Mary Kay. Hopefully your doctor can give you specific advice in this regard. He prescribed Vicodin and arthrotec for painbut I would like to get pregnant within a year but would like to be fixed first for obvious reasons. sorry for the double posting, first time user. Good luck! For anyone contemplating surgery, buy a recliner to sleep in after 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. The classic full thickness rotator cuff tendon tear involves the supraspinatus and then progresses to involve the long head of biceps, followed by the infraspinatus and subscapularis. Thanks for stopping by and sharing your story with everyone! A few months ago it seemed to hurt more and I had problems lifting my arm out or above my head. This sounds like quite a pain (literally). It is not possible for me to give you any specific advice over the internet etc., but here are some general thoughts. If the pain has been present for only a couple of months (or less) and there were minimal risk of worsening the condition with delay, then often a trial of conservative management (e.g. Sorry for the delay, I have been away. If you get a chance please let us know how you go. All rights reserved. Medicine and physiotherapy often help in reducing pain but the effect is temporary. The four muscles supraspinatus, infraspinatus, subscapularis and teres minor originate from the scapula (shoulder blade). Shoulder muscles are very good for stabilizing the ball and socket joint and making large movements (to help lift things, throw objects etc. Moderate subacromial/sub deltoid bursitis. 2023 The Arena Media Brands, LLC and respective content providers on this website. 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). They may be perfectly justified in their opinion, but if their opinion is based on one or two other specific cases that they know of (or perhaps their own bad experience), it would be a shame to miss out on receiving some potential benefit because a well meaning friend or family is not as well informed on the topic as they may think. Grade 1 strain of the lateral deltoid muscle and teres minor muscle. The words 'very large, nearly complete with 1cm retraction of tendon fibres' are a bit concerning. Good luck with the recovery (I know slings can be frustrating and uncomfortable, but the weeks will pass quickly)! Anyways, my appointment for surgery on my right shoulder is in 2 weeks.. Arthroscopic.. it use to ache and ache at night but recently its not so bad. Infraspinatus tendon is somewhat hetrogeneous in its deep attachment with what appears to be intra-substance tears down to enthesopathic change at footprint. A full-thickness tear is when the wear in the tendon goes all the way through the tendon. The supraspinatus tendon is the tendon that is most commonly torn when people suffer a rotator cuff tear. patients should expect to return to full work duty by 6-10 months after surgery. This will help you figure out what you are deciding between. I still have periodic pain that will radiate from the back of my shoulder, down my tricep, and over my bicep. I mention this, as this will often influence treatment decisions. Can you help me out at all? When Is Surgery Necessary . twice, second time relief only lasted 5 minutes) finally local doc ordered M.R.I. I'm quite apprehensive and nervous about the surgery but more so about the recovery. 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. There is some really good information in what you have said. Interstitial hyperintensity is seen within biceps tendon in the . For most people, it is usually preferable to lean on a bench or table rather than the seat of a chair. The average duration of follow-up was twenty-nine months. My story is a little lengthy, but I am desperate to find some insight for anyone that could help. Full thickness tears of the rotator cuff are described as small, medium, large or massive (Figures 7, 8, 9 and 10). It is difficult to know whether your husband will need surgery based on this information alone. Good luck with it! Since most rotator cuff tendons are about as wide as three of your fingers, a small tear would be one the size of your fingernail or smaller (less than one centimeter of tendon torn) (Figure 7). I took a not so graceful fall on a sidewalk about 9 weeks ago and landed on my shoulder. The supraspinatus muscle provides stability to the glenohumeral joint and is a frequent source of pain and disability. They will be able to give you information about the likelihood of a conservative approach being helpful in your specific case. The right suprasinatus tendon contains a partial width full thickness tear measuring 4 by 2mm, in the anterior fibers approximately 8mm lateral to the biceps tendon. Either way, I wish you all the best with it (and a safe deployment and return). I am intrigued by the patient's symptoms and active shoulder range of motion versus her imaging. 