full thickness tear of the supraspinatus tendon surgeryfull thickness tear of the supraspinatus tendon surgery

I'm not sure whether the doctor you mentioned is a family physician / general practitioner or an orthopedic consultant / surgeon. I am angry, confused and cannot get any pain relief. Whiplash is more difficult to detect with common imaging approaches, like an MRI, than supraspinatus tendon tears. pain that gets worse when you lift your arm. 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. If pregnant or nursing, consult with a qualified provider on an individual basis. ROM decreased. 6 months ago a different ortho diagnosed the problem as frozen shoulder and gave me a cortizone shot followed by physio therapy for few weeks. Surgical repair can often be . I'm not really sure how the whole army doctor situation works while you are on deployment, but I think if you have ongoing symptoms then it is worth making sure the appropriate people know. There are some biomechanical and physiological attributes associated with the types of tendon injuries you have described that make them difficult to successfully repair. ROM hurts so I'm not sure. I hope I will not follow suit! 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. 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. Many persons with partial-thickness tears will never require surgery if they undergo an appropriate physical therapy rehabilitation to address muscle imbalances. It is one of the most frequently damaged tendons. Medicine and physiotherapy often help in reducing pain but the effect is temporary. Make sure you understand their explanation of what problems are occurring around you shoulder and what treatment options are available to you. All the best. As mentioned in the video, the aim of these resistance band exercises is not to increase your range of movement but to instead strengthen the rotator cuff muscles which will help protect the soft tissue structures around the shoulder in the long term. Sorry I can't give you specific advice over the internet, but it sounds like your shoulder specialist will be able to give you good personalized advice on Tues. I have a referral to a specialist and hopefully I will have some answers soon. Went to an orthopedic surgeon who said I had frozen shoulder and injected the capsule with cortisone and told me to return in 3 months. He says that my tendon is failing. Does a full thickness tear of the supraspinatus tendon need surgery? If the ball is popping out of the joint (dislocating), then that is a major concern (but this usually doesn't occur without trauma)! It is good that you have discussed the recovery with your surgeon already. This type of test uses sound waves to produce images of structures within your body, particularly soft tissues such as muscles and tendons. Questions: 1. Hi there. If they repair the tendon surgically, this will probably involve wearing a sling and not using that shoulder actively for at least 4-6 weeks and then quite slow gradual progression for the weeks / months after that. No. 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. Good luck with it either way. Your question regarding using a graft of some sort to help repair a rotator cuff tendon is an interesting one. Good luck! 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 was then I found out how messed up my shoulder actually is 1. INTRODUCTION. However, it is worth noting a common misconception about full thickness tears. With partial thickness rotator cuff tears only part of the tendon has torn off the bone. It sounds like the damage is fairly minor in my shoulder yet I have a great deal of discomfort and limited ROM 2 1/2 months after my fall. I get asked about this a lot, perhaps I should write a page on rehabilitation following surgical repair of supraspinatus tendon tears! I am wondering if I can recover without a surgery option. @anonymous: Hi Kazikp, I am sorry I cannot give you advice over the internet but here is some general information you may find useful. These four muscles (supraspinatus, infraspinatus, subscapularis, and teres minor) stabilize the glenohumeral joint, enable rotation around the joint, and provide a counterforce to . No, it may not be too late to get relief. If your tendon were to completely rupture while you were pregnant, this may be very problematic. I think it would be wise to listed to the advice from your doctor on this one! Humeral head is riding high abutting the underside of the acromin process. Hopefully your orthopedic surgeon conducted a physical examination to help determine the relative contribution of the partial thickness supraspinatus tendon tear versus whiplash. Those words exactly. Should this shoulder have an MRI? At age 74, not sure whether to endure surgery with hard rehab and recovery or continue with PT . On the other hand, there is nothing speedy about recovery after surgery but at least there usually is recovery (albeit slow). 1 Supraspinatus Rupture causes microscopic tear, major tear and dislocation from its attachment to humerus and scapula. 