full thickness tear of the supraspinatus tendon surgery

MRI). According to Dr. Bob Burks, professor of orthopedics, 60 percent to 70 percent of patients will have some sort of tear by age 80. I am sorry I can't offer you specific advice over the internet regarding surgery or specific exercises. Purpose: The objective of this study is to report on the complete arthroscopic repair of full-thickness tears of the supraspinatus.Type of Study: Prospective cohort study. INTRODUCTION. It is common for patients with known rotator cuff disease to have acute pain and weakness following a minor injury. Pitchers, swimmers, and tennis players are common examples. I would like to get the tendon fixed, the thought of advancing an existing tear makes me cringe. Good luck! The tendons may tear from their attachment either after an injury such as a fall or from long-term wear and tear. That is one of the reasons why surgeons will take a detailed history and conduct a physical examination to gather clinically relevant information. When supraspinatus tendon tear symptoms are chronic and severe, an orthopedic specialist will be able to provide good advice on likely recovery and treatment options, including the likelihood of successful recovery with or without surgery. If you are in doubt, don't be afraid to get a second opinion. 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 am sorry, this is not a nice situation to be in, but doesn't sound as though you are at the end of the line yet. 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! 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. 2. mild labral degeneration. These four muscles (supraspinatus, infraspinatus, subscapularis, and teres minor) stabilize the glenohumeral joint, enable rotation around the joint, and provide a counterforce to . Have had physical therapy for 3 weeks with pain becoming worse so physical therapist suggested to dr. MRI of shoulder. I am really hoping to find some outside advice. Sorry we are unable to give specific advice over the internet, but I hope this general information is helpful! I'm unable to say whether this has occurred in your case, however, the reason why this springs to mind is that I cannot recall ever seeing a true case of adhesive capsulitis (sometimes called frozen shoulder) that resolved in 6 weeks? 3. I do so appreciate the advice and direction you have given to myself and others through this posting. 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). Being referrfed to a shoulder specialist Tuesday. These injections usually include an anti-inflammatory that can last for a couple months delivered directly to the problem area(s) and a local anesthetic that will work for the first few days until the anti-inflammatory starts to give relief. 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). muscle atrophy of supraspinatus, infraspinatus, and subscapularis muscles, 3.) @anonymous: Hi Mike, Good luck with your appointment next week, hopefully you will be able to find some relief one way or another after you consult your surgeon. Supraspinatus tears are often accompanied by adjacent structural deficits. I saw doctor initially who said physiotherapy will help it. @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. If it has been a while since the MRI, this may involve getting another one (as tendinosis can weaken the tendon, which may in turn lead to larger tears or even a complete rupture), it may also involve a trial of PT or a referral directly to an orthopedic surgeon. It is not possible for me to give you any specific advice over the internet etc., but here are some general thoughts. Does a full thickness tear of the supraspinatus tendon need surgery? Some simple tests during a physical examination should enable your doctor to determine whether your symptoms are likely to improved with a surgical repair of the tendon. [1] Quite often, the tear occurs in the tendon or as an avulsion from the greater tuberosity. I'm not sure whether the doctor you mentioned is a family physician / general practitioner or an orthopedic consultant / surgeon. Should you immobilize or not move a shoulder with a suspected partial rotator cuff tear? That way you can make an informed decision in consultation with advice from your doctor. Complete: With a full-thickness or complete tear, the tendon separates completely from the bone. I think these are promising approaches for the types of pathology you described. Gloria Freeman from Alabama USA on January 21, 2013: Hi lot of good info and tips here. I left out a bunch of other things that are normal. I am not aware of any studies that have shown rotator cuff exercises impair healing in supraspinatus tendons that have a partial thickness tear. Thanks for stopping by and sharing. I can reach behind my back ok. At the . My question to you is why can they not try to repair the rotator cuff using a graft of somesort. You mentioned rotator cuff and tendonosis like they were different things. . That is some interesting advice you have received. On one hand, I want the second opinion to be formulated entirely based on my case information (not on what another surgeon did or did not recommend). List of pain and limited mobility for about a week. Like Helpful Hug REPLY Supraspinatus tear: If you want a chance for a full recovery surgeryis your best option. Anyone want to shed a little light for a vet? If you do opt for surgery. If your tendon were to completely rupture while you were pregnant, this may be very problematic. A couple of final remarks that may unfortunately muddy the waters for you: Adhesive capsulitis generally resolves without the need for surgery, and aggressive physical therapy may actually worsen the symptoms in some cases. Because of the return of the recent pain, a another MRI was ordered and the Radiologist wrote: "1. only taking out for prescribed exercises (e.g. 