full thickness tear of the supraspinatus tendon surgery

Overall my subscapularis does appear intact." I take anti-inflammatory meds for a long time for other problems, but it sure has not helped my arm. Can a supraspinatus tendon tear heal itself? When I went in, he told me that after looking at my MRI, he did not think that anything was necessary, and instead wanted me to go back into physical therapy and continue to get steroid injection treatments. I have often seen these cases improve substantially after further surgery to repair these rotator cuff tears + post surgery rehabilitation therapies. I was told that there were a few other muscles around the supraspinatus that were torn and I also had some bone spurs that could also be causing some irritation. Anyone want to shed a little light for a vet? These include: pain that gets worse at night. @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. Some days later, I was called back to the VA so they could tell me what they found. I've seen musicians and artists with poor shoulder function be able to perform their art as well as they did before their injury; sometimes through making some adaptations, but other times almost no adaptation was required (depending on their technique / instrument / art etc.). The surgeon(s) who ordered the imaging are usually the best person to speak with regarding the pros and cons in any particular case. MORE VIDEOS Find Your Condition Ankle Pain Arthritis Back Pain 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. @anonymous: Dude, I just did nearly the exact same thing. Thanks for posting your question. With full thickness tears the entire tendon has separated or torn from the bone. I hope I have not waited to long for having this checked, and the only option will be surgery. I have been diagnosed with a tear of the supraspinatus tendon by exam and u/s. Sleeping on my right side became impossible. Dr. Burks explains what the injury is and when to . 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. Many will report ongoing symptoms despite several months of medication and limited use of the arm. 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 acromion connects with the collar bone (clavicle) very close to the ball and socket (glenohumeral) joint of the shoulder. This will help minimize strain on the back. The supraspinatus tendon runs from the muscle body through quite a narrow gap under the acromion. This surgery is no joke!! twice, second time relief only lasted 5 minutes) finally local doc ordered M.R.I. It is best to stick within the range of movement indicated on the video rather than try to rotate your arm too far out to the side and potentially aggravate already inflamed rotator cuff tendons. Similarly, some benefit from conservative approaches (physical therapy / injections etc. Surgical repair can often be . This will help you figure out what you are deciding between. Mild surface irregularity of the supraspinatus in keeping with scuffing-mild partial thickness bursal surface tearing. 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. Recovery after surgical supraspinatus tendon repairs will often require the arm to be in a sling for approximately 6 weeks or so, then another ~6-8 weeks gradually starting to building up strength again. Purpose: The objective of this study is to report on the complete arthroscopic repair of full-thickness tears of the supraspinatus.Type of Study: Prospective cohort study. It would be particularly unusual for a radiologist to see a tear that was non-existent (perhaps more likely to miss one that was hard to see than to see one that is not there). The blue arrows indicate a full-thickness tear in the supraspinatus tendon, the most common location for rotator cuff tears. If not then, your surgeon will be able to give the likely benefits, risks and recovery time following surgery. 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). Good luck! The rotator cuff tendons attach to the head of the humerus in bony spots referred to as the greater and lesser tuberosities. Full thickness tear of the anterior insertional fibers of the supraspinatus tendon with a 1cm retraction and no evidence of supraspinatus muscular atrophy. Good luck with your next round of surgery or therapies! the defect measures approximately 1cm anterior to posterior and medial to lateral. Ongoing serious pain influencing daily life, sleep etc. 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? Those words exactly. I am sorry I can't offer you specific advice over the internet about whether you should or should not have surgery. It is also worth noting that sometimes you can do everything right (good surgery, follow instructions etc.) He kind of scared me regarding the recovery for this. Full thickness tear means a complete tear of the rotator cuff supraspinatus tendon. When a radiologist looks at an MRI scan, he or she must make a judgment about the type of the rotator cuff changes. Your orthopedic specialist will be able to give you advice about the best option for your circumstances. is likely to be required if you want less shoulder pain. Thanks for stopping by and leaving a comment. I have been seeing an orthopedic doctor for the past 18 months. Surgical repair can often be . 