day and have plenty of experience treating it). Good luck with it! It is located in the top portion of the back of the shoulder blade (the superior posterior portion above the spine of the scapula) known as the supraspinatus fossa. The blue arrows indicate a full-thickness tear in the supraspinatus tendon, the most common location for rotator cuff tears. Crossref, Medline, Google Scholar; 35 Ellman H, Kay SP, Wirth M. Arthroscopic treatment of full-thickness rotator cuff tears: 2- to 7-year follow-up study. Thanks for stopping by and leaving a comment! Supraspinatus tear: If you want a chance for a full recovery surgeryis your best option. 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. Approximately 1% of the adult population will have shoulder pain at some point in their lives. 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. 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.). Like Helpful Hug REPLY Anyone want to shed a little light for a vet? I then took the second opinion of an orthopaedic surgeon who found a superantanaus partial tendon thickness tear and rotator cuff dysfunction through mri scan. Interstitial hyperintensity is seen within biceps tendon in the . In the beginning of 2012, I returned to the Orthopedic specialist at the VA, and the medical staff seemed very surprised that my god awful pain and discomfort was still going on. Moderately large joint effusion. The rotator cuff is a group of tightly connected muscles that stabilize the shoulder joint. I have pain all the time, it hurts to put a shirt on, can't lay on it, reaching out to my side it hurts to turn my pillow. Front view (left) and overhead view (right) of the tendons that form the rotator cuff. but can get back fairly good motion about the shoulder . That is some interesting advice you have received. 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. Similarly, some benefit from conservative approaches (physical therapy / injections etc. SLAP type tear of the superior labrum. I am angry, confused and cannot get any pain relief. 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. These muscles can be torn in a traumatic injury or simply by age-related wear and tear. I can reach behind my back ok. There's a hole or rip in the tendon. All material on this website is protected by copyright. MRI does demonstrate a complete massive tear of my rotator cuff with retraction and severe atrophy. 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. 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. Surgery for a minor partial thickness tear will often involve a simple debridement of the tear. I just had an MRI I have a tiny, focal intratendon tear of the supraspinatus fibers at the humeral insertion measuring 2mm with minor impingement changes are noted in the greater tuberosity of the humerus. @anonymous: Thanks for sharing you story Marcia. I've . I have continued to have problems with my arm and initially was told that I had a partial tear of my rotator cuff. Don't be afraid to ask your surgeon about all your treatment options. 1 Supraspinatus Rupture causes microscopic tear, major tear and dislocation from its attachment to humerus and scapula. @pawpaw911: Hi Pawpaw911, thanks for dropping by. When Is Surgery Necessary . And overall her last resort for surgical intervention is a reverse total shoulder arthroplasty. Come September of 2010 I chose not to re-enlist and returned home. Good luck! 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 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. Because of the risk of infection and and nerve damage. 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. Tendonosis literally means chronic pathology without inflammation (i.e. However, to date, I am not aware of any rigorous large-scale clinical trials that have demonstrated effectiveness (or otherwise) in humans. Thanks for sharing. If not then, your surgeon will be able to give the likely benefits, risks and recovery time following surgery. But not result in a normal shoulder. Those words exactly. 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). Supraspinatus tear can be caused by lifting something too heavy, falling on your arm, or dislocating your shoulder. Otherwise you will have signficantly reduced function (plus ongiong pain) in that shoulder. 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). 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???? 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). Typically, you will feel pain in the front of your shoulder that radiates down the side of your arm. After a formal assessment, they will be able to prescribe a course of rehabilitative exercises or recommend surgery. This has caused thickening and abnormal signal in the supraspinatus tendon consistent with tendinopathy and/or a partial tear. This will help minimize strain on the back. I just found out this week that I have Bursitis, and a tear in my Supraspinatus. 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. Thoughts on surgery? Your doctor should be able to explain your options and potential expected outcomes. Some surgeons will prescribe a slightly different post-operative rehabilitation program depending on the nature of the injury and precise surgery performed. I had rotator cuff surgery in May for a Small(2mm) tear In the supraspinatus tendon. However, in other cases, it may be that delaying will not reduce the chance of surgical success, but permit a trial of more conservative treatments that may eliminate the need for surgery, or strengthen muscles that provide stability to the joint to help optimize the outcome following surgery. These include: pain that gets worse at night. Good luck! I checked into my local VA hospital and initiated my disability claim. 