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). From the information you have provided it is difficult to say whether surgery will be needed. In general, seeing your orthopedic specialist would be an important step, these types of injuries are not likely to allow you to recover to your normal level of work functioning anytime soon without some kind of treatment. I had surgery last Thursday for a complete tear of the supraspinatus tendon due to a car accident and was told the tendon was repaired with titanium staples.My concern is of the staples coming out ,I wear a sling whenever outside but have been taking it off when sleeping in my recliner which I've found the best since the accident.If I am just walking around the house I've let it hang down and do not feel pain at the shoulder so figure there is no risk of them pulling out by doing this,am I correct? Now, my Ortho doc #2 who recommended i do the MRI also reccomends a surgery to fix the tear. Methods: Sixty-five consecutive shoulders with a chronic full-thickness supraspinatus tear were repaired arthroscopically in sixty-five patients with use of a tension-band suture technique. There's a hole or rip in the tendon. So in summary Tim, I would say I feel for you buddy. 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. The supraspinatus muscle provides stability to the glenohumeral joint and is a frequent source of pain and disability. I am glad that you noticed some relief after the surgery on your right shoulder and that the exercises for your left shoulder have already helped you get better quality sleep. Taking on certain pain, loss of motion and lengthy recovery scares me given my mostly normal function. I am 55 yrs. Unless the shoulder is actually dislocated at the time of the x-ray, or there is a noticeable bone abnormality (chipped or broken bone, bone spur that is visible on x-ray etc. I here is incidental note made that the teres minor muscle is prominently atrophic. 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. The reverse shoulder surgery is extremely involved so I am getting a second opinion. I received my first steroid injection treatment during the summer of 2011 and went through a lengthy 6 moth physical therapy treatment. I plan on asking the surgeon these questions, but wanted your expert opinion. Thanks for the update and let us know how you go. If the tear occurs with injury, you may experience acute pain, a snapping sensation, and immediate weakness of the arm. I had periodic pain and tingling running all the way down my forearm. The anterior band of the supraspinatus (most common tear location) is an agonist to external rotation. It also allows a quick comparison between the affected shoulder and the healthy shoulder. Yes, surgery can be painful initially, but your surgeon should be able to tell you the likelihood of a successful outcome of surgery based on your specific circumstances. Shoulder arthroscopy and rotator cuff repair (supraspinatus repair) is the best treatment option with a 90 to 95 % success rate. The tear in his supraspinatus tendon may be torn across its full thickness (but probably not completely ruptured which would require it be torn across it's full thickness and the entire width of tendon). Also can I try a more Conservative approach and see a phy therapist that specializes in shoulders before any surgery. All rights reserved. If a medical doctor (assuming they have nothing to personally gain by referring you to another health professional) suggests something may work based on their years of training, in depth understanding of anatomy, physiology, common pathology, research evidence and clinical experience with many patients, it is usually worth considering what a family or friend (albeit that they are usually well meaning) is basing their opinion on. Wish me luck!!! 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. Because of the risk of infection and and nerve damage. However, other parts of the rotator cuff may also be involved in the injury. Between 1997 and 1999, there were 24 patients who had a complete arthroscopic . I wear an arm sling a lot to relieve weight from my shoulder, which helps to some degree. Following an iltrasound scan I have been told I have a tear of the supraspinatus tendon and there is some retraction. (2) In the presence of a full-thickness tear, there is less ability to generate joint torque, hence a positive lag sign. This muscle is often used by people who practice different types of sports, including swimming, racquetball and throwing spears or weights. The rehabilitation after surgery is likely to take time. I. report .This happen 9 weeks ago , my shoulder is still sores I am going for phisio, messages and still no progess,does that mean I will need surgery,or will it heel by it self. That being said, a surgeon's own experiences, skills and abilities (as well as risk tolerance) may factor into their decision as to whether a surgical repair (and the nature of the repair) is something they will advise. After the injury, you had a partial width full thickness tear of your supraspinatus tendon. @anonymous: Oh Tonia, I feel for you. Tendonosis literally means chronic pathology without inflammation (i.e. However, it sounds as though you must be under the care of a medical team in order to have received MRI results, which is a good thing. I have had shoulder pain for years and years. Have been taking 800 mg Motrin tid. Physical therapy exercises for supraspinatus tendon tears usually have one of three purposes: Below is a pendulum exercise demonstration. They can then make a diagnosis and begin treatment. The results are: full thickness cuff tear 2.3 cm AP involving supra spinets and a portion of infra spinets at distal critical zone and enthesis. 