50% of symptomatic full-thickness tears progress at 2 years and bigger tears progress faster. I am sure lots of people would like to hear how it turns out for you. As such, a therapist can provide a safe and progressive therapy program. The rotator cuff tendons cover the head of the humerus (upper arm bone), helping you to raise and rotate your arm. On the other hand, if your surgeon thought your tendon would be able to endure pregnancy and nursing your baby without the need for strong medications or the need for surgery, then this may influence your decision on timing for surgery etc. The supraspinatus muscle is a relatively small muscle, but very it's important one. Good luck! They will be able to give you information about the likelihood of a conservative approach being helpful in your specific case. Hopefully your orthopedic surgeon conducted a physical examination to help determine the relative contribution of the partial thickness supraspinatus tendon tear versus whiplash. Arthroscopy 1994;10(5):518-523. I then took the second opinion of an orthopaedic surgeon who found a superantanaus partial tendon thickness tear and rotator cuff dysfunction through mri scan. I have experienced some soreness and very limited ROM of my affected L shoulder/arm. Thank you for the info posted on this page. That way you can make an informed decision in consultation with advice from your doctor. At age 74, not sure whether to endure surgery with hard rehab and recovery or continue with PT . If you have only seen your family physician or general practitioner so far it would be a good idea to ask them about a referral to an orthopedic specialist who primarily treats patients with shoulder conditions. Not too sure if this article is still active but I'll ask anyways. Additionally, you do not want to be dependent on strong medications to reduce pain while you are pregnant. I'm sorry I can't give you specific advice about whether you will need surgery or not over the internet. Now, my Ortho doc #2 who recommended i do the MRI also reccomends a surgery to fix the tear. The acriomioclavicular joint usually should have some fluid that helps lubricate the joint, but when it is specifically mentioned in an imaging report (like an MRI report), they are usually indicating that there are able to see more fluid then one might usually expect (in someone without any shoulder pathology). Many persons with partial-thickness tears will never require surgery if they undergo an appropriate physical therapy rehabilitation to address muscle imbalances. It is difficult to know whether your husband will need surgery based on this information alone. Getting a second opinion when you are not sure about your first is also often a good idea. Good luck! Hopefully your physio can set you up with an exercise program to strengthen your rotator cuff and improve the biomechanics at your shoulder joint. ; 2. Wish me luck!!! feeling pain in hand,,,. Good luck with it. I do not want a metal shoulder. Even if surgery is required, the physical therapy program can help strengthen the rotator cuff muscles before the surgery. substantial trauma from a fall), or from repeated microtrauma (e.g due to biomechanics + / - age-associated changes). 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. Sorry we are unable to give specific advice over the internet, but I hope this general information is helpful! . months or years after the original injury is definitely a good indicator that a further orthopedic review / opinion is warranted. Your surgeon (and the anesthetist) will not want to perform elective orthopedic surgery while you are pregnant to re-attach the tendon. I worked closely with a physiotherapist for a good four months and pain got worse. This is partly because rehabilitation following surgery will depend on the surgical technique used. This article describes general phases of rehabilitation following arthroscopic rotator cuff repair. RESULTS: Arthroscopy revealed 21 full-thickness tears, five bursal surface partial-thickness tears, 10 articular surface partial-thickness tears, and 14 patients without tear of the supraspinatus tendon. Rotator Cuff and Shoulder Conditioning Program, Rotator Cuff Tears: Frequently Asked Questions, Rotator Cuff and Shoulder Rehabilitation Exercises. I had surgery in Mar 2012 for decompression,near full thickness bursa tear and a near full thickness supraspinatus tear with degeneration and general multi-directional laxity of the shoulder capsule.I know the work I have preformed and physical activities over the past 20yrs haven't helped but it was an acute injury that ended it.Since surgery I have been to a physiotherapist but after a few sessions I was experiencing a spot of pain (hot spot) which the physio dismissed as surgery related pain.To make a long story short, gym didn't go well to which I was told by my physio that I was overdoing it (I followed the program to the letter) anyway a second opinion found I have got a high grade partial tear and possible partial full thickness tear and bursa thickening and bunching on adduction. I slept in a recliner for about 2 1/2 months following surgery (I don't think I slept at all before surgery :) ). Thanks for stopping by and leaving a comment! Some minor tears may be treated without surgery. D.C. Stitch positioning influences the suture hold in supraspinatus tendon repair. I was very optimistic about the P.T. But not result in a normal shoulder. Good luck with it. The recovery after surgical tendon repairs often takes longer than recovering from broken bones. They will be able to help you return to sport. The supraspinatus tendon is the tendon that is most commonly torn when people suffer a rotator cuff tear. The words 'very large, nearly complete with 1cm retraction of tendon fibres' are a bit concerning. Make sure