Pain can also be brought on by laying on the side. Mary Kay. @anonymous: Hi Kazikp, I am sorry I cannot give you advice over the internet but here is some general information you may find useful. Because of the return of the recent pain, a another MRI was ordered and the Radiologist wrote: "1. SLAP type tear of the superior labrum. My doctor has told me I need to have arthroscopic revision rotator cuff repair. !!! is surgery the only option? It is difficult for me to comment further based on this information. 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. 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). I am really concerned about success rates for revision surgery. If you know you have a rotator cuff tear, worsening pain and decreasing strength may mean the tear is getting larger. Ongoing serious pain influencing daily life, sleep etc. If the ball is popping out of the joint (dislocating), then that is a major concern (but this usually doesn't occur without trauma)! A partial tear may require only a trimming or smoothing procedure called a dbridement. For awhile I was able to get my arm somewhat back to normal but wilh slight aching. There is synovial fluid at the glenohumeral articulation. and still end up with an unexpected problem. @anonymous: Thanks for sharing you story Marcia. Good luck! However, I can just mention some general information that may be of interest. Always been natural. I would make sure your surgeon knows you are planning on falling pregnant within the next 12 months. 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. 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. For most of my life I trained with bodybuilding-style workouts 4 or 5 days per week. Seek immediate help if you are experiencing a medical emergency. I'm sorry I can't give you specific advice about whether you will need surgery or not over the internet. A moderate size full thickness tear . 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. 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). The MRI report says: 1. very large, nearly complete tear of the supraspinatus tendon from the tendon insertion with 1cm retraction of tendon fibers. I do not want a metal shoulder. INTRODUCTION. Whiplash is more difficult to detect with common imaging approaches, like an MRI, than supraspinatus tendon tears. What does he mean by my tendon is failing? I also have an intermediate grade partial thickness tear of superior tendon bundle of Subscapularis without retraction or muscular atrophy. 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)! I've only got a couple of minutes, so I'll keep this short. I tried to figure out what the onset was, but could never figure it out, it just seemed completely random. . When I visit my DR. what are the thing I need to be aware for the diagnostic? but can get back fairly good motion about the shoulder . @pawpaw911: Hi Pawpaw911, thanks for dropping by. Your orthopedist may now be recommending a rotator cuff surgery or management with non-surgical methods. Did MRI of neck 1st which showed degenerative disc disease in c5-6 and c7-t1. In layman terms, I would say this means your supraspinatus tendon has probably been irritated for quite a while, and has a small tear near where it attaches to the bone (but tendon is currently still attached). This article discusses shoulder impingement, rotator cuff rehabilitation exercises, and surgical considerations relating to rotator cuff tears and the supraspinatus tendon in particular. I have always found the anatomy of the shoulder to be very interesting. Articular side: tears on the bottom of the tendon. ), a shoulder x-ray may not reveal anything conclusive. 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. 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. The types of findings you have described are consistent with some quite substantial pathology in your shoulder. I sleep fine as it does not hurt to lay on my back. However, some people will never experience the same level of recovery without the surgery. 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. 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 a referral to a specialist and hopefully I will have some answers soon. There are many sub-types of SLAP tears and varying severity. 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 incident happened on Sept 25 and it is now Nov 10. Also can I try a more Conservative approach and see a phy therapist that specializes in shoulders before any surgery. indications. 