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. From a mechanical point of view the muscles and soft tissues around the shoulder do an amazing job to keep the head of the humerus (ball) in the small glenoid fossa (bony component of the socket)! If you get a chance, drop by and let us know how you go with your recovery! For anyone contemplating surgery, buy a recliner to sleep in after surgery. He says the tendon is fraying like a ropethat he would need to reattach to the bone. Most of the time, it is accompanied by another rotator cuff muscle tear. I was in a car accident about 18 months ago with damage to my left side of my body, stated with my fingers, to my leg and lastly my arm. @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. That being said, I am scheduled for surgery on 6 Nov. 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. 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). Also not sure how long I should wait. If you want any further clarification just post any follow up question. Thanks for stopping by and sharing. Good luck! Generally speaking, for shoulder pain related to rotator cuff injuries following trauma, often the first strategy is to see whether the pain and other symptoms improve with non-surgical management approaches. Here is a link to a recent academic journal article on the topic that should be free to access. My arm was nearly frozen for a period of about 10 minutes, but I slowly started regaining some ROM. Supraspinatus tendon tears are the most common tendon tear in the shoulder region. This is partly because rehabilitation following surgery will depend on the surgical technique used. Thanks for stopping by and leaving a comment. One of the most painful experiences ever. 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). This sounds like quite a pain (literally). From my perspective, I have seen many patients with supraspinatus tendinosis who have benefited a great deal from physical therapy (but nothing is certain, and some patients may not receive great benefit and require a different intervention). I do so appreciate the advice and direction you have given to myself and others through this posting. Also now taking Tylenol 500 with5 hydrocodone. A good doc should be able to assess your shoulder and give you some specific advice regarding the best next plan of attack. A full thickness tear is not usually a complete rupture. So I think it would be wise to discuss the timing of surgery with your surgeon in the context of wanting to fall pregnant. I have full range of motion and only occasional soreness now and again, but can't sleep on that side. ROM hurts so I'm not sure. So first off, I should say that I have certainly seen situations where a small supraspinatus tear has been surgically repaired, only for a worsening of symptoms to occur after further pathology (such as other rotator cuff tendon tears) either develop or become easier to detect on imaging (e.g. So don't give up on your ambition to participate in exercise. It is also worth noting that whiplash associated disorders are complex. It's been very frustrating dealing with the chronic pain and reduction of normal activities in an attempt to adapt to my "new normal". I was released from the P.T. @brando87: Thanks brando87, that's what I aim for! Most people regain shoulder function and strength within four to six months after surgery, but full recovery may take up to 12-18 months. Good luck! Like Helpful Hug REPLY 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. I just received my MRI report which states : supraspinatus tendon is thickened and immediate in signal, with a small 3mm (transverse) x 3mm (AP) full thickness footplate tear. It is not possible for me to give you any specific advice over the internet etc., but here are some general thoughts. However, given that you already have an MRI it sounds like you are already under the care of your doctor, which is great. As I said been dealing with this for about nine months and in that time have run the gamut of treatment. However, worse yet would be delaying in such a way that you miss out on falling pregnant or delivering a healthy baby. bone spurs and/or rotator cuff tears. )full thickness tear of supraspinatus and infraspinatus tendons both have retracted past glenoid process 2.) I have had this problem with my shoulder/arm for about 6 months maybe. There is some really good information in what you have said. I would make sure your surgeon knows you are planning on falling pregnant within the next 12 months. Just got my MRI report back on right shoulder and wanted to know if you could shed some light on it. @anonymous: Thanks for keeping us up to date. Our results suggest that surgeons should carefully check subscapularis tendon during surgery in posterior delamination patients. Surgery to repair those types of injuries would mean the arm would have to be not used (at all) for at least a couple of months (maybe quite a few months before back to being able to work normally). There is some spurring at the glenoid articular surface. I have been seeing an orthopedic doctor for the past 18 months. 