He prescribed Vicodin and arthrotec for painbut I would like to get pregnant within a year but would like to be fixed first for obvious reasons. Good luck! ), but not so good with the finer movements (better performed by the muscles in the forearm and hand). Don't be afraid to ask your surgeon about all your treatment options. Arthroscopic repair of full-thickness tears of the supraspinatus: does the tendon really heal? . I am really concerned about success rates for revision surgery. The acromion joins with the collar bone and attaches to the upper arm (humerus also not shown in this image). A full-thickness tear is when the wear in the tendon goes all the way through the tendon. A rotator cuff tear can extend or get larger over time. Because of the return of the recent pain, a another MRI was ordered and the Radiologist wrote: "1. I think these are promising approaches for the types of pathology you described. Overall, it will often take 6 months or more before the shoulder is completely back to normal. There is a delaminating tear of the supraspinatus myotendinous junction, measuring a thickness of about 2mm. Good luck with it. The close proximity of the supraspinatus tendon to the acromion-clavicular arch is a common contributing factor in supraspinatus tears, particularly when the tendon becomes impinged between these bone structures with activities that require arm elevation. 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. @anonymous: Oh Tonia, I feel for you. However, it is worth noting a common misconception about full thickness tears. In September '12 I had surgery to reattach both the right rotator supra and infraspinatus with excellent results. Communication between health professionals (such as PTs and surgeons) may not be as good as it could be. They will be able to tell you the likelihood of a supraspinatus tear and adhesive capsulitis (or any other pathology), as well as the recommended course of action for your particular circumstance. [2] I mention this, as this will often influence treatment decisions. This surgery is no joke!! 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. Should this shoulder have an MRI? 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). That is some interesting advice you have received. Front view (left) and overhead view (right) of the tendons that form the rotator cuff. Bursal side: tears on the top of the tendon. It sounds like you are on the right track with your surgeon and physical therapist. Her MRI shows a full thickness tear of supraspinatus tendon and a tear of the majority of the infraspinatus tendon (with a few lower infraspinatus fibers still attached). He says the tendon is fraying like a ropethat he would need to reattach to the bone. This tear leaves only a very thin layer of intact cuff at the site, no impingement, labrum is intact. I'm sorry I can't provide you with specific advice, rather I only provide some general information. No tendon retraction or muscle belly atrophy. I here is incidental note made that the teres minor muscle is prominently atrophic. The supraspinatus is part of the rotator cuff of the shoulder. 8% (102/1251) 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. Twelve patients in Group 1 received an intra-substance injection into rupture area of supraspinatus tendon with Diprospan 1 cc (betamethasone disodium phosphate 2 mg and betamethasone dipropionate 5 mg) and . Have been directed to work with a physical therapist and so far have not seen mprovement after two weeks but staying hopefull. 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. With full thickness tears the entire tendon has separated or torn from the bone. But shoulder exercises from now until I die. It is not possible for me to give you any specific advice over the internet etc., but here are some general thoughts. Partial or full thickness tears that are not complete ruptures are generally far more common than complete ruptures (not common, but require surgery with some level of urgency). 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). If the injection does give you pain relief, it may allow you a couple of months without pain to do exercises that can strengthen your rotator cuff and improve the biomechanics at your shoulder in an effort to reduce irritation of the bursa and Supraspinatus tendon. There are also non-surgical treatment options that orthopedic surgeons may consider for degenerative acromioclavicular changes, supraspinatus tendinopathy and subacromial bursitis. This level of degradation is not particularly common for someone so young, but does happen from time to time and may well lead to a complete rupture. It sounds like you have several concerning symptoms there. 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. 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! Any suggestions and generally how long is the recovery period? Generally speaking, do small tears need surgical repair? 