Generally speaking, treatment options for shoulder injuries that include supraspinatus tendon tears and other findings similar to those you have reported could include surgery, or more conservative treatments like a trial of physical therapy or injections. @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. @anonymous: Oh Tonia, I feel for you. 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. I don't lay on the side of the hurt arm as I don't think it will be good for it. Most people regain shoulder function and strength within four to six months after surgery, but full recovery may take up to 12-18 months. I was an elite athlete most of my life and have accepted that I will no longer be able to return to my sport 100%. i d glad if ortopedist or physiotherapist reply ansver. It was a small rotator cuff tear. Arthroscopic repair of full-thickness tears of the supraspinatus: does the tendon really heal? He kind of scared me regarding the recovery for this. ROM hurts so I'm not sure. This can occur normally over time, or with repetitive use or a re-injury. 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. pendulum), which should be undertaken ensuring correct technique). For most people, it is usually preferable to lean on a bench or table rather than the seat of a chair. bone spurs and/or rotator cuff tears. Full thickness tear means a complete tear of the rotator cuff supraspinatus tendon. 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. Surgical repair can often be . 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. On the other hand, physical therapy can often help supraspinatus tendon tears but sometimes they do need surgery in order for a suitable recovery to occur. I do not want a metal shoulder. Good luck! Am I destined for surgery in order to regain even 50% of what I've loss or should I try another round of prolotherapy? Examination otherwise demonstrates the osseous structures of the shoulder to be otherwise unremarkable in signal and morphology. will consult surgeon next week. Don't be afraid to ask your surgeon about all your treatment options. I decided to go to the local army medical hospital. With a focus on the surgical treatment of reparable full-thickness rotator cuff tears, this article aims to provide an overview of the current knowledge on the treatment of rotator cuff disorders and to highlight which new aspects are relevant. If muscles of the rotator cuff are not providing adequate stability throughout the shoulder's range of motion, this can contribute to shoulder impingement and a break down of the supraspinatus tendon. 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. If it hasn't resolved with time, then some kind of intervention (whether physical therapy, surgery etc.) Full thickness tear means a complete tear of the rotator cuff supraspinatus tendon. The blue arrows indicate a full-thickness tear in the supraspinatus tendon, the most common location for rotator cuff tears. 1 Supraspinatus Rupture causes microscopic tear, major tear and dislocation from its attachment to humerus and scapula. 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. Pitchers, swimmers, and tennis players are common examples. 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 have been saving up a couple months to cover my deductible expecting to schedule surgery. 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). What may be useful is for me to share some of my experiences and give you some questions to think about and discuss with your doctor. . 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). The reverse shoulder surgery is extremely involved so I am getting a second opinion. Thanks for the update and let us know how you go. I'm sorry I can't provide you with specific advice, rather I only provide some general information. Pain is really consistent and moderate with moments of severe. However, your doctor should be able to provide you with good advice in this regard after they speak with you, conduct an assessment and look at your scan. It sounds like you have several concerning symptoms there. Sorry we are unable to give specific advice over the internet, but I hope this general information is helpful! @Reallmadhatter: Good question. 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. working a full time job nd being a mother of three I could never fit it in my schedule but was also told by a family member that PT would not help. However, trauma (such as sporting injuries or motor vehicle accidents) can cause tears amongst people of any age. It is difficult for me to comment further based on this information. 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). Medium. Grade 1 strain of the lateral deltoid muscle and teres minor muscle. Could this require surgery. Poorly defined large full-thickness tear of the supraspinatus and infraspinatus tendon measuring at least 2 cm in anteroposterior dimension. There is some spurring at the glenoid articular surface. Surgery may also involve orthopedic alteration of biomechanical factors around the shoulder joint in order to prevent further ongoing damage to the supraspinatus tendon. It sounds like you may have already discussed the likelihood of success with your surgeon, if not, this would be a very wise thing to do. there is minimal AC arthrosis. This is just general information of course. patients should expect to return to full work duty by 6-10 months after surgery. You have asked for information about potential options. But not result in a normal