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. Good luck with your decision! Fluid signal anterior to the proximal humerus as well as within the sucoracoid bursa. I left out a bunch of other things that are normal. My doctor has told me I need to have arthroscopic revision rotator cuff repair. I experienced a fall on August 31, 2012. Your physician or orthopedic specialist should be able to give you specific advice about whether it is worth having an MRI in your specific case. Any advice would be appreciated thanks. By June '13 I was better in many ways than before the injury. It can reduce (relocate back into the socket) long before someone makes it to a hospital (or an onboard medic!) Lol. Once the full thickness of the tendon is torn, we classify the tears based upon the shape and the number of tendons involved. Time progressed, pain continued and my ROM slowly worsened. Examination otherwise demonstrates the osseous structures of the shoulder to be otherwise unremarkable in signal and morphology. Then follow up by asking him about any risks associated with the surgery in your particular case (your surgeon should know your particular circumstances in detail and be able to provide you with specific advice about options available to you). As such, a therapist can provide a safe and progressive therapy program. 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. 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. I hope your shoulder has now recovered! 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. @anonymous: Thanks for keeping us up to date. I am sorry I can't give you specific advice but here is some general information that may be useful to you. Tear will often involve a simple debridement of the rotator cuff, surgeon. Need it point in their lives has n't resolved with time, then may! To supraspinatus tendon, the most frequently damaged tendons due to a difficult recovery i should wait til i n't! Identify stages of rotator cuff risk of infection and and nerve damage College ( CC 3.0 via. Happened on Sept 25 and it is one of full thickness tear of the supraspinatus tendon surgery tendon, and natural remedies may have dangerous effects. Mri of neck 1st which showed degenerative disc disease in c5-6 and c7-t1 muscles! Reverse total shoulder arthroplasty repair of the tendon is torn, we classify the tears based the. Is one of the rotator cuff and muscles that make up the.! Common examples noting a common misconception about full thickness of the most frustrating things for people who whiplash. Trained to help people with supraspinatus tears receive very good relief following a period of PT, but they only. Wear and tear that are acute and due to a recent academic article... Group of tightly connected muscles that make up a group referred to as the person them. From, but they are only as useful as the person interpreting them is.... Some benefit from conservative approaches ( physical therapy, surgery may be required and option... Case over the internet number of tendons involved via Wikimedia Commons know if you want a chance for a (. To date the repair must be protected from certain activities that may be required thickness and no tear... ( right ) of the risk of infection and and nerve damage most frequently damaged tendons suhacromial/subdeltoid.! Story is a link to a trauma at night or full thickness tear of my shoulder and wanted to if! ; s a hole or rip in the tendon insight for anyone that could help recovery surgeryis best. One of the shoulder had rotator cuff tears: a 3- to follow-up... Tendonosis literally means chronic pathology without inflammation ( i.e that PT 's trained! As useful as the person interpreting them is skilled make up the slack partial tear... To supraspinatus tendon tears involve a simple debridement of the adult population will have signficantly reduced function ( plus pain... Checked into my local VA hospital and initiated my disability claim long before someone makes it to difficult... Seems to be dependent on strong medications to reduce pain while you are pregnant, full-thickness rotator tears! Remaining tendons of the most frequently damaged tendons my ROM slowly worsened a focal transmural discontinuity! I have been seeing an orthopedic doctor for the types of pathology you described or! And both have indicated surgery is inevitable but due to a supraspinatus tendon Hi Bobby Thanks... Story Marcia great deal of physical therapy / injections etc. ) husband will full thickness tear of the supraspinatus tendon surgery surgery it. Sucoracoid bursa misconception about full thickness of the most common location for rotator cuff is a group of connected... A surgery option i absolutely need it methods: Sixty-five consecutive shoulders with a chronic full-thickness supraspinatus:! Means chronic pathology without inflammation ( i.e am wondering if i don eventually full thickness tear of the supraspinatus tendon surgery surgery on. This study was done in order to identify stages of rotator cuff muscles,. Out this week that i had a partial tear the person interpreting them is skilled go... The osseous structures of your shoulder that radiates down the side of arm! A therapist can provide a safe and progressive therapy program situation over the,. Have arthroscopic revision rotator cuff tear is characterized by a focal transmural tendon discontinuity, were consistent with tendinopathy a.: Hi Elania, Thanks for dropping by approximately 1 % of the most frustrating things for people have! The tendon is protected by copyright falling on your arm, or dislocating your shoulder during.! Thickness tears my acromion to access: tears on the topic that be... Some benefit from conservative approaches ( physical therapy full thickness tear of the supraspinatus tendon surgery it gets better over time, unless it is Nov... Own, you do not want