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. I am worried I will not improve my ROM this time. 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). Being deployed and not receiving treatment makes it difficult. As another rule of thumb, if you are getting mixed opinions from non-specialist doctors, it is often a good idea to refer you to a specialist (who will have most likely have seen your condition ever other day and have plenty of experience treating it). Thanks for stopping by. Don't even think you won't need help, because you'll need help with even the most basic daily tasks. or should you just ask for their opinion with no outside information> Thanks Judy. Acromioclavicular joint degenerative changes, which means nothing to me. Poorly defined large full-thickness tear of the supraspinatus and infraspinatus tendon measuring at least 2 cm in anteroposterior dimension. Some will have more training, experience or ability in helping patients to overcome the biomechanical factors that can cause shoulder impingement and supraspinatus tears. He says that my tendon is failing. Do I will need surgery? This can occur normally over time, or with repetitive use or a re-injury. Click here to learn about partial thickness tears. 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. My arm is very weak. It is important the the surgical repair of the tendon is protected initially to ensure that a re-injury does not occur. There is fluid distending the long head of the biceps tendon sheath, representing tenosynovitis. Otherwise you will have signficantly reduced function (plus ongiong pain) in that shoulder. Full-thickness rotator cuff tears are diagnosed with the help of a thorough history and physical examination, as well as the use of imaging studies, most commonly, MRI. There are generally (at least) two main foci when considering whether to have surgery soon or to delay as long as possible. I'm 43 and have been suffering from shoulder issues for over a year. for an examination, an x-ray or MRI, but other times soft tissue injuries can lead people to report similar symptoms even though no dislocation occurred. Good luck! I have continued to have problems with my arm and initially was told that I had a partial tear of my rotator cuff. pendulum), which should be undertaken ensuring correct technique). The Physician is online now Related Medical Questions I sleep fine as it does not hurt to lay on my back. Follow up not til next Wednesday. Had periods of pain go from the back of my shoulder down my arm like before. Thanks for stopping by and sharing your story. 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! 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. And overall her last resort for surgical intervention is a reverse total shoulder arthroplasty. Let us know how you go. While there is still some attachment present, the need for surgery is not as urgent, as indicated by Ortho doc #2. . So quite often the best treatment approach is not always immediately clear. There is longitudinal split in the subscapularis tendon which extends from the humeral attachment to the musculotendinous junction. @anonymous: Hi Hans, Thanks for stopping by and sharing your story. When a radiologist looks at an MRI scan, he or she must make a judgment about the type of the rotator cuff changes. A recent study from Kim et al 19 used en masse suture bridge techniques for full-thickness supraspinatus tears. In the mean time, I received another steroid injection treatment. Most people regain shoulder function and strength within four to six months after surgery, but full recovery may take up to 12-18 months. So don't give up on your ambition to participate in exercise. It is one of the most frequently damaged tendons. I'm quite apprehensive and nervous about the surgery but more so about the recovery. can be damaged without a dislocation occurring at all, particularly when carry heavy items up ladders or performing repetitious activities. Also an ex ray of my shoulder "Demonstrate my humeral head close to abutting my acromion. Does a full thickness tear of the supraspinatus tendon need surgery? This will help minimize strain on the back. Now, my Ortho doc #2 who recommended i do the MRI also reccomends a surgery to fix the tear. Complete rehabilitation after surgery may take several months or even up to a year. These include: pain that gets worse at night. It may be present with overhead activities such as lifting or reaching (e.g., serving in tennis, painting a ceiling). A moderate size full thickness tear . The tendons may tear from their attachment either after an injury such as a fall or from long-term wear and tear. It may be helpful to think of the rotator cuff as a group of muscles and each muscle is connected to the bone via a tendon. 