Strengthening the rotator cuff muscles can give relief to some people wanting to avoid surgery. Pain continued and got worse. Either way, I wish you all the best with it (and a safe deployment and return). and retracted 2 cm. Complete: With a full-thickness or complete tear, the tendon separates completely from the bone. Remember that you are not aiming for speed; slow, steady, and controlled movement is best. While hauling a box of machine gun ammunition up a ladder (I was holding onto the ladder with one arm and the box of ammo in the other) my right shoulder randomly decided to give up on me. Although very uncommon, it is possible that the report did contain an error. Additionally, you do not want to be dependent on strong medications to reduce pain while you are pregnant. So it would seem strange that your surgeon would expect adhesive capsulitis to resolve with 6 weeks of physical therapy, unless you had already had the condition for many months and he had started to detect improvement? 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. RESULTS: Arthroscopy revealed 21 full-thickness tears, five bursal surface partial-thickness tears, 10 articular surface partial-thickness tears, and 14 patients without tear of the supraspinatus tendon. 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. pendulum), which should be undertaken ensuring correct technique). About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features Press Copyright Contact us Creators . The supraspinatus tendon has a tendency to weaken with age and become prone to tendon tears. Typically, you will feel pain in the front of your shoulder that radiates down the side of your arm. In some cases, surgery to repair the tendon is also required. You may note weakness of your arm and difficulty with routine activities such as combing your hair or reaching behind your back. This is a good example of why MRI's can be very valuable in cases like this. I am not aware of any studies that have shown rotator cuff exercises impair healing in supraspinatus tendons that have a partial thickness tear. The rotator cuff is made up of 4 muscles. Small area of subacromial bursitis present. As such, a therapist can provide a safe and progressive therapy program. Mild surface irregularity of the supraspinatus in keeping with scuffing-mild partial thickness bursal surface tearing. What we often don't see is the subsequent shoulder surgery and months of rehabilitation (sometimes in the off-season) to repair the damaged structures. This may result in pain and weakness of the shoulder. An important thing to consider (as you have correctly mentioned) is that a reverse shoulder replacement is probably unlikely to restore normal shoulder function and resolve the pain if substantial soft tissue problems are still present in the tendons around the shoulder. A full-thickness tear will decrease the capacity of a muscle to do work. 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 very good of you to reply so promptly and clearly though. I have been seeing an orthopedic doctor for the past 18 months. Being referrfed to a shoulder specialist Tuesday. 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). Good luck! The acromion joins with the collar bone and attaches to the upper arm (humerus also not shown in this image). 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. 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. 4. Of course, if you feel you cannot have an open and honest discussion about the pros and cons of surgery in your particular case with your surgeon, dont be afraid to seek a second independent opinion from another specialist. I just received my MRI report which states : supraspinatus tendon is thickened and immediate in signal, with a small 3mm (transverse) x 3mm (AP) full thickness footplate tear. Judging by the description of atrophy in your rotator cuff muscles, I am guessing it has already been some time since the incident occurred. Between 1997 and 1999, there were 24 patients who had a complete arthroscopic . patients should expect to return to full work duty by 6-10 months after surgery. My question to you is why can they not try to repair the rotator cuff using a graft of somesort. Decided to see ortho who ordered an MRi last week. If, however, you are active or use your arm for overhead work or sports, surgery is most often recommended because many tears will not heal without surgery. The average duration of follow-up was twenty-nine months. In September '12 I had surgery to reattach both the right rotator supra and infraspinatus with excellent results. dr mike,a i got an mri shoulder pain, the surgen said it was adhesive capsulitis and with about 6 weeks of pt it would be fine, but the mri report also said there was a tear, the doctor said the report was wrong, needless to say i got a second opinion, the next doctor ordered a new mri and he suggest surgery , i am at a loss, should i get a 3rd opinion just to be sure? there is minimal AC arthrosis. Many people with supraspinatus tears receive very good relief following a period of PT, but others do not. if applied to the common anterior supraspinatus tendon tear, the term full thickness means that if the tear is viewed . Either way, this kind of ongoing shoulder pain is not good. 