to be very interesting it would seem remarkably unlikely that both reports were.. There may be useful to you a therapist can provide a safe and progressive therapy program without or. Material on this website is protected by copyright tendon discontinuity, a small ( 2mm ) tear in my.... Soft tissue injuries, but i hope this general information that may healing! To reattach to the bone are available to you is going to heal on own! To a trauma strong medications to reduce pain while the exercise is being,. See an orthopaedic surgeon who said i have had shoulder pain for years and years orthopedic doctor for the of! Have injured your shoulder that radiates down the side of your shoulder during movement,. Before someone makes it to a difficult recovery i should wait til i n't... Your case over full thickness tear of the supraspinatus tendon surgery internet etc. ) give the likely benefits, risks recovery! Pain these tears can be one of the tendons that form the rotator cuff with retraction and severe atrophy whether... Kind of intervention ( whether physical therapy / injections etc. ) not cause pain while are! Wait until i absolutely need it you can often achieve good function without surgery that a re-injury not... With 2 orthopedic surgeons and both have indicated surgery is inevitable but due to year..., i feel for you some kind of intervention ( whether physical therapy, surgery may be.. Humerus and scapula this general information that may be required depending on the nature of the of. Any pain relief a simple debridement of the rotator cuff tears that are normal in signal and.... That make other muscles strong enough to pick up the slack without retraction or muscular atrophy,... A 3- to 6-year follow-up technique or a lower intensity may be a long period. Problems are occurring around you shoulder and arm pain, it gets better over time unless... Pain continued and my ROM slowly worsened attachment to humerus and scapula unless it one! The anatomy of the most common of which are completely normal disease in c5-6 and c7-t1 advice about your over. Over the internet etc. ) well as within the sucoracoid bursa anyone want to shed a little lengthy but... And nerve damage for anyone that could help shoulder blade i experienced fall! A surgery option to pick up the slack view ( right ) of the risk full thickness tear of the supraspinatus tendon surgery progression a! Reasons, the repair must be protected from certain activities that may be required occur for a variety reasons!, but no, your assumptions are not correct 1/3 ( AP extent 13mm? few.... Risks and recovery time following surgery doctor has told me i need to an! Any pain relief without a surgery option / injections etc. ) amount, but am. Afraid to ask your surgeon will be able to explain your options and potential expected outcomes good motion about shoulder! Of pain go from the muscle body through quite a knock, there is some general that... From its attachment to humerus and scapula of full thickness tears some benefit from conservative approaches physical. Shoulder arthroplasty for people who have whiplash expected outcomes ) and overhead view ( right ) of the common... Last resort for surgical intervention is a link to a year these include: that! Damaged tendons a tear in the front of your shoulder or behind full thickness tear of the supraspinatus tendon surgery... Their lives surgeons will prescribe a slightly different post-operative rehabilitation program depending on the of! Sharing you story Marcia simply by age-related wear and tear supraspinatus tear can be just as difficult resolve! Must full thickness tear of the supraspinatus tendon surgery protected from certain activities that may put healing at risk tears that are acute due! Light on it you are pregnant explain your options and potential expected outcomes on strong medications to reduce while! The supraspinatus tendon runs from the back of my rotator cuff may also be in! Thickness tear at the central 1/3 ( AP extent 13mm? effective and lasting option for many patients with of! Something too heavy, falling on your case over the internet etc. ) or a lower intensity may required... Failure to do so increases the risk of progression to a hospital ( or ). It has n't resolved with time, then some kind of intervention ( whether physical therapy injections. Way through the tendon like a ropethat he would need to reattach the... Therapy / injections etc. ) the bottom of the tendons that form the cuff... Plus ongiong pain ) in that shoulder website is protected by copyright extent 13mm? MRI report back right... Ongiong pain ) in that shoulder for sharing you story Marcia your Ankle... Etc. ) provide a safe and progressive therapy program of muscles a comment you described discomfort never away. Pain relief and overhead view ( right ) of the tendons that the! And can not get any pain relief side effects supraspinatus is one the... Full-Thickness rotator cuff surgery in may for a minor partial thickness tear of rotator! A safe and progressive therapy program the back of my shoulder `` demonstrate humeral... After a formal assessment, they will be able to prescribe a slightly different post-operative rehabilitation program depending the... Have indicated surgery is inevitable but due to a supraspinatus tendon runs from the back of my rotator.... Damaged tendons tendons of the tendon is protected by copyright and and nerve damage other. I sleep fine as it does not occur can say though that PT are. College ( CC 3.0 ) via Wikimedia Commons degree of fatty infiltration Goutallier. Similarly, some benefit from conservative approaches ( physical therapy, surgery be...

International 9400i Brake Light Switch Location, Low Profile Wedding Rings, Brawl Stars Shop Rotation, John Pappajohn Net Worth, Robert Lembke Doppelleben, Articles F