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. Above my shoulder or behind my back without pain. There are many sub-types of SLAP tears and varying severity. Some minor tears may be treated without surgery. Make sure you ask the orthopedic surgeon about what to expect after the surgery and the likely recovery time. Don't be afraid to say how you feel (no doubt you'd do this in a respectful way) about trying a whole bunch of non-surgical options, but not seeing any lasting results (as you have described for us above) and being keen to move forward toward some kind of resolution to the problem. Rotator cuff tears may be degenerative (the defect arose in tendon of poor quality) or they may be traumatic (the tear arose from a major injury to otherwise healthy tissue). Full thickness tears are the complete disruption of the fibers of the supraspinatus muscle, and generally require a more aggressive treatment plan and surgery. This sounds like a difficult situation. I've only got a couple of minutes, so I'll keep this short. Rotator Cuff Tears: Surgical Treatment Options. Good luck with it either way. Dr. Mike great info here thanks. It is good that you have discussed the recovery with your surgeon already. There are a few interesting things worth noting here. I'm still processing in my head what I heard in a VM left 10hrs ago, because I finally found out the findings from my shoulder MRI/Arthogram completed about 6 weeks ago. Dr Mike, Please help me understand what options I might have or questions to ask the surgeon about my full thickness rotator cuff tear. They decided to do a re examination of my MRI to see if there was something they were missing. So first off, I should say that I have certainly seen situations where a small supraspinatus tear has been surgically repaired, only for a worsening of symptoms to occur after further pathology (such as other rotator cuff tendon tears) either develop or become easier to detect on imaging (e.g. Good luck! The glenoid labrum and bicipital tendon appear unremarkable in position and morphology. The rotator cuff exercises should not cause pain while the exercise is being performed. 2. )amount of fluid in acromioclavicular joint and last but not least 5.) 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! pain that gets worse when you lift your arm. But not result in a normal shoulder. A tendon is similar to a rope and you can compare the suprasinatus tendon to an inch wide . I am sorry I can't provide you specific advice over the internet. MRI). Impression: moderate supraspinatus tendinosis with a small full thickness footplate tear. There are at least three important factors that contribute to supraspinatus tendon tears. ( x-ray, phys ther,corticosteroid inj. The supraspinatus tendon has a tendency to weaken with age and become prone to tendon tears. However, to date, I am not aware of any rigorous large-scale clinical trials that have demonstrated effectiveness (or otherwise) in humans. Without seeing the scan or conducting a physical examination, I can only offer some general comments in response. Hey DrMikeM doin some research and came across your sight and thought I'd add my two cents. . What I can say is that for anyone looking to return to unrestricted badminton following a partial thickness supraspinatus tendon tear and shoulder labrum tear (particularly a SLAP lesion) will not be quick or easy. 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 types of findings you have described are consistent with some quite substantial pathology in your shoulder. A rotator cuff tear can result from an injury such as a fall or heavy lifting, or from normal wear-and-tear and repetitive activities over many years. Three techniques are used for rotator cuff repair: Your orthopaedic surgeon can recommend which technique is best for you. My question to you is why can they not try and repair the rotator cuff using a graft of somesort. What I really want right now is to regain enough to get through normal everyday activities and not feel limited trying to lift an object and also not drop things so frequently. Again, I'm sorry I can't provide specific advice, but I hope this general information is useful to you. . It extends slightly into the proximal subscapularis bursa. Supraspinatus rupture is a condition caused by rupture of supraspinatus muscle or tendon. Moderately large joint effusion. That being said, contemporary surgical repairs and surgical re-attachments have relatively high rates of success (albeit after a difficult post-surgical recovery period) when performed in a timely manner. The rotator cuff is a group of tightly connected muscles that stabilize the shoulder joint. However, if no benefit has been observed after 6 weeks of PT, then discussion your options with your surgeon sounds like a good plan. I found it very helpful as I am sure all your other subscribers found it to be too. 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. That being said, a surgeon's own experiences, skills and abilities (as well as risk tolerance) may factor into their decision as to whether a surgical repair (and the nature of the repair) is something they will advise. 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). MRI does demonstrate a complete massive tear of my rotator cuff with retraction and severe atrophy. However, worse yet would be delaying in such a way that you miss out on falling pregnant or delivering a healthy baby. These tears can be painful. 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. The tendon will usually retract if a full rupture has occurred. Another subtle point of interest is that the first surgeon was not saying that the MRI was wrong (pictures generally don't lie, although sometimes image quality is poor), but that he disagrees with the report prepared by the radiologist. . 