full thickness tear of the supraspinatus tendon surgeryfull thickness tear of the supraspinatus tendon surgery

Good luck! I have not returned back. Dr. Burks explains what the injury is and when to . You have a full thickness rotator cuff tear. I mention this, as this will often influence treatment decisions. 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? It has been helpful. It is also worth mentioning that not all PTs are created equal. 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. 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. Ongoing serious pain influencing daily life, sleep etc. Do not complete these exercises if they cause an increase in pain; instead, seek specific advice from an appropriately qualified professional such as a physical therapist or physician. Failure to do so increases the risk of progression to a supraspinatus tendon full thickness tear. Hope that helps! 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). It also allows a quick comparison between the affected shoulder and the healthy shoulder. Arthroscopic repair of full-thickness tears of the supraspinatus: does the tendon really heal? Yes, the surgery will be over very quickly, but it is the rest of the recovery that takes time and effort (and a fair bit of frustration being careful to keep within the movement restrictions). The blue arrows represent a full-thickness tear in the supraspinatus tendon, which is the most common site for rotator cuff tears. It seems as though you have now had two MRI reports. Thanks for stopping by and sharing your interesting story. 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. Following an iltrasound scan I have been told I have a tear of the supraspinatus tendon and there is some retraction. months or years after the original injury is definitely a good indicator that a further orthopedic review / opinion is warranted. I still have periodic pain that will radiate from the back of my shoulder, down my tricep, and over my bicep. 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). The Physician is online now Related Medical Questions My best wishes go to all of them. 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. 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. Surgical repair can often be . It can be difficult to find good information on the web for specific rehabilitation following surgery. 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. Thanks for stopping by and leaving a comment! The fact that you still have full shoulder ROM is a good thing, now just need to get the muscles /tendons (or potentially other structures) working as they should. Good luck with it either way. my MRI result come out that supraspinant tendom has partial tear. On the other hand, there is nothing speedy about recovery after surgery but at least there usually is recovery (albeit slow). It is worth noting that dislocating a shoulder generally causes soft tissue trauma, like tears in the glenoid labrum (the bit that acts like a big suction cup keeping the ball part of the arm in the shoulder socket), as well as other structures. Good luck! Im a bodybuilder for years but I'm getting old. Thanks for stopping by and sharing your story with everyone! Good luck! Usually getting a second opinion is not a bad option if you are not confident that the first opinion is going to lead to the best outcome for you, but I expect that may well be impossible while you are still on deployment? People doing repetitive work above shoulder height may find themselves at higher risk of a supraspinatus tear. It is also worth noting that whiplash associated disorders are complex. Approximately 1% of the adult population will have shoulder pain at some point in their lives. If your primary physician has already made the diagnosis, an orthopaedic surgeon can review both surgical and nonsurgical options and start treatment. Pitchers, swimmers, and tennis players are common examples. This study was done in order to identify stages of rotator cuff tears that signal the need for surgery. ), while others do not. It is difficult for me to comment further based on this information. A recent study from Kim et al 19 used en masse suture bridge techniques for full-thickness supraspinatus tears. 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. Players involved in sports requiring fast throwing actions (baseball) or overhead hitting (volleyball, tennis) may also sustain a traumatic injury to their rotator cuff and the supraspinatus tendon in particular. These types of injuries seem quite common for people who work in construction and are often associated with doing work above shoulder height. Should you tell him what the other surgeons name is and what they advised. I also can't give you specific advice about your situation over the internet etc. If you know you have a rotator cuff tear, worsening pain and decreasing strength may mean the tear is getting larger. I did this as instructed, but, to little improvement. A few months ago it seemed to hurt more and I had problems lifting my arm out or above my head. If tendon tears (including small tears) have not responded to conservative (non-surgical) treatments or recovered naturally after a few months, then surgery is often considered. Many people will recover after receiving treatment from a physiotherapist (or physical therapist in USA). Some will have more training, experience or ability in helping patients to overcome the biomechanical factors that can cause shoulder impingement and supraspinatus tears. It is also worth noting that sometimes you can do everything right (good surgery, follow instructions etc.) 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. Original injury was 4 years ago in a MVA and I've been experiencing pain when sleeping on injured side, intermittent loss of sensation for the entire arm resulting in dropping things, loss of muscular endurance and increased pain for repetitive activities ranging from ribcage level and upward, loss of muscular strength and increased pain for lifting objects at the present moment equivalent in weight to a litre of milk or heavier, and an overall sense of lack of spacial awareness for the injured arm as if my arm is not "connected" to my body. 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. However, there are a variety of factors that will need to be considered. ( x-ray, phys ther,corticosteroid inj. Any suggestions and generally how long is the recovery period? That way you can make an informed decision in consultation with advice from your doctor. Hope that helps. If you have any follow up questions just post them here and I'll get back to them as soon as I'm able. Gloria Freeman from Alabama USA on January 21, 2013: Hi lot of good info and tips here. According to Dr. Bob Burks, professor of orthopedics, 60 percent to 70 percent of patients will have some sort of tear by age 80. It was a small rotator cuff tear. However, in some cases, the better option may be to consider surgery sooner rather than later (e.g. 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 was told that there were a few other muscles around the supraspinatus that were torn and I also had some bone spurs that could also be causing some irritation. If in doubt call your surgeons office. There is synovial fluid at the glenohumeral articulation. Did a previous year of PT to strengthen rotator cuff muscles with increase to full range of motion. 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. I don't know what exactly to do, or what my REALISTIC problem could be. After 4 months of therapy and 3 injections I am unable to lift my right arm. the defect measures approximately 1cm anterior to posterior and medial to lateral. RESULTS: Arthroscopy revealed 21 full-thickness tears, five bursal surface partial-thickness tears, 10 articular surface partial-thickness tears, and 14 patients without tear of the supraspinatus tendon. Due to the nature of what we were doing, I was unable to immediately seek medical attention, so after regaining some composure, I managed to carry on with my duty, but not without immense pain. There is inhomogeneous and bulbous appearance of the distal .subscapularis tendon with tendinosis. This study aimed to evaluate the effectiveness and safety of this treatment method. This information is provided as an educational service and is not intended to serve as medical advice. There are some biomechanical and physiological attributes associated with the types of tendon injuries you have described that make them difficult to successfully repair. Unfortunately, I think 1cm retractions of torn tendon fibres do not favor natural healing of those portions of the tendon (without surgery). My arm was nearly frozen for a period of about 10 minutes, but I slowly started regaining some ROM. And overall her last resort for surgical intervention is a reverse total shoulder arthroplasty. I understand most of it but I was wondering is there supposed to be fluid in the acromioclavicular joint. I had rotator cuff surgery in May for a Small(2mm) tear In the supraspinatus tendon. Because of the return of the recent pain, a another MRI was ordered and the Radiologist wrote: "1. 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 guarantee you will not be the last person to read this page wondering about a difference in doctor opinion or trying to figure out whether they have a supraspinatus tendon tear or adhesive capsulitis (or surgery versus no surgery). Effectiveness and safety of this treatment method that make them difficult to successfully repair tendon, which is most! Increase to full range of motion serve as Medical advice work above shoulder height may find themselves at higher of... Aimed to evaluate the effectiveness and safety of this treatment method suture bridge techniques for full-thickness supraspinatus.. 10 minutes, but I 'm able full thickness tear of the supraspinatus tendon surgery a good indicator that a further orthopedic review / opinion warranted. 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Informed decision in consultation with advice from your doctor full range of motion and safety of this method...

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