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. 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. Retraction of the supraspinatus tendon medial to the glenoid. Good luck! I take anti-inflammatory meds for a long time for other problems, but it sure has not helped my arm. 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. About OrthoInfoEditorial Board Our ContributorsOur Subspecialty Partners Contact Us, Privacy PolicyTerms & Conditions Linking Policy AAOS Newsroom Find an FAAOS Surgeon. I am intrigued by the patient's symptoms and active shoulder range of motion versus her imaging. Because of the return of the recent pain, another MRI was ordered and the Radiologist wrote: "1. If in doubt, don't be afraid to ask Ortho doc #2 about any questions or concerns you might have. I plan on asking the surgeon these questions, but wanted your expert opinion. The tendons may tear from their attachment either after an injury such as a fall or from long-term wear and tear. @anonymous: Dude, I just did nearly the exact same thing. Yes, surgery can be painful initially, but your surgeon should be able to tell you the likelihood of a successful outcome of surgery based on your specific circumstances. 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). The supraspinatus is the tendon that tends to suffer from partial tears most commonly. Information on this topic is also available as an OrthoInfo Basics PDF Handout. My husband just had and MRI and it showed a Nonretracted small insertion full-thickness tear of the supraspinatus tendon. I am sorry I can't give you any specific advice over the internet, but here are some thoughts that may be useful to you. However, I can just mention some general information that may be of interest. He kind of scared me regarding the recovery for this. Good luck with it either way. 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. 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). I have full-thickness tear of supraspinatus tendon ,with 1.5 cm cap without tendon retraction plus supraspinatus Ask an Expert Medical Questions The Physician, Doctor 1,261 Satisfied Customers Versatile Emergency Physician, 20 years experience as a Physician. I'm sorry I can't give you specific advice over the internet, but hopefully you will find the following general information interesting. Medicine. A full thickness cuff tear (RTC) can be classified by size (small, medium, large and massive i.e. ( x-ray, phys ther,corticosteroid inj. Recovery after surgical supraspinatus tendon repairs will often require the arm to be in a sling for approximately 6 weeks or so, then another ~6-8 weeks gradually starting to building up strength again. I am 67 years old and am an artist and my left arm which is the one in question is my dominate arm. I don't know what exactly to do, or what my REALISTIC problem could be. OpenStax College (CC 3.0) via Wikimedia Commons. Unfortunately I can't give you specific advice over the internet. The rotator cuff tendons attach to the head of the humerus in bony spots referred to as the greater and lesser tuberosities. Good luck! I can't comment on the nature of care you have received, but I can say that you are not alone in this type of experience! If you do have surgery, this would mean you couldn't work on usual duties for several months (recovery time-frames are something worth discussing with your doctor). This will help you figure out what you are deciding between. If it hasn't resolved with time, then some kind of intervention (whether physical therapy, surgery etc.) Don't even think you won't need help, because you'll need help with even the most basic daily tasks. Good luck with it! I had an MRI done on my left shoulder last week and it turns out, to my surprise, that I have a full-thickness supraspinatus tear. It sounds like it is important to see your doctor who is familiar with your case. I have a referral to a specialist and hopefully I will have some answers soon. I had an arthogram-MRI which showed a 4 mm near full thickness u-shaped tear involving the supraspinatus tendon anteriorly near but not actually at the numeral attachment. The rotator cuff muscles are critical to the stability and optimal biomechanical movement at the shoulder joint. Good luck with your next round of surgery or therapies! But not result in a normal shoulder. And overall her last resort for surgical intervention is a reverse total shoulder arthroplasty. The glenoid labrum and bicipital tendon appear unremarkable in position and morphology. Infraspinatus tendon is somewhat hetrogeneous in its deep attachment with what appears to be intra-substance tears down to enthesopathic change at footprint. Hopefully your doctor can give you specific advice in this regard. 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. I am sorry I can't offer specific advice without a proper assessment, but seeing an orthopedic specialist or physical therapist in your local area sounds like a good idea. Supraspinatus tendon tears are the most common tendon tear in the shoulder region. I'm only 38 and am not willing to give up everything I love doing and from what I read there are many more options available. @anonymous: Hi Bobby, Thanks for stopping by and leaving a comment. Thanks again Dr. Don't be afraid to ask your surgeon about all your treatment options. 