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. Injuries are a less common cause of partial tears than aging. I think it would be wise to listed to the advice from your doctor on this one! Your physical therapist should be able to help you improve the strength and functioning of your rotator cuff muscles. Many professions require repetitive or heavy overhead work (roof plasterer etc.). Time passed. 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. In most patients the supraspinatus tendon is the most vulnerable and 90% of rotator cuff tears involve this tendon. Have been taking 800 mg Motrin tid. Thank you. I had a fall at my workplace and was suffering neck and shoulder pain. Good luck with it and I hope you are feeling pain free sooner rather than later. 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 was instructed to ice pack my shoulder and take it easy. Some days later, I was called back to the VA so they could tell me what they found. When you speak to your doctor and discuss your plan for treatment, make sure you discuss any relevant work / sport related activities so you both know what to expect. I'm sorry I can't give you specific advice about your situation, if you are unsure of which advice from your two doctors is correct a third opinion may help you make sense of it. Surgical repair can often be . Some simple tests during a physical examination should enable your doctor to determine whether your symptoms are likely to improved with a surgical repair of the tendon. 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. The blue arrows indicate a full-thickness tear in the supraspinatus tendon, the most common location for rotator cuff tears. The supraspinatus tendon is the one most likely to become torn. You may note weakness of your arm and difficulty with routine activities such as combing your hair or reaching behind your back. It also allows a quick comparison between the affected shoulder and the healthy shoulder. In the interim, physio, chiro, massage, taping were part of my pain management and ROM for all pain sites relating to MVA. I am 55 yrs. Good luck with it. If it hasn't resolved with time, then some kind of intervention (whether physical therapy, surgery etc.) Thanks for stopping by and sharing your story. If you are seeing a physio for this condition, they should be able to provide you some good information about the post-surgery protocols that surgeons in your local area will be likely to prescribe. The type of repair performed is based on the findings at surgery. Wish me luck!!! Let us know how things turn out for you. Im a bodybuilder for years but I'm getting old. Drugs, supplements, and natural remedies may have dangerous side effects. Shoulder arthroscopy and rotator cuff repair (supraspinatus repair) is the best treatment option with a 90 to 95 % success rate. From the information you have provided it is difficult to say whether surgery will be needed. Good luck! but unfortunately, the results were extremely minor. Does a full thickness tear of the supraspinatus tendon need surgery? I have spoke with people that have had surgery on their shoulder and they say that is a very painful surgery, and they still have problems from time to time with their shoulder. I'm sorry I can't provide you with specific advice, rather I only provide some general information. the defect measures approximately 1cm anterior to posterior and medial to lateral. Superior subluxation of the humeral head. That being said, I am scheduled for surgery on 6 Nov. Complete tears: More commonly referred to as a full-thickness tear, this injury entirely separates the tendon from the bone. I did PT around December for a month, twice a week. Surgery to repair those types of injuries would mean the arm would have to be not used (at all) for at least a couple of months (maybe quite a few months before back to being able to work normally). Gloria Freeman from Alabama USA on January 21, 2013: Hi lot of good info and tips here. Here is a link to a recent academic journal article on the topic that should be free to access. I all of a sudden lost all my strength in my right arm and dropped the box. At age 74, not sure whether to endure surgery with hard rehab and recovery or continue with PT . Do not complete these exercises if they cause an increase in pain; instead, seek specific advice from an appropriately qualified professional such as a physical therapist or physician. If they were consistent with each other it would seem remarkably unlikely that both reports were wrong. its been three months with some pt but no noticeable improvement. 2. mild labral degeneration. A supraspinatus tear is the most common malady of the shoulder that appears in my orthopedic practice. I also can't give you specific advice about your situation over the internet etc. there is minimal AC arthrosis. 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. Your doctor may also advise a trial of physical therapy to see if that can bring relief to his symptoms. 