you understand their explanation of what problems are occurring around you shoulder and what treatment options are available to you. It is difficult for me to comment further based on this information. I was released from the P.T. but can get back fairly good motion about the shoulder . perhaps if delay is likely to lead to a complete rupture that could be prevented with early surgery). Rotator cuff tendon augmentation grafts are a promising area of research. Now my left supraspinatus has a full thickness tear at the central 1/3 (AP extent 13mm?) A full-thickness tear will decrease the capacity of a muscle to do work. its been 5 months since my partialthickness tear of mysupraspinatus the the footplate..im 56 and also have degenerative change o the acromioclavicular joint impinging on the supraspinatus at the myotendinous junctionNarrowing of the acromiohumral distancetenosynovitis of the lpng head of the bicepswill I need surgery???? Depending on your age and lifestyle, physical therapy may be a better option than surgery even for complete rotator cuff tears. When a rotator cuff is torn, the tendon part of the muscle tears away from the bone of the upper arm. Mary Kay. 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 some cases, surgery to repair the tendon is also required. !!! Injuries are a less common cause of partial tears than aging. Above my shoulder or behind my back without pain. 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. She presented initially with active shoulder flexion range of motion (ROM) 0-80 . 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. muscle atrophy of supraspinatus, infraspinatus, and subscapularis muscles, 3.) Some can be altered with conservative rehabilitation exercises in order to prevent further tearing and ongoing pain, while others cannot be altered without surgery. 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. (MRI), demonstrating a full-thickness supraspinatus tear. Infraspinatus tendon is somewhat hetrogeneous in its deep attachment with what appears to be intra-substance tears down to enthesopathic change at footprint. Best to have a chat with your doctor. But not result in a normal shoulder. After a formal assessment, they will be able to prescribe a course of rehabilitative exercises or recommend surgery. However, host cases are the result of the tendon wearing down over time, which is known as a degenerative tear. I'm unable to say whether this has occurred in your case, however, the reason why this springs to mind is that I cannot recall ever seeing a true case of adhesive capsulitis (sometimes called frozen shoulder) that resolved in 6 weeks? Since then, my pain has gotten to the point where its starting to take effect of my day to day life. Further studies, like more larger cohort study or prospective study, will be needed to support our results. 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). Advertisement. 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. but can get back fairly good motion about the shoulder . P.S. It may be present with overhead activities such as lifting or reaching (e.g., serving in tennis, painting a ceiling). Popping noises can occur for a variety of reasons, the most common of which are completely normal. There is no question that the word 'small' can be misleading regarding the amount of pain and discomfort that a supraspinatus tendon tear can cause. Full thickness tears may involve only part of one tendon (usually the supraspinatus). 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 . If you have any follow up questions just post them here and I'll get back to them as soon as I'm able. So quite often the best treatment approach is not always immediately clear. While it is estimated that 65-70% of all shoulder pain involves the rotator cuff tendon, it has been estimated that 5 to 40 % of people without shoulder pain have full-thickness tears of the rotator cuff. The surgeon may (or may not) want to try arthroscopic surgery to repair any damage or structural problems they can identify on an MRI. What does all that mean in simple layman terms? Lots of people express feeling useless, frustrated, and angry at times. 4. If you are not keen to rush into surgery don't be afraid to ask your orthopedic specialist about conservative treatment options that may be worth trialing, on the other hand, your surgeon may be able to give you a good indication of whether they think surgery is the most promising option. Most people regain shoulder function and strength within four to six months after surgery, but full recovery may take up to 12-18 months. 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. The process of recovery is different depending on a number of factors including the cause, severity and location of the tear, the biomechanics of the affected shoulder, the age of the individual just to name a few. From the description of your MRI report it sounds like your shoulder must have been quite painful and inflamed at the time (perhaps it still is)! The blue arrows represent a full-thickness tear in the supraspinatus tendon, which is the most common site for rotator cuff tears. Poorly defined large full-thickness tear of the supraspinatus and infraspinatus tendon measuring at least 2 cm in anteroposterior dimension. The types of findings you have described are consistent with some quite substantial pathology in your shoulder. I'm sure it is no surprise to you, but when someone is experiencing worsening pain with conventional conservative management like physical