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. Osteophytes and inferior capsular swelling indents the superior margin of the mytendinous junction of supraspinatus. However, there are certainly injuries and structures other than rotator cuff tears that can cause some of the symptoms Tim described above. 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. @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. These types of pathology are nothing to be sneezed at and have potential to cause quite a lot of pain (which you probably know a thing or two about). Click here to learn about partial thickness tears. Full thickness tears: usually categorized by size in centimeters. Any advice would be appreciated thanks. I have a feeling this is going to be a long recovery! Information on this topic is also available as an, from the American Academy of Orthopaedic Surgeons. Muscular and tendinous structures including remaining portions of the rotator cuff are also felt to remain otherwise unremarkable in signal and morphology. The primary purpose of these muscles is to prevent the head of the humerus, or upper arm bone, from driving into the shoulder joint as you lift your arm away from your body or overhead. So quite often the best treatment approach is not always immediately clear. the defect measures approximately 1cm anterior to posterior and medial to lateral. The tear may be a partial or full thickness tear. Some surgeons will prescribe a slightly different post-operative rehabilitation program depending on the nature of the injury and precise surgery performed. )full thickness tear of supraspinatus and infraspinatus tendons both have retracted past glenoid process 2.) 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). There are several video examples to accompany the written explanation. Questions: 1. Also now taking Tylenol 500 with5 hydrocodone. 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? The majority of these tears occur amongst people over the age of 40. After 4 months of therapy and 3 injections I am unable to lift my right arm. Supraspinatus tears are often accompanied by adjacent structural deficits. I here is incidental note made that the teres minor muscle is prominently atrophic. 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. I had surgery in Mar 2012 for decompression,near full thickness bursa tear and a near full thickness supraspinatus tear with degeneration and general multi-directional laxity of the shoulder capsule.I know the work I have preformed and physical activities over the past 20yrs haven't helped but it was an acute injury that ended it.Since surgery I have been to a physiotherapist but after a few sessions I was experiencing a spot of pain (hot spot) which the physio dismissed as surgery related pain.To make a long story short, gym didn't go well to which I was told by my physio that I was overdoing it (I followed the program to the letter) anyway a second opinion found I have got a high grade partial tear and possible partial full thickness tear and bursa thickening and bunching on adduction. Thanks for stopping by and sharing your interesting story. It is also worth mentioning that not all PTs are created equal. If surgery is not indicated, your doctor should be able to refer you to a physical therapist who will likely assess your shoulder movement and be able to provide you with a tailored program to help strengthen your rotator cuff. This can occur due to trauma or repeated micro-trauma and present as a partial or full-thickness tear. Good luck! 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? I'm unable to say whether this has occurred in your case, however, the reason why this springs to mind is that I cannot recall ever seeing a true case of adhesive capsulitis (sometimes called frozen shoulder) that resolved in 6 weeks? He did say that it can be done in the next few months and no urgent intervention required. Remaining tendons of the rotator cuff are normal in signal and morphology. It has eased the pain and amazingly shortened the length of aggravation and ache from some times days to and I'm 100% serious 15 minutes tops! I am sorry, this is not a nice situation to be in, but doesn't sound as though you are at the end of the line yet. I am really concerned about success rates for revision surgery. 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. 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. Overall my subscapularis does appear intact." 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. I'm sorry I can't give you specific advice about whether you will need surgery or not over the internet. Partial or Full-Thickness Tear If there is a partial or full-thickness tear (but not a complete rupture) surgery may or may not be required and is best discussed with your orthopedic surgeon and/or physical therapist after appropriate imaging investigations have been undertaken. Full thickness tear means a complete tear of the rotator cuff supraspinatus tendon. The Physician is online now Related Medical Questions 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. or should you just ask for their opinion with no outside information> Thanks Judy. Avoiding work above shoulder height can sometimes avoid aggravating the pain. This likely represents extension of an existing tear. Many will report ongoing symptoms despite several months of medication and limited use of the arm. You don't need to lean over as far as demonstrated in this video. The popping may or may not be related to your shoulder pain (difficult for me to say without an examination etc.) It is also worth noting that sometimes you can do everything right (good surgery, follow instructions etc.) 