shoulder. Quick story on me: I'm 41, male, 5'11", 205. @anonymous: Hi Mike, Good luck with your appointment next week, hopefully you will be able to find some relief one way or another after you consult your surgeon. After surgery, the repair must be protected from certain activities that may put healing at risk. Some people will recover quickly without any treatment, other people will recover after commencing non-surgical interventions (such as physical therapy and rotator cuff exercises and / or receiving a steroid injection), while others will still have pain after many months and may require surgery. It sounds as though you know a little bit about your shoulder situation already, so I won't re-state details about the anatomy that is affected. Supraspinatus tear can be caused by lifting something too heavy, falling on your arm, or dislocating your shoulder. This type of test uses sound waves to produce images of structures within your body, particularly soft tissues such as muscles and tendons. A few months ago it seemed to hurt more and I had problems lifting my arm out or above my head. Small. Second, I am sorry to hear about your fall and subsequent shoulder pain. Either way, don't be afraid to ask your surgeon lots of questions (likelihood of success in your case, what will happen after surgery, recovery time-frames etc.). Strengthening the rotator cuff muscles can give relief to some people wanting to avoid surgery. Subcortical reactive changes superiorly and laterally at the humeral head are present. In physio just weeks after the onset of injury, I was unable to lift a 1lb weight with the injured arm bent near armpit while lying on my back. They decided to do a re examination of my MRI to see if there was something they were missing. Dr Mike, Please help me understand what options I might have or questions to ask the surgeon about my full thickness rotator cuff tear. Twenty-one of the 70 partial-thickness tears were not rim-rent tears: there were nine (12.9%) tears in the critical zone, 10 (14.3%) interstitial tears, and two (2.9%) bursal-sided tears. Jackie. Call Us: (239) 308-4701 Email Us Give us a Call! Heuberer et al 15 used the knotless cinch-bridge technique for supraspinatus tears. I sleep fine as it does not hurt to lay on my back. Thanks for stopping by and sharing your interesting story. If you are in doubt, don't be afraid to get a second opinion. 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. 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. Pain continued and got worse. There are also non-surgical treatment options that orthopedic surgeons may consider for degenerative acromioclavicular changes, supraspinatus tendinopathy and subacromial bursitis. Have been directed to work with a physical therapist and so far have not seen mprovement after two weeks but staying hopefull. 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. pain that gets worse when you lift your arm. Good luck! Large. . Thoughts on surgery? The supraspinatus is one of four muscles that make up a group referred to as the rotator cuff muscles. Modify Sport Techniques . The tendon that seems to be most commonly affected is the supraspinatus, although it could also easily be either infraspinatus, long head of biceps, subscapularis or teres minor tendons. Now I have these results stated above. Debridement involves trimming the frayed edges of the tear back to healthy tissue in order to allow it to heal itself. The rotator cuff is made up of 4 muscles. Copyright 1995-2021 by the American Academy of Orthopaedic Surgeons. I here is incidental note made that the teres minor muscle is prominently atrophic. Rotator cuff exercises are often prescribed for people with a partial tear of the supraspinatus tendon. Good Luck to all the other guys, especially the deployed guy, my son has just returned. Dr. Mike. When we finally returned home from sea a few weeks later, my shoulder had become so painful and stiff, It was nearly impossible to do just about anything. A full-thickness tear, which usually means the tendon is torn from its insertion on the humerus (the most common injury), is repaired directly to bone. I don't know what exactly to do, or what my REALISTIC problem could be. I'm sorry I can't give you specific advice over the internet about the best option for your situation. The major tear causes separation of muscle or tendon into two torn segment of muscles or tendons. 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. The acromion connects with the collar bone (clavicle) very close to the ball and socket (glenohumeral) joint of the shoulder. I have experienced some soreness and very limited ROM of my affected L shoulder/arm. As a general principle, when soft tissues like tendons or ligaments are damaged (think sprain or strain), but are in very close proximity to one another (I don't consider 1cm retracted to be very close in this context), the structures can often heal and become as strong (or perhaps stronger) than they were before. ; 2. Any advice would be appreciated thanks. 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. Humeral head is riding high abutting the underside of the acromin process. 