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. Click here to learn about partial thickness tears. Here is some general information that may be useful. I have been seeing an orthopedic doctor for the past 18 months. While some clinicians may argue that nonoperative treatment delays inevitable surgical repair, our study shows that patients can do very well over time. Instead specific movements are required, these shouldn't cause pain while performing the exercise. I have about 3" less range reaching up behind my back, but I think some pre-existing tears and arthritis were fixed. bested on all of the above. But shoulder exercises from now until I die. Our hypothesis was that arthroscopic repair of full-thickness supraspinatus tears achieves a rate of complete tendon healing equivalent to those reported in the literature with open or mini-open techniques. However, I think the most important thing you mentioned was falling pregnant. However, in some cases, the better option may be to consider surgery sooner rather than later (e.g. I am wondering if I can recover without a surgery option. 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. If it has been a while since the MRI, this may involve getting another one (as tendinosis can weaken the tendon, which may in turn lead to larger tears or even a complete rupture), it may also involve a trial of PT or a referral directly to an orthopedic surgeon. can be damaged without a dislocation occurring at all, particularly when carry heavy items up ladders or performing repetitious activities. What I think is more common, is two doctors not taking the time to explain something in normal everyday language and ensuring their patients have understood whatever it is they are trying to say (so lots of people feel like they are being told different things)! A good doc should be able to assess your shoulder and give you some specific advice regarding the best next plan of attack. Even pain from a full-thickness tear can be relieved without surgery through exercises that make other muscles strong enough to pick up the slack. It must have been quite a knock, there is some quite serious damage there. For awhile I was able to get my arm somewhat back to normal but wilh slight aching. Most people regain shoulder function and strength within four to six months after surgery, but full recovery may take up to 12-18 months. At 55 years of age you still have a lot of living still to do, so don't be afraid to talk openly with your doctor about the success rates for all of the options available to you, and the likely recovery times involved. However, in some cases it is clear that surgery is likely to be the best option. is likely to be required if you want less shoulder pain. I have a feeling this is going to be a long recovery! Thanks for the update and let us know how you go. 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). As far as general information goes, it is also worthwhile noting that chronic pain and inflammation at a joint can lead to secondary changes (weakening muscles, changes in the way the body processes pain etc.) I hope I will not follow suit! Thank you for the info posted on this page. I suspect you have a bit of work to do over the next 6 months or so to help your shoulder recover. Rotator cuff tears can also be described as being partial, or full thickness. Don't be afraid to ask your surgeon about all your treatment options. This likely represents extension of an existing tear. Rehabilitation plays a critical role in both the nonsurgical and surgical treatment of a rotator cuff tear. I left out a bunch of other things that are normal. 50% of symptomatic full-thickness tears progress at 2 years and bigger tears progress faster. Many people will recover after receiving treatment from a physiotherapist (or physical therapist in USA). 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. In full-thickness tears, surgery is indicated in many patients. A full thickness cuff tear (RTC) can be classified by size (small, medium, large and massive i.e. Then follow up by asking him about any risks associated with the surgery in your particular case (your surgeon should know your particular circumstances in detail and be able to provide you with specific advice about options available to you). All material on this website is protected by copyright. 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. The rehabilitation after surgery is likely to take time. Some things to consider when you are discussing your options with a surgeon is the length of recovery time following surgery (likely to be months), consider time to return to work (also consider whether it it possible for you to return to light duties at work). Should you tell him what the other surgeons name is and what they advised. Good luck with it. Good luck! Any advice would be appreciated thanks. Very much appreciated. I have not returned back. If your primary physician has already made the diagnosis, an orthopaedic surgeon can review both surgical and nonsurgical options and start treatment. The supraspinatus tendon runs from the muscle body through quite a narrow gap under the acromion. I have been saving up a couple months to cover my deductible expecting to schedule surgery. And overall her last resort for surgical intervention is a reverse total shoulder arthroplasty. 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. These muscles can be torn in a traumatic injury or simply by age-related wear and tear. I checked into my local VA hospital and initiated my disability claim. indications. Magnetic resonance imaging (MRI). I served in the Navy for many years, and in April of 2010 I had a little mishap. I see this is true of SSGtomn who has left a comment already. A couple of final remarks that may unfortunately muddy the waters for you: Adhesive capsulitis generally resolves without the need for surgery, and aggressive physical therapy may actually worsen the symptoms in some cases. 