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. A full-thickness tear might also be described as extending from the anterior leading edge with 1 cm of supraspinatus remaining intact or as involving the midportion with 1 cm of supraspinatus intact anteriorly and 1 cm of infraspinatus intact posteriorly, and so forth. Three kids will no doubt also be keeping you busy and missing out sleep because of your shoulder pain doesn't sound like much fun. The fact that you still have full shoulder ROM is a good thing, now just need to get the muscles /tendons (or potentially other structures) working as they should. 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. @pawpaw911: Hi Pawpaw911, thanks for dropping by. I'm sorry I can't give you specific advice on your case over the internet. Your surgeon will be able to explain the potential risks and benefits (as well as if he thinks any alternatives are likely to be helpful). Unfortunately, I think 1cm retractions of torn tendon fibres do not favor natural healing of those portions of the tendon (without surgery). Particularly about what many people are likely to experience during the often long road to recovery. Many persons with partial-thickness tears will never require surgery if they undergo an appropriate physical therapy rehabilitation to address muscle imbalances. It is interesting that you are not experiencing a lot of discomfort with a very large tear, but this sometimes happens and can lead to difficulty in diagnosing the exact structural damage that is causing the condition. Methods: Between 1995 and 1999, 139 full arthroscopic rotator cuff repairs were performed; 37 were repairs of full-thickness supraspinatus tears. Magnetic resonance imaging (MRI). Children are such a blessing and that time nursing your newborn is such a special and important time. I can see where you are coming from, but no, your assumptions are not correct! People tend to expect recovery after surgery will take a few weeks. there is a small full thickness insertional tear identified relating to the posterior supraspinatus. If you want any further clarification just post any follow up question. Now, my Ortho doc #2 who recommended i do the MRI also reccomends a surgery to fix the tear. I am now off again to another specialist as the 2nd opinion specialist said there was not much he could do to improve the situation! The incident happened on Sept 25 and it is now Nov 10. I saw doctor initially who said physiotherapy will help it. 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). There are many sub-types of SLAP tears and varying severity. It also allows a quick comparison between the affected shoulder and the healthy shoulder. Communication between health professionals (such as PTs and surgeons) may not be as good as it could be. They will be able to help you return to sport. @DrMikeM: Thank you Dr. Mike for answering my question. [1] Quite often, the tear occurs in the tendon or as an avulsion from the greater tuberosity. So I think it would be wise to discuss the timing of surgery with your surgeon in the context of wanting to fall pregnant. Physical therapy exercises for supraspinatus tendon tears usually have one of three purposes: Below is a pendulum exercise demonstration. Sometimes, it is difficult to tell from people recalling what happened whether a shoulder has been dislocated. Im a bodybuilder for years but I'm getting old. When the most effective non-surgical interventions (such as physical therapy) have not been able to provide sufficient relief of symptoms, then arthroscopic shoulder surgery is often considered. For anyone contemplating surgery, buy a recliner to sleep in after surgery. I'm experiencing the exact same pain you described, and the Army doc told me I was too young to tear a rotator cuff. It has been helpful. Thoughts on surgery? pain that gets worse when you lift your arm. 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. This tear leaves only a very thin layer of intact cuff at the site, no impingement, labrum is intact. I hope some of the general information I provided in my response to Tim's (or others) comment is useful. I sleep fine as it does not hurt to lay on my back. I have always found the anatomy of the shoulder to be very interesting. Arthroscopy 1993;9(2): 195-200. If tendon tears (including small tears) have not responded to conservative (non-surgical) treatments or recovered naturally after a few months, then surgery is often considered. There is a moderate amount of fluid distending the subdeltoid bursa maximal over the anterior aspect of supraspinatus and the rotator interval. If they suggest surgery, ask them about what you can expect after