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). Degeneration of the infraspinatus tendon with bursa side fraying. Moderately large joint effusion. To be as specific as I can, It feels like someone shoved a knife right into the top of my shoulder blade and right down inside my shoulder. @anonymous: Hi Vicki, I'm glad the information was useful to you. Good luck! At the final follow-up, the VAS, Constant, ASES, and UCLA scores were 1.1 0.9, 84.3 16.4, 88.3 17.4, and 31.1 6.0, respectively. That being said, I am scheduled for surgery on 6 Nov. When getting a second opinion from another surgeon. This is just general information of course. The technicians wont say more and nor will my doctor. Productive acromioclavicular joint changes are associated with an anterolaterally down sloping type II acromial configuration. Drugs, supplements, and natural remedies may have dangerous side effects. Surgical repair can often be . As defense lawyers are quick to point out, rotator cuff tendons, just like lots of our other joints and tendons, tend to degenerate as we age. Acromioclavicular joint degenerative changes, which means nothing to me. I am disappointed not to have been referred to a surgeon, but I have to admit the exercises have already helped me sleep better. 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. Here are a few notes/tips before you begin: Below is a demonstration of this exercise. I say promising because work in basic science and animal studies have demonstrated some quite promising findings. Advertisement. Did MRI of neck 1st which showed degenerative disc disease in c5-6 and c7-t1. It is also worth mentioning that not all PTs are created equal. The supraspinatus is one of the four muscles that make up the rotator cuff group of muscles. Arthroscopic repair of full-thickness tears of the supraspinatus: does the tendon really heal? Your doctor may recommend a diagnostic imaging study such as a magnetic resonance imaging (MRI) scan or ultrasound to confirm the diagnosis. 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. For awhile I was able to get my arm somewhat back to normal but wilh slight aching. I have always found the anatomy of the shoulder to be very interesting. Getting a second opinion when you are not sure about your first is also often a good idea. Nonetheless, it worth noting that as a general principle, synovial fluid is very important and helps lubricate the joint. @DrMikeM: wheather arthoscopy surgry ll help for my injury sir ?what type of surgery needed for dis type of injuries sir.ortho doc told Do exercise for 2 weeks aftr tat if it not improved ll do arthoscopic surgery sir Due to a fall and resulting shoulder pain my doctor prescribed to have an MRI, the findings were; moderate tendinitis in the supraspinatus. Patients ranged in age from twenty-nine to seventy-nine years. In the beginning of 2012, I returned to the Orthopedic specialist at the VA, and the medical staff seemed very surprised that my god awful pain and discomfort was still going on. This can be one of the most frustrating things for people who have whiplash associated disorders. In terms of general information that may be useful to you, I am not sure I have seen any sound clinical research evidence indicating that prolotherapy is likely to provide long lasting benefits for people with MRI diagnosed supraspinatus tendon tears. 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). 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? There's a hole or rip in the tendon. Conclusion: Nonoperative treatment is an effective and lasting option for many patients with a chronic, full-thickness rotator cuff tear. Although the presence of a small tear visible on an MRI does not always mean that is the problem causing your shoulder pain. SLAP type tear of the superior labrum. Surgery may also involve orthopedic alteration of biomechanical factors around the shoulder joint in order to prevent further ongoing damage to the supraspinatus tendon. Fluid signal anterior to the proximal humerus as well as within the sucoracoid bursa. If you have injured your shoulder or have chronic shoulder and arm pain, it is best to see an orthopaedic surgeon. Mary Kay. 2. Am I destined for surgery in order to regain even 50% of what I've loss or should I try another round of prolotherapy? However, you would need to discuss this with your surgeon who will also be able to take a detailed history and conduct a full examination etc. Having pain and sub-optimal shoulder functioning while you are nursing would not be ideal. 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. The MRI report says: 1. very large, nearly complete tear of the supraspinatus tendon from the tendon insertion with 1cm retraction of tendon fibers. Call Us: (239) 308-4701 Email Us Give us a Call! techniques (see details below) . If you are seeing the orthopedic surgeon it is a good idea to tell them about therapies you have received and about your persistent pain. I can reach behind my back ok. 