This can occur due to trauma or repeated micro-trauma and present as a partial or full-thickness tear. Any suggestions and generally how long is the recovery period? If you get a chance drop by again and let us know how you went. Pain can also be brought on by laying on the side. I get asked about this a lot, perhaps I should write a page on rehabilitation following surgical repair of supraspinatus tendon tears! Again, I'm sorry I can't provide specific advice, but I hope this general information is useful to you. I've only got a couple of minutes, so I'll keep this short. @anonymous: Hi LB, Sorry for the delay, I have been away for visiting family for a week or so. If the tear occurs with injury, you may experience acute pain, a snapping sensation, and immediate weakness of the arm. Should this shoulder have an MRI? Nonetheless, it worth noting that as a general principle, synovial fluid is very important and helps lubricate the joint. @pawpaw911: Hi Pawpaw911, thanks for dropping by. Strengthening the rotator cuff is not really like going to the gym and lifting heavy weights. Pain is really consistent and moderate with moments of severe. However, there are a variety of factors that will need to be considered. In physio just weeks after the onset of injury, I was unable to lift a 1lb weight with the injured arm bent near armpit while lying on my back. Full thickness tears: usually categorized by size in centimeters. 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). Debridement involves trimming the frayed edges of the tear back to healthy tissue in order to allow it to heal itself. This will help minimize strain on the back. Advice welcomed. Most people regain shoulder function and strength within four to six months after surgery, but full recovery may take up to 12-18 months. 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). It must have been quite a knock, there is some quite serious damage there. I would expect the radiologist and orthopedic surgeon at a VA hospital would both be skilled in this regard. Sometimes, it is difficult to tell from people recalling what happened whether a shoulder has been dislocated. Although very uncommon, it is possible that the report did contain an error. Thanks for stopping by and leaving a comment. Im a bodybuilder for years but I'm getting old. This sounds like a difficult situation. Poorly defined large full-thickness tear of the supraspinatus and infraspinatus tendon measuring at least 2 cm in anteroposterior dimension. Don't be afraid to have an open discussion with your GP about whether or not a referral to a surgeon is the right way to go (or not) for your specific circumstance. If you have any uncertainty around the need for your sling use, please call your surgeon's office today. If you get a chance please let us know how you go. )amount of fluid in acromioclavicular joint and last but not least 5.) After 4 months of therapy and 3 injections I am unable to lift my right arm. !!! These four muscles (supraspinatus, infraspinatus, subscapularis, and teres minor) stabilize the glenohumeral joint, enable rotation around the joint, and provide a counterforce to . It is possible this tear may communicate with the bursal surface anteriorly. All the best with it. There is compromise of the subacromial space with impression on the underlying torn supraspinatus. My doctor has told me I need to have arthroscopic revision rotator cuff repair. As such, a therapist can provide a safe and progressive therapy program. Arthroscopic repair of full-thickness tears of the supraspinatus: does the tendon really heal? Having pain and sub-optimal shoulder functioning while you are nursing would not be ideal. INTRODUCTION. This kind of tear does not heal on its own. Dr Mike, Please help me understand what options I might have or questions to ask the surgeon about my full Reallmadhatter Mar 14, 2013 @ 3:44 pm. The soft tissues in their neck that were affected by the initial trauma may actually have healed, but they may still be feeling discomfort. At age 74, not sure whether to endure surgery with hard rehab and recovery or continue with PT . 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. Small to moderate glenohumeral joint effusion. There are several video examples to accompany the written explanation. pendulum), which should be undertaken ensuring correct technique). I served in the Navy for many years, and in April of 2010 I had a little mishap. Grade 1 strain of the lateral deltoid muscle and teres minor muscle. 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. Injuries are a less common cause of partial tears than aging. He did say that it can be done in the next few months and no urgent intervention required. In these cases often a multidisciplinary treatment team skilled in treating whiplash can be very useful (this may include health professionals like physiotherapists, psychologists, occupational therapists and doctors). If in doubt, don't be afraid to ask Ortho doc #2 about any questions or concerns you might have. Most people who I have seen with whiplash (albeit usually from motor vehicle accidents more than falls) tend to notice a great deal of improvement over the first few weeks, but some have symptoms that persist. The primary indication for an acromioplasty in a patient with a full-thickness or bursal rotator cuff tear is for a type 2 or 3 acromion with a frayed CA ligament attachment. Humeral head is riding high abutting the underside of the acromin process. The recovery after surgical tendon repairs often takes longer than recovering from broken bones. bested on all of the above. However, other parts of the rotator cuff may also be involved in the injury. Recovery after surgery can be quite drawn out, often requiring 6 months or more before functioning becomes similar to before the injury. As I think you already suspect, an MRI is likely to have greater diagnostic accuracy for ruling out (or in) the involvement of other structures in your shoulder, such as the long head of Biceps Brachi. I was referred to a surgeon who stated that they could not repair the rotator cuff due to the size of the tear from a surgical standpoint. 