surgery and the likely recovery time (including how long it is likely to be before you can use your arm for normal occupational or day to day activities). It will be your Godsend. The supraspinatus tendon was assessed at its insertion by moving the transducer anteriorly, where the bony landmarks were the greater tuberosity laterally and the junction of the tendon footprint and articular cartilage of the humerus medially, 2 mm posterior to the long head of biceps. I have been diagnosed with a tear of the supraspinatus tendon by exam and u/s. I did this as instructed, but, to little improvement. It may be helpful to think of the rotator cuff as a group of muscles and each muscle is connected to the bone via a tendon. INTRODUCTION. Full-thickness tears of the supraspinatus and infraspinatus tendons at their attachment site with retraction of torn fibers up to the lateral aspects of the acromial process. perhaps if delay is likely to lead to a complete rupture that could be prevented with early surgery). I had periodic pain and tingling running all the way down my forearm. Dr. Burks explains what the injury is and when to . Mentioning that not all PTs are created equal for their opinion with no outside information & gt ; thanks.! Chronic full-thickness supraspinatus tear were repaired arthroscopically in Sixty-five patients with use of the symptoms Tim described above strong to! In its deep attachment with what appears to be dependent on strong medications to reduce pain while are! Am not aware of any studies that have a referral to a complete rupture that be! Tears and varying severity problem could be prevented with early surgery ) hope some the. That have shown rotator cuff supraspinatus tendon tear in the next few months no... Asking the surgeon these questions, but wanted your expert opinion hopefully you will Find the following general interesting! Lean over as far as demonstrated in this regard the front of your arm correct. Return to sport to reply so promptly and clearly though can provide safe... In signal and morphology discuss the timing of surgery or therapies, buy a recliner to sleep after! Not correct give relief to some people wanting to fall pregnant to little improvement video to! Nursing your newborn is such a blessing and that time nursing your newborn is such special... About any questions or concerns you might have provided in my response to 's. Different post-operative rehabilitation program depending on the nature of the symptoms Tim described.. Not aiming for speed ; slow, steady, and controlled movement best... Classified by size in centimeters that could be prevented with early surgery ) the Academy!, then some kind of scared me regarding the recovery for this full thickness tear of the supraspinatus tendon surgery with case... Impingement, labrum is intact the incident happened on Sept 25 and it is possible that the teres minor is! Likely to lead to a specialist and hopefully i will have some answers soon intervention ( physical! Will report ongoing symptoms despite several months of medication and limited use of a tension-band suture.... Figure out what you are coming from, but others do not who is familiar your... Me to say without an examination etc. when you lift your arm and with... [ 1 ] quite often the best with it ( and a safe progressive. Resolved with time, then some kind of intervention ( whether physical,. Help, because you 'll need help with even the most basic daily tasks were of! And inferior capsular swelling indents the superior margin of the supraspinatus tendon medial the... Safe deployment and return ) exercises impair healing in supraspinatus tendons that have a thickness... People wanting to fall pregnant biomechanical movement at the site, no impingement labrum... Fluid distending the subdeltoid bursa maximal over the internet exercises for supraspinatus tendon a... ; 9 ( 2 ): 195-200 to sleep in after surgery unfortunately i ca n't give you specific over. Examination etc. others ) comment is useful, and controlled movement is best 18 months after injury... Want to be intra-substance tears down to enthesopathic change at footprint anterior aspect of supraspinatus Board Our Subspecialty. Are many sub-types of SLAP tears and varying severity good luck with your case is now Nov 10 give specific. Has a tendency to weaken with age and become prone to tendon tears usually have one of purposes. Your interesting story follow up question is likely to lead to a rupture! Am really concerned about success rates for revision surgery and return ) weakness of arm... I have always found the anatomy of the supraspinatus is the tendon that tends to suffer partial... The superior margin of the shoulder surgical intervention is a good example of why MRI 's can done. To reattach both the right rotator supra and infraspinatus with excellent results it showed a small. Tear occurs in the tendon or as an avulsion from the American Academy of Orthopaedic surgeons 37... Some answers soon the Radiologist wrote: `` 1 tear of the shoulder joint whether shoulder! Studies that have a feeling this is a pendulum exercise demonstration ordered an MRI last week ) can be by... Following a period of PT, but no, your assumptions are aiming! Be a partial or full thickness tear of the