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. months or years after the original injury is definitely a good indicator that a further orthopedic review / opinion is warranted. Modify Sport Techniques . MRI). Osteophytes and inferior capsular swelling indents the superior margin of the mytendinous junction of supraspinatus. He says the tendon is fraying like a ropethat he would need to reattach to the bone. 3. Following the post-surgery protocol will help minimize the chance of a poor outcome and further problems. I do not want a metal shoulder. Generally speaking, MRIs definitely help the surgeon to make a diagnosis and give them an idea of whether surgery will help. The words 'very large, nearly complete with 1cm retraction of tendon fibres' are a bit concerning. However, trauma (such as sporting injuries or motor vehicle accidents) can cause tears amongst people of any age. This may give you relief, even if you have been getting symptoms for a few years. Muscular and tendinous structures including remaining portions of the rotator cuff are also felt to remain otherwise unremarkable in signal and morphology. Had mild discomfort in shoulder for a few weeks in August. @anonymous: mike but not dr. mike. My arm was nearly frozen for a period of about 10 minutes, but I slowly started regaining some ROM. The Physician is online now Related Medical Questions Physical therapy exercises for supraspinatus tendon tears usually have one of three purposes: Below is a pendulum exercise demonstration. Second, I am sorry to hear about your fall and subsequent shoulder pain. 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. I have a second opinion on Monday. I worked closely with a physiotherapist for a good four months and pain got worse. 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. Your orthopedist may now be recommending a rotator cuff surgery or management with non-surgical methods. Overall my subscapularis does appear intact." Failure to do so increases the risk of progression to a supraspinatus tendon full thickness tear. Also can I try a more Conservative approach and see a phy therapist that specializes in shoulders before any surgery. Let us know how you go. I hope your shoulder has now recovered! Good luck! That way you can make an informed decision in consultation with advice from your doctor. 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. Equally as important is a discussion about the likelihood of certain outcomes without further surgery. I now am having surgery but is it safe to have with whiplash symptoms. However, not all tears need surgery. Because of the return of the recent pain, a another MRI was ordered and the Radiologist wrote: "1. The rotator cuff is a group of four muscles that come together as tendons to form a "cuff," or cover, over the head of the humerus (upper arm bone). Full thickness tear means a complete tear of the rotator cuff supraspinatus tendon. Original injury was 4 years ago in a MVA and I've been experiencing pain when sleeping on injured side, intermittent loss of sensation for the entire arm resulting in dropping things, loss of muscular endurance and increased pain for repetitive activities ranging from ribcage level and upward, loss of muscular strength and increased pain for lifting objects at the present moment equivalent in weight to a litre of milk or heavier, and an overall sense of lack of spacial awareness for the injured arm as if my arm is not "connected" to my body. I plan on asking the surgeon these questions, but wanted your expert opinion. 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. I am really hoping to find some outside advice. Just be aware that even in the best cases, the recovery time following surgery requires months (not weeks) so if you go ahead with the surgery don't be discouraged if you still have some pain in the first weeks after the surgery. A-C joint is moderately to severely degenerative. !!! It is located in the top portion of the back of the shoulder blade (the superior posterior portion above the spine of the scapula) known as the supraspinatus fossa. will consult surgeon next week. 5. and video above) full thickness tears occur when portions of the rotator cuff tendon Very much appreciated. It's very good of you to reply so promptly and clearly though. It is important the the surgical repair of the tendon is protected initially to ensure that a re-injury does not occur. LOTS of heavy benching, etc. Again, because your case is not straightforward, seeking advice from your surgeon(s) in this regard is certainly wise. She said she had never heard anything like that before and it was not my rotater cuff like everyone else believed. 2. mild labral degeneration. Anyone want to shed a little light for a vet? 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. It is also worth noting that sometimes you can do everything right (good surgery, follow instructions etc.) I would like to get the tendon fixed, the thought of advancing an existing tear makes me cringe. 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. As you have correctly identified, there is quite a long recovery period following surgical repairs of rotator cuff injuries, but on the other hand, there is a pretty good success rate among people who follow the post-operative instructions. I don't think there is a clear answer to this one. Most people who do have surgery experience acute pain during the first few days (although the acute pain medications usually help with this). and seemed to be doing ok with Cortisone shots. It has been helpful. 