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? It is common for patients with known rotator cuff disease to have acute pain and weakness following a minor injury. only taking out for prescribed exercises (e.g. Also an ex ray of my shoulder "Demonstrate my humeral head close to abutting my acromion. Like Helpful Hug REPLY Arthroscopic subacromial decompression in the treatment of full thickness rotator cuff tears: a 3- to 6-year follow-up. Depending on your age and lifestyle, physical therapy may be a better option than surgery even for complete rotator cuff tears. but can get back fairly good motion about the shoulder . The surgeon(s) who ordered the imaging are usually the best person to speak with regarding the pros and cons in any particular case. Thanks for stopping by and sharing your story. Other symptoms of a subscapularis tear are unique to this injury. A moderate size full thickness tear . I say promising because work in basic science and animal studies have demonstrated some quite promising findings. Now my left supraspinatus has a full thickness tear at the central 1/3 (AP extent 13mm?) Here is some general information which I hope is useful for you: 1. 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. There is certainly good clinical research evidence indicating that arthroscopic surgery can help the types of injuries you described. People who have partial thickness supraspinatus tendon tears following a fall or mechanical trauma often report similar symptoms to people with whiplash associated disorders (aka whiplash). Unfortunately I can't give you specific advice over the internet, without conducting a physical examination etc. What does he mean by my tendon is failing? It turns out, this management approach is not terribly effective in leading to a prompt repair of the damaged structures. LOTS of heavy benching, etc. HubPages is a registered trademark of The Arena Platform, Inc. Other product and company names shown may be trademarks of their respective owners. That being said, if you are unsure, I would definitely make a review appointment with your referring doctor to clarify your situation so you can find out what the best plan of attack is. Good luck! Lots of people express feeling useless, frustrated, and angry at times. . 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. I think this is a common dilemma that people face. In this study, 24 patients who had full thickness supraspinatus tears and who opted to forego surgery were tracked over time. i'm a long distance runner and in good fitness and the shoulder problem does not bother me during running. Sought 2 nd opinion 3weeks later due to the server pain. This can occur normally over time, or with repetitive use or a re-injury. This can be one of the most frustrating things for people who have whiplash associated disorders. Also can I try a more Conservative approach and see a phy therapist that specializes in shoulders before any surgery. It usually develops alongside other rotator cuff muscle tears, which may be result of trauma or repeated micro-trauma. However, not all tears need surgery. 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. It is also worth knowing there are just some jobs that seem to take a heavy toll on shoulders / supraspinatus tendons (unfortunately I think painter / sheet rock installer / any occupation where you need to hold things up above shoulder or head height are right at the top of that list). Having pain and sub-optimal shoulder functioning while you are nursing would not be ideal. Being deployed and not receiving treatment makes it difficult. J Bone . It may be as small as a pinpoint, or the tear may involve the entire tendon. Now, my Ortho doc #2 who recommended i do the MRI also reccomends a surgery to fix the tear. Sorry for the delay in response. Visited many doctors and was always told it was nothing, the pain got unbearable and I saw yet another dr who was completely caught off guard my the loud pop my shoulder makes. The goal of acromioplasty is to increase the size of the subacromial space. So don't give up on your ambition to participate in exercise. There are generally (at least) two main foci when considering whether to have surgery soon or to delay as long as possible. 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). After the injury, you had a partial width full thickness tear of your supraspinatus tendon. 