Acromioclavicular joint degenerative changes, which means nothing to me. 19 The thickness of the tendon at its insertion was . Went down a water slide on a mat head first arms supporting my body. Most people with ongoing pain will usually try the conservative interventions before considering surgery. I served in the Navy for many years, and in April of 2010 I had a little mishap. ROM decreased. sorry for the double posting, first time user. Jackie. 4. Equally as important is a discussion about the likelihood of certain outcomes without further surgery. 1 Supraspinatus Rupture causes microscopic tear, major tear and dislocation from its attachment to humerus and scapula. The infraspinatus contains a subtle hypochoic region measuring 0.5cm within the tendon substance consistent concerning for an intrasubstance tear. I explained of my ongoing problems since the incident, and once the claim was processed I was sent through a variety of medical departments for a full diagnostic. 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). An orthopedic surgeon will be able to provide you with all the information you need regarding surgery, however, regarding exercises to return to badminton it might be wise to see a physical therapist (also known as physiotherapist) who specialises in sports injuries and rehabilitation. Thanks for the update and let us know how you go. Dr Mike, Please help me understand what options I might have or questions to ask the surgeon about my full Reallmadhatter Mar 14, 2013 @ 3:44 pm. 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.). 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). 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. This type of test uses sound waves to produce images of structures within your body, particularly soft tissues such as muscles and tendons. 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). 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. Partial tears can be just 1 millimeter deep (only about 10 percent of a tendon), or can be 50 percent or deeper. I have often seen these cases improve substantially after further surgery to repair these rotator cuff tears + post surgery rehabilitation therapies. I all of a sudden lost all my strength in my right arm and dropped the box. Especially since my injury has gotten worse instead of better. I had a fall at my workplace and was suffering neck and shoulder pain. I found it very helpful as I am sure all your other subscribers found it to be too. 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. If you get a chance, drop by and let us know how you go with your recovery! Good luck! Just be aware that even in the best cases, the recovery time following surgery requires months (not weeks) so if you go ahead with the surgery don't be discouraged if you still have some pain in the first weeks after the surgery. Physical therapy exercises for supraspinatus tendon tears usually have one of three purposes: Below is a pendulum exercise demonstration. Of course, I am sure his orthopedic surgeon will be able to give good advice in this regard (after a full clinical assessment etc.). Following an iltrasound scan I have been told I have a tear of the supraspinatus tendon and there is some retraction. However, in some cases, the better option may be to consider surgery sooner rather than later (e.g. I think it would be wise to listed to the advice from your doctor on this one! Any advice would be appreciated thanks. @anonymous: Hi Donald, I'm sorry to hear about your shoulder trouble and insurance situation. Three techniques are used for rotator cuff repair: Traditional open repair Mini-open repair Arthroscopic repair Your orthopaedic surgeon can recommend which technique is best for you. Generally speaking, MRIs definitely help the surgeon to make a diagnosis and give them an idea of whether surgery will help. You may feel pain when you try to sleep on the affected side. Went to an orthopedic surgeon who said I had frozen shoulder and injected the capsule with cortisone and told me to return in 3 months. !!! I can reach behind my back ok. The rehabilitation after surgery is likely to take time. He says the tendon is fraying like a ropethat he would need to reattach to the bone. They decided to do a re examination of my MRI to see if there was something they were missing. First, sorry for the delay in response. I have lost about 45+% of my ROM in my right arm. My best wishes go to all of them. Of course, if you feel you cannot have an open and honest discussion about the pros and cons of surgery in your particular case with your surgeon, dont be afraid to seek a second independent opinion from another specialist. Make sure you understand their explanation of what problems are occurring around you shoulder and what treatment options are available to you. I had subacromial decompression February 2010 a year after a motor vehicle injury (I am currently a 34 year old female). MORE VIDEOS Find Your Condition Ankle Pain Arthritis Back Pain After 4 months of therapy and 3 injections I am unable to lift my right arm. A good doc should be able to assess your shoulder and give you some specific advice regarding the best next plan of attack. It is also worth mentioning that not all PTs are created equal. For anyone contemplating surgery, buy a recliner to sleep in after surgery. Good luck with it either way. 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. 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). I appreciate your thoughts on this matter. Infraspinatus tendon is somewhat hetrogeneous in its deep attachment with what appears to be intra-substance tears down to enthesopathic change at footprint. ,Been dealing with shoulder pain for about nine months now and thought I'd share my experience with you and other readers. 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. bone spurs and/or rotator cuff tears. Ongoing serious pain influencing daily life, sleep etc. Some surgeons will prescribe a slightly different post-operative rehabilitation program depending on the nature of the injury and precise surgery performed. I here is incidental note made that the teres minor muscle is prominently atrophic. 2. mild labral degeneration. 50% of symptomatic full-thickness tears progress at 2 years and bigger tears progress faster. Generally, if an injury is going to heal on it's own, it gets better over time, unless it is re-injured. It is important the the surgical repair of the tendon is protected initially to ensure that a re-injury does not occur. 5. and video above) full thickness tears occur when portions of the rotator cuff tendon I am sorry, I can't give you specific advice over the internet about whether you will need surgery or not. So my tear went from a near full thickness tear to a full thickness tear. 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. It was a small rotator cuff tear. I sleep fine as it does not hurt to lay on my back. If the ball is popping out of the joint (dislocating), then that is a major concern (but this usually doesn't occur without trauma)! Thanks again Dr. Hi, I have had a partial supraspintus tear for 3 years now, and am wondering if it's too late to anything about it? The presence of greater tuberosity cortical irregularity and joint fluid was most important in the diagnosis of full-thickness supraspinatus . Seek immediate help if you are experiencing a medical emergency. Front view (left) and overhead view (right) of the tendons that form the rotator cuff. Did a previous year of PT to strengthen rotator cuff muscles with increase to full range of motion. Had periods of pain go from the back of my shoulder down my arm like before. I can reach behind my back ok. Basically, it creates a hole in the tendon. Sleeping on my right side became impossible. It has been helpful. Many people with supraspinatus tears receive very good relief following a period of PT, but others do not. bested on all of the above. Taking on certain pain, loss of motion and lengthy recovery scares me given my mostly normal function. Dr Mike, Please help me understand what options I might have in my case of job relater incident. So I think it would be wise to discuss the timing of surgery with your surgeon in the context of wanting to fall pregnant. Full thickness tears may involve only part of one tendon (usually the supraspinatus). I am sorry I can't give you any specific advice over the internet, but here are some thoughts that may be useful to you. 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. Here I am 5 days post op. Starting with Physio treatment is a good idea. It may take a while to overcome your shoulder pain, and you may even need to modify the types of activities you do, but working hard to be able to return to exercise is definitely a worthwhile goal. sir i am a shuttle badminton player.. i got injury on my shoulder .. doc told to tke MRI scan.. after taking MRI scan these are the final impressions.. 1.partial tear in the supraspinatus tendon at the level of insertion in the greater tubersity for a length of about 15mm with intact insertion, 2 partial tear in the anterior superior labrum. Those words exactly. Even pain from a full-thickness tear can be relieved without surgery through exercises that make other muscles strong enough to pick up the slack. Avoiding work above shoulder height can sometimes avoid aggravating the pain. Mike!! 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. Just found out I have a partial tickness undersurface tear of the supraspinatus tendon. People who have partial thickness supraspinatus tendon tears following a fall or mechanical trauma often report similar symptoms to people with whiplash associated disorders (aka whiplash). 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. pendulum), which should be undertaken ensuring correct technique). 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