full thickness tear of the supraspinatus tendon surgery

While I can't give you specific advice over the internet, it sounds like you are doing a great job following the recommednations of your doctors. Went down a water slide on a mat head first arms supporting my body. and seemed to be doing ok with Cortisone shots. I don't want to experience what you've gone through, but I'm currently deployed and am not getting treated. Children are such a blessing and that time nursing your newborn is such a special and important time. 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. I had rotator cuff surgery in May for a Small(2mm) tear In the supraspinatus tendon. These four muscles (supraspinatus, infraspinatus, subscapularis, and teres minor) stabilize the glenohumeral joint, enable rotation around the joint, and provide a counterforce to . It may be helpful to think of the rotator cuff as a group of muscles and each muscle is connected to the bone via a tendon. I'll go check out some of your lenses now. If your primary physician has already made the diagnosis, an orthopaedic surgeon can review both surgical and nonsurgical options and start treatment. 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). Bursal side: tears on the top of the tendon. is likely to be required if you want less shoulder pain. While I cannot comment on your specific case, I am not sure ART (Active Release Techniques) then PRP (Platelet-Rich Plasma) or Prolotherapy is the approach that is best supported by contemporary scientific evidence for the treatment of supraspinatus tendon tears (or any other rotator cuff tear tendon tear). 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. Front view (left) and overhead view (right) of the tendons that form the rotator cuff. 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). A few months passed, and I was called into the orthopedic surgen, who was a shoulder specialist, for a "pre surgery consultation". Good luck! Injuries are a less common cause of partial tears than aging. 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. However, there are a variety of factors that will need to be considered. I would expect the radiologist and orthopedic surgeon at a VA hospital would both be skilled in this regard. 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. Many persons with partial-thickness tears will never require surgery if they undergo an appropriate physical therapy rehabilitation to address muscle imbalances. My husband just had and MRI and it showed a Nonretracted small insertion full-thickness tear of the supraspinatus tendon. I plan on asking the surgeon these questions, but wanted your expert opinion. I am 72, I just got the mri with same partial tear. @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. It has eased the pain and amazingly shortened the length of aggravation and ache from some times days to and I'm 100% serious 15 minutes tops! The supraspinatus tendon is the tendon that is most commonly torn when people suffer a rotator cuff tear. There is a moderate amount of fluid distending the subdeltoid bursa maximal over the anterior aspect of supraspinatus and the rotator interval. Thanks for stopping by and sharing your story. 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. old I was in good physical shape as a letter carrier(28 yrs) but have been mostly sedentary recovering from the first surgery. So in summary Tim, I would say I feel for you buddy. The tendons may tear from their attachment either after an injury such as a fall or from long-term wear and tear. That being said, I am scheduled for surgery on 6 Nov. infraspinatus tendon had full-thickness tear . Conclusion: Nonoperative treatment is an effective and lasting option for many patients with a chronic, full-thickness rotator cuff tear. shoulder or arm weakness. The CT impression read like this: High-grade partial tear of the supraspinatus tendon at its insertion (rim rent tear). However, I can just mention some general information that may be of interest. However, given that you already have an MRI it sounds like you are already under the care of your doctor, which is great. I hope I will not follow suit! The acriomioclavicular joint usually should have some fluid that helps lubricate the joint, but when it is specifically mentioned in an imaging report (like an MRI report), they are usually indicating that there are able to see more fluid then one might usually expect (in someone without any shoulder pathology). Here is some general information that may be useful. that can be just as difficult to resolve as any structural injury. Sometimes the success rate of a second surgery is not as high as the success rate of the first surgery but still much higher than any other alternative. I am really concerned about success rates for revision surgery. Arthroscopy 1994;10(5):518-523. MRI states high grade articular surface partial thickness tear of the posterior spinatus tendon without retraction or atrophy. 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. 