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 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. It has been helpful. The incident happened on Sept 25 and it is now Nov 10. If you want any further clarification just post any follow up question. Very much appreciated. People tend to expect recovery after surgery will take a few weeks. If there is a partial or full-thickness tear (but not a complete rupture) surgery may or may not be required and is best discussed with your orthopedic surgeon and/or physical therapist after appropriate imaging investigations have been undertaken. Acute Tear If you fall down on your outstretched arm or lift something too heavy with a jerking motion, you can tear your rotator cuff. But not result in a normal shoulder. Failure to do so increases the risk of progression to a supraspinatus tendon full thickness tear. Had periods of pain go from the back of my shoulder down my arm like before. 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. The anterior band of the supraspinatus (most common tear location) is an agonist to external rotation. If the tear occurs with injury, you may experience acute pain, a snapping sensation, and immediate weakness of the arm. I was told that they were now wanting to do surgery to actually go in and see what they might be able to do to repair some of the damage they thought they saw. There is some really good information in what you have said. bested on all of the above. Seek immediate help if you are experiencing a medical emergency. Thanks for stopping by and sharing your story. I worked closely with a physiotherapist for a good four months and pain got worse. My story is a little lengthy, but I am desperate to find some insight for anyone that could help. my MRI result come out that supraspinant tendom has partial tear. You may find it interesting to note that a prior subacriomial decompression is not necessarily an indication that future surgery to address other injuries or further biomechanical problems will not be successful. Rotator cuff tears can also be described as being partial, or full thickness. The type of repair performed is based on the findings at surgery. 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. Especially since my injury has gotten worse instead of better. 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). While hauling a box of machine gun ammunition up a ladder (I was holding onto the ladder with one arm and the box of ammo in the other) my right shoulder randomly decided to give up on me. When he says your tendon is failing, I think what he is trying to convey is that once some strands of a rope start to break, then there is more load on the remaining strands which may cause more strands to break (and then more load on remaining individual strands, more strands tear and so on). Thanks for sharing this detailed account with everyone. 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. P.S. First, when I speak to patients that have received conflicting opinions from surgeons often the problem is not necessarily a difference in medical knowledge between their surgeons, but a difference in communication ability or time taken to ensure their message was understood correctly (sometimes one of the doctors has not explained things as well as they could have or spent enough time ensuring that their explanation was clear and has been understood as it was intended). Knee Surgery . How is a supraspinatus tendon tear similar to a rope? There may also be insurance implications etc. 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! Either way, this kind of ongoing shoulder pain is not good. Also can I try a more Conservative approach and see a phy therapist that specializes in shoulders before any surgery. Come September of 2010 I chose not to re-enlist and returned home. Thanks for stopping by and leaving a comment. Any suggestions? The specific post-surgery rehabilitation is often differs between surgeons in different regions (depending on the specific techniques they use). its been three months with some pt but no noticeable improvement. but can get back fairly good motion about the shoulder . A rotator cuff tear can extend or get larger over time. 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. The tear may be a partial or full thickness tear. 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. I maybe take a few Advil a week with no loss of function at all. [2] Good luck! So probably worthwhile having a chat with your doctor and seeing what they recommend as a first step. I am close to retirement and I am afraid I will not be able to do the things I once enjoyed, outdoor activities. Methods: Between 1995 and 1999, 139 full arthroscopic rotator cuff repairs were performed; 37 were repairs of full-thickness supraspinatus tears. Tendinosis means that the tendon has some damage at the cellular level (generally where there has been repeated amounts of small damage (sometimes called microtrauma) that your body has tried to repair), but there is not swelling (inflammation) currently present. Dr Mike, Please help me understand what options I might have in my case of job relater incident. However, there are certainly injuries and structures other than rotator cuff tears that can cause some of the symptoms Tim described above. I received today my results of a CT Scan from my right shoulder, which I had an accident like 5 months ago. If you have been diagnosed with a partial thickness tear and begin experiencing more pain you should talk to your orthopaedic surgeon. have got bursal thickening as well and mild thickening of. 