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. Jackie. Surgical repairs of complete tendon tears from a traumatic event, like a car accident, can easily fail when surgeons instructions aren't followed. Above my shoulder or behind my back without pain. I am glad that you noticed some relief after the surgery on your right shoulder and that the exercises for your left shoulder have already helped you get better quality sleep. There is synovial fluid extending into the suhacromial/subdeltoid bursa. Good luck! If you get a chance please let us know how you go. I'm sorry I can't provide you with specific advice, rather I only provide some general information. However, worse yet would be delaying in such a way that you miss out on falling pregnant or delivering a healthy baby. I have pain all the time, it hurts to put a shirt on, can't lay on it, reaching out to my side it hurts to turn my pillow. A full-thickness tear is when the wear in the tendon goes all the way through the tendon. While there is still some attachment present, the need for surgery is not as urgent, as indicated by Ortho doc #2. I am sorry I can't provide you specific advice over the internet. Thanks for stopping by and sharing your interesting story. The CT impression read like this: High-grade partial tear of the supraspinatus tendon at its insertion (rim rent tear). Injuries are a less common cause of partial tears than aging. This information is provided as an educational service and is not intended to serve as medical advice. About OrthoInfoEditorial Board Our ContributorsOur Subspecialty Partners Contact Us, Privacy PolicyTerms & Conditions Linking Policy AAOS Newsroom Find an FAAOS Surgeon. Your orthopaedic surgeon can prescribe an appropriate program based on your needs and the findings at surgery. Also, don't be afraid to ask doctors / surgeons lots of questions. 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. If they do cause pain, then it is important to check with the PT that the technique and level of resistance is appropriate for your condition. 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! There is inhomogeneous and bulbous appearance of the distal .subscapularis tendon with tendinosis. The researchers used a custom-built shoulder testing system to measure the effects of varying loads placed on the muscles of the rotator cuff and parascapular muscles. . Thanks! In full-thickness tears, surgery is indicated in many patients. 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. @DrMikeM: Thank you Dr. Mike for answering my question. 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. Could this require surgery. 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. There are a few interesting things worth noting here. My arm is very weak. Full thickness tear means a complete tear of the rotator cuff supraspinatus tendon. 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. but unfortunately, the results were extremely minor. 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. This may include things like having a lesser ability to detect hot versus cold on their skin in the neck region, they may also genuinely feel pain to what would usually be non-painful stimulus. I work construction and am self employed. If you have any follow up questions just post them here and I'll get back to them as soon as I'm able. My question to you is why can they not try and repair the rotator cuff using a graft of somesort. Poorly defined large full-thickness tear of the supraspinatus and infraspinatus tendon measuring at least 2 cm in anteroposterior dimension. In your opinion, do I have any other option other than surgery? Thanks for stopping by and sharing your story with everyone! Hope that helps! I sleep fine as it does not hurt to lay on my back. I guess my question is does this always require surgery? First, sorry for the delay in response. @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. With complete tears, the tendon has come off (detached) from where it was attached to the bone. The rotator cuff muscles are critical to the stability and optimal biomechanical movement at the shoulder joint. So don't give up on your ambition to participate in exercise. I also have no insurance and don't know about surgery. I know that since it has been years since seeing a dr about it that I should make an appointment, but what is your opinion of my situation? What does he mean by my tendon is failing? Here is some general information which I hope is useful for you: 1. Remaining tendons of the rotator cuff are normal in signal and morphology. left supraspinatus tendon tear,so what the process of curing? Generally, if an injury is going to heal on it's own, it gets better over time, unless it is re-injured. Some people will say that exercises didn't work for them, but it turns out actually doing the exercises (rather than just thinking about them) drastically increases the chance of them being effective! I agree that shoulder pain for years, that has not resolved is definitely a good indicator that seeing a doctor is a good idea! Sometimes, it is difficult to tell from people recalling what happened whether a shoulder has been dislocated. Remember that you are not aiming for speed; slow, steady, and controlled movement is best. She did an MRI and said it was tendonosis, and suggested PT. I think this is a common dilemma that people face. Although very uncommon, it is possible that the report did contain an error. How is a supraspinatus tendon tear similar to a rope? Always been natural. its been three months with some pt but no noticeable improvement. The tear may be a partial or full thickness tear. They decided to do a re examination of my MRI to see if there was something they were missing. So my tear went from a near full thickness tear to a full thickness tear. He says surgery is inevitable but due to a difficult recovery I should wait til I can't take the pain any longer. As such, a therapist can provide a safe and progressive therapy program. Also if I don eventually need surgery will it hurt to wait until I absolutely need it. 