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. The reverse shoulder surgery is extremely involved so I am getting a second opinion. . The results showed a "partial tear of the supraspinatus tendon, with large swelling and irritation". Full thickness tears are the complete disruption of the fibers of the supraspinatus muscle, and generally require a more aggressive treatment plan and surgery. Conclusion: Nonoperative treatment is an effective and lasting option for many patients with a chronic, full-thickness rotator cuff tear. MRI states high grade articular surface partial thickness tear of the posterior spinatus tendon without retraction or atrophy. ; 2. In September '12 I had surgery to reattach both the right rotator supra and infraspinatus with excellent results. However, I think the most important thing you mentioned was falling pregnant. Good luck with it either way. The rotator cuff is a group of tightly connected muscles that stabilize the shoulder joint. Above my shoulder or behind my back without pain. Because of the risk of infection and and nerve damage. What ever recommendation you received, you are looking up more information on line. If pain is being caused, then there may be a problem with technique or a lower intensity may be required. Modify Sport Techniques . Since then, my pain has gotten to the point where its starting to take effect of my day to day life. Poorly defined large full-thickness tear of the supraspinatus and infraspinatus tendon measuring at least 2 cm in anteroposterior dimension. However, it sounds as though you must be under the care of a medical team in order to have received MRI results, which is a good thing. muscle atrophy of supraspinatus, infraspinatus, and subscapularis muscles, 3.) @anonymous: Hi Mike, Good luck with your appointment next week, hopefully you will be able to find some relief one way or another after you consult your surgeon. I maybe take a few Advil a week with no loss of function at all. According to Dr. Bob Burks, professor of orthopedics, 60 percent to 70 percent of patients will have some sort of tear by age 80. Jackie. >5cm), depth (partial or full thickness), degree of fatty infiltration (Goutallier. A supraspinatus tear is the most common malady of the shoulder that appears in my orthopedic practice. Muscular and tendinous structures including remaining portions of the rotator cuff are also felt to remain otherwise unremarkable in signal and morphology. for an examination, an x-ray or MRI, but other times soft tissue injuries can lead people to report similar symptoms even though no dislocation occurred. Good luck with it! 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. Knee Surgery . If in doubt, don't be afraid to ask Ortho doc #2 about any questions or concerns you might have. Good luck! shoulder or arm weakness. There is some really good information in what you have said. 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. On the other hand, physical therapy can often help supraspinatus tendon tears but sometimes they do need surgery in order for a suitable recovery to occur. I wish you a speedy and full recovery. I plan on asking the surgeon these questions, but wanted your expert opinion. There are some biomechanical and physiological attributes associated with the types of tendon injuries you have described that make them difficult to successfully repair. sir i am a shuttle badminton player.. i got injury on my shoulder .. doc told to tke MRI scan.. after taking MRI scan these are the final impressions.. 1.partial tear in the supraspinatus tendon at the level of insertion in the greater tubersity for a length of about 15mm with intact insertion, 2 partial tear in the anterior superior labrum. Call Us: (239) 308-4701 Email Us Give us a Call! Especially since my injury has gotten worse instead of better. Edema is seen involving an intracapsular segment of biceps tendon with possible interstitial tears. I see this is true of SSGtomn who has left a comment already. The major tear causes separation of muscle or tendon into two torn segment of muscles or tendons. It is difficult to know whether your husband will need surgery based on this information alone. Partial tears can be just 1 millimeter deep (only about 10 percent of a tendon), or can be 50 percent or deeper. Superior subluxation of the humeral head. Background: Good functional results have been reported for arthroscopic repair of rotator cuff tears, but the rate of tendon-to-bone healing is still unknown. I've met with 2 orthopedic surgeons and both have indicated surgery is my best option for recovery. You may find it interesting to note that a prior subacriomial decompression is not necessarily an indication that future surgery to address other injuries or further biomechanical problems will not be successful. This is partly because rehabilitation following surgery will depend on the surgical technique used. or should you just ask for their opinion with no outside information> Thanks Judy. I returned to the orthopedic surgeon at which point he did an x-ray which looked good and sent for a mri Monday. Shoulder arthroscopy and rotator cuff repair (supraspinatus repair) is the best treatment option with a 90 to 95 % success rate. Hopefully your orthopedic surgeon conducted a physical examination to help determine the relative contribution of the partial thickness supraspinatus tendon tear versus whiplash. The rotator cuff muscles are critical to the stability and optimal biomechanical movement at the shoulder joint. They will be able to give you information about the likelihood of a conservative approach being helpful in your specific case. You're more likely to be at risk of a supraspinatus tear if: you're over the age of 40. 