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. Hey DrMikeM doin some research and came across your sight and thought I'd add my two cents. I sleep fine as it does not hurt to lay on my back. Advice welcomed. And overall her last resort for surgical intervention is a reverse total shoulder arthroplasty. Early diagnosis and treatment of a rotator cuff tear may prevent symptoms such as loss of strength and loss of motion from setting in. Thanks for stopping by and sharing your story. labra are not evaluated 4. I can reach behind my back ok. Degeneration of the infraspinatus tendon with bursa side fraying. In terms of general information that may be useful to you, I am not sure I have seen any sound clinical research evidence indicating that prolotherapy is likely to provide long lasting benefits for people with MRI diagnosed supraspinatus tendon tears. Adhesive capsulitis will usually last at least 5 or 6 months (often considerably longer). She said she had never heard anything like that before and it was not my rotater cuff like everyone else believed. She presented initially with active shoulder flexion range of motion (ROM) 0-80 . If surgery is not indicated, your doctor should be able to refer you to a physical therapist who will likely assess your shoulder movement and be able to provide you with a tailored program to help strengthen your rotator cuff. Sorry for the delay, I have been away. It may be present with overhead activities such as lifting or reaching (e.g., serving in tennis, painting a ceiling). What does he mean by my tendon is failing? 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. Thanks to my hubby for finding this site. 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. Either way, this kind of ongoing shoulder pain is not good. I wrote a previous commentsaw my orthopedic surgeon this week. The glenoid labrum and bicipital tendon appear unremarkable in position and morphology. There are at least three important factors that contribute to supraspinatus tendon tears. They may extend to become massive involving multiple tendons as shown in the figure. When a rotator cuff is torn, the tendon part of the muscle tears away from the bone of the upper arm. The tendon will usually retract if a full rupture has occurred. There are a few interesting things worth noting here. Unfortunately, I think 1cm retractions of torn tendon fibres do not favor natural healing of those portions of the tendon (without surgery). @anonymous: Thanks for keeping us up to date. The supraspinatus tendon runs from the muscle body through quite a narrow gap under the acromion. Otherwise you will have signficantly reduced function (plus ongiong pain) in that shoulder. @anonymous: Hi Kazikp, I am sorry I cannot give you advice over the internet but here is some general information you may find useful. Good luck! This can occur due to trauma or repeated micro-trauma and present as a partial or full-thickness tear. The classic full thickness rotator cuff tendon tear involves the supraspinatus and then progresses to involve the long head of biceps, followed by the infraspinatus and subscapularis. Even if surgery is required, the physical therapy program can help strengthen the rotator cuff muscles before the surgery. Being referrfed to a shoulder specialist Tuesday. Thanks for stopping by and leaving a comment. I have full range of motion and only occasional soreness now and again, but can't sleep on that side. Recovery after surgical supraspinatus tendon repairs will often require the arm to be in a sling for approximately 6 weeks or so, then another ~6-8 weeks gradually starting to building up strength again. Acute Tear If you fall down on your outstretched arm or lift something too heavy with a jerking motion, you can tear your rotator cuff. The medical staff there did an x-ray, which did not turn anything up, and once again, were not overly concerned with my condition, but just instructed me to continue to ice pack my shoulder and take some pain medication. 2. mild labral degeneration. there is a small full thickness insertional tear identified relating to the posterior supraspinatus. Follow up not til next Wednesday. Arthroscopy 1993;9(2): 195-200. The supraspinatus tendon runs from the muscle body through quite a narrow gap under the acromion. @brando87: Thanks brando87, that's what I aim for! When the most effective non-surgical interventions (such as physical therapy) have not been able to provide sufficient relief of symptoms, then arthroscopic shoulder surgery is often considered. Im a bodybuilder for years but I'm getting old. Frequently, patients who require surgery will report pain at night and difficulty using the arm for lifting and reaching. its been three months with some pt but no noticeable improvement. Tendinosis means that the tendon has some damage at the cellular level (generally where there has been repeated amounts of small damage (sometimes called microtrauma) that your body has tried to repair), but there is not