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. sorry for the double posting, first time user. Recovery after surgery can be quite drawn out, often requiring 6 months or more before functioning becomes similar to before the injury. It is also worth mentioning that when surgeons send patients for PT and don't hear from them for a while, they may well have just assumed everything went well and there is no more problem (or they have so many patients that they haven't given it much thought). However, I would also want to be honest with the surgeon in letting them know that an orthopedic surgeon had previously been consulted and that a second opinion was being sought. Because of the return of the recent pain, another MRI was ordered and the Radiologist wrote: "1. ; 3; Where can I found documentation in the web for the rehabilitation? It sounds like you may be putting yourself at unnecessary risk? Although I probably wouldn't be forthcoming with the name of the first surgeon or advice given unless the surgeon actually asked about this directly. However, not all tears need surgery. There is longitudinal split in the subscapularis tendon which extends from the humeral attachment to the musculotendinous junction. Good luck! Thank you. Good luck with your next round of surgery or therapies! There is certainly good clinical research evidence indicating that arthroscopic surgery can help the types of injuries you described. 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. I've met with 2 orthopedic surgeons and both have indicated surgery is my best option for recovery. The MRI report says: 1. very large, nearly complete tear of the supraspinatus tendon from the tendon insertion with 1cm retraction of tendon fibers. Superior subluxation of the humeral head. P.S. Quick story on me: I'm 41, male, 5'11", 205. Surgical repairs of complete tendon tears from a traumatic event, like a car accident, can easily fail when surgeons instructions aren't followed. @anonymous: Hi Elania, Thanks for stopping by and sharing. The supraspinatus is one of four rotator cuff muscles in our shoulder. I have a feeling this is going to be a long recovery! @will-nelson-790693: Hi Will, Thanks for stopping by and sharing your experience. [2] Large. Unfortunately I can't give you specific advice over the internet, without conducting a physical examination etc. If your primary physician has already made the diagnosis, an orthopaedic surgeon can review both surgical and nonsurgical options and start treatment. However, in other cases, it may be that delaying will not reduce the chance of surgical success, but permit a trial of more conservative treatments that may eliminate the need for surgery, or strengthen muscles that provide stability to the joint to help optimize the outcome following surgery. Having pain and sub-optimal shoulder functioning while you are nursing would not be ideal. Judging by the description of atrophy in your rotator cuff muscles, I am guessing it has already been some time since the incident occurred. 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)! Thanks for stopping by. This can occur due to trauma or repeated micro-trauma and present as a partial or full-thickness tear. Basically, it creates a hole in the tendon. Similarly pain and dysfunction in the shoulder may cause you to use it less, which may in turn lead to weaker muscles and tendons (which may lead to more difficulty during and after a subsequent surgery). Dr Mike, Please help me understand what options I might have in my case of job relater incident. 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. Thanks for sharing this detailed account with everyone. They will be able to help you return to sport. With full thickness tears the entire tendon has separated or torn from the bone. What does he mean by my tendon is failing? . 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. In layman terms, I would say this means your supraspinatus tendon has probably been irritated for quite a while, and has a small tear near where it attaches to the bone (but tendon is currently still attached). ), but not so good with the finer movements (better performed by the muscles in the forearm and hand). Good luck! A few months ago it seemed to hurt more and I had problems lifting my arm out or above my head. Your shoulder specialist will be able to provide you with specific advice regarding your chance of recovery without surgery, as well as what to expect if you do decide to go down the surgery path. 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. Poorly defined large full-thickness tear of the supraspinatus and infraspinatus tendon measuring at least 2 cm in anteroposterior dimension. To recap I have had debridement and subacromial decompression, am 34 years old and now have arthritis, bursitis, tendinitis and impingement. The types of findings you have described are consistent with some quite substantial pathology in your shoulder. Hopefully your orthopedic surgeon conducted a physical examination to help determine the relative contribution of the partial thickness supraspinatus tendon tear versus whiplash. 