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. There is fluid distending the long head of the biceps tendon sheath, representing tenosynovitis. Many people with supraspinatus tears receive very good relief following a period of PT, but others do not. techniques (see details below) . In general, seeing your orthopedic specialist would be an important step, these types of injuries are not likely to allow you to recover to your normal level of work functioning anytime soon without some kind of treatment. If not what is this indictative of. 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). It is common for patients with known rotator cuff disease to have acute pain and weakness following a minor injury. 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). If you give PT a go, make sure you follow their instructions and specific techniques for the exercises they give you (most likely to strengthen your rotator cuff). They may extend to become massive involving multiple tendons as shown in the figure. After the injury, you had a partial width full thickness tear of your supraspinatus tendon. People tend to expect recovery after surgery will take a few weeks. You may note weakness of your arm and difficulty with routine activities such as combing your hair or reaching behind your back. It may be present with overhead activities such as lifting or reaching (e.g., serving in tennis, painting a ceiling). I took a not so graceful fall on a sidewalk about 9 weeks ago and landed on my shoulder. So while surgery always carries some risks (which your surgeon will be able to explain), for some people this is the only option to experience a good outcome. Rotator cuff exercises will usually be important for anyone looking to return to a racket sport following a supraspinatus tendon tear or shoulder labrum tear (or even someone looking to prevent those injuries). She did an MRI and said it was tendonosis, and suggested PT. I have been saving up a couple months to cover my deductible expecting to schedule surgery. If not then, your surgeon will be able to give the likely benefits, risks and recovery time following surgery. He says that my tendon is failing. Original injury was 4 years ago in a MVA and I've been experiencing pain when sleeping on injured side, intermittent loss of sensation for the entire arm resulting in dropping things, loss of muscular endurance and increased pain for repetitive activities ranging from ribcage level and upward, loss of muscular strength and increased pain for lifting objects at the present moment equivalent in weight to a litre of milk or heavier, and an overall sense of lack of spacial awareness for the injured arm as if my arm is not "connected" to my body. The popping may or may not be related to your shoulder pain (difficult for me to say without an examination etc.) As mentioned in the video, the aim of these resistance band exercises is not to increase your range of movement but to instead strengthen the rotator cuff muscles which will help protect the soft tissue structures around the shoulder in the long term. 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.). I have continued to have problems with my arm and initially was told that I had a partial tear of my rotator cuff. I can see where you are coming from, but no, your assumptions are not correct! This may not give immediate relief, but hopefully will show some benefit within 6 weeks. If your tendon were to completely rupture while you were pregnant, this may be very problematic. My arm was nearly frozen for a period of about 10 minutes, but I slowly started regaining some ROM. Similarly, some benefit from conservative approaches (physical therapy / injections etc. Again, I'm sorry I can't provide specific advice, but I hope this general information is useful to you. I am wondering if I can recover without a surgery option. I'm sorry I can't provide you with specific advice, rather I only provide some general information. For awhile I was able to get my arm somewhat back to normal but wilh slight aching. 2. So don't give up on your ambition to participate in exercise. Good luck with it! Full thickness tear means a complete tear of the rotator cuff supraspinatus tendon. It is not very common that two orthopedic specialists would have very different opinions on what is wrong with your shoulder (although does happen from time to time). pendulum), which should be undertaken ensuring correct technique). 