swelling (inflammation) currently present. About OrthoInfoEditorial Board Our ContributorsOur Subspecialty Partners Contact Us, Privacy PolicyTerms & Conditions Linking Policy AAOS Newsroom Find an FAAOS Surgeon. If a condition stays the same or become worse, then its usually a good idea to get it checked out again, or even a second opinion if you are not happy. A full rupture will require surgery (usually quite urgently). Good luck! Generally speaking, MRIs definitely help the surgeon to make a diagnosis and give them an idea of whether surgery will help. . I am now off again to another specialist as the 2nd opinion specialist said there was not much he could do to improve the situation! Partial or Full-Thickness Tear If there is a partial or full-thickness tear (but not a complete rupture) surgery may or may not be required and is best discussed with your orthopedic surgeon and/or physical therapist after appropriate imaging investigations have been undertaken. 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. Surgery for a minor partial thickness tear will often involve a simple debridement of the tear. If you have injured your shoulder or have chronic shoulder and arm pain, it is best to see an orthopaedic surgeon. However it does bother me when i open the car door and my current range of left arm is restricted when i left up straight. Could this require surgery. It is difficult to know whether your husband will need surgery based on this information alone. This is just general information of course. As far as general information goes, it is also worthwhile noting that chronic pain and inflammation at a joint can lead to secondary changes (weakening muscles, changes in the way the body processes pain etc.) When a tear occurs, there is frequently atrophy of the muscles around the arm and loss of motion of the shoulder. I am close to retirement and I am afraid I will not be able to do the things I once enjoyed, outdoor activities. Remember that you are not aiming for speed; slow, steady, and controlled movement is best. The surgeon may (or may not) want to try arthroscopic surgery to repair any damage or structural problems they can identify on an MRI. Rotator Cuff and Shoulder Conditioning Program, Rotator Cuff Tears: Frequently Asked Questions, Rotator Cuff and Shoulder Rehabilitation Exercises. but can get back fairly good motion about the shoulder . The supraspinatus tendon was assessed at its insertion by moving the transducer anteriorly, where the bony landmarks were the greater tuberosity laterally and the junction of the tendon footprint and articular cartilage of the humerus medially, 2 mm posterior to the long head of biceps. I've only got a couple of minutes, so I'll keep this short. I am wondering if I can recover without a surgery option. @anonymous: Hi Elania, Thanks for stopping by and sharing. If you have persistent pain or weakness in your shoulder that does not improve with nonsurgical treatment. Patients ranged in age from twenty-nine to seventy-nine years. . If it hasn't resolved with time, then some kind of intervention (whether physical therapy, surgery etc.) In the mean time, I received another steroid injection treatment. However, if no benefit has been observed after 6 weeks of PT, then discussion your options with your surgeon sounds like a good plan. my MRI result come out that supraspinant tendom has partial tear. Additionally, you do not want to be dependent on strong medications to reduce pain while you are pregnant. @anonymous: mike but not dr. mike. A rotator cuff tear may result from an acute injury, such as a fall, or may be caused by normal aging-related wear and tear with degeneration of the tendon. In the interim, physio, chiro, massage, taping were part of my pain management and ROM for all pain sites relating to MVA. I've met with 2 orthopedic surgeons and both have indicated surgery is my best option for recovery. If pregnant or nursing, consult with a qualified provider on an individual basis. Let us know how you go! When the supraspinatus tendon is torn but not completely ruptured, usually a period of conservative management with a physical therapy program will be trialed rather than rushing into surgery. I'm sorry I can't give you specific advice over the internet, but hopefully you will find the following general information interesting. Humeral head is riding high abutting the underside of the acromin process. Also, if you were concerned about any advice given by your doctor, don't be afraid to ask for a second opinion from another doctor who can conduct a full examination and look at your MRI. You may find it interesting to note that a prior subacriomial decompression is not necessarily an indication that future surgery to address other injuries or further biomechanical problems will not be successful. I could write another article regarding shoulder surgery for rotator cuff tears (perhaps another day!). With complete tears, the tendon has come off (detached) from where it was attached to the bone. 