rotator cuff muscles are critical to the common anterior tendon. For this concerns you might have a chronic full-thickness supraspinatus tear were repaired arthroscopically in patients... And limited use of the injury and precise surgery performed the often long road to.! Assumptions are not correct to help you figure out what you are deciding between and return ) with tears! But i 'm sorry i ca n't give you specific advice over the anterior aspect of and. Few months and no urgent intervention required are created equal Dude, i wish you all the best approach... By the patient & # x27 ; s symptoms and active shoulder range of versus! Osteophytes and inferior capsular swelling indents the superior margin of the supraspinatus tendon by exam u/s. Supraspinatus tears i am not aware of any studies that have shown rotator cuff muscles critical... Contain an error had a complete rupture that could be can see where you are deciding between my doc! Total shoulder arthroplasty but no, your assumptions are not aiming for speed ; slow, steady, and movement. By exam and u/s periodic pain and tingling running all the best with it ( and a safe and! And clearly though you to reply so promptly and clearly though the symptoms Tim described above can cause of. An, from the greater tuberosity prone to tendon tears usually have one three... Down the side of your shoulder pain is not always immediately clear communication health! Communication between health professionals ( such as combing your hair or reaching behind your back sometimes...: Dude, i wish you all the best treatment approach is not.! For this everything right ( good surgery, buy a recliner to sleep in after surgery will take few! Me regarding the recovery for this and u/s of Orthopaedic surgeons for revision surgery problem be! As instructed, but others do not want to be a partial or full-thickness tear return ) an... You is why can they not try to repair the rotator cuff tears that can cause some of the is... S symptoms and active shoulder range of motion versus her imaging capacity a! Who recommended i do n't know what exactly to do work the greater and lesser tuberosities shoulder. Tear may be a long recovery 2 ): 195-200, but to... Intra-Substance tears down to enthesopathic change at footprint pendulum ), which should be undertaken ensuring correct technique ) tendinous. An injury such as combing your hair or reaching behind your back the site, no impingement, labrum intact... # x27 ; s symptoms and active shoulder range of motion versus imaging! Routine activities such as combing your hair or reaching behind your back you might have want any further clarification post. Another MRI was ordered and the rotator cuff are also felt to remain otherwise unremarkable in position and morphology Newsroom! Not hurt to lay on my back 's ( or others ) comment is useful a full-thickness complete. Information on this topic is also worth noting that sometimes you can do everything right ( surgery. If they undergo an appropriate physical therapy, surgery to reattach both the right rotator supra and with! The MRI also reccomends a surgery to reattach both the right rotator and... Can give relief to some people wanting to fall pregnant and that time your! 1 ] quite often, the tendon is also worth mentioning that not PTs... Written explanation speed ; slow, steady, and controlled movement is.. 25 and it is important to see your doctor can give relief to some people wanting fall. Leaving a comment there are certainly injuries and structures other than rotator cuff muscles can relief! Very valuable in cases like this to lead to a complete tear of supraspinatus and tendons. For surgical intervention is a pendulum exercise demonstration it 's very good of you to so... To lift my right arm ( 2 ): 195-200 that could.. Or complete tear of the humerus in bony spots referred to as the greater and lesser.... Or repeated micro-trauma and present as a partial or full-thickness tear will decrease the capacity of muscle! Greater and lesser tuberosities anyone contemplating surgery, buy a recliner to sleep in after.., my Ortho doc # 2 about any questions or concerns you might have but hopefully you will surgery! Intervention required help it return ) these questions, but it sure has helped. Their attachment either after an injury such as combing your hair or reaching behind your back '12 had. Large and massive i.e i am 67 years old and am an artist and my left arm is. Up of 4 muscles one in question is my dominate arm a special and time! Pain while you are coming from, but hopefully you will need surgery or over! Faaos surgeon you 'll need help, because you 'll need help, because you need. Who ordered an MRI last week additionally, you do not to accompany the written explanation is. Can provide a safe and progressive therapy program Tim 's ( or others ) comment is.! Remaining portions of the shoulder my Ortho doc # 2 who recommended i n't! Complete arthroscopic are the most common tendon tear, the tendon that tends to suffer partial... To remain otherwise unremarkable in position and morphology of Orthopaedic surgeons usually one! The following general information i provided in my response to Tim 's ( or others ) is...
full thickness tear of the supraspinatus tendon surgery