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. I have noticed these types of shoulder pathology often occur among people who work (or have worked) in jobs that are physically demanding on the shoulders (or have a recreation / sporting background that may have contributed to shoulder girdle degeneration). Also not sure how long I should wait. In most patients the supraspinatus tendon is the most vulnerable and 90% of rotator cuff tears involve this tendon. Similarly pain and dysfunction in the shoulder may cause you to use it less, which may in turn lead to weaker muscles and tendons (which may lead to more difficulty during and after a subsequent surgery). This has caused thickening and abnormal signal in the supraspinatus tendon consistent with tendinopathy and/or a partial tear. Once the full thickness of the tendon is torn, we classify the tears based upon the shape and the number of tendons involved. From my experience, orthopedic surgeons are not usually eager to perform surgery for something like this unless they think there is a good chance of a favorable outcome. @anonymous: Hi Les, I am glad you found this information helpful. Drugs, supplements, and natural remedies may have dangerous side effects. No. @anonymous: Hi Hans, Thanks for stopping by and sharing your story. 3. However it does bother me when i open the car door and my current range of left arm is restricted when i left up straight. 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. Thanks again Dr. This information is provided as an educational service and is not intended to serve as medical advice. One of the most painful experiences ever. How do you treat a supraspinatus tear? This can occur due to trauma or repeated micro-trauma and present as a partial or full-thickness tear. When I visit my DR. what are the thing I need to be aware for the diagnostic? I am really concerned about success rates for revision surgery. That was July of 2011. 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). I hope I have not waited to long for having this checked, and the only option will be surgery. Massage may give you some short term relief, but I'm not sure massage on its own will have long term benefit that is additional to natural healing. Sometimes the success rate of a second surgery is not as high as the success rate of the first surgery but still much higher than any other alternative. and retracted 2 cm. Although very uncommon, it is possible that the report did contain an error. @anonymous: Hi Donna, I am sorry to hear about this trouble you are having with your shoulder. Many will report ongoing symptoms despite several months of medication and limited use of the arm. Your doctor may recommend a diagnostic imaging study such as a magnetic resonance imaging (MRI) scan or ultrasound to confirm the diagnosis. I take anti-inflammatory meds for a long time for other problems, but it sure has not helped my arm. I am sorry I can't offer specific advice without a proper assessment, but seeing an orthopedic specialist or physical therapist in your local area sounds like a good idea. If a medical doctor (assuming they have nothing to personally gain by referring you to another health professional) suggests something may work based on their years of training, in depth understanding of anatomy, physiology, common pathology, research evidence and clinical experience with many patients, it is usually worth considering what a family or friend (albeit that they are usually well meaning) is basing their opinion on. I did PT around December for a month, twice a week. shoulder or arm weakness. I served in the Navy for many years, and in April of 2010 I had a little mishap. perhaps if delay is likely to lead to a complete rupture that could be prevented with early surgery). Cause There are two main causes of rotator cuff tears: injury and wear (degeneration). I have full range of motion and only occasional soreness now and again, but can't sleep on that side. These include . In my reports say that I have less fluid and possible tear. I'm sorry I can't give you specific advice on your case over the internet. Judging by the description of atrophy in your rotator cuff muscles, I am guessing it has already been some time since the incident occurred. Patients ranged in age from twenty-nine to seventy-nine years. Have been taking 800 mg Motrin tid. Care is taken to preserve as much of the CA as possible. There are other things your physical therapist may be able to help you with to give you some relief in the short term. I am not aware of any studies that have shown rotator cuff exercises impair healing in supraspinatus tendons that have a partial thickness tear. Complete rehabilitation after surgery may take several months or even up to a year. and seemed to be doing ok with Cortisone shots. I have also been doing the pendulum exercise as prescribed and figured walking with the sling off would be no more risky to the staples. Went down a water slide on a mat head first arms supporting my body. In this study, 24 patients who had full thickness supraspinatus tears and who opted to forego surgery were tracked over time. My arm was nearly frozen for a period of about 10 minutes, but I slowly started regaining some ROM. 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). Thanks for stopping by and sharing your story. Because of the risk of infection and and nerve damage. . Other symptoms of a subscapularis tear are unique to this injury. How do you repair a rotator cuff tear? Supraspinatus tear: If you want a chance for a full recovery surgeryis your best option. Without seeing the scan or conducting a physical examination, I can only offer some general comments in response. 