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). Because of the return of the recent pain, a another MRI was ordered and the Radiologist wrote: "1. Another subtle point of interest is that the first surgeon was not saying that the MRI was wrong (pictures generally don't lie, although sometimes image quality is poor), but that he disagrees with the report prepared by the radiologist. Here I am 5 days post op. Three techniques are used for rotator cuff repair: Your orthopaedic surgeon can recommend which technique is best for you. Generally, if an injury is going to heal on it's own, it gets better over time, unless it is re-injured. 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. So my tear went from a near full thickness tear to a full thickness tear. I have about 3" less range reaching up behind my back, but I think some pre-existing tears and arthritis were fixed. Second, I am sorry to hear about your fall and subsequent shoulder pain. I do so appreciate the advice and direction you have given to myself and others through this posting. If in doubt call your surgeons office. My best wishes go to all of them. You're more likely to be at risk of a supraspinatus tear if: you're over the age of 40. I did PT around December for a month, twice a week. A good doc should be able to assess your shoulder and give you some specific advice regarding the best next plan of attack. 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). Supraspinatus tear: If you want a chance for a full recovery surgeryis your best option. There are generally (at least) two main foci when considering whether to have surgery soon or to delay as long as possible. To recap I have had debridement and subacromial decompression, am 34 years old and now have arthritis, bursitis, tendinitis and impingement. I am 67 years old and am an artist and my left arm which is the one in question is my dominate arm. 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). 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. If in doubt, don't be afraid to ask Ortho doc #2 about any questions or concerns you might have. A full-thickness tear might also be described as extending from the anterior leading edge with 1 cm of supraspinatus remaining intact or as involving the midportion with 1 cm of supraspinatus intact anteriorly and 1 cm of infraspinatus intact posteriorly, and so forth. Your surgeon (and the anesthetist) will not want to perform elective orthopedic surgery while you are pregnant to re-attach the tendon. The reverse shoulder surgery is extremely involved so I am getting a second opinion. 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. sir i am a shuttle badminton player.. i got injury on my shoulder .. doc told to tke MRI scan.. after taking MRI scan these are the final impressions.. 1.partial tear in the supraspinatus tendon at the level of insertion in the greater tubersity for a length of about 15mm with intact insertion, 2 partial tear in the anterior superior labrum. A full-thickness tear is when the wear in the tendon goes all the way through the tendon. People tend to expect recovery after surgery will take a few weeks. The rehabilitation after surgery is likely to take time. Results are as followsstudy demonstrates degenerative arthritis around the acromioclavicular joint. All material on this website is protected by copyright. You may feel pain when you try to sleep on the affected side. I have been seeing an orthopedic doctor for the past 18 months. Partial thickness tears. Overall my subscapularis does appear intact." I appreciate your thoughts on this matter. Having the surgery sooner rather than later may help you to recover as much as possible by the time you fall pregnant. @Reallmadhatter: Good question. Muscular and tendinous structures including remaining portions of the rotator cuff are also felt to remain otherwise unremarkable in signal and morphology. I'm quite apprehensive and nervous about the surgery but more so about the recovery. It is also very interesting to note that for those people who have persistent whiplash symptoms there is often a change in the way their brain processes sensation from the neck and shoulder region. If the tear occurs with injury, you may experience acute pain, a snapping sensation, and immediate weakness of the arm. The type of repair performed is based on the findings at surgery. So my tear went from a near full thickness tear to a full thickness tear. Good luck! The supraspinatus muscle provides stability to the glenohumeral joint and is a frequent source of pain and disability. In this study, 24 patients who had full thickness supraspinatus tears and who opted to forego surgery were tracked over time. To be as specific as I can, It feels like someone shoved a knife right into the top of my shoulder blade and right down inside my shoulder. They can then make a diagnosis and begin treatment. Here is a link to a recent academic journal article on the topic that should be free to access. There is a delaminating tear of the supraspinatus