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. The acromion joins with the collar bone and attaches to the upper arm (humerus also not shown in this image). Follow up not til next Wednesday. It was sometime in the early months of 2011 that I was sent off to have an MRI done. In the case of a non-retracted full thickness supraspinatus tear and acromioclavicular degeneration, surgery may well be the best option to maximize the long term outcome. Small. 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. If you know you have a rotator cuff tear, worsening pain and decreasing strength may mean the tear is getting larger. I have had shoulder pain for years and years. I have a feeling this is going to be a long recovery! @DrMikeM: Well, I'm 3 months post injury and still in a tremendous amount of discomfort and pain. I wrote a previous commentsaw my orthopedic surgeon this week. I've started having a smoothie everyday of red vege's (beetroot) and fruit (all the berries) with a slice of ginger and the big one for inflammation turmeric! It is good that you have discussed the recovery with your surgeon already. 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. Any advice would be greatly appreciated. You have asked for information about potential options. I work construction and am self employed. Bursal side: tears on the top of the tendon. The use of steroid injection for treatment of a full-thickness rotator cuff tear is still controversial. Thanks for stopping by and sharing your story. MRI does demonstrate a complete massive tear of my rotator cuff with retraction and severe atrophy. MRI). Due to the nature of what we were doing, I was unable to immediately seek medical attention, so after regaining some composure, I managed to carry on with my duty, but not without immense pain. if your initial injury was work related. Otherwise you will have signficantly reduced function (plus ongiong pain) in that shoulder. Medicine and physiotherapy often help in reducing pain but the effect is temporary. I have full range of motion and only occasional soreness now and again, but can't sleep on that side. It is also worth mentioning that not all PTs are created equal. @anonymous: Oh Tonia, I feel for you. Mary Kay. For anyone contemplating surgery, buy a recliner to sleep in after surgery. After the injury, you had a partial width full thickness tear of your supraspinatus tendon. A full rupture will require surgery (usually quite urgently). There are other things your physical therapist may be able to help you with to give you some relief in the short term. You don't need to lean over as far as demonstrated in this video. I just found out this week that I have Bursitis, and a tear in my Supraspinatus. I'll go check out some of your Lenses. Being deployed and not receiving treatment makes it difficult. Ongoing serious pain influencing daily life, sleep etc. With full thickness tears the entire tendon has separated or torn from the bone. I am 55 and active, so I don't want to hurt my "golden" years, so I am not sure what to think. The MRI report says: 1. very large, nearly complete tear of the supraspinatus tendon from the tendon insertion with 1cm retraction of tendon fibers. In your opinion, do I have any other option other than surgery? It did manage to decrease my overall pain but I still feel like I'm suffering unnecessarily. @will-nelson-790693: Hi Will, Thanks for stopping by and sharing your experience. Click here to learn about partial thickness tears. A few months ago it seemed to hurt more and I had problems lifting my arm out or above my head. its been three months with some pt but no noticeable improvement. From a mechanical point of view the muscles and soft tissues around the shoulder do an amazing job to keep the head of the humerus (ball) in the small glenoid fossa (bony component of the socket)! 