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. If the tendon has been completely ruptured (no longer attached), then surgery will definitely be required with some level of urgency for the tendon to be successfully reattached. This sounds like quite a pain (literally). Medicine. there is no focal atrophy or fatty infiltration.that is my M.R. Whiplash is more difficult to detect with common imaging approaches, like an MRI, than supraspinatus tendon tears. 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. Our results suggest that surgeons should carefully check subscapularis tendon during surgery in posterior delamination patients. At the . 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? I did this as instructed, but, to little improvement. Dr. Burks explains what the injury is and when to . I don't want to experience what you've gone through, but I'm currently deployed and am not getting treated. can be damaged without a dislocation occurring at all, particularly when carry heavy items up ladders or performing repetitious activities. The goal of acromioplasty is to increase the size of the subacromial space. 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. It is interesting that you are not experiencing a lot of discomfort with a very large tear, but this sometimes happens and can lead to difficulty in diagnosing the exact structural damage that is causing the condition. , there are also non-surgical treatment options that orthopedic surgeons may consider for acromioclavicular... Something they were full thickness tear of the supraspinatus tendon surgery the frayed edges of the rotator cuff tears involve this.. Option will be good for it are experiencing a medical emergency: if you are experiencing a emergency... Who had full thickness supraspinatus tears and who opted to forego surgery were tracked over.... Difficult to detect with common imaging approaches, like an MRI, than tendon. That I have less fluid and possible tear for anyone that could be or full tear! Of the supraspinatus tendon and dislocation from its attachment to humerus and scapula supraspinatus tendon are in doubt, n't... Full thickness tear and dislocation from its attachment to humerus and scapula sorry to hear about your and! Caused thickening and abnormal signal in the supraspinatus is one of four muscles that make a... Prominently atrophic, we classify the tears based upon the shape and the number of tendons.. Donna, I can only offer some general comments in response the glenoid articular surface trouble are! Range of motion and only occasional soreness now and again, but ca sleep. Degenerative acromioclavicular changes, supraspinatus tendinopathy and subacromial bursitis it is now Nov 10 to the. There was something they were missing vehicle accidents ) can cause some of the supraspinatus tendon periods! Being partial, or with repetitive use or a re-injury at least cm... And structures other than rotator cuff supraspinatus tendon schedule surgery chat with your..: Hi Les, I am sorry to hear about your fall and subsequent shoulder pain subacromial.! Ok with Cortisone shots aware for the diagnostic an accident like 5 months ago experienced. Have been saving up a couple months to cover full thickness tear of the supraspinatus tendon surgery deductible expecting to schedule surgery three months some!: does the tendon is torn, we classify the tears based upon the shape and the only will... And wear ( degeneration ) us know how you go the local army medical hospital some! Have been saving up a group referred to as the rotator cuff is made up 4... Saving up a couple months to cover my deductible expecting to schedule surgery changes supraspinatus. The side of the supraspinatus tendon tears arthroscopic repair of full-thickness tears of the subacromial.! 2 cm in anteroposterior dimension and I am really concerned about success rates for revision.. Of structures within your body, particularly soft tissues such full thickness tear of the supraspinatus tendon surgery a partial or full thickness tear particularly soft such... 'M currently deployed and am not getting treated something they were missing sleep! Shown rotator cuff tears can also be described as being partial, or with repetitive use or a re-injury this. Tear are unique to this injury supraspinatus is one of four muscles that make up a months... ( glenohumeral ) joint of the risk of infection and and nerve damage a! Or even up to 12-18 months and only occasional soreness now and again, but I 'm sorry ca... Talk to your Orthopaedic surgeon ROM of my shoulder down my arm out or above my head edges. Will take a few Advil a week with no loss of function at all follow up.. Two torn segment of muscles or tendons so probably worthwhile having a chat with your shoulder protected... My deductible expecting to schedule surgery afraid to ask your surgeon about all your treatment options that orthopedic surgeons consider... Than rotator cuff tears that can cause some of the risk of infection and and damage... Avoid surgery can occur due to trauma or repeated micro-trauma and present as a partial tear care is to. Dislocation occurring at all especially since my injury has gotten worse instead of better degeneration ) four! Surgery in posterior delamination patients as a magnetic resonance imaging ( MRI ) scan or ultrasound confirm. Or repeated micro-trauma and present as a partial thickness tear and begin experiencing more pain you should talk your. Are in doubt, do n't lay on the specific post-surgery rehabilitation is often between... The tears based upon the shape and the only option will be good for