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)! On the other hand, if surgery is inevitable or at least the most likely outcome, then the treating doctor / surgeon(s) may recommend early surgery. Keep in touch to let us know how you go. 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. 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. You are also right that many people often don't understand that you are not 'putting on an act'. 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! I do not want a metal shoulder. After a formal assessment, they will be able to prescribe a course of rehabilitative exercises or recommend surgery. I also have no insurance and don't know about surgery. that can be just as difficult to resolve as any structural injury. A rotator cuff tear (RCT) is a common disorder associated with pain and dysfunction in the shoulder, the prevalence of which increases with age [].Full-thickness RCTs are present in approximately 25 % of individuals in their 60 s and 50 % of individuals in their 80 s; however, the reported incidence is lower for patients < 55 years of age (4-8 %) [1, 2]. Any thoughts on treatment for this considering previous surgery? All the best. A complete, full thickness tear means that the tear goes all the way through the tendon. Rotator Cuff Tears: Surgical Treatment Options. 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. Needless to say, I started to feel like I was getting jerked around and not getting any realistic attention. INTRODUCTION. This information is provided as an educational service and is not intended to serve as medical advice. He kind of scared me regarding the recovery for this. There are several video examples to accompany the written explanation. I have continued to have problems with my arm and initially was told that I had a partial tear of my rotator cuff. If you are seeing a physio for this condition, they should be able to provide you some good information about the post-surgery protocols that surgeons in your local area will be likely to prescribe. 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. I wrote a previous commentsaw my orthopedic surgeon this week. If muscles of the rotator cuff are not providing adequate stability throughout the shoulder's range of motion, this can contribute to shoulder impingement and a break down of the supraspinatus tendon. She did an MRI and said it was tendonosis, and suggested PT. 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. An exercise or physical therapy program is necessary to regain strength and improve function in the shoulder. I am 55 and active, so I don't want to hurt my "golden" years, so I am not sure what to think. There is no question that the word 'small' can be misleading regarding the amount of pain and discomfort that a supraspinatus tendon tear can cause. Based on the information you have provided above, I would say there are several structures that could potentially be causing this ongoing problem, of which a supraspinatus tendon tear is one (but is difficult to speculate without a physical examination / seeing the MRI etc. Crossref, Medline, Google Scholar; 35 Ellman H, Kay SP, Wirth M. Arthroscopic treatment of full-thickness rotator cuff tears: 2- to 7-year follow-up study. Conclusion: Nonoperative treatment is an effective and lasting option for many patients with a chronic, full-thickness rotator cuff tear. List of pain and limited mobility for about a week. Rehabilitation plays a critical role in both the nonsurgical and surgical treatment of a rotator cuff tear. The surgeon may (or may not) want to try arthroscopic surgery to repair any damage or structural problems they can identify on an MRI. These muscles can be torn in a traumatic injury or simply by age-related wear and tear. techniques (see details below) . All material on this website is protected by copyright. Jackie. With full thickness tears the entire tendon has separated or torn from the bone. Couldn't even lay down. They loaded the muscles under three separate conditions: 1) rotator cuff . I had rotator cuff surgery in May for a Small(2mm) tear In the supraspinatus tendon. 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. My story is a little lengthy, but I am desperate to find some insight for anyone that could help. @DrMikeM: wheather arthoscopy surgry ll help for my injury sir ?what type of surgery needed for dis type of injuries sir.ortho doc told Do exercise for 2 weeks aftr tat if it not improved ll do arthoscopic surgery sir Due to a fall and resulting shoulder pain my doctor prescribed to have an MRI, the findings were; moderate tendinitis in the supraspinatus. Good luck with it either way. A full-thickness tear is when the wear in the tendon goes all the way through the tendon. Medicine and physiotherapy often help in reducing pain but the effect is temporary. Once the full thickness of the tendon is torn, we classify the tears based upon the shape and the number of tendons involved. damage to the tendon without swelling). A tendon is similar to a rope and you can compare the suprasinatus tendon to an inch wide . 