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). In terms of some general information that may be of interest to you, there are a couple of things I can share from my perspective. If it hasn't resolved with time, then some kind of intervention (whether physical therapy, surgery etc.) Shoulder arthroscopy and rotator cuff repair (supraspinatus repair) is the best treatment option with a 90 to 95 % success rate. This content is accurate and true to the best of the authors knowledge and does not substitute for diagnosis, prognosis, treatment, prescription, and/or dietary advice from a licensed health professional. Is surgery my only option? AAOS does not endorse any treatments, procedures, products, or physicians referenced herein. If your doctor does end up recommending surgery, make sure you have a good chat about what to expect after the specific surgery they are planning. Players involved in sports requiring fast throwing actions (baseball) or overhead hitting (volleyball, tennis) may also sustain a traumatic injury to their rotator cuff and the supraspinatus tendon in particular. Went down a water slide on a mat head first arms supporting my body. The radiomics model of no tears or tears achieved a high overall accuracy of 93.6%, sensitivity of 91.6%, and specificity of 95.2% for supraspinatus tendon tears. Must also have to bring the arm back with my other arm if I am lying and have the arm overheadwhich now longer will lie flat on the floor if it is overhead.It has been recommende to do ART then PRP and possibly prolotherapy. will consult surgeon next week. @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. only taking out for prescribed exercises (e.g. Can you help me out at all? 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. On the other hand, you will also need to ask about the likelihood of decent recovery without surgery. Good Luck to all the other guys, especially the deployed guy, my son has just returned. Dr Mike, Please help me understand what options I might have or questions to ask the surgeon about my full thickness rotator cuff tear. For all you that are going to have this surgery be prepared for the long haul you will feel the feelings of uselessness, frustration, anger, and people looking at you like your full of it hang in there! 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. Now I have these results stated above. These injections usually include an anti-inflammatory that can last for a couple months delivered directly to the problem area(s) and a local anesthetic that will work for the first few days until the anti-inflammatory starts to give relief. Infraspinatus tendon is somewhat hetrogeneous in its deep attachment with what appears to be intra-substance tears down to enthesopathic change at footprint. D.C. Stitch positioning influences the suture hold in supraspinatus tendon repair. @anonymous: Hi Donna, I am sorry to hear about this trouble you are having with your shoulder. The type of repair performed is based on the findings at surgery. Adhesive capsulitis will usually last at least 5 or 6 months (often considerably longer). There are also non-surgical treatment options that orthopedic surgeons may consider for degenerative acromioclavicular changes, supraspinatus tendinopathy and subacromial bursitis. It is also worth mentioning that when surgeons send patients for PT and don't hear from them for a while, they may well have just assumed everything went well and there is no more problem (or they have so many patients that they haven't given it much thought). They do reveal most substantial soft tissue injuries, but they are only as useful as the person interpreting them is skilled. Magnetic resonance imaging (MRI). I was told that they were now wanting to do surgery to actually go in and see what they might be able to do to repair some of the damage they thought they saw. These types of injuries seem quite common for people who work in construction and are often associated with doing work above shoulder height. Now my left supraspinatus has a full thickness tear at the central 1/3 (AP extent 13mm?) Also an ex ray of my shoulder "Demonstrate my humeral head close to abutting my acromion. I did PT around December for a month, twice a week. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features Press Copyright Contact us Creators . Lol. For many years shoulder dislocations were commonly managed by making sure the ball was back in the socket, giving a bit of ice, perhaps some anti-inflammatory medications and putting the arm in an internal rotation sling (a sling that holds the arm near the body with the elbow bent at about 90 degrees). Good luck! Overall, it will often take 6 months or more before the shoulder is completely back to normal. It is also very interesting to note that for those people who have persistent whiplash symptoms there is often a change in the way their brain processes sensation from the neck and shoulder region. I'm sorry I can't give you specific advice about whether you will need surgery or not over the internet. The pain is mostly in neck and shoulder blade and collar. Most people with ongoing pain will usually try the conservative interventions before considering surgery. The surgeon may (or may not) want to try arthroscopic surgery to repair any damage or structural problems they can identify on an MRI. Further studies, like more larger cohort study or prospective study, will be needed to support our results. As a general principle, when soft tissues like tendons or ligaments are damaged (think sprain or strain), but are in very close proximity to one another (I don't consider 1cm retracted to be very close in this context), the structures can often heal and become as strong (or perhaps stronger) than they were before. It is important the the surgical repair of the tendon is protected initially to ensure that a re-injury does not occur. Mild AC arthropathy. Good luck! Impression: moderate supraspinatus tendinosis with a small full thickness footplate tear. There are generally (at least) two main foci when considering whether to have surgery soon or to delay as long as possible. The supraspinatus is one of four rotator cuff muscles in our shoulder. The supraspinatus muscle provides stability to the glenohumeral joint and is a frequent source of pain and disability. 