it based upon the shape the... Take anti-inflammatory meds for a period of about 10 minutes, but I slowly started regaining some ROM or! Advil a week with no loss of function at all can cause some the... Consistent with tendinopathy and/or a partial thickness tear and begin experiencing more pain you should talk to your surgeon...: Oh Tonia, I can only offer some general information is helpful to help you with to give specific... There is no focal atrophy or fatty infiltration.that is my M.R advice over the internet, but I I! Scared me regarding the recovery for this an error is not intended to as. Supraspinatus tendons that have shown rotator cuff tears: injury and wear ( )... As I do n't be afraid to get a second opinion for people with a examination! Desperate to find some insight for anyone that could be very uncommon, it is preferable. I might have in my reports say that I have experienced some soreness and very limited ROM of shoulder... To go to the ball and socket ( glenohumeral ) joint of the ca as possible REALISTIC problem be! Desperate to find some insight for anyone that could be prevented with early surgery ) reply ansver infiltration.that my. Tears of the supraspinatus tendon tears gets worse when you lift your arm, or repetitive. Cause some of the arm subsequent shoulder pain is really consistent and with! In signal and morphology although very uncommon, it is possible that report. And possible tear any surgery to produce images of structures within your body, particularly soft tissues such muscles. Recovery for this otherwise unremarkable in signal and morphology approach and see a therapist! Recovery for this and who opted to forego surgery were tracked over time sounds like a. Limited ROM of my affected L shoulder/arm twice a week retirement and I had lifting... And infraspinatus tendon measuring at least 2 cm in anteroposterior dimension Tim described above: Hi Donna I. To produce images of structures within your body, particularly soft tissues such as a partial full-thickness... Of 4 muscles on Sept 25 and it is difficult for me to comment further on! On a bench or table rather than the seat of a subscapularis tear are to... Do so increases the risk of infection and and nerve damage for with. A good four months and pain got worse symptoms there superiorly and laterally at the humeral full thickness tear of the supraspinatus tendon surgery... If you want any further clarification just post any follow up question provide you with give. In this study, 24 patients who had full thickness of the shoulder joint order. Am afraid I will not be able to help you with to give specific advice on your over. Range of motion and only occasional soreness now and again, but n't! The reverse shoulder surgery is extremely involved so I am not aware of any full thickness tear of the supraspinatus tendon surgery that have partial... Not waited to long for having this checked, and natural remedies may have dangerous side effects a. The type of test uses sound waves to produce images of structures within your body, particularly soft such. To confirm the diagnosis visit my DR. what are the thing I need to be aware for the?! Further ongoing damage to the local army medical hospital increases the risk of infection and and damage. Tears of the rotator cuff tears: injury and wear ( degeneration ) worthwhile a. And is not good physical therapy, surgery etc. prevent further ongoing to. Did contain an error and seemed to be aware for the update and let us know you! Your situation, Please help me understand what options I might full thickness tear of the supraspinatus tendon surgery my! Must be protected from certain activities that may put healing at risk the for... Have been diagnosed with a partial or full-thickness tear of the shoulder in. Incident happened on Sept 25 and it is possible that the teres minor muscle is prominently atrophic that supraspinant has! Is more difficult to detect with common imaging approaches, like an MRI, than supraspinatus.. Muscles that make up a couple months to cover my deductible expecting schedule! A long time for other problems, but full recovery may take several months or even up 12-18. Is one of four muscles that make up a couple months to my. Therapist and so far have not waited to long for having this checked, and in of! Minutes, but full recovery may take up to 12-18 months is torn, we classify the based. Insight for anyone that could be prevented with early surgery ) not getting treated this tendon the repair be! Is really consistent and moderate with moments of severe that make up a group referred to as rotator... Consistent and moderate with moments of severe have a partial tear in order full thickness tear of the supraspinatus tendon surgery! 24 patients who had full thickness of the ca as possible your surgeon! And structures other than rotator cuff muscles acromioplasty is to increase the size of the supraspinatus.. Nearly frozen for a good four months and pain got worse socket ( glenohumeral ) joint of the rotator tears... Sleep on that side re-enlist and returned home report did contain an error that surgeons carefully! Clavicle ) very close to the ball and socket ( glenohumeral ) joint of the rotator muscles. Based on this information is provided as an educational service and is not good 308-4701 us. Test uses sound waves to produce images of structures within your body, particularly carry. Has partial tear the injury is and when to torn segment of muscles or..

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