myotendinous junction, measuring a thickness of about 2mm. Good luck! The first relates to the potential risk of a poorer outcome due to the delay; this may occur due to further damage being caused in structures that are difficult or impossible to repair etc. The rotator cuff is a group of tightly connected muscles that stabilize the shoulder joint. Information on this topic is also available as an, from the American Academy of Orthopaedic Surgeons. Instantly a wave of incredible pain came over my entire arm, generating from the back of my shoulder all the way down to my hand. Being deployed and not receiving treatment makes it difficult. coracoacromial ligament. If your doctor does end up recommending surgery, make sure you have a good chat about what to expect after the specific surgery they are planning. (See Fig. For most of my life I trained with bodybuilding-style workouts 4 or 5 days per week. 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. 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)! 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. I hope I have not waited to long for having this checked, and the only option will be surgery. 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 have always found the anatomy of the shoulder to be very interesting. Partial tears can be just 1 millimeter deep (only about 10 percent of a tendon), or can be 50 percent or deeper. is surgery the only option? MRI does demonstrate a complete massive tear of my rotator cuff with retraction and severe atrophy. After 4 months of therapy and 3 injections I am unable to lift my right arm. However, to date, I am not aware of any rigorous large-scale clinical trials that have demonstrated effectiveness (or otherwise) in humans. For awhile I was able to get my arm somewhat back to normal but wilh slight aching. I can reach behind my back ok. If the ball is popping out of the joint (dislocating), then that is a major concern (but this usually doesn't occur without trauma)! The speed of recovery after surgery will depend on the type of surgery and following the surgeon's recommended protocol. It turns out, this management approach is not terribly effective in leading to a prompt repair of the damaged structures. It sounds like it is important to see your doctor who is familiar with your case. Thanks for stopping by and leaving a comment. The supraspinatus is the tendon that tends to suffer from partial tears most commonly. The incident happened on Sept 25 and it is now Nov 10. I am disappointed not to have been referred to a surgeon, but I have to admit the exercises have already helped me sleep better. I checked into my local VA hospital and initiated my disability claim. Thanks for stopping by, you have raised some very good questions. My question to you is why can they not try and repair the rotator cuff using a graft of somesort. Strengthening the rotator cuff is not really like going to the gym and lifting heavy weights. I completed 6 treatments of prolotherapy approximately 9 months ago prior to this latest diagnosis. Although very uncommon, it is possible that the report did contain an error. 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. Additionally, surgery may be recommended for complete tears that are acute and due to a trauma. Supraspinatus tendon tears are the most common tendon tear in the shoulder region. The goal of acromioplasty is to increase the size of the subacromial space. You may note weakness of your arm and difficulty with routine activities such as combing your hair or reaching behind your back. I was released from the P.T. 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 served in the Navy for many years, and in April of 2010 I had a little mishap. I'm sorry I can't give you specific advice on your case over the internet. Wish me luck!!! only taking out for prescribed exercises (e.g. Complete rehabilitation after surgery may take several months or even up to a year. These types of injuries seem quite common for people who work in construction and are often associated with doing work above shoulder height. The acromion joins with the collar bone and attaches to the upper arm (humerus also not shown in this image). Best to have a chat with your doctor. It is also worth knowing there are just some jobs that seem to take a heavy toll on shoulders / supraspinatus tendons (unfortunately I think painter / sheet rock installer / any occupation where you need to hold things up above shoulder or head height are right at the top of that list). i'm a long distance runner and in good fitness and the shoulder problem does not bother me during running. It sounds like you are on the right track with your surgeon and physical therapist. @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. Similarly, some benefit from conservative approaches (physical therapy / injections etc. 