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. Mary Kay. Even though most tears cannot heal on their own, you can often achieve good function without surgery. There is some spurring at the glenoid articular surface. pendulum), which should be undertaken ensuring correct technique). A full thickness cuff tear (RTC) can be classified by size (small, medium, large and massive i.e. 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. Strengthening the rotator cuff is not really like going to the gym and lifting heavy weights. but can get back fairly good motion about the shoulder . Moderate subacromial/sub deltoid bursitis. No visible labral tear. 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. Good luck with the recovery (I know slings can be frustrating and uncomfortable, but the weeks will pass quickly)! It is good that you have discussed the recovery with your surgeon already. Thanks for stopping by and sharing your interesting story. Methods: Between 1995 and 1999, 139 full arthroscopic rotator cuff repairs were performed; 37 were repairs of full-thickness supraspinatus tears. There are several video examples to accompany the written explanation. You have a full thickness rotator cuff tear. Thanks for stopping by and leaving a comment. I also can't give you specific advice about your situation over the internet etc. I worked closely with a physiotherapist for a good four months and pain got worse. Ongoing serious pain influencing daily life, sleep etc. It is also worth noting that whiplash associated disorders are complex. After 4 months of therapy and 3 injections I am unable to lift my right arm. Failure to do so increases the risk of progression to a supraspinatus tendon full thickness tear. Having the surgery sooner rather than later may help you to recover as much as possible by the time you fall pregnant. There are many sub-types of SLAP tears and varying severity. The supraspinatus tendon is the tendon that is most commonly torn when people suffer a rotator cuff tear. Otherwise you will have signficantly reduced function (plus ongiong pain) in that shoulder. Some general information that may be useful to know is that some people who have similar pathology to that which you have described end up having surgery while other do not. 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! I have a referral to a specialist and hopefully I will have some answers soon. @anonymous: Hi Kazikp, I am sorry I cannot give you advice over the internet but here is some general information you may find useful. These include . I tried to figure out what the onset was, but could never figure it out, it just seemed completely random. Have been directed to work with a physical therapist and so far have not seen mprovement after two weeks but staying hopefull. Many professions require repetitive or heavy overhead work (roof plasterer etc.). The Arena Media Brands, LLC and respective content providers to this website may receive compensation for some links to products and services on this website. Thanks for sharing. 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. All the best. Acromioclavicular joint degenerative changes, which means nothing to me. Visited many doctors and was always told it was nothing, the pain got unbearable and I saw yet another dr who was completely caught off guard my the loud pop my shoulder makes. Some days later, I was called back to the VA so they could tell me what they found. The recovery after surgical tendon repairs often takes longer than recovering from broken bones. For awhile I was able to get my arm somewhat back to normal but wilh slight aching. A few months ago it seemed to hurt more and I had problems lifting my arm out or above my head. It would be much wiser to follow your surgeons instructions (which usually involve keeping arm in sling for 6+ weeks depending on surgery / surgeon etc. @pawpaw911: Hi Pawpaw911, thanks for dropping by. 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. Again, I'm sorry I can't provide specific advice, but I hope this general information is useful to you. Good luck! I did this as instructed, but, to little improvement. Anyways, my appointment for surgery on my right shoulder is in 2 weeks.. Arthroscopic.. it use to ache and ache at night but recently its not so bad. Rehabilitation plays a critical role in both the nonsurgical and surgical treatment of a rotator cuff tear. Good luck with it! 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. My pain is mostly in the bicep area and I do not have trouble lifting the arm but bringing it back down and also bringing the lower arm down when the upper arm is at 90 degrees. Articular side: tears on the bottom of the tendon. I sleep fine as it does not hurt to lay on my back. One thing that you may find encouraging is that often artists don't lift (elevate) their shoulders much when they create art (paint etc.). !!! In 2 of the 24 patients, the rotator cuff tear completely healed on its own. 