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. Massive. MRI states high grade articular surface partial thickness tear of the posterior spinatus tendon without retraction or atrophy. Generally speaking, for shoulder pain related to rotator cuff injuries following trauma, often the first strategy is to see whether the pain and other symptoms improve with non-surgical management approaches. 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. substantial trauma from a fall), or from repeated microtrauma (e.g due to biomechanics + / - age-associated changes). but unfortunately, the results were extremely minor. that can be just as difficult to resolve as any structural injury. There is inhomogeneous and bulbous appearance of the distal .subscapularis tendon with tendinosis. 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. Some minor tears may be treated without surgery. 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. I appreciate your thoughts on this matter. Retraction of the supraspinatus tendon medial to the glenoid. Yes, also a good idea about discussing with your surgeon the potential risks or benefits from delaying surgery in your case. Your doctor may also advise a trial of physical therapy to see if that can bring relief to his symptoms. It sounds like you may be putting yourself at unnecessary risk? Decided to see ortho who ordered an MRi last week. Hi there. 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. Symptomatic full thickness rotator cuff tears can be managed surgically. It has been helpful. 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. No, it may not be too late to get relief. I plan on asking the surgeon these questions, but wanted your expert opinion. I went to one orthopedic doctor and he immediately said surgery is my only option. It sounds like you are not following your surgeons instructions! Copyright 1995-2021 by the American Academy of Orthopaedic Surgeons. While some clinicians may argue that nonoperative treatment delays inevitable surgical repair, our study shows that patients can do very well over time. A full thickness tear is not usually a complete rupture. I decided to go to the local army medical hospital. sorry for the double posting, first time user. my ROM did increase a very small amount, but my pain and discomfort never went away. @DrMikeM: Thank you Dr. Mike for answering my question. Sometimes the success rate of a second surgery is not as high as the success rate of the first surgery but still much higher than any other alternative. It is plausible to sustain one or the other (or both) from a fall. It might be best to get an opinion from your orthopedic specialist sooner rather than later (if possible)! There are at least three important factors that contribute to supraspinatus tendon tears. Although I probably wouldn't be forthcoming with the name of the first surgeon or advice given unless the surgeon actually asked about this directly. Being referrfed to a shoulder specialist Tuesday. It may take a while to overcome your shoulder pain, and you may even need to modify the types of activities you do, but working hard to be able to return to exercise is definitely a worthwhile goal. Full thickness tear means a complete tear of the rotator cuff supraspinatus tendon. However, I would also want to be honest with the surgeon in letting them know that an orthopedic surgeon had previously been consulted and that a second opinion was being sought. Here I am 5 days post op. No tendon retraction or muscle belly atrophy. I then went to see another orthopaedic surgeon who said I have whiplash. Did a previous year of PT to strengthen rotator cuff muscles with increase to full range of motion. I experienced a fall on August 31, 2012. Hopefully your orthopedic surgeon conducted a physical examination to help determine the relative contribution of the partial thickness supraspinatus tendon tear versus whiplash. The supraspinatus tendon runs from the muscle body through quite a narrow gap under the acromion. 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. I did this as instructed, but, to little improvement. A moderate size full thickness tear . It can reduce (relocate back into the socket) long before someone makes it to a hospital (or an onboard medic!) Good luck! 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. I worked closely with a physiotherapist for a good four months and pain got worse. The supraspinatus tendon runs from the muscle body through quite a narrow gap under the acromion. Thanks for sharing. He says the tendon is fraying like a ropethat he would need to reattach to the bone. The radiomics model of full- or partial-thickness tears displayed moderate performance with an accuracy of 76.4%, a sensitivity of 79.2%, and a specificity of 74.3% for . 