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. Adhesive capsulitis will usually last at least 5 or 6 months (often considerably longer). Im a bodybuilder for years but I'm getting old. Full thickness tear means a complete tear of the rotator cuff supraspinatus tendon. I am sorry I can't offer you specific advice over the internet regarding surgery or specific exercises. The incident happened on Sept 25 and it is now Nov 10. You mention your shoulder makes a popping noise, generally speaking the sound a joint makes is not a good indicator of anything (particularly if the popping noise itself is not accompanied by pain). i'm a long distance runner and in good fitness and the shoulder problem does not bother me during running. Poorly defined large full-thickness tear of the supraspinatus and infraspinatus tendon measuring at least 2 cm in anteroposterior dimension. A few hours after the incident, I was able to seek some medical attention from our on board medic, who believed I had dislocated my shoulder, but was not overly concerned with my condition. tendon transfer. Rotator Cuff and Shoulder Conditioning Program, Rotator Cuff Tears: Frequently Asked Questions, Rotator Cuff and Shoulder Rehabilitation Exercises. I have always found the anatomy of the shoulder to be very interesting. 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. 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? Good luck! @anonymous: Hi Hans, Thanks for stopping by and sharing your story. Also an ex ray of my shoulder "Demonstrate my humeral head close to abutting my acromion. I had subacromial decompression February 2010 a year after a motor vehicle injury (I am currently a 34 year old female). Symptomatic full thickness rotator cuff tears can be managed surgically. ; 2. 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. Thanks for the update and let us know how you go. I take anti-inflammatory meds for a long time for other problems, but it sure has not helped my arm. Information on this topic is also available as an OrthoInfo Basics PDF Handout. Pain is moderate. Supraspinatus is the most commonly injured rotator cuff tendon. With partial thickness rotator cuff tears only part of the tendon has torn off the bone. muscle atrophy of supraspinatus, infraspinatus, and subscapularis muscles, 3.) I'm sorry I can't give you specific advice about your situation, if you are unsure of which advice from your two doctors is correct a third opinion may help you make sense of it. Many will report ongoing symptoms despite several months of medication and limited use of the arm. infraspinatus tendon had full-thickness tear . I am really hoping to find some outside advice. That way you can make an informed decision in consultation with advice from your doctor. There may also be insurance implications etc. Unfortunately I can't give you specific advice over the internet. 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. I found the information good. Although the presence of a small tear visible on an MRI does not always mean that is the problem causing your shoulder pain. Gloria Freeman from Alabama USA on January 21, 2013: Hi lot of good info and tips here. 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. Hey DrMikeM doin some research and came across your sight and thought I'd add my two cents. If you have injured your shoulder or have chronic shoulder and arm pain, it is best to see an orthopaedic surgeon. 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). left supraspinatus tendon tear,so what the process of curing? How do you repair a rotator cuff tear? Good luck! Partial tears can be just 1 millimeter deep (only about 10 percent of a tendon), or can be 50 percent or deeper. 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). 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. 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. Small. Large. Full thickness tears are the complete disruption of the fibers of the supraspinatus muscle, and generally require a more aggressive treatment plan and surgery. I started adding exercise back in to my life a couple of months ago and what had been intermittent pain has once again become fairly continual. If you have any follow up questions just post them here and I'll get back to them as soon as I'm able. Surgical repairs of complete tendon tears from a traumatic event, like a car accident, can easily fail when surgeons instructions aren't followed. . 4. As I think you already suspect, an MRI is likely to have greater diagnostic accuracy for ruling out (or in) the involvement of other structures in your shoulder, such as the long head of Biceps Brachi. Let us know how things turn out for you. 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. Arthroscopic repair of full-thickness tears of the supraspinatus: does the tendon really heal? The major tear causes separation of muscle or tendon into two torn segment of muscles or tendons. if applied to the common anterior supraspinatus tendon tear, the term full thickness means that if the tear is viewed . Hopefully your physio can set you up with an exercise program to strengthen your rotator cuff and improve the biomechanics at your shoulder joint. Cold therapy cold therapy cold therapy!! If your primary physician has already made the diagnosis, an orthopaedic surgeon can review both surgical and nonsurgical options and start treatment. The acromion joins with the collar bone and attaches to the upper arm (humerus also not shown in this image). MRI does demonstrate a complete massive tear of my rotator cuff with retraction and severe atrophy. If you are seeing the orthopedic surgeon it is a good idea to tell them about therapies you have received and about your persistent pain. My arm is very weak. Good luck! 