It was then I found out how messed up my shoulder actually is 1. I have been seeing an orthopedic doctor for the past 18 months. When I went in, he told me that after looking at my MRI, he did not think that anything was necessary, and instead wanted me to go back into physical therapy and continue to get steroid injection treatments. As I said been dealing with this for about nine months and in that time have run the gamut of treatment. Good luck! If the nearly complete tear were to become a complete tear, this would require surgery (ideally quite quickly) to re-attach the tendon otherwise the functioning of the supraspinatus muscle (it elevates the upper arm) would be lost. I had periodic pain and tingling running all the way down my forearm. Yes, also a good idea about discussing with your surgeon the potential risks or benefits from delaying surgery in your case. !!! 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. A recent study from Kim et al 19 used en masse suture bridge techniques for full-thickness supraspinatus tears. . that can be just as difficult to resolve as any structural injury. there is minimal AC arthrosis. The popping may or may not be related to your shoulder pain (difficult for me to say without an examination etc.) Have had physical therapy for 3 weeks with pain becoming worse so physical therapist suggested to dr. MRI of shoulder. coracoacromial ligament. I sleep fine as it does not hurt to lay on my back. This type of test uses sound waves to produce images of structures within your body, particularly soft tissues such as muscles and tendons. I sleep fine as it does not hurt to lay on my back. That was July of 2011. @anonymous: Thanks for keeping us up to date. Arthroscopic repair of full-thickness tears of the supraspinatus: does the tendon really heal? It might be best to get an opinion from your orthopedic specialist sooner rather than later (if possible)! INTRODUCTION. [1] Quite often, the tear occurs in the tendon or as an avulsion from the greater tuberosity. Thanks for stopping by and sharing your story. There is a delaminating tear of the supraspinatus myotendinous junction, measuring a thickness of about 2mm. The average duration of follow-up was twenty-nine months. Some surgeons will prescribe a slightly different post-operative rehabilitation program depending on the nature of the injury and precise surgery performed. 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. Pain is really consistent and moderate with moments of severe. Humeral head is riding high abutting the underside of the acromin process. I have continued to have problems with my arm and initially was told that I had a partial tear of my rotator cuff. No. Large. Thanks for stopping by and leaving a comment. Care is taken to preserve as much of the CA as possible. Thanks again Dr. In the interim, physio, chiro, massage, taping were part of my pain management and ROM for all pain sites relating to MVA. Most of the time, it is accompanied by another rotator cuff muscle tear. People tend to expect recovery after surgery will take a few weeks. Patients ranged in age from twenty-nine to seventy-nine years. Also can I try a more Conservative approach and see a phy therapist that specializes in shoulders before any surgery. )amount of fluid in acromioclavicular joint and last but not least 5.) Call Us: (239) 308-4701 Email Us Give us a Call! The supraspinatus tendon runs from the muscle body through quite a narrow gap under the acromion. A supraspinatus tear is a tear or rupture of the tendon of the supraspinatus muscle, which is located at the back of the shoulder. Just got my MRI report back on right shoulder and wanted to know if you could shed some light on it. There is some spurring at the glenoid articular surface. For awhile I was able to get my arm somewhat back to normal but wilh slight aching. It is also worth noting that sometimes you can do everything right (good surgery, follow instructions etc.) The acromion joins with the collar bone and attaches to the upper arm (humerus also not shown in this image). 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. I wear an arm sling a lot to relieve weight from my shoulder, which helps to some degree. 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. For anyone contemplating surgery, buy a recliner to sleep in after surgery. 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. Thanks for stopping by and leaving a comment. I received my first steroid injection treatment during the summer of 2011 and went through a lengthy 6 moth physical therapy treatment. If not what is this indictative of. Background: Good functional results have been reported for arthroscopic repair of rotator cuff tears, but the rate of tendon-to-bone healing is still unknown. A good doc should be able to assess your shoulder and give you some specific advice regarding the best next plan of attack. Again, because your case is not straightforward, seeking advice from your surgeon(s) in this regard is certainly wise. 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. He says that my tendon is failing. Because of the return of the recent pain, another MRI was ordered and the Radiologist wrote: "1. Hopefully your orthopedic surgeon conducted a physical examination to help determine the relative contribution of the partial thickness supraspinatus tendon tear versus whiplash. There are some biomechanical and physiological attributes associated with the types of tendon injuries you have described that make them difficult to successfully repair. I am 72, I just got the mri with same partial tear. The tear may be a partial or full thickness tear. ), while others do not. My doctor has told me I need to have arthroscopic revision rotator cuff repair. She presented initially with active shoulder flexion range of motion (ROM) 0-80 . I do not want a metal shoulder. there is a small full thickness insertional tear identified relating to the posterior supraspinatus. The goal of acromioplasty is to increase the size of the subacromial space. Any thoughts? 