Small. 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. 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). Thoughts on surgery? It is also worth mentioning that not all PTs are created equal. The supraspinatus tendon is the tendon that is most commonly torn when people suffer a rotator cuff tear. They may extend to become massive involving multiple tendons as shown in the figure. I do not want a metal shoulder. Subcortical reactive changes superiorly and laterally at the humeral head are present. 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. This may not give immediate relief, but hopefully will show some benefit within 6 weeks. tendon transfer. Sorry for the delay, I have been away. A full-thickness tear is when the wear in the tendon goes all the way through the tendon. If you have been diagnosed with a partial thickness tear and begin experiencing more pain you should talk to your orthopaedic surgeon. How do you treat a supraspinatus tear? I am 55 yrs. I say promising because work in basic science and animal studies have demonstrated some quite promising findings. There is fluid distending the long head of the biceps tendon sheath, representing tenosynovitis. massive cuff tears. Our hypothesis was that arthroscopic repair of full-thickness supraspinatus tears achieves a rate of complete tendon healing equivalent to those reported in the literature with open or mini-open techniques. It was a small rotator cuff tear. All the best with it. 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. or should you just ask for their opinion with no outside information> Thanks Judy. Rotator cuff tears may be degenerative (the defect arose in tendon of poor quality) or they may be traumatic (the tear arose from a major injury to otherwise healthy tissue). Any suggestions? I still have periodic pain that will radiate from the back of my shoulder, down my tricep, and over my bicep. @anonymous: Hi Vicki, I'm glad the information was useful to you. It gets weak and tired pretty quickly, I can't sleep on my side and it aches all the time. 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. I'm sorry I can't give you specific advice over the internet, but hopefully you will find the following general information interesting. 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. I had periodic pain and tingling running all the way down my forearm. Good luck! A rotator cuff tear may result from an acute injury, such as a fall, or may be caused by normal aging-related wear and tear with degeneration of the tendon. This study aimed to evaluate the effectiveness and safety of this treatment method. 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. Between 1997 and 1999, there were 24 patients who had a complete arthroscopic . A good doc should be able to assess your shoulder and give you some specific advice regarding the best next plan of attack. The rotator cuff muscles are critical to the stability and optimal biomechanical movement at the shoulder joint. I am sorry I can't offer you specific advice over the internet regarding surgery or specific exercises. Let us know how things turn out for you. 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). I am really concerned about success rates for revision surgery. Can you help me out at all? LOTS of heavy benching, etc. A rotator cuff tear can result from an injury such as a fall or heavy lifting, or from normal wear-and-tear and repetitive activities over many years. Some general information you may find useful is that generally not a lot of people seem to have a full recovery following a SLAP lesion without surgery. Having pain and sub-optimal shoulder functioning while you are nursing would not be ideal. Strengthening the rotator cuff muscles can give relief to some people wanting to avoid surgery. This can occur normally over time, or with repetitive use or a re-injury. Questions: 1. You may note weakness of your arm and difficulty with routine activities such as combing your hair or reaching behind your back. The tendons may tear from their attachment either after an injury such as a fall or from long-term wear and tear. There is a moderate amount of fluid distending the subdeltoid bursa maximal over the anterior aspect of supraspinatus and the rotator interval. My MRI impression reads: suggestive of a full thickness, obliquely oriented tear through the supraspinatus insertion. Supraspinatus tendon tears are the most common tendon tear in the shoulder region. If you know you have a rotator cuff tear, worsening pain and decreasing strength may mean the tear is getting larger. Time progressed, pain continued and my ROM slowly worsened. I just found out this week that I have Bursitis, and a tear in my Supraspinatus. Most people regain shoulder function and strength within four to six months after surgery, but full recovery may take up to 12-18 months. What does all that mean in simple layman terms? Full-thickness tears of the supraspinatus and infraspinatus tendons at their attachment site with retraction of torn fibers up to the lateral aspects of the acromial process. Many professions require repetitive or heavy overhead work (roof plasterer etc.). 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! That is some interesting advice you have received. No. At 55 years of age you still have a lot of living still to do, so don't be afraid to talk openly with your doctor about the success rates for all of the options available to you, and the likely recovery times involved. However, other parts of the rotator cuff may also be involved in the injury. Those words exactly. 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. There is inhomogeneous and bulbous appearance of the distal .subscapularis tendon with tendinosis. The blue arrows represent a full-thickness tear in the supraspinatus tendon, which is the most common site for rotator cuff tears. If the tear occurs with injury, you may experience acute pain, a snapping sensation, and immediate weakness of the arm. Mild surface irregularity of the supraspinatus in keeping with scuffing-mild partial thickness bursal surface tearing. The major tear causes separation of muscle or tendon into two torn segment of muscles or tendons. @anonymous: Dude, I just did nearly the exact same thing. Medium. Because of the risk of infection and and nerve damage. This can occur due to trauma or repeated micro-trauma and present as a partial or full-thickness tear. Either way, this kind of ongoing shoulder pain is not good. 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. there is a small full thickness insertional tear identified relating to the posterior supraspinatus. Did MRI of neck 1st which showed degenerative disc disease in c5-6 and c7-t1. I see this is true of SSGtomn who has left a comment already. (MRI), demonstrating a full-thickness supraspinatus tear. 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). This article discusses shoulder impingement, rotator cuff rehabilitation exercises, and surgical considerations relating to rotator cuff tears and the supraspinatus tendon in particular. Should you tell him what the other surgeons name is and what they advised. Sought 2 nd opinion 3weeks later due to the server pain. I am sure lots of people would like to hear how it turns out for you. 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). Make sure you understand their explanation of what problems are occurring around you shoulder and what treatment options are available to you. Any thoughts? It was then I found out how messed up my shoulder actually is 1. There's a hole or rip in the tendon. Modify Sport Techniques . I don't lay on the side of the hurt arm as I don't think it will be good for it. 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. 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.
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