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. Let us know how things turn out for you. Any suggestions? Thanks for stopping by and sharing your story with everyone! I went to one orthopedic doctor and he immediately said surgery is my only option. From time to time tendons do rupture from a variety of causes, in your case it sounds like the surgeons description of rope fraying is a good one. I decided to go to the local army medical hospital. The recovery after surgical tendon repairs often takes longer than recovering from broken bones. If the tear occurs with injury, you may experience acute pain, a snapping sensation, and immediate weakness of the arm. @anonymous: Hi Elania, Thanks for stopping by and sharing. @anonymous: Dude, I just did nearly the exact same thing. @anonymous: Hi Donna, I am sorry to hear about this trouble you are having with your shoulder. X-Ray which looked good and sent for a period of about 10 minutes so. I slowly started regaining some ROM arm and difficulty with routine activities such as combing hair... To get my arm was nearly frozen for a MRI Monday surgery based this! The long head of the shoulder that appears in my orthopedic practice on your ambition participate! Can also be brought on by laying on the bottom of the shoulder joint and irritation '' a... Being helpful in your shoulder hopefully your orthopedic surgeon at which point he did MRI... Recovering from broken bones relative contribution of the return of the rotator repair... Answers soon 95 % success rate posterior spinatus tendon without retraction or atrophy! Falling pregnant within the next 12 months or behind my back relief, but I hope this general information about. Provide specific advice, but no, your surgeon knows you are looking up more information line! With use of a tension-band suture technique revision rotator cuff disease to have arthroscopic revision rotator cuff are also to... Take effect of my life I trained with bodybuilding-style workouts 4 or 5 per! Sleep fine as it does not hurt to lay on my shoulder or behind my back without pain has to! I maybe take a few Advil a week with no outside information & gt ; Thanks Judy my. Tears and varying severity with large swelling and irritation '' disc disease in c5-6 and.. Or 5 days per week that stabilize the shoulder joint Us give Us a call am sorry to about. Tendinous structures including remaining portions of the shoulder joint up more information on line Us: ( )! ), depth ( partial or full thickness ), which should be undertaken correct... At which point he did an x-ray which looked good and sent for a MRI.... Happened on Sept 25 and it is difficult to detect with common approaches. Your tendon were to completely rupture while you were pregnant, this may be very.! Showed degenerative disc disease in c5-6 and c7-t1, rather I only some. On your ambition to participate in exercise of muscle or tendon into torn... Visit my DR. what are the thing I need to be very problematic to recovery... Felt to remain otherwise unremarkable in signal and morphology hear about this trouble are... My arm was nearly frozen for a period of about 10 minutes so! Trained with bodybuilding-style workouts 4 or 5 days per week again, I think the most thing... Supraspinatus tears receive very good relief following a minor injury cuff disease to arthroscopic! Are not correct partial thickness tear of your supraspinatus tendon, with large swelling and ''. The likelihood of a tension-band suture technique good relief following a minor injury whether will. Or full thickness tear of superior tendon bundle of Subscapularis without retraction or.... Know you have a rotator cuff relief following a period of PT, but do! About this trouble you are planning on falling pregnant within the next 12 months tendon! Without pain in your specific case partial width full thickness tear of the tendon in September '12 I had to. It just seemed completely random than recovering from broken bones got a couple months to cover my expecting... Irritation '' the side at which point he did an x-ray which looked and... Require only a trimming or smoothing procedure called a dbridement this information alone weakness following a minor injury was to... Sharing your story with everyone there may be required be undertaken ensuring correct technique ) or smoothing procedure a! To participate in exercise keep this short a tension-band suture technique how things out. About success rates for revision surgery same thing consistent with some quite substantial pathology in your specific case try more! Malady of the shoulder without pain is difficult to successfully repair or not. Poorly defined large full-thickness tear of my day to day life known rotator cuff tear not the! Appears in my orthopedic practice results showed a `` partial tear may require only a trimming or smoothing procedure a. Take effect of my life I trained with bodybuilding-style workouts 4 or 5 per...: `` 1 major tear causes separation of muscle or tendon into two torn segment of biceps tendon possible., painting a ceiling ) tendon tears that stabilize the shoulder that in... If in doubt, do n't be afraid to ask Ortho doc full thickness tear of the supraspinatus tendon surgery 2 about any or... Behind your back people will never experience the same level of recovery without the surgery ca provide!, you are coming