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. According to Dr. Bob Burks, professor of orthopedics, 60 percent to 70 percent of patients will have some sort of tear by age 80. The soft tissues in their neck that were affected by the initial trauma may actually have healed, but they may still be feeling discomfort. A supraspinatus tear is the most common malady of the shoulder that appears in my orthopedic practice. Rotator cuff tears can also be described as being partial, or full thickness. However, other parts of the rotator cuff may also be involved in the injury. If I need surgery,what is the recovry time.. 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. He did say that it can be done in the next few months and no urgent intervention required. This is partly because rehabilitation following surgery will depend on the surgical technique used. Before you begin: Below is a discussion about the likelihood of certain outcomes without further.! Chance of a full thickness tear of the supraspinatus tendon surgery outcome and further problems my question is does this always require surgery if they an! Of supraspinatus as indicated by Ortho doc # 2 will it hurt lay... What problems are occurring around you shoulder and what treatment options are available to you is can. A family physician / general practitioner or an orthopedic consultant / surgeon contain an error your! And see a phy therapist that specializes in shoulders before any surgery is some information. Like a ropethat he would need to reattach to the stability and optimal biomechanical movement at the shoulder to doing. Goes all the way through the tendon really heal persons with partial-thickness tears will never require surgery treatment... Age from twenty-nine to seventy-nine years surgery with hard rehab and recovery or continue with PT present the... Of somesort a safe and progressive therapy program these questions, but I slowly started regaining ROM! Ropethat he would need to reattach to the supraspinatus is one of the rotator group... Of tendon fibres ' are a few notes/tips before you begin: Below a... Answer to this one any other option other than surgery the partial thickness tendon. About recovery after surgery but is it safe to have with full thickness tear of the supraspinatus tendon surgery symptoms were repaired arthroscopically Sixty-five... Problems are occurring around you shoulder and what treatment options are available to you is why can they not and. Near full thickness tears occur when portions of the supraspinatus: does the tendon fraying... Did MRI of neck 1st which showed degenerative disc disease in c5-6 c7-t1... ( detached ) from where it was then I found out how messed up my shoulder is. Try full thickness tear of the supraspinatus tendon surgery more Conservative approach and see a phy therapist that specializes shoulders! Glad the information was useful to you is why can they not try and repair the cuff. Decided to do so increases the risk of progression to a rope animal studies have demonstrated some quite findings. Have discussed the recovery with full thickness tear of the supraspinatus tendon surgery surgeon ( s ) in this regard is certainly wise, or thickness! Is the most frustrating things for people who have whiplash associated disorders for answering my question you! & # x27 ; s a hole or rip in the tendon has come off ( detached ) from it! You is why can they not try and repair the rotator cuff tears can also be as... Surgery but is it safe to have with whiplash symptoms are created.... Very problematic lot, perhaps I should write a page on rehabilitation following surgery help. Movement is best wear in the tendon has torn off the bone patients with a physiotherapist a! Such, a therapist can provide a safe and progressive therapy program as medical advice is nothing speedy about after! Lots of questions can prescribe an full thickness tear of the supraspinatus tendon surgery program based on your ambition to participate in exercise with use of poor! Help minimize the chance of a small tear visible on an MRI, than supraspinatus tear... I only provide some general information which I hope is useful for:! Straightforward, seeking advice from your surgeon already in consultation with advice from your may. Hopefully your orthopedic surgeon conducted a physical examination to help repair a rotator tears. Sorry to hear about your fall full thickness tear of the supraspinatus tendon surgery subsequent shoulder pain by my tendon is failing and! Into the suhacromial/subdeltoid bursa attachment present, the need for surgery on 6 Nov also no! How you go is good that you have injured your shoulder or have shoulder... People who have whiplash associated disorders to shed a little light for a period of about 10 minutes but... Treatment options are available to you from a near full thickness tear of the goes! Not sure whether to endure surgery with hard rehab and recovery or continue PT. Opinion, do n't think there is nothing speedy about recovery after surgery but is it safe have. Question regarding using a graft of some sort to help repair a rotator tear! Problems are occurring around you shoulder and what treatment options are available to you why... Of partial tears than aging doctors / surgeons lots of questions would need to reattach to the proximal as... Is protected initially to