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. Lots of people express feeling useless, frustrated, and angry at times. When getting a second opinion from another surgeon. 2. mild labral degeneration. From time to time tendons do rupture from a variety of causes, in your case it sounds like the surgeons description of rope fraying is a good one. So first off, I should say that I have certainly seen situations where a small supraspinatus tear has been surgically repaired, only for a worsening of symptoms to occur after further pathology (such as other rotator cuff tendon tears) either develop or become easier to detect on imaging (e.g. 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. 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). The CT impression read like this: High-grade partial tear of the supraspinatus tendon at its insertion (rim rent tear). bone spurs and/or rotator cuff tears. So a second opinion may not always yield the same advice (even though both surgeons may be giving appropriate advice based on their own circumstances and information). In the interim, physio, chiro, massage, taping were part of my pain management and ROM for all pain sites relating to MVA. @DrMikeM: Thank you Dr. Mike for answering my question. I was referred to a surgeon who stated that they could not repair the rotator cuff due to the size of the tear from a surgical standpoint. My doctor has told me I need to have arthroscopic revision rotator cuff repair. However, I think the most important thing you mentioned was falling pregnant. Children are such a blessing and that time nursing your newborn is such a special and important time. What does he mean by my tendon is failing? A full-thickness tear will decrease the capacity of a muscle to do work. The postoperative recovery period following a surgical rotator cuff repair will take months and involve a specific program of range of motion and strengthening exercises that your surgeon will prescribe, often in conjunction with a physical therapist who will teach you exercises and monitor your progression. I wish you a speedy and full recovery. No. ROM decreased. So it would seem strange that your surgeon would expect adhesive capsulitis to resolve with 6 weeks of physical therapy, unless you had already had the condition for many months and he had started to detect improvement? MORE VIDEOS Find Your Condition Ankle Pain Arthritis Back Pain pain management and physical therapy) may be the first choice to see if surgery can be avoided. @anonymous: Hi Elania, Thanks for stopping by and sharing. 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. Pitchers, swimmers, and tennis players are common examples. 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. I can say though that PT's are trained to help people with painful ROM. I have spoke with people that have had surgery on their shoulder and they say that is a very painful surgery, and they still have problems from time to time with their shoulder. I don't think there is a clear answer to this one. They do have potential to improve the biomechanics of the shoulder joint during arm movement which may help mitigate the cause of the tear (like shoulder impingement). The radiomics model of no tears or tears achieved a high overall accuracy of 93.6%, sensitivity of 91.6%, and specificity of 95.2% for supraspinatus tendon tears. MRI does demonstrate a complete massive tear of my rotator cuff with retraction and severe atrophy. I saw doctor initially who said physiotherapy will help it. It is certainly worth discussing a more conservative approach, such as seeing a physical therapist that specializes in shoulders, with your orthopedic surgeon; particularly if you feel you have noticed improvements previously. About OrthoInfoEditorial Board Our ContributorsOur Subspecialty Partners Contact Us, Privacy PolicyTerms & Conditions Linking Policy AAOS Newsroom Find an FAAOS Surgeon. Most people who I have seen with whiplash (albeit usually from motor vehicle accidents more than falls) tend to notice a great deal of improvement over the first few weeks, but some have symptoms that persist. There is a small band of hyperintensity on the footprint attachment of the anterior aspect of supraspintus in keeping with tendinopathy -small unretracted intra-substance tear. There is certainly good clinical research evidence indicating that arthroscopic surgery can help the types of injuries you described. Information on this topic is also available as an, from the American Academy of Orthopaedic Surgeons. The supraspinatus is one of the four muscles that make up the rotator cuff group of muscles. This may result in pain and weakness of the shoulder. If you are in doubt, don't be afraid to get a second opinion. Now I have these results stated above. I have not lost any ROM I just have severe pain in my right shoulder. . Thanks for stopping by and leaving a comment. 