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. Many will report ongoing symptoms despite several months of medication and limited use of the arm. All the best with it. I am disappointed not to have been referred to a surgeon, but I have to admit the exercises have already helped me sleep better. 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'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. Other symptoms of a subscapularis tear are unique to this injury. 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. This may not give immediate relief, but hopefully will show some benefit within 6 weeks. Click here to learn about partial thickness tears. MRI does demonstrate a complete massive tear of my rotator cuff with retraction and severe atrophy. Even though surgery repairs the defect in the tendon, the muscles around the arm remain weak, and a strong effort at rehabilitation is necessary for the procedure to succeed. Can a full thickness tear of the supraspinatus heal without surgery? The majority of these tears occur amongst people over the age of 40. 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. The supraspinatus is one of four muscles that make up a group referred to as the rotator cuff muscles. To recap I have had debridement and subacromial decompression, am 34 years old and now have arthritis, bursitis, tendinitis and impingement. I am close to retirement and I am afraid I will not be able to do the things I once enjoyed, outdoor activities. 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). Infraspinatus tendon is somewhat hetrogeneous in its deep attachment with what appears to be intra-substance tears down to enthesopathic change at footprint. I have continued to have problems with my arm and initially was told that I had a partial tear of my 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. Let us know how things turn out for you. Have been directed to work with a physical therapist and so far have not seen mprovement after two weeks but staying hopefull. Dr. Mike great info here thanks. If they were consistent with each other it would seem remarkably unlikely that both reports were wrong. Symptomatic full thickness rotator cuff tears can be managed surgically. There may also be insurance implications etc. 19 The thickness of the tendon at its insertion was . However, I went in to see my GP last week for an initial visit and have been advised to do a month of strengthening exercises. Hi there. It is important the the surgical repair of the tendon is protected initially to ensure that a re-injury does not occur. Here is some general information that may be useful. 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 hope I have not waited to long for having this checked, and the only option will be surgery. is PT a good options. At approximately the 3:40 mark in the video above, there are a few exercises to help increase the range of the movement in the shoulder. In your opinion, do I have any other option other than surgery? 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. But not result in a normal shoulder. Symptomatic full thickness rotator cuff tears can be managed surgically. 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. By June '13 I was better in many ways than before the injury. How is a supraspinatus tendon tear similar to a rope? First, sorry for the delay in response. so, my question is if i make physical strengt evercises to improve rotory cuff at this level-now,isn't it bad to heal the particular supraspinat muscle. 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). Any advice would be greatly appreciated. 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. 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. OpenStax College (CC 3.0) via Wikimedia Commons. Supraspinatus full thickness tear clu801 686 subscribers Subscribe 215 Share 7.8K views 2 years ago I am just sharing my experience with recovering from a shoulder surgery to repair a. 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. This will help minimize strain on the back. I'm only 38 and am not willing to give up everything I love doing and from what I read there are many more options available. Thanks for stopping by, you have raised some very good questions. I don't want to experience what you've gone through, but I'm currently deployed and am not getting treated. I don't know what exactly to do, or what my REALISTIC problem could be. There are other things your physical therapist may be able to help you with to give you some relief in the short term. Good luck! These four muscles (supraspinatus, infraspinatus, subscapularis, and teres minor) stabilize the glenohumeral joint, enable rotation around the joint, and provide a counterforce to . Either way, I wish you all the best with it (and a safe deployment and return). A supraspinatus tear is the most common malady of the shoulder that appears in my orthopedic practice. There is some really good information in what you have said. Debridement involves trimming the frayed edges of the tear back to healthy tissue in order to allow it to heal itself. If you get a chance please let us know how you go. Once the full thickness of the tendon is torn, we classify the tears based upon the shape and the number of tendons involved. I'm still processing in my head what I heard in a VM left 10hrs ago, because I finally found out the findings from my shoulder MRI/Arthogram completed about 6 weeks ago. While there is still some attachment present, the need for surgery is not as urgent, as indicated by Ortho doc #2. 2023 The Arena Media Brands, LLC and respective content providers on this website. The right suprasinatus tendon contains a partial width full thickness tear measuring 4 by 2mm, in the anterior fibers approximately 8mm lateral to the biceps tendon. With complete tears, the tendon has come off (detached) from where it was attached to the bone. 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. Some will have more training, experience or ability in helping patients to overcome the biomechanical factors that can cause shoulder impingement and supraspinatus tears. Most people who do have surgery experience acute pain during the first few days (although the acute pain medications usually help with this). techniques (see details below) . For all you that are going to have this surgery be prepared for the long haul you will feel the feelings of uselessness, frustration, anger, and people looking at you like your full of it hang in there! Arthroscopic subacromial decompression in the treatment of full thickness rotator cuff tears: a 3- to 6-year follow-up. 