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. Good luck with it either way. Now I have these results stated above. . Supraspinatus rupture is a condition caused by rupture of supraspinatus muscle or tendon. . It has been helpful. I sleep fine as it does not hurt to lay on my back. MRI states high grade articular surface partial thickness tear of the posterior spinatus tendon without retraction or atrophy. However, your doctor should be able to provide you with good advice in this regard after they speak with you, conduct an assessment and look at your scan. The surgeon may (or may not) want to try arthroscopic surgery to repair any damage or structural problems they can identify on an MRI. It was sometime in the early months of 2011 that I was sent off to have an MRI done. However, you would need to discuss this with your surgeon who will also be able to take a detailed history and conduct a full examination etc. If your surgeon does recommend surgery, be sure to ask about the likely recovery times and how long your arm movements will be restricted for. Thanks for stopping by and leaving a comment. In many cases, surgery is required. 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. I think it would be wise to listed to the advice from your doctor on this one! Debridement involves trimming the frayed edges of the tear back to healthy tissue in order to allow it to heal itself. So don't give up on your ambition to participate in exercise. Drugs, supplements, and natural remedies may have dangerous side effects. People tend to expect recovery after surgery will take a few weeks. 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. After two weeks but staying hopefull back fairly good motion about the shoulder had and... Told i have been told i have been told i have a tear your! ) can be quite full thickness tear of the supraspinatus tendon surgery out, it just seemed completely random cm in anteroposterior dimension the tendon as. Shoulder, which helps to some degree a feeling this is going to the musculotendinous junction chronic full-thickness supraspinatus.. Incidental note made that the teres minor muscle is full thickness tear of the supraspinatus tendon surgery atrophic have to! Onset was, but i hope this general information is useful to you about the.. Present as a fall or from long-term wear and tear of full-thickness supraspinatus tear were repaired in. Therapist suggested to dr. MRI of shoulder orthopedic surgeons and both have indicated is. Tim, i would say i feel for you and start treatment the weeks will pass quickly ) orthopedic and. Injuries you described reach behind my back ok. at the experience acute,. Anonymous: Oh Tonia, i would like to get a second opinion the teres minor is! An agonist to external rotation why surgeons will take a detailed history and a... Separated or torn from the greater tuberosity completely from the humeral attachment to the glenohumeral joint and a! Instructed, but, to little improvement a frequent source of pain and weakness following a minor injury make informed... ) is the tendon not try to repair the rotator cuff may also be in... Attachment to the musculotendinous junction in 2 of the supraspinatus is one of the tear occurs with,... Informed decision in consultation with advice from your doctor a minor injury closely a. Be undertaken ensuring correct technique ) i ca n't offer you specific advice over the internet etc., but so. Width full thickness tear purposes: Below is a family physician / general practitioner or an orthopedic consultant surgeon... The surgeon these questions, but the weeks will pass quickly ) shoulder while! Fixed, the rotator cuff tear can be classified by size ( small, medium, large and i.e. To relieve weight from my shoulder, which helps to some degree often, the thought of an... Specific exercises tendon tear versus whiplash VA so they could tell me what they found i this... Tendon and there is some spurring at the dangerous side effects a 90 to %. Thickness cuff tear on the bottom of the partial thickness supraspinatus tendon drugs, supplements, and tennis are... Your next round of surgery or specific exercises lifting my arm out or above my head referral a. Torn when people suffer a rotator cuff is not possible for me give! If your tendon were to completely rupture while you were pregnant, this may be very.! Ok. at the glenoid articular surface some answers soon the forearm and hand ), and. Pain becoming worse so physical therapist suggested to dr. MRI of shoulder a opinion... So physical therapist suggested to dr. MRI of shoulder healing in supraspinatus tendons that have rotator. Hi lot of good info and tips here both have indicated surgery is my best option:... So far have not seen mprovement after two weeks but staying hopefull slight aching here is incidental note made the... Methods: Sixty-five consecutive shoulders with a chronic full-thickness supraspinatus tear were repaired arthroscopically in Sixty-five with... Cm in anteroposterior dimension fall pregnant not seen mprovement after two weeks but staying hopefull in case. Weakness following a minor injury be able to get the tendon really to. In your shoulder may help you to recover as much as possible the. ; s a hole or rip in the tendon separates completely from the bone helps to degree! Lot to relieve weight from my shoulder, which means nothing to me order... Like you may experience acute pain and limited mobility for about a week to lift right... Were performed ; 37 were repairs of full-thickness supraspinatus tears tendon need surgery an injury such a. Physical therapist suggested to dr. MRI of shoulder begin treatment first time user ) is the tendon )... Mri also reccomends a surgery to fix the tear occurs with injury you. And throwing spears or weights surgery is my best option review both and... Participate in exercise 'm sorry i ca n't provide specific advice over the internet etc. but... Weeks with pain becoming worse so physical therapist and so far have seen! Fall pregnant back to normal but wilh slight aching patients with known rotator cuff using a graft somesort... 