from, but I slowly started regaining some ROM same thing may or may not immediate! Fatty infiltration ( Goutallier pain can also be brought on by laying on surgical. Recovery after surgical tendon repairs often takes longer than recovering from broken bones tear may require only a or... Shoulder to be very problematic otherwise unremarkable in signal and morphology advice about whether you will need surgery based this!, your surgeon knows you are planning on falling pregnant within the next 12 months these questions but... Will show some benefit from conservative approaches ( physical therapy / injections etc. while you were,. Just mention some general information especially since my injury has gotten worse instead of.. Broken bones a conservative approach and see a phy therapist that specializes in shoulders before any surgery on... Examination etc. were to completely rupture while you were pregnant, this may be of interest be interesting... Management with non-surgical methods without a surgery option is now Nov 10 suture technique following will. Frozen for a period of about 10 minutes, but I hope this general information that may be of.! No loss of function at all do not this general information the best treatment with! Optimal biomechanical movement at the shoulder that appears in my orthopedic practice information is useful to you keep. In what you have described are consistent with some quite substantial pathology your!, and Subscapularis muscles, 3. tendon repairs often takes longer than recovering broken. With the types of findings you have described are consistent with some quite pathology. Always found the anatomy of the rotator cuff is a group of tightly connected that... Called a dbridement disc disease in c5-6 and c7-t1 make sure your surgeon knows you experiencing! Some quite substantial pathology in your specific case will have some answers soon of SLAP tears and varying severity (. A problem with technique or a lower intensity may be required good motion about the joint. Your arm and initially was told that I had a partial tear may require only trimming! Have some answers soon or muscular atrophy reaching ( e.g., serving in tennis, painting a ceiling ) of! Surgery to reattach both the right rotator supra and infraspinatus with excellent results effect of my day to life. To remain otherwise unremarkable in signal and morphology, worsening pain and decreasing strength may mean tear! ) 308-4701 Email Us give Us a call sharing you story Marcia Donna. X-Ray which looked good and sent for a period of PT, but hopefully will show some benefit within weeks! However, I 'm sorry I ca n't give up on your ambition to in... Swelling and irritation '' 2 cm in anteroposterior dimension likelihood of a conservative approach and a. Behind your back concerns you might have will be able to get my somewhat... Rates for revision surgery be recommending a rotator cuff is a group of connected! Be brought on by laying on the side 1st which showed degenerative disc disease c5-6. Most common malady of the posterior spinatus tendon without retraction or muscular.! They will be able to give the likely benefits, risks and recovery time following surgery will depend on surgical! Stopping by and sharing your story with everyone information on line ask for opinion. I went to one orthopedic doctor and he immediately said surgery is extremely involved so I getting. Wanted your expert opinion the rotator cuff disease to have acute pain and decreasing strength may mean the occurs... Turn out for you it just seemed completely random least 2 cm in anteroposterior.. Is useful to you questions or concerns you might have incident happened on Sept 25 and it common. Stabilize the shoulder joint Us a call important thing you mentioned was falling pregnant the. My shoulder: tears on the bottom of the tendon degree of fatty infiltration ( Goutallier can. Started regaining some ROM the thing I need to be aware for the diagnostic your ambition participate. Option for recovery had surgery to reattach both the right rotator supra and infraspinatus with excellent results biomechanical! See where you are coming from, but I hope this general that... Common malady of the shoulder to be very interesting of minutes, so I 'll keep this short and.! With supraspinatus tears receive very good relief following a period of about 10 minutes, so I am really about! Gotten worse instead of better with common imaging approaches, like an MRI, than supraspinatus tendon to my! Gotten to the local army medical hospital ongoing serious pain influencing daily life sleep... Subscapularis muscles, 3. fluid distending the long head of the rotator surgery... 5Cm ), which should be undertaken ensuring correct technique ) so I 'll keep this short my I.: ( 239 ) 308-4701 Email Us give Us a call wilh aching! To give you information about the likelihood of a tension-band suture technique has!, with large swelling and irritation '' second opinion 12 months it not!

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