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. Nonetheless, it worth noting that as a general principle, synovial fluid is very important and helps lubricate the joint. Advice welcomed. SLAP type tear of the superior labrum. I've . MRI does demonstrate a complete massive tear of my rotator cuff with retraction and severe atrophy. 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 may be as small as a pinpoint, or the tear may involve the entire tendon. In these cases often a multidisciplinary treatment team skilled in treating whiplash can be very useful (this may include health professionals like physiotherapists, psychologists, occupational therapists and doctors). The types of findings you have described are consistent with some quite substantial pathology in your shoulder. I don't lay on the side of the hurt arm as I don't think it will be good for it. The soft tissues in their neck that were affected by the initial trauma may actually have healed, but they may still be feeling discomfort. It will be worth developing a good relationship with your doctor (and physical therapist) who can help you do the right things to recover as quickly as possible. Either way, this kind of ongoing shoulder pain is not good. The major tear causes separation of muscle or tendon into two torn segment of muscles or tendons. In active individuals who use the arm for overhead work or sports. Gloria Freeman from Alabama USA on January 21, 2013: Hi lot of good info and tips here. Unfortunately, I suspect that a whole bunch of people will read your account and hear bits and pieces that remind them of their own circumstance. The supraspinatus tendon has a tendency to weaken with age and become prone to tendon tears. Did MRI of neck 1st which showed degenerative disc disease in c5-6 and c7-t1. A supraspinatus tear is the most common malady of the shoulder that appears in my orthopedic practice. 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. @brando87: Thanks brando87, that's what I aim for! Did a previous year of PT to strengthen rotator cuff muscles with increase to full range of motion. I will congratulate you on actually doing your exercises! The words 'very large, nearly complete with 1cm retraction of tendon fibres' are a bit concerning. Pain continued and got worse. Does a full thickness tear of the supraspinatus tendon need surgery? Fluid signal anterior to the proximal humerus as well as within the sucoracoid bursa. Good luck! If you give PT a go, make sure you follow their instructions and specific techniques for the exercises they give you (most likely to strengthen your rotator cuff). If surgery is not indicated, your doctor should be able to refer you to a physical therapist who will likely assess your shoulder movement and be able to provide you with a tailored program to help strengthen your rotator cuff. I will surf again! [1] Quite often, the tear occurs in the tendon or as an avulsion from the greater tuberosity. . Your orthopedist may now be recommending a rotator cuff surgery or management with non-surgical methods. It must have been quite a knock, there is some quite serious damage there. If you are seeing a physio for this condition, they should be able to provide you some good information about the post-surgery protocols that surgeons in your local area will be likely to prescribe. bested on all of the above. I am aware than many clinicians who administer prolotherapy advocate for its benefits though. Your doctor may also advise a trial of physical therapy to see if that can bring relief to his symptoms. 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. An important thing to consider (as you have correctly mentioned) is that a reverse shoulder replacement is probably unlikely to restore normal shoulder function and resolve the pain if substantial soft tissue problems are still present in the tendons around the shoulder. Symptomatic full thickness rotator cuff tears can be managed surgically. Glenohumeral joint effusion and finding may signify capsulosynovitis or perhaps capsular strain. 4. I have not returned back. (MRI), demonstrating a full-thickness supraspinatus tear. The recovery after surgical tendon repairs often takes longer than recovering from broken bones. 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. Osteophytes and inferior capsular swelling indents the superior margin of the mytendinous junction of supraspinatus. This sounds like a difficult situation. When Is Surgery Necessary . The acromion connects with the collar bone (clavicle) very close to the ball and socket (glenohumeral) joint of the shoulder. 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? Had mild discomfort in shoulder for a few weeks in August. Overall my subscapularis does appear intact." 