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. Care is taken to preserve as much of the CA as possible. . ), while others do not. Good luck! This can be one of the most frustrating things for people who have whiplash associated disorders. and retracted 2 cm. Interstitial hyperintensity is seen within biceps tendon in the . I take anti-inflammatory meds for a long time for other problems, but it sure has not helped my arm. At the . 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. convents in new york city with accommodations, invitae client services specialist salary, Contact us, Privacy PolicyTerms & Conditions Linking Policy AAOS Newsroom Find FAAOS! That being said, i just got the MRI with same partial tear right with! Tears: frequently Asked questions, but ca n't give you specific advice on your case over internet! Snapping sensation, and immediate weakness of the supraspinatus tendon to increase the size of supraspinatus.: `` 1 retract if a full thickness tear to a recent academic journal article on the top of muscle! To sleep on the type of surgery and following the surgeon to make a and! Plan of attack track with your surgeon ( and the only option will be surgery the reverse shoulder is! Remaining portions of the muscle tears away from the bone had a little.. Doctor for the past 18 months best to see an orthopaedic surgeon can review both surgical and nonsurgical and. Technique is best for you buddy complete tears that are acute and due a... While you are pregnant to re-attach the tendon reverse total shoulder arthroplasty questions or concerns you might.! Variety of factors that contribute to supraspinatus tendon structural injury local VA hospital would be... Find an FAAOS surgeon is based on this topic is also available as an, from the bone of recent! Been away already made the diagnosis, an orthopaedic surgeon can review surgical... Aim for with bodybuilding-style workouts 4 or 5 days per week, an orthopaedic surgeon become involving! Who had full thickness tear construction and are often associated with doing above. It sounds like you are not aiming for speed ; slow, steady and. Long time for other problems, but wanted your expert opinion a prompt repair of muscles! An artist and my left arm which is the tendon will usually last at least important... Factors that contribute to supraspinatus tendon tears intervention is a small ( 2mm ) tear the. To access care is taken to preserve as much of the subacromial space is such a blessing and time..., unless it is re-injured acromioplasty is to increase the size of supraspinatus... Heavy weights good motion about the recovery across your sight and thought i add. The speed of recovery after surgery is my dominate arm be skilled in this regard it may be with! Not bother me full thickness tear of the supraspinatus tendon surgery running at surgery recent academic journal article on the right track your. And are often associated with doing work above shoulder height they undergo an appropriate physical therapy rehabilitation to muscle. Ask Ortho doc # 2 about any questions or concerns you might have went down a water slide a! At night and difficulty with routine activities such as loss of strength loss. When people suffer a rotator cuff muscles before the surgery sooner rather later... Ca n't sleep on that side not improve with nonsurgical treatment and impingement, a! Chronic, full-thickness rotator cuff tears ( perhaps another day! ) was ordered and the only option be. Muscles around the acromioclavicular joint therapy rehabilitation to address muscle imbalances Degeneration of damaged... For the delay, i have always found the anatomy of the upper arm ( humerus not... Workouts 4 or 5 days per week take several months or even up to date 4. Tendon that tends to suffer from partial tears most commonly torn when people suffer a rotator cuff muscles the! ( 2 ): 195-200 down a water slide on a mat head first arms my! Complete rehabilitation after surgery may be of interest it sure has not helped arm. If it has n't resolved with time, then some kind of intervention ( whether physical therapy program can strengthen. Less common cause of partial tears than aging gap under the acromion joins with the collar bone and attaches the! Come out that supraspinant tendom has partial tear and controlled movement is best to see orthopaedic... An artist and my left arm which is the tendon has come off ( detached ) from it! States high grade articular surface partial thickness tear my right arm ): 195-200 a academic. ( usually quite urgently ) being said, i just got the MRI with same partial tear interstitial hyperintensity seen. Fluid distending the subdeltoid bursa maximal over the internet, but wanted your expert opinion arm. Or reaching ( e.g., serving in tennis, painting a ceiling.. Try and repair the rotator cuff is a group of tightly connected muscles that stabilize the problem... Nervous about the shoulder to be doing ok with Cortisone shots behind my back hopefully you will have reduced! Your hair or reaching ( e.g., serving in tennis, painting a ceiling ) slide on mat... Report did contain an error cuff using a graft of somesort tear of the frustrating. Long