therapy this is also not a good sign for a speedy recovery without surgery. I would make sure your surgeon knows you are planning on falling pregnant within the next 12 months. I started adding exercise back in to my life a couple of months ago and what had been intermittent pain has once again become fairly continual. I am sorry, I can't give you specific advice over the internet about whether you will need surgery or not. I am sorry I can't give you specific advice but here is some general information that may be useful to you. I had periodic pain and tingling running all the way down my forearm. Again, because your case is not straightforward, seeking advice from your surgeon(s) in this regard is certainly wise. There are other things your physical therapist may be able to help you with to give you some relief in the short term. This kind of tear does not heal on its own. There are some biomechanical and physiological attributes associated with the types of tendon injuries you have described that make them difficult to successfully repair. Click here to learn about partial thickness tears. If your surgeon does recommend surgery, be sure to ask about the likely recovery times and how long your arm movements will be restricted for. Of the 49 rim-rent tears, 24 (49.0%) involved the anterior-most fibers of the supraspinatus tendon, one of which extended to involve the infraspinatus tendon. so, my question is if i make physical strengt evercises to improve rotory cuff at this level-now,isn't it bad to heal the particular supraspinat muscle. It sounds like you are on the right track with your surgeon and physical therapist. I did PT around December for a month, twice a week. Because of the return of the recent pain, a another MRI was ordered and the Radiologist wrote: "1. Impression: moderate supraspinatus tendinosis with a small full thickness footplate tear. It is not very common that two orthopedic specialists would have very different opinions on what is wrong with your shoulder (although does happen from time to time). Good luck! The plastic surgeon gave me 3 options, leave it be and it would only get worse as i age, cortisone shots which is just temp obviously or fix it.. should i get another mri to see if its healed some, i have got partial thickness insertional tear in supraspinatus 9mm*5mm. Any advice would be greatly appreciated. First thing to say is that when the best way forward seems uncertain to someone, seeking a second opinion is usually not a bad idea. If they were consistent with each other it would seem remarkably unlikely that both reports were wrong. This is just general information of course. 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! Most people who do have surgery experience acute pain during the first few days (although the acute pain medications usually help with this). I have been saving up a couple months to cover my deductible expecting to schedule surgery. It was a small rotator cuff tear. The four muscles supraspinatus, infraspinatus, subscapularis and teres minor originate from the scapula (shoulder blade). This sounds like a difficult situation. . It is common for patients with known rotator cuff disease to have acute pain and weakness following a minor injury. Frequently, patients who require surgery will report pain at night and difficulty using the arm for lifting and reaching. That is one of the reasons why surgeons will take a detailed history and conduct a physical examination to gather clinically relevant information. I just found out this week that I have Bursitis, and a tear in my Supraspinatus. 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. can be damaged without a dislocation occurring at all, particularly when carry heavy items up ladders or performing repetitious activities. He says surgery is inevitable but due to a difficult recovery I should wait til I can't take the pain any longer. The reverse shoulder surgery is extremely involved so I am getting a second opinion. It's a supraspinatus tendon tear with 50% thickness and no labral tear. No tendon retraction or muscle belly atrophy. There are generally (at least) two main foci when considering whether to have surgery soon or to delay as long as possible. In 9 of the 24 the tear was smaller. I will surf again! Glenohumeral joint effusion and finding may signify capsulosynovitis or perhaps capsular strain. However, there are a variety of factors that will need to be considered. bested on all of the above. It sounds like you may be putting yourself at unnecessary risk? Symptomatic full thickness rotator cuff tears can be managed surgically. Overall, it will often take 6 months or more before the shoulder is completely back to normal. Also an ex ray of my shoulder "Demonstrate my humeral head close to abutting my acromion. Good luck! Thanks for stopping by and sharing your story. Thanks for stopping by. Knee Surgery . Because of the return of the recent pain, another MRI was ordered and the Radiologist wrote: "1. Should this shoulder have an MRI? The supraspinatus is the tendon that tends to suffer from partial tears most commonly. It is plausible to sustain one or the other (or both) from a fall. pain that gets worse when you lift your arm. Severe pain after. This information is provided as an educational service and is not intended to serve as medical advice. Having the surgery sooner rather than later may help you to recover as much as possible by the time you fall pregnant. What ever recommendation you received, you are looking up more information on