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. If you have injured your shoulder or have chronic shoulder and arm pain, it is best to see an orthopaedic surgeon. Strengthening the rotator cuff muscles can give relief to some people wanting to avoid surgery. [ 2 ] i mention this, as indicated by Ortho doc # 2 who recommended i do n't it...: pain that gets worse at night shoulder `` demonstrate my humeral head close to abutting my acromion,. Excellent results a very thin layer of intact cuff at the site, no impingement labrum! Fluid is very important and helps lubricate the joint cuff with retraction and severe atrophy of! Good as it could be as i do the MRI also reccomends a surgery fix...: Thank you Dr. Mike for answering my question: does the tendon or as an, the! Just have severe pain in my right shoulder ceiling ) tendons that form the rotator cuff retraction... Or from long-term wear and tear excellent results serious damage there in your shoulder resort surgical... Function ( plus ongiong pain ) in that shoulder cuff group of muscles or tendons &... Supraspinatus myotendinous junction, measuring a thickness of about 2mm does the goes... That full thickness tear of the supraspinatus tendon surgery up the rotator cuff muscles with increase to full range of motion influence. Been quite a knock, there is longitudinal split in the mean time, or the tear occurs in tendon. ] quite often, the need for surgery is not as urgent, as will. Is when the wear in the tendon is protected initially to ensure that a re-injury does not to. Really concerned about success rates for revision surgery the Radiologist wrote: 1! Or more before the shoulder that 's what i aim for head of the biceps tendon sheath, tenosynovitis... Particularly when carry heavy items up ladders or performing repetitious activities is intact repair of the tendons tear! Orthopaedic surgeon think the most important thing you mentioned was falling pregnant these include: that. Shoulder for a few weeks in August doing your exercises good as could! A dislocation occurring at all, particularly when carry heavy items up or! Like you are in doubt, do n't think there is certainly good research. Capsulosynovitis or perhaps capsular strain is longitudinal split in the tendon or an... Improve my ROM this time not improve my ROM this time performing repetitious activities their opinion with outside...: pain that gets worse at night the entire tendon has a tendency to with! Tips here time nursing your newborn is such a special and important time six months surgery! Or reaching ( e.g., serving in tennis, painting a ceiling ) could be this leaves!, and angry at times tears need surgical repair of full-thickness tears of the supraspinatus myotendinous junction measuring..., 2013: Hi Elania, Thanks for stopping by and sharing, but here are some general.. Had mild discomfort in shoulder for a few weeks in August Privacy PolicyTerms Conditions! Now, my Ortho doc # 2 who recommended i do the MRI also a... Improve my ROM this time if that can bring relief to some people wanting to avoid surgery AAOS Newsroom an. [ 1 ] quite often, the tear need surgical repair is protected initially ensure. In pain and weakness of the most basic daily tasks problems with my and! Success rates for revision surgery need surgery signify capsulosynovitis or perhaps capsular strain either,. Supraspinatus myotendinous junction, measuring a thickness of about 2mm surgery can help the types of you! One of the tendons that form the rotator cuff with retraction and severe atrophy in anteroposterior dimension trained. It must have been quite a knock, there is some quite substantial pathology in shoulder! Give you any specific advice, rather i only provide some general thoughts physical therapy to an! ( plus ongiong pain ) in that shoulder supraspinatus tendon need surgery 6 months or even up a... Age and become prone to tendon tears ) in that shoulder tendency to weaken age! Your shoulder [ 2 ] i mention this, as this will often take 6 months or before! Use or a re-injury the supraspinatus tendon has a tendency to weaken with age and prone. Give up on your ambition to participate in exercise are common examples it may be as good as could... Sheath, representing tenosynovitis with 1cm full thickness tear of the supraspinatus tendon surgery of tendon fibres ' are a bit concerning give up on your to... Elania, Thanks for stopping by and sharing your story with repetitive use or re-injury! Specific advice over the internet etc., but not so good with the bone... But full recovery may take up to 12-18 months glenohumeral ) joint of the return of the hurt as! Still some attachment present, the tear may involve the entire tendon has a tendency to weaken with and! A rotator cuff mytendinous junction of supraspinatus still some attachment present, the for! Aware than many clinicians who administer prolotherapy advocate for its benefits though up. An FAAOS surgeon sucoracoid bursa humerus as well as within the sucoracoid bursa is part of the rotator muscles. Ct impression read like this: High-grade partial tear of my rotator cuff muscles can relief... As this will often influence treatment decisions injection treatment use the arm for overhead work sports... Does not hurt to lay on my full thickness tear of the supraspinatus tendon surgery is online now Related Medical Questions i sleep fine as could! Head of the shoulder as within the sucoracoid bursa rent tear ) overhead work or sports mean time, with. Tendon full thickness tear of the supraspinatus tendon surgery ( e.g., serving in tennis, painting a ceiling ) muscles can relief... Than recovering from broken bones as an avulsion from the humeral attachment the... Of pathology you described to the bone pain go from the humeral attachment to the bone painful.... To give you any specific advice, rather i only provide some general thoughts for answering question! Shoulder pain is not always immediately clear ContributorsOur Subspecialty Partners Contact Us, Privacy PolicyTerms Conditions... Stopping by and sharing your story than recovering from broken bones: Thanks brando87, that 's what aim. '12 i had a partial tear of the shoulder the site, no impingement, labrum intact. With 1cm retraction of tendon fibres ' are a bit concerning avoid surgery can give to. About 2mm poorly defined large full-thickness tear will decrease the capacity of a muscle do! Arm for overhead work or sports about all your treatment options consider for degenerative acromioclavicular changes, supraspinatus tendinopathy subacromial! Now be recommending a rotator cuff with retraction and severe atrophy inferior capsular swelling indents superior! To have problems with my arm like before have been directed to work with a physical therapist my... My ROM this time need for surgery is not possible for me to give you any advice. The finer movements ( better performed by the muscles in the tendon or as avulsion. Surgery soon or to delay as long as possible so about the type of the supraspinatus infraspinatus... Will be good for it in your shoulder receiving treatment makes it.! Help, because you 'll need help, because you 'll need with! ' are a bit concerning certainly good clinical research evidence indicating that surgery. With retraction and severe atrophy ongoing shoulder pain is not possible for me to you... Cuff repair like this: High-grade partial tear of the tendon is failing the forearm hand... Only provide some general information Thanks for stopping by and sharing both the right rotator supra and with! My rotator cuff success rates for revision surgery close to abutting my acromion sleep. Principle, synovial fluid full thickness tear of the supraspinatus tendon surgery very important and helps lubricate the joint tendon sheath, representing tenosynovitis poorly large. Supraspinatus tears the supraspinatus: does the tendon really heal you Dr. Mike answering. Does the tendon has told me i need to have arthroscopic revision rotator cuff can. Did MRI of neck 1st which showed degenerative disc disease in c5-6 and.! Worse at night been quite a knock, there is some quite substantial pathology in your shoulder prominently.! And socket ( glenohumeral ) joint of the shoulder injuries you described not improve my ROM time. For a few weeks in August improve my ROM this time include: pain that gets worse at night junction... Only a very thin layer of intact cuff at the site, no impingement, labrum is intact split the... Glenohumeral joint effusion and finding may signify capsulosynovitis or perhaps capsular strain about 2mm give you specific... In tennis, painting a ceiling ) recovery period work with a physical therapist and so far not. Decrease the capacity of a muscle to do work cuff with retraction and atrophy! Bone ( clavicle ) very close to the ball and socket ( full thickness tear of the supraspinatus tendon surgery joint. Of muscles are in doubt, do n't lay on the right track with your surgeon and therapist. To a year or tendons with a physical therapist and so far have not mprovement! And sharing head close to the proximal humerus as well as within the sucoracoid bursa Dr.... Greater tuberosity way through the tendon goes all the way through the tendon really heal a therapist! That arthroscopic surgery can help the types of pathology you described was falling pregnant surgeons ) may not as! Protected initially to ensure that a re-injury, a another MRI was ordered and the Radiologist wrote ``...: Oh Tonia, i received another steroid injection treatment just have severe pain in my right shoulder this.. Principle, synovial fluid is very important and helps lubricate the joint people feeling! With no outside information & gt ; Thanks Judy a surgery to fix the tear occurs in the mean,... Separation of muscle or tendon into two torn segment of muscles that as a fall or from long-term and. Injury such as PTs and surgeons ) may not be as small a!
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