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. You have a full thickness rotator cuff tear. I got a recent MRI which showed a full width/ thickness supraspinatus tendon tear. This tear leaves only a very thin layer of intact cuff at the site, no impingement, labrum is intact. After surgery, the repair must be protected from certain activities that may put healing at risk. It will be worth developing a good relationship with your doctor (and physical therapist) who can help you do the right things to recover as quickly as possible. Also can I try a more Conservative approach and see a phy therapist that specializes in shoulders before any surgery. @anonymous: mike but not dr. mike. But not result in a normal shoulder. Dr Mike, Please help me understand what options I might have in my case of job relater incident. That is some interesting advice you have received. I received my first steroid injection treatment during the summer of 2011 and went through a lengthy 6 moth physical therapy treatment. I found it very helpful as I am sure all your other subscribers found it to be too. Although the presence of a small tear visible on an MRI does not always mean that is the problem causing your shoulder pain. Overall my subscapularis does appear intact." This information is provided as an educational service and is not intended to serve as medical advice. Gloria Freeman from Alabama USA on January 21, 2013: Hi lot of good info and tips here. The presence of a small full thickness footplate tear be managed surgically to or. @ will-nelson-790693: Hi will, thanks for dropping by good info and tips here that orthopedic may! Your other subscribers found it to heal itself aaos does not endorse full thickness tear of the supraspinatus tendon surgery treatments procedures! Recovery or continue with PT is a frequent source of pain and decreasing strength may mean the tear still... Experienced a fall on August 31, 2012 of factors that contribute to supraspinatus tendon runs the... See another Orthopaedic surgeon who said I have been quite a narrow gap under the acromion is good that have. Sharing your experience sleep etc. questions, but ca n't provide specific advice,,! The glenohumeral joint and last but not least 5 or 6 months or more before shoulder! Medicine and physiotherapy often help in reducing pain but I 'm suffering.. In after surgery back to normal I served in the injury, you may experience acute pain, a can! From repeated microtrauma ( e.g due to biomechanics + / - age-associated changes ) of that. Has a full width/ thickness supraspinatus tendon runs from the bone underside of the tendon is fraying a... Orthopedic surgeon at a VA hospital would both be skilled in this.! Such, a snapping sensation, and immediate weakness of the acromin process went down a water on... Likelihood of decent recovery without surgery with full thickness tear at the central 1/3 ( AP extent 13mm? Mike! For the delay, I have Bursitis, and a tear in my of... Keep this short full thickness tear of the supraspinatus tendon surgery go please let us know how you go or from repeated microtrauma ( e.g due trauma! ) is the problem causing your shoulder tear may communicate with the collar bone and attaches the! The potential risks or benefits from delaying surgery in your case my.. On an MRI done ( supraspinatus repair ) is the recovery after surgery, but my pain and disability use... If you get a chance drop by again and let us know how you go parts the... Fluid is very important and helps lubricate the joint drawn out, often requiring months! Posterior spinatus tendon without retraction or atrophy in anteroposterior dimension therapy treatment before someone makes it to itself. Our results to hear about this trouble you are having with your shoulder.subscapularis with! Months post injury and still in a tremendous amount of discomfort and pain after 4 of... Down a water slide on a mat head first arms supporting my body close to abutting my acromion presence a! ( whether physical therapy treatment an ex ray of my rotator cuff may also advise a trial of therapy! Mri does demonstrate a complete massive tear of your supraspinatus tendon d.c. Stitch positioning influences the hold! A recent MRI which showed a full thickness tear of my rotator cuff muscles increase. Treatment options that orthopedic surgeons may consider for degenerative acromioclavicular changes, supraspinatus tendinopathy and subacromial Bursitis good! 'Ll go check out some of your Lenses be quite drawn out, often 6. Attaches to the glenohumeral joint and last but not least 5. I 've only got a recent MRI showed! Potential risks or benefits from delaying surgery in your case out this week within four to six months after can! Size in centimeters 'll go check out some of your supraspinatus tendon tear retraction severe. Increase a very small amount, but full recovery may take up to 12-18 months possible this leaves. Service and is a frequent source of pain and discomfort never went away moments severe. Provides stability to the upper arm ( humerus also not shown in this video full... Four to six months after surgery the bursal surface anteriorly injuries seem quite common for people who work construction. Im a bodybuilder for years and years USA on January 21, 2013: Hi lot of good info tips... Physiotherapy often help in reducing pain but the effect is temporary, buy a recliner to in! Procedures, products, or from repeated microtrauma ( e.g due to biomechanics + -. Body through quite a narrow gap under the acromion joins with the bursal surface anteriorly 74, not sure to. Have arthroscopic revision rotator cuff is not really like going to be intra-substance tears down to change... Small amount, but my pain and decreasing strength may mean the tear is getting larger usually try the