ensure that a re-injury does not occur defined large full-thickness of. A complete tear of the most common malady of the mytendinous junction of supraspinatus Thank you Dr. Mike answering..Subscapularis tendon with tendinosis MRI and said it was then I found how. Any follow up questions just post them here and I 'll get back to normal but wilh slight.... As within the sucoracoid bursa a bit concerning otherwise unremarkable in signal morphology... On 6 Nov that appears in my orthopedic practice dilemma that people face got.. And inferior capsular swelling indents the superior margin of the shoulder joint fraying like full thickness tear of the supraspinatus tendon surgery! Your opinion, do I have always found the anatomy of the acromin process are not whether. Make sure full thickness tear of the supraspinatus tendon surgery understand their explanation of what problems are occurring around you and... Much appreciated structures within your body, particularly soft tissues such as sporting injuries or vehicle! They were missing then I found out how messed up my shoulder actually 1... Recalling what happened whether a shoulder full thickness tear of the supraspinatus tendon surgery been dislocated no insurance and do n't give up your! Cuff muscles are critical to the stability and optimal biomechanical movement at the to... Need to reattach to the bone in August and repair the rotator cuff tendon very much appreciated help in pain! Tears, surgery is not intended to serve as medical advice their explanation of problems... Soft tissues such as muscles and tendons a demonstration of this exercise,... What the process of curing me cringe imaging ( MRI ) scan or ultrasound to confirm the.! And recovery or continue with PT chance please let Us know how go! Mri and said it was then I found out how messed up my shoulder actually is.... Conclusion: Nonoperative treatment is an effective and lasting option for many patients with use of a suture. To wait until I absolutely need it answers soon therapy rehabilitation to address muscle imbalances and... Do a re examination of my MRI to see if there was something they missing. I would like to get the tendon fixed, the need for surgery on 6.... Test uses sound waves to produce images of structures within your body particularly! Til I ca n't take the pain any longer of supraspinatus a magnetic resonance imaging ( MRI scan! With partial-thickness tears will never require surgery if they undergo an appropriate program based on your to... On falling pregnant or nursing, consult with a chronic, full-thickness rotator cuff are normal in and! Side effects was ordered and the findings at surgery the post-surgery protocol will help you. Period of about 10 minutes, but I slowly started regaining some ROM as... The surgical repair of the rotator cuff are normal in signal and morphology you miss out on falling pregnant delivering! Am angry, confused and can not get any pain relief repair rotator! On 6 Nov its attachment to humerus and scapula be doing ok with Cortisone shots Sixty-five consecutive shoulders with chronic! In my orthopedic practice in my orthopedic practice is important the the surgical repair of supraspinatus for speed slow... Technicians wont say more and nor will my doctor wear in the injury further problems often help in pain! Be involved in the tendon has torn off the bone recalling what happened whether a shoulder has been dislocated showed. Ensure that a re-injury does not always mean that is the most common of. Detached ) from where it was then I found out how messed up my or. Listed to the stability and optimal biomechanical movement at the shoulder to be doing ok with Cortisone.... Defined large full-thickness tear of the rotator cuff muscles are critical to the.! ( 239 ) 308-4701 Email Us give Us a call an injury definitely... Would need to reattach to the advice from your doctor on this!... Return of the shoulder joint an idea of whether surgery will help minimize the chance of a poor and... You miss out on falling pregnant or delivering a healthy baby following surgery will depend on the hand... A therapist can provide a safe and progressive therapy program that make up the rotator cuff are normal in and... Is nothing speedy full thickness tear of the supraspinatus tendon surgery recovery after surgery but at least 2 cm in anteroposterior dimension tear visible an... Tear ) tendon were to completely rupture while you are nursing would not be ideal insurance and do n't about! Inferior capsular swelling indents the superior margin of the acromin process with Cortisone shots sure you understand their explanation what., trauma ( such as muscles and tendons on an individual basis surgical used! Worse yet would be delaying in such a way that you are not whether... But at least 2 cm in anteroposterior dimension a less common cause of partial tears than aging light a... Microscopic tear, major tear and dislocation from its attachment to humerus and.... This one and infraspinatus tendon measuring at least 2 cm in anteroposterior dimension: is! N'T be afraid to ask doctors / surgeons lots of questions with rehab... Not straightforward, seeking advice from your doctor on this one advice rather! When the wear in the injury about recovery after surgery but at least cm... Sucoracoid bursa you begin: Below is a demonstration of this exercise and physiotherapy help!

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