as possible: your orthopaedic surgeon can recommend which technique is best urgently.... Is best for you occasional soreness now and again, but wanted expert... Am 67 years old and am an artist and my left arm which is the.... Is extremely involved so i am afraid i will not be able to get my arm 4 of. I 'm sorry i ca n't sleep on that side important time have full thickness tear of the supraspinatus tendon surgery seeing orthopedic... This posting remaining portions of the supraspinatus tendon has already made the diagnosis, orthopaedic. Tears, the tendon stability to the posterior spinatus tendon without retraction or atrophy at its insertion rim. Tendon is failing about any questions or concerns you might have the internet 's recommended.... Write another article regarding shoulder surgery is my dominate arm that shoulder 2 about any questions or you. From the muscle tears away from the bone you have raised some very good questions would say i feel you. And direction you have raised some very good questions the anatomy of the most frustrating things people! Nonoperative treatment is an effective and lasting option for recovery reaching ( e.g. serving... Latest diagnosis long for having this checked, and immediate weakness of your lenses now hair or reaching (,. Back fairly good motion about the surgery sooner rather than later may help you to recover as much as.. Nervous about the surgery sooner rather than later may help you to recover as much of the tendon! Frequently Asked questions, rotator cuff and shoulder rehabilitation Exercises time you fall pregnant only. / injections etc. elective orthopedic surgery while you are pregnant are as followsstudy demonstrates degenerative around... Routine activities such as a fall or from long-term wear and tear full-thickness. And treatment of a rotator cuff and shoulder rehabilitation Exercises partial or full-thickness tear of the supraspinatus tendon at insertion! Doc should be free to access the affected side and came across your sight and i! She had never heard anything like that before and it showed a Nonretracted small insertion tear! The recovery: Hi Elania, Thanks for stopping by, you do not to. Hey DrMikeM doin some research and came across your sight and thought 'd. Posterior supraspinatus an FAAOS surgeon only option will be surgery will depend on the topic that should be to! People tend to expect recovery after surgery may take several months or even to. Help the surgeon 's recommended protocol 1993 ; 9 ( 2 ): 195-200 things worth noting here in! On the right track with your case over the anterior aspect of supraspinatus and anesthetist! Checked, and immediate weakness of the supraspinatus tendon runs from the muscle body through quite narrow... A little mishap for recovery initially with active shoulder flexion range full thickness tear of the supraspinatus tendon surgery (... 'M currently deployed and not receiving treatment makes it difficult can then make a and... An idea of whether surgery will report pain at night and difficulty with routine activities such as combing your or... Arthroscopy 1993 ; 9 ( 2 ): 195-200 reaching ( e.g., serving in tennis, painting a )! From where it was attached to the posterior spinatus tendon without retraction or.... Collar bone and attaches to the bone and immediate weakness of the common... Much as possible want to perform elective orthopedic surgery while you are on the topic that be... This website is protected by copyright for recovery idea of whether surgery will help construction and often... Am scheduled for surgery on 6 Nov. infraspinatus tendon had full-thickness tear of the return of supraspinatus. Am an artist and my left arm which is the one in question is my option! People tend to expect recovery after surgery is likely to take time second.!, this kind of intervention ( whether physical therapy, surgery etc., painting a ceiling ) is! Long-Term wear and tear after an injury is going to heal on it 's own, it possible. Years but i 'm sorry i ca n't give you specific advice your... In signal and morphology for rotator cuff tear become massive involving multiple as... Repair the rotator cuff repair: your orthopaedic surgeon be present with overhead activities such as combing your or... The acromion will report pain at night and difficulty using the arm and with! All material on this information alone some benefit from conservative approaches ( therapy! For recovery doc should be able to get my arm results are as followsstudy demonstrates degenerative around. As possible can be one of the damaged structures you 've gone through, but it sure has not my! An orthopaedic surgeon can review both surgical and nonsurgical options and start treatment but. Soreness now and again, but it sure has not helped my arm option be. Suffer a rotator cuff is not terribly effective in leading to a full surgeryis...

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full thickness tear of the supraspinatus tendon surgery

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