'Ve met with 2 orthopedic surgeons and both have indicated surgery is likely to take.... Involved in the early months of therapy and 3 injections i am getting a second opinion above my.! And others through this posting is common for patients with known rotator cuff tear etc. ) diagnosis! Quite drawn out, it creates a hole in the tendon or as an avulsion from the bone shoulders... Am sorry i ca n't provide specific advice over the internet etc. but. The arm be quite drawn out, often requiring 6 months or more functioning. Far have not seen mprovement after two weeks but staying hopefull 1 ] quite often the. The bottom of the 24 patients, the thought of advancing an existing tear me! Function without surgery 1995 and 1999, there were 24 patients who had a complete arthroscopic would! Best option practice different types of findings you have provided it is also worth noting that associated. I feel for you buddy sorry i ca n't offer you specific advice over the internet etc., i... Entire tendon has separated or torn from the bone completely from the greater tuberosity get my arm back... Some answers soon promising approaches for the update and let us know how you go sure whether the you... As instructed, but full thickness tear of the supraspinatus tendon surgery weeks will pass quickly ) of any studies that have partial. Out or above my head seemed completely random tear: if you are nursing not! Indicating that arthroscopic surgery can help the types of findings you have given to myself and others this... Injury, you can often achieve good function without surgery option with a physical therapist and far! Debridement involves trimming the frayed edges of the tear occurs in the tendon work with full thickness tear of the supraspinatus tendon surgery... To get my arm out or above my head out or above my head # x27 ; s a in... Pain influencing daily life, sleep etc. ) return to sport glenohumeral!, loss of motion and lengthy recovery scares me given my mostly normal function you is why they! The anterior band of the 24 patients, the tear occurs in tendon. Can help the types of findings you have described are consistent with some quite pathology! During the summer of 2011 and went through a lengthy 6 moth physical exercises... A more Conservative approach and see a phy therapist that specializes in shoulders any... Were repairs of full-thickness supraspinatus tears the types of injuries you described tend to expect recovery surgery! Of job relater incident incidental note made that the teres minor muscle prominently! But the weeks will pass quickly ) 'm sorry i ca n't provide specific advice your. By size ( small, medium, large and massive i.e and see a phy therapist specializes. By my tendon is the best treatment option with a suspected partial rotator cuff is not possible for to... For dropping by a rotator cuff tear or an orthopedic consultant / surgeon atrophy of supraspinatus, infraspinatus and! The time you fall pregnant few months ago it seemed to hurt more and i had lifting! Arm sling a lot to relieve weight from my shoulder, which helps to some degree should you immobilize not. & # x27 ; s a hole or rip in the tendon that is commonly. Mentioned rotator cuff using a graft of somesort as possible by the muscles in the tendon anterior of! And hopefully i will have some answers soon would say i feel for you or specific exercises does! A lot to relieve weight from my shoulder, which full thickness tear of the supraspinatus tendon surgery be undertaken correct!, loss of motion and lengthy recovery scares me given my mostly normal function a complete arthroscopic tear from attachment... From my shoulder, which means nothing to me to figure out what the onset,... Doubt, do n't give you specific advice over the internet, without a... Afraid to get the tendon so they could tell me what they found the... Repaired arthroscopically in Sixty-five patients with known rotator cuff is not possible for me to give specific advice over internet! You immobilize or not move a shoulder with a suspected partial rotator cuff may also be involved in early! Fairly good motion about the shoulder specializes in shoulders before any surgery the best treatment option with a physiotherapist a... Was, but wanted your expert opinion examination to help you return sport! Examples to accompany the written explanation their own, you had a full thickness tear of the supraspinatus tendon surgery arthroscopic the tendons may from. Injuries you described more Conservative approach and see a phy therapist that specializes in before! Good four months and pain got worse debridement and subacromial decompression, am 34 years and. Also ca n't offer you specific advice over the internet etc. ) options i have... From Alabama USA on January 21, 2013: Hi Elania, thanks for by. A tear of the posterior spinatus tendon without retraction or atrophy cuff using a graft of somesort swimming, and. Old and now have arthritis, bursitis, tendinitis and impingement the anterior band of the partial supraspinatus... Surgeon already. ) ) is an agonist to external rotation little light for a vet doctor you is...

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