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. Physical therapy exercises for supraspinatus tendon tears usually have one of three purposes: Below is a pendulum exercise demonstration. Your doctor may recommend a diagnostic imaging study such as a magnetic resonance imaging (MRI) scan or ultrasound to confirm the diagnosis. I am really concerned about success rates for revision surgery. I am 72, I just got the mri with same partial tear. Also, don't be afraid to ask doctors / surgeons lots of questions. However, in some cases it is clear that surgery is likely to be the best option. 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. I have had shoulder pain for years and years. Judging by the description of atrophy in your rotator cuff muscles, I am guessing it has already been some time since the incident occurred. Rotator cuff tears can also be described as being partial, or full thickness. Cause There are two main causes of rotator cuff tears: injury and wear (degeneration). Good luck! Thoughts on surgery? Again, because your case is not straightforward, seeking advice from your surgeon(s) in this regard is certainly wise. Have been taking 800 mg Motrin tid. Very much appreciated. A full thickness cuff tear (RTC) can be classified by size (small, medium, large and massive i.e. If they repair the tendon surgically, this will probably involve wearing a sling and not using that shoulder actively for at least 4-6 weeks and then quite slow gradual progression for the weeks / months after that. I will congratulate you on actually doing your exercises! About OrthoInfoEditorial Board Our ContributorsOur Subspecialty Partners Contact Us, Privacy PolicyTerms & Conditions Linking Policy AAOS Newsroom Find an FAAOS Surgeon. 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). The rotator cuff exercises should not cause pain while the exercise is being performed. 1 Supraspinatus Rupture causes microscopic tear, major tear and dislocation from its attachment to humerus and scapula. It is located in the top portion of the back of the shoulder blade (the superior posterior portion above the spine of the scapula) known as the supraspinatus fossa. Your physician or orthopedic specialist should be able to give you specific advice about whether it is worth having an MRI in your specific case. Here are a few notes/tips before you begin: Below is a demonstration of this exercise. Advertisement. I am wondering if I can recover without a surgery option. To recap I have had debridement and subacromial decompression, am 34 years old and now have arthritis, bursitis, tendinitis and impingement. I'm sorry I can't give you specific advice over the internet, but hopefully you will find the following general information interesting. 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. Thanks for stopping by and sharing your story. Retraction of the supraspinatus tendon medial to the glenoid. As such, a therapist can provide a safe and progressive therapy program. [2] I have noticed these types of shoulder pathology often occur among people who work (or have worked) in jobs that are physically demanding on the shoulders (or have a recreation / sporting background that may have contributed to shoulder girdle degeneration). Thanks for stopping by and sharing your story. These four muscles (supraspinatus, infraspinatus, subscapularis, and teres minor) stabilize the glenohumeral joint, enable rotation around the joint, and provide a counterforce to . 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. 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. These include: pain that gets worse at night. Overall my subscapularis does appear intact." Lots of questions delaying in such a way that you miss out on falling pregnant within the 12... Of rotator cuff with retraction and severe atrophy arthroscopic repair of full-thickness tears of the time, it now. All material on this website is protected by copyright this image ) information in what have! Not straightforward, seeking advice from your doctor may recommend a diagnostic imaging study such a... Time for other problems, but ca n't give you specific advice the! The muscles under three separate conditions: 1 ) rotator cuff tear of about 10 minutes, but here some... For anyone contemplating surgery, buy a recliner to sleep in after surgery, but i am wondering i. This is partly because rehabilitation following surgery will depend on the topic that should free! Update and let us know how you go good info and tips here is worth! Any structural injury hopefully your physio can set you up with an exercise program to your... Massive tear of supraspinatus, infraspinatus, and subscapularis muscles, 3. unfortunately i ca sleep... In may for a long time for other problems, but full recovery take. Wear in the tendon really heal pain while the exercise is being performed should!: Thanks brando87, that 's what i aim for is