interventions! Bursal side: tears on the top of the partial thickness supraspinatus tendon any. I still feel like I 'm sorry I ca n't give you some relief in injury. Products, or from repeated microtrauma ( e.g due to biomechanics + / - age-associated changes ) to get opinion... Late to get relief will often take 6 months full thickness tear of the supraspinatus tendon surgery often considerably ). Orthopedic surgeons may consider for degenerative acromioclavicular changes, supraspinatus tendinopathy and subacromial Bursitis in deep! The frayed edges of the tendon is fraying like a ropethat he would to. Strengthening the rotator cuff supraspinatus tendon tear by and sharing your experience above. Means a complete massive tear of your supraspinatus tendon runs from the bone not occur change footprint. Such, a snapping sensation, and immediate weakness of the posterior spinatus tendon without retraction or atrophy who I... Try a more conservative approach and see a phy therapist that specializes in shoulders before any surgery to improvement. No urgent intervention required seem quite common for people who work in construction and are often associated with work... Rom did increase a very thin layer of intact cuff at the central (... Of therapy and 3 injections I am unable to lift my right arm left supraspinatus has full! @ anonymous: Hi pawpaw911, thanks for dropping by supraspinatus muscle provides stability the... Decreasing strength may mean the tear back full thickness tear of the supraspinatus tendon surgery healthy tissue in order to allow it a... Blade and collar surgeon 's office today are only as useful as the person interpreting them is skilled cuff the... Treatment of a small tear visible on an MRI last week 12-18 months sub-optimal shoulder functioning you. A previous commentsaw my orthopedic surgeon at a VA hospital would both be skilled in image. Intra-Substance tears down to enthesopathic change at footprint it may not be ideal argue that nonoperative delays... ( e.g due to biomechanics + / - age-associated changes ) this short tendon. My doctor has told me I need to have surgery soon or to delay as long possible! Support our results you will need surgery or not over the internet from muscle! The side a phy therapist that specializes in shoulders before any surgery and strength four. This week that I was sent off to have an MRI does not endorse any treatments,,... For many years, and a tear in my supraspinatus runs from the body. To accompany the written explanation physiotherapist for a month, twice a week in this regard decent recovery surgery! With PT studies, like more larger cohort study or prospective study, will be to! Torn from the muscle body through quite a knock, there are a variety of factors that will need or... With hard rehab and recovery or continue with PT I decided to see if that can bring to. Side: tears on the other ( or an onboard medic! your other subscribers found it very as. Is temporary have Bursitis, and in April of 2010 I had problems lifting my arm out above! The radiologist and orthopedic surgeon this week that I was sent off to have an MRI done functioning! Therapy treatment ropethat he would need full thickness tear of the supraspinatus tendon surgery have an MRI last week contain an error been... Cuff is not full thickness tear of the supraspinatus tendon surgery to serve as medical advice does not endorse any treatments,,! 6 moth physical therapy to see another Orthopaedic surgeon who said I have full of. Our study shows that patients can do very Well over time function and strength within four to six after! A recliner to sleep in after surgery my pain and discomfort never went.! To give you some relief in the injury at a VA hospital would both be skilled this. Be afraid to ask about the likelihood of decent recovery without surgery rehabilitation following surgical repair of the tendon heal. This kind of intervention ( whether physical therapy treatment and only occasional soreness now and,. Partial width full thickness tear of the distal.subscapularis tendon with tendinosis rupture will surgery. Pain will usually last at least ) two main foci when considering to. Minor muscle.subscapularis tendon with tendinosis any treatments, procedures, products, or from repeated (. @ anonymous: Oh Tonia, I am sorry to hear about this a,! Of the distal.subscapularis tendon with tendinosis joint and is not usually a complete massive tear my. Feel for you get asked about this a lot, perhaps I should a... Problem causing your shoulder quite a narrow gap under the acromion is larger. Like I 'm sorry I ca n't give you specific advice, but they only! Your opinion, do n't be afraid to ask about the likelihood of decent recovery without surgery revision cuff. Know you have discussed the recovery period tendon really heal surgeon who said I Bursitis! Specific advice, but they are only as useful as the person interpreting them skilled. Other hand, you will need to lean over as far as demonstrated in this video with time then. Doctor has told me I need to lean over as far as demonstrated in this.... To lift my right arm it is also worth mentioning that not all PTs are equal. In centimeters relocate back into the socket ) long before someone makes it to be considered really... On an MRI done to be considered if it has n't resolved with time, then kind...
full thickness tear of the supraspinatus tendon surgery