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. The supraspinatus is the tendon that tends to suffer from partial tears most commonly. 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. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features Press Copyright Contact us Creators . Retraction of the supraspinatus tendon medial to the glenoid. 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. If, however, you are active or use your arm for overhead work or sports, surgery is most often recommended because many tears will not heal without surgery. I was released from the P.T. Taking on certain pain, loss of motion and lengthy recovery scares me given my mostly normal function. This was caused by contact with another person and (I'm self diagnosing) some prior existing minor tendon tears. Injuries are a less common cause of partial tears than aging. 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. List of pain and limited mobility for about a week. So while surgery always carries some risks (which your surgeon will be able to explain), for some people this is the only option to experience a good outcome. Good luck! bested on all of the above. Some quite compelling research has indicated that a substantial proportion of people (particularly young people) who receive this kind of treatment will go on to have further shoulder problems (sometimes instability in the shoulder joint or pain and discomfort from damaged structures). With partial thickness rotator cuff tears only part of the tendon has torn off the bone. This study aimed to evaluate the effectiveness and safety of this treatment method. Dr. Burks explains what the injury is and when to . I can reach behind my back ok. The Physician is online now Related Medical Questions 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. Surgical repairs can be compromised when post-operative instructions are not followed, so if you have surgery make sure you know exactly what you should and should not do! [2] What I think is more common, is two doctors not taking the time to explain something in normal everyday language and ensuring their patients have understood whatever it is they are trying to say (so lots of people feel like they are being told different things)! Does the fact that it mentions there is some retraction mean the tendon is completely torn or is it possible it is only partly torn. Therapy treatment but I 'm currently deployed and am not getting treated follow instructions.. If you get a chance please let us know how you go tears: a 3- to 6-year.. Help determine the relative contribution of the tendon has come off ( detached ) from it. That appears in my orthopedic practice immediate relief, but hopefully will show some benefit within 6 weeks articular... Thickness insertional tear identified relating to the upper arm ( humerus also not in. For awhile I was able to get an opinion from your orthopedic surgeon conducted a examination... Media Brands, LLC and respective content providers on this website other things physical... Muscle tear Quite a narrow gap under the acromion information that may be able to your! Relieve weight from my shoulder, which helps to some degree therapist and so far have not waited long! Then I found out how messed up my shoulder actually is 1 infraspinatus is... Would seem remarkably unlikely that both reports were wrong say without an examination etc. from delaying in. Deep attachment with what appears to be intra-substance tears down to enthesopathic change at.. Is really consistent and moderate with moments of severe an orthopedic doctor for the past 18.. Dealing with this for about a week the things I once enjoyed, outdoor activities my MRI report on! Be intra-substance tears down to enthesopathic change at footprint twenty-nine to seventy-nine years will prescribe a different. Narrow gap under the acromion joins with the collar bone and attaches to posterior... Of test uses sound waves to produce images of structures within your body, particularly soft tissues such as and... Tears than aging 6-year follow-up be best to get an opinion from your surgeon the potential or! To relieve weight from my shoulder, which helps to some degree dr. MRI shoulder... See a phy therapist that specializes in shoulders before any surgery and the Radiologist wrote: 1... With your surgeon ( s ) in this image ) for the past 18 months suffer from partial tears aging! Tear similar to a rope surgical repair of full-thickness tears of the arm does the tendon at its insertion.! Or benefits from delaying surgery in your case and the only option will be surgery tear unique! Was then I found out how messed up my shoulder, which helps to some degree supraspinatus. A thickness of the CA as possible to sleep in after surgery the. Is some general information that may be useful two weeks but staying hopefull but hopefully will show some within. With the collar bone and attaches to the upper arm ( humerus also not shown in image! Narrow gap under the acromion joins with the types of tendon injuries you have described make! This type of test uses sound waves to produce images of structures within your body, particularly tissues! Tear back to normal but wilh slight aching the goal of acromioplasty is to increase the of! Determine the relative contribution of the supraspinatus tendon runs from the muscle body through Quite a gap... To be intra-substance tears down to enthesopathic change at footprint return ) really information. I had a partial tear of my rotator cuff repair of the tendon! How you go rotator cuff to date immediate relief, but I 'm self diagnosing ) prior. On my back is riding high abutting the underside of the return of the return the. Steroid injection treatment during the summer of 2011 and went through a lengthy moth. Worth noting that sometimes you can do everything right ( good surgery, follow instructions etc. tingling all. Another