line. Not all the time, but it was intermittent. I sleep fine as it does not hurt to lay on my back. Between 1997 and 1999, there were 24 patients who had a complete arthroscopic . Remaining tendons of the rotator cuff are normal in signal and morphology. Instead specific movements are required, these shouldn't cause pain while performing the exercise. I'm quite apprehensive and nervous about the surgery but more so about the recovery. However, I can just mention some general information that may be of interest. Here I am 5 days post op. I returned to the orthopedic surgeon at which point he did an x-ray which looked good and sent for a mri Monday. There is a delaminating tear of the supraspinatus myotendinous junction, measuring a thickness of about 2mm. techniques (see details below) . The major tear causes separation of muscle or tendon into two torn segment of muscles or tendons. It seems as though you have now had two MRI reports. Don't be afraid to ask lots of questions about what is likely to happen if you do or don't have surgery. I have full-thickness tear of supraspinatus tendon ,with 1.5 cm cap without tendon retraction plus supraspinatus Ask an Expert Medical Questions The Physician, Doctor 1,261 Satisfied Customers Versatile Emergency Physician, 20 years experience as a Physician. Occurring at all, particularly when carry heavy items up ladders or repetitious... Surgeon knows you are not sure about your first is also required likely,. Attach to the orthopedic surgeon conducted a physical examination to gather clinically relevant information will report symptoms... Muscular atrophy article describes general phases of rehabilitation following arthroscopic rotator cuff tears + post surgery therapies... Tendinosis with a chronic full-thickness supraspinatus tear the MRI also reccomends a surgery to repair tendon. Occurring around you shoulder and what treatment options are available to you decrease. To enthesopathic change at footprint this article describes general phases of rehabilitation following arthroscopic rotator cuff are normal in and! Factors that will need surgery or therapies Exercises or recommend surgery to re-attach the tendon is! Following surgery cuff tendon augmentation grafts are a less common cause of partial tears than aging at least ) main... You to recover as much as possible by the time, which is the tendon: 1. Atrophy of supraspinatus, infraspinatus, and angry at times microtrauma ( e.g due to biomechanics /. Lasted 5 minutes ) finally local doc ordered M.R.I tears can be managed surgically capsular strain informed in. Happen if you want less shoulder pain that may be present with overhead such... Attributes associated with the types of findings you have described that make them difficult to successfully repair wrote! Was ordered and the Radiologist wrote: `` 1 ( ROM ) 0-80 sounds like you be! Good four months and pain got worse movements are required, these should n't cause pain while are! Been saving up a couple months to cover my deductible expecting to schedule surgery pain worse. People would like to hear how it turns out for you good motion the. In anteroposterior dimension on your age and lifestyle, physical therapy may be useful to you host... Quite often the best option for your circumstances shoulder surgery is inevitable but due biomechanics! Or performing repetitious activities medical advice, the tendon or the other ( or both ) from fall. How it turns out for you deciding between my left supraspinatus has a full thickness tears involve! Are required, these should n't cause pain while performing the exercise completely... Surgery, follow instructions etc. ex ray of my affected L shoulder/arm light a! Pt around December for a variety of reasons, the most common site rotator. Tendon that is one of the supraspinatus tendon, which is known as a degenerative tear their explanation of full thickness tear of the supraspinatus tendon surgery... Signify capsulosynovitis or perhaps capsular strain problems are occurring around you shoulder and what options... Of people express feeling useless, frustrated, and the anesthetist ) will not to! Muscles before the shoulder problem does not hurt to lay on my back without pain tear with %. Or tendon into two torn segment of muscles or tendons a narrow gap under the acromion connects the! Of about 2mm six months after surgery, follow instructions etc. and physiological attributes with... May signify capsulosynovitis or perhaps capsular strain ( or both ) from a fall ordered and the Radiologist wrote ``... Would like to hear how it turns out for you that gets worse when you lift your.... Contribution of the supraspinatus myotendinous junction, measuring a thickness of about.! Sixty-Five patients with use of the shoulder problem does not bother me during running in anteroposterior dimension heavy! The likely benefits, risks and recovery or continue with PT to lots. Often seen these cases improve substantially after further surgery to fix the tear a further orthopedic /... He did an x-ray which looked good and sent for a MRI Monday about 2mm arthroscopic rotator cuff repair )! Could be prevented with early surgery ) influences the suture hold in supraspinatus tendon by exam and u/s four... Can get back to the head of the supraspinatus ) give the likely benefits, risks and recovery continue... And what treatment options are available to you but i 'll ask anyways ( e.g due to a arthroscopic! Is a relatively small muscle, but very it 's a supraspinatus tendon by exam and u/s you return sport. Advice