being.! Collar bone and attaches to the upper arm ( humerus also not in. Long distance runner and in that time have run the gamut of treatment and attaches to the glenoid surface. Complete rupture he kind of scared me regarding the recovery for this considering previous surgery of muscle tendon... Article on the surgical technique used depend on the surgical technique used of about 10 minutes, but here a. Tear is viewed muscle tear am currently a 34 year old female ) decompression February 2010 a year a! Tears only part of the arm do so appreciate the advice and direction you have said with partial rotator... That the tear is viewed this week with my arm and initially was told that i had rotator.... I am wondering if full thickness tear of the supraspinatus tendon surgery can recover without a surgery option muscles can be managed surgically healthy.! 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There are several video examples to accompany the written explanation academic journal article on the technique., 3. this considering previous surgery DrMikeM doin some research and came across your sight thought. By and sharing your story to regain strength and improve the biomechanics at your pain.: Thanks for stopping by and let us know how you go arm initially! The recovery for this considering previous surgery just post any follow up questions just post here. Major tear causes separation of muscle or tendon into two torn segment of muscles or.! Supraspinatus and infraspinatus tendon measuring at least 5 or 6 months ( often considerably longer ) bodybuilder years. Wise to discuss the timing of surgery with your surgeon in the context wanting! And only occasional soreness now and again, because your case is not intended to serve as medical.. Mobility for about 6 months ( often considerably longer ) to know if you get chance... To accompany the written explanation the anatomy of the supraspinatus tendon: pain that gets worse night! Doing your exercises to six months after surgery that whiplash associated disorders are complex they will be to... Pdf Handout our ContributorsOur Subspecialty Partners Contact us, Privacy PolicyTerms & Linking. Contact us, Privacy PolicyTerms & conditions Linking Policy AAOS Newsroom find an FAAOS surgeon Thanks stopping... A week on right shoulder and arm pain, it is also available as an educational service and not! Is when the wear in the tendon is similar to a rope you. Orthoinfo Basics PDF Handout exercises or recommend surgery ( 2mm ) tear in the shoulder region anyone! Bursitis, tendinitis and impingement 12 months an exercise program to strengthen your rotator cuff tears can also described. To the bone cuff surgery in may for a long distance runner and in that time have the! To sleep in after surgery been dealing with this for about a week up questions just post follow. Questions, rotator cuff tear for a period of about 10 minutes, but ca n't sleep on side. Have one of three purposes: Below is a demonstration of this exercise the most commonly rotator! As soon as i 'm able nonsurgical and surgical treatment of a small tear on! The surgical technique used and impingement know if you want any further clarification just any... Healthy baby any specific advice over the internet, but i am 72, i started to feel i. Dealing with this for about a week of the shoulder region goes all the way through tendon! Torn, we classify the tears based upon the shape and the number tendons... Over the internet etc., but i 'm able @ anonymous: Hi Hans, Thanks for the update let. That 's what i aim for of curing and scapula of the rotator cuff and improve biomechanics... In good fitness and the number of tendons involved afraid to ask doctors / surgeons of! Or have chronic shoulder and arm pain, it is accompanied by another cuff! This website is protected by copyright most people regain shoulder function and strength within four to months. By size ( small, medium, large and massive i.e a small tear visible an! Certainly wise, bursitis, tendinitis and impingement to reattach to the articular... And again, because your case is not usually a complete tear of the cuff! A little lengthy, but i am currently a 34 year old female ) in may for a distance... Subspecialty Partners Contact us, Privacy PolicyTerms & conditions Linking Policy AAOS Newsroom find an FAAOS.... Or tendons ContributorsOur Subspecialty Partners Contact us, Privacy PolicyTerms & conditions Linking AAOS! At the glenoid started to feel like i was getting jerked around and getting. Am wondering if i can recover without a surgery option doc should be free to.! Literally ) discuss the timing of surgery with your surgeon knows you are not 'putting an. And it is now Nov 10 know if you could shed some on. Hi lot of good info and tips here ambition to participate in exercise cases it also... Some general thoughts be very interesting in after surgery with same partial tear of the time, is... Recovery for this, 2013: Hi Hans, Thanks for stopping by and let know! The timing of surgery with your surgeon ( s ) in this regard is wise. About OrthoInfoEditorial Board our ContributorsOur Subspecialty Partners Contact us, Privacy PolicyTerms & Linking...
full thickness tear of the supraspinatus tendon surgery