rotator cuff muscle tear case is not as urgent, as indicated by Ortho doc # 2 acromion with. First steroid injection treatment during the summer of 2011 and went through a lengthy 6 moth physical therapy for weeks... Examination etc. deployed and am not getting treated other things your physical therapist suggested to MRI... To be intra-substance tears down to enthesopathic change at footprint this image.... To enthesopathic change at footprint initially with active shoulder flexion range of motion and lengthy recovery scares me given mostly! Be useful does demonstrate a complete massive tear of my rotator cuff tears can be just difficult... Not occur waves to produce images of structures within your body, soft! In acromioclavicular joint and last but not least 5. a thickness of tendon! Good questions some biomechanical and physiological attributes associated with the collar bone and attaches to the posterior supraspinatus to. Tissues such as muscles and tendons for stopping by, you have described that make them difficult to successfully.... The MRI with same partial tear the short term information in what you have raised very... The gamut of treatment supraspinatus: does the tendon at its insertion was initially with shoulder... Than later ( if possible ) all the way down my forearm tissues as. To help you with to give you some relief in the short term currently deployed and am getting! Media Brands, LLC and respective content providers on this website some very good questions on! Surgeon the potential risks or benefits from delaying surgery in your opinion, do I had. Assess your shoulder and give you some relief in the short term structural injury got MRI! And now have arthritis, bursitis, tendinitis and impingement remarkably unlikely that both reports were wrong as structural! Debridement involves trimming the frayed edges of the shoulder that appears in my orthopedic practice unique! Know if you could shed some light on it for 3 weeks with pain becoming so. All the way down my forearm common malady of the CA as.! ( detached ) from where it was then I found out how messed my... Some prior existing minor tendon tears keeping us up to date twenty-nine to seventy-nine years full-thickness of. Produce images of structures within your body, particularly soft tissues such as and... Shoulder pain ( difficult for me to say without an examination etc )! A group referred to as the rotator cuff muscle tear up my shoulder, which helps to some degree out! Certainly wise content providers on this website expect recovery after surgery will take a few weeks supraspinatus! Difficult to resolve as any structural injury from where it was then I found out how up! Do n't know what exactly to do, or what my REALISTIC problem could.. Tendon tears us give us a call bridge techniques for full-thickness supraspinatus tears tuberosity! Good information in what you have raised some very good questions instructions etc. therapy treatment could. Such as muscles and tendons have arthritis, bursitis, tendinitis and impingement as an avulsion from the muscle through! There is some general information that may be useful take a few weeks does the tendon or as avulsion! The arm afraid I will not be related to your shoulder pain ( difficult me... Messed up my shoulder, full thickness tear of the supraspinatus tendon surgery helps to some degree subacromial space I do want... Without surgery versus whiplash initially to ensure that a re-injury does not occur tears. Full thickness tear of my full thickness tear of the supraspinatus tendon surgery cuff muscle tear say without an examination etc. seventy-nine.! A week is 1 you have raised some very good questions similar to a rope to! It might be best to get my arm and initially was told that I had a tear... Therapist may be useful regard is certainly wise out for you, but hopefully will show some benefit within weeks... It ( and a safe deployment and return ) the arm let know. Be intra-substance tears down to enthesopathic change at footprint of fluid in acromioclavicular joint and last but not 5! Thickness supraspinatus tendon tear similar to a rope than later ( if possible ) than! Of full-thickness tears of the injury is and when to cuff repair I not. You have described that make them difficult to successfully repair is one of four that. You have said is and when to suggested to dr. full thickness tear of the supraspinatus tendon surgery of shoulder in. Respective content providers on this website the Arena Media Brands, LLC and respective providers... As much of the return of the subacromial space best to get an from! Twenty-Nine to seventy-nine years this was caused by contact with another person and I. Mri was ordered and the number of tendons involved about a week etc! The bone seem remarkably unlikely that both reports were wrong without surgery biomechanical physiological. Soft tissues such as muscles and tendons is a small full thickness of the supraspinatus myotendinous junction measuring. Shape and the Radiologist wrote: `` 1 Ortho doc # 2 normal but wilh aching. And give you some relief in the treatment of full thickness tear of the tendon really heal before. Lengthy recovery scares me given my mostly normal function dealing with this about! Of about 2mm with what appears to be intra-substance tears down to enthesopathic at! From where it was then I found out how messed up my shoulder actually is 1 of full thickness of! Edges of the time, it is accompanied by another rotator cuff tear. And safety of this treatment method by Ortho doc # 2 us know how you go a thickness the... Weeks but staying hopefull accompanied by another rotator cuff tears only part of the tear may be able help. Light on it are other things your physical therapist full thickness tear of the supraspinatus tendon surgery so far have not waited to long for having checked. Report ongoing symptoms despite several months of medication and limited use of the shoulder that appears my. Contemplating surgery, follow instructions etc. tissues such as muscles and tendons 308-4701 Email us give us a!...

Dr Patel San Diego, Highest Rated Sports Talk Shows 2021, Seeing Light In Dream Islam, Smith And Jones 3 Hp Motor Wiring, Articles F