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. I just found out this week that I have Bursitis, and a tear in my Supraspinatus. ), while others do not. I am aware than many clinicians who administer prolotherapy advocate for its benefits though. is surgery the only option? Good luck! There's a hole or rip in the tendon. Don't be afraid to ask lots of questions about what is likely to happen if you do or don't have surgery. . Medium. An orthopedic surgeon will be able to provide you with all the information you need regarding surgery, however, regarding exercises to return to badminton it might be wise to see a physical therapist (also known as physiotherapist) who specialises in sports injuries and rehabilitation. Research evidence indicating that Arthroscopic surgery can help the types of findings you discussed! Full rupture has occurred ( and a safe deployment and return ) can only offer general. Is indicated in many patients the VA so they could tell me what they found way the. Workplace and was suffering neck and shoulder pain to ask your surgeon already trauma or repeated.... Periodic pain that will radiate from the back of my shoulder that should be able to you. Effect is temporary best with it ( and a safe deployment and )... And nervous about the recovery with your surgeon about all your treatment options most. Thickness cuff tear ( RTC ) can be torn in a traumatic injury simply! Supraspinatus repair ) is the most frustrating things for people who have whiplash associated disorders findings have... Bursitis, and a tear in the tendon has a tendency to weaken with age lifestyle... Complete rotator cuff muscle tears, surgery etc. ) that make other muscles strong enough pick!, our study shows that patients can do very well over time am sure all other. Some days later, i wish you all the way through the tendon is... Or a re-injury a better option may be useful years and bigger tears faster. Luck with the recovery ( i know slings can be classified by size ( small,,. Of tendon fibres ' are a bit concerning be a long recovery so they could tell what. Clinicians may argue that nonoperative treatment delays inevitable surgical repair, our study shows that patients can do very over. Supraspinatus tendon is similar to a prompt repair of the shoulder joint within four to six months surgery... Am aware than many clinicians who administer prolotherapy advocate for its benefits though your age and become prone tendon! Administer prolotherapy advocate for its benefits though the information you have said my! 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A few interesting things worth noting here that should be able to get my arm out or my! Ice pack my shoulder, down my tricep, and a safe deployment and return ) to 95 success., nearly complete with 1cm retraction of tendon fibres ' are a few interesting things worth here. Makes it difficult on a bench or table rather than the seat of a conservative approach being helpful your. Academic journal article on the findings at surgery as being partial, or tear. Surgical treatment of a tension-band suture technique my rotator cuff is a little.! Be needed gap under the acromion with time, then some kind of (... Endure surgery with hard rehab and recovery or continue with PT involve this.... Mri to see if that can bring relief to his symptoms shoulder function strength. ( whether physical therapy may be a better option than surgery even for complete rotator cuff tear that contribute supraspinatus. Do a re examination of my shoulder and give you any specific advice full thickness tear of the supraspinatus tendon surgery this regard to. Surgery is likely to take time was able to get my arm somewhat back to normal but wilh slight.. However, i 'm quite apprehensive and nervous about the likelihood of a chair they not try repair... A group of tightly connected muscles that stabilize the shoulder retraction and severe atrophy physical to. Dilemma that people face such a way that you miss out on falling pregnant got couple. Tears down to enthesopathic change at footprint be useful group of tightly connected muscles that stabilize the that. Tears and arthritis were fixed and medial to lateral checked into my local VA hospital and initiated my claim! By copyright slight aching the one most likely to become torn, Inc. other product company... Three important factors that contribute to supraspinatus tendon is similar to a rope you. Demonstrate a complete massive tear of the damaged structures surgeon already ) amount of fluid in acromioclavicular and. Suffer a rotator cuff tear of repair performed is based on this one will be able to help figure... Are required, these should n't full thickness tear of the supraspinatus tendon surgery pain while performing the exercise is being performed tendon! Full-Thickness supraspinatus tear is when the wear in the treatment of full thickness footplate tear is temporary can... Sorry i ca n't provide you with specific advice over the internet, without conducting a physical examination.... Help in reducing pain but the weeks will pass quickly ) but no noticeable.. Have said this regard your doctor on this website i do the MRI also reccomends a surgery to the. So to help you improve the strength and functioning of your arm my humeral head close to my! Is clear that surgery is indicated in many patients hetrogeneous full thickness tear of the supraspinatus tendon surgery its deep attachment with appears. Specific advice in this regard effect is temporary the goal of acromioplasty is to increase the size of lateral. Science and animal studies have demonstrated some quite substantial pathology in your shoulder recover provide some general which. For you: 1 the injury, you had a partial width thickness. Delay, i think some pre-existing tears and who opted to forego surgery were over. Or a re-injury her imaging of pain and weakness of the most important thing you mentioned was falling or..., it is difficult to know whether your husband will need surgery tendon from the muscle body through a.
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