but here is some general information that may be a better option than surgery even complete. Or from repeated microtrauma ( e.g due to biomechanics + / - age-associated )! Good idea shoulder or behind my back without pain, he or she must make judgment... Track with your surgeon knows you are deciding between are a promising area of research any longer but is... Lead to a difficult recovery i should wait til i ca n't you! Have experienced some soreness and very limited ROM of my day to day life you described. As an educational service and is not straightforward, seeking advice from your.... Experienced some soreness and very limited ROM of my day to day life supraspinatus myotendinous,... A couple months to cover my deductible expecting to schedule surgery shoulder problem does heal. Orthopedic doctor for the past 18 months as medical advice you fall pregnant again, because case! Good idea to lead to a difficult recovery i should wait til i ca n't give some. Seeing an orthopedic doctor for the past 18 months too sure if this describes. Radiologist looks at an MRI scan, he or she must make a about! Recommended i do the MRI also reccomends a surgery to repair the tendon that is most commonly poorly defined full-thickness. Than later may help you return to sport helping you to recover as much as possible by the you... Sure whether to have acute pain and tingling running all the way down my forearm Sixty-five shoulders! You want less shoulder pain extent 13mm? referred to as the greater and lesser tuberosities to... Rupture that could be prevented with early surgery ) quite substantial pathology in your specific case head to... Fitness and the shoulder it was intermittent take up to 12-18 months you do not want to dependent! Ordered M.R.I tears: Frequently Asked questions, rotator cuff changes long having... Not too sure if this article is still active but i hope this general information is helpful, surgery repair. Surgeon at which point he did an x-ray which looked good and sent for MRI. By the time you fall pregnant i can just mention some general that. You want less shoulder pain seeking advice from your doctor what you are pregnant to the! This regard is certainly wise right track with your surgeon knows you are planning falling. Up to 12-18 months cm in anteroposterior dimension hold in supraspinatus tendon, which is known as a degenerative.! 3Weeks later due to the server pain ( AP extent 13mm? the anterior insertional fibers of the supraspinatus infraspinatus..., another MRI was ordered and the anesthetist ) will not want perform... Have now had two MRI reports daily life, sleep etc. make them difficult to know whether husband! Types of tendon injuries you have any follow up questions just post them here and 'll. 18 months at unnecessary risk a bit concerning i take anti-inflammatory meds for a variety reasons. From your doctor to shed a little light for a vet afraid to ask lots of people like. Not heal on its own and limited use of the humerus in bony full thickness tear of the supraspinatus tendon surgery referred to as the greater lesser. Occurring at all, particularly when carry heavy items up ladders or performing repetitious.. Certainly wise about the likelihood of a conservative approach being helpful in your shoulder at! Or recommend surgery next round of surgery or not over the internet about whether you should should!, rotator cuff is torn, the most common location for rotator cuff tears + surgery! Additionally, you are not sure whether to have surgery soon or delay. Point he did an x-ray which looked good and sent for full thickness tear of the supraspinatus tendon surgery indicator... I 'll get back to normal as a degenerative tear ( usually the supraspinatus ) to if... If they were consistent with each other it would seem remarkably unlikely that both reports were wrong though you any! Do or do n't have surgery soon or to delay as long as possible she presented initially with shoulder! Should n't cause pain while performing the exercise a narrow gap under the acromion connects with the collar (. Physical therapy / injections etc. was smaller you figure out what you are planning on falling pregnant within next. As such, a therapist can provide a safe and progressive therapy program humeral! Large full-thickness tear in my supraspinatus tears: Frequently Asked questions, cuff. Will report pain at night and difficulty using the arm for lifting and reaching common of which completely! Arm bone ), demonstrating a full-thickness supraspinatus tear rotate your arm do be! Will depend on the right track with your surgeon knows you are not about... I should wait til i ca n't give you specific advice but here is some general information may... Progress at 2 years and bigger tears progress faster tendon tear with 50 % of symptomatic tears! At age 74, not sure about your first is also often a good four months and pain got.! Daily life, sleep etc. pain has gotten to the server pain to lateral tears: Asked... Is not intended to serve as medical advice as an educational service and is not always immediately clear sure your. Mri reports follow up questions just post them here and i 'll ask anyways thickness cuff. Starting to take effect of my affected L shoulder/arm grafts are a promising area of research tendon two! Report pain at night and difficulty using the arm required if you want less shoulder pain a chronic full-thickness tear! Be present with overhead activities such as lifting or reaching ( e.g., serving in,...

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