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. Time passed. They may extend to become massive involving multiple tendons as shown in the figure. Even though most tears cannot heal on their own, you can often achieve good function without surgery. Supraspinatus tear can be caused by lifting something too heavy, falling on your arm, or dislocating your shoulder. It plays a critical role in movements involving the shoulder joint, particularly arm elevation. The supraspinatus tendon runs from the muscle body through quite a narrow gap under the acromion. 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. When getting a second opinion from another surgeon. Thoughts on surgery? 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. Partial tears can be just 1 millimeter deep (only about 10 percent of a tendon), or can be 50 percent or deeper. Your orthopedic specialist will be able to give you advice about the best option for your circumstances. Dr. Mike. (Right) A full-thickness tear in the supraspinatus tendon. Very much appreciated. That being said, I am scheduled for surgery on 6 Nov. Did MRI of neck 1st which showed degenerative disc disease in c5-6 and c7-t1. It is important the the surgical repair of the tendon is protected initially to ensure that a re-injury does not occur. 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 is one of the most frequently damaged tendons. She did an MRI and said it was tendonosis, and suggested PT. There are some biomechanical and physiological attributes associated with the types of tendon injuries you have described that make them difficult to successfully repair. There is synovial fluid extending into the suhacromial/subdeltoid bursa. You are also right that many people often don't understand that you are not 'putting on an act'. 3. It is also worth noting that some conditions, particularly when joints are unstable or there is ongoing aggrevation, have better outcomes by being seen and receiving intervention sooner rather than later. In full-thickness tears, surgery is indicated in many patients. INTRODUCTION. 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. They will be able to tell you the likelihood of a supraspinatus tear and adhesive capsulitis (or any other pathology), as well as the recommended course of action for your particular circumstance. Some people will recover quickly without any treatment, other people will recover after commencing non-surgical interventions (such as physical therapy and rotator cuff exercises and / or receiving a steroid injection), while others will still have pain after many months and may require surgery. Good luck! Just got my MRI report back on right shoulder and wanted to know if you could shed some light on it. I would make sure your surgeon knows you are planning on falling pregnant within the next 12 months. An exercise or physical therapy program is necessary to regain strength and improve function in the shoulder. The rotator cuff muscles are critical to the stability and optimal biomechanical movement at the shoulder joint. The rotator cuff is a group of four muscles and their associated tendons that originate from locations on the scapula and insert onto the humeral head. 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. Rotator cuff tendon augmentation grafts are a promising area of research. One of the most painful experiences ever. It extends slightly into the proximal subscapularis bursa. 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. 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). @anonymous: Hi Kazikp, I am sorry I cannot give you advice over the internet but here is some general information you may find useful. However, if no benefit has been observed after 6 weeks of PT, then discussion your options with your surgeon sounds like a good plan. I have been saving up a couple months to cover my deductible expecting to schedule surgery. Rotator Cuff and Shoulder Conditioning Program, Rotator Cuff Tears: Frequently Asked Questions, Rotator Cuff and Shoulder Rehabilitation Exercises. I also have an intermediate grade partial thickness tear of superior tendon bundle of Subscapularis without retraction or muscular atrophy. Shoulder muscles are very good for stabilizing the ball and socket joint and making large movements (to help lift things, throw objects etc. I'm sorry I can't give you specific advice on your case over the internet. If you are in doubt, don't be afraid to get a second opinion. 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. Hope that helps. How is a supraspinatus tendon tear similar to a rope? 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. 5. and video above) full thickness tears occur when portions of the rotator cuff tendon Many people have seen sporting heroes dislocate a shoulder during a heavy contact, have a medic "pop" it back in, then continue on 15 minutes later. I am sorry, I can't give you specific advice over the internet about whether you will need surgery or not. When he says your tendon is failing, I think what he is trying to convey is that once some strands of a rope start to break, then there is more load on the remaining strands which may cause more strands to break (and then more load on remaining individual strands, more strands tear and so on). Had mild discomfort in shoulder for a few weeks in August. bested on all of the above. Three kids will no doubt also be keeping you busy and missing out sleep because of your shoulder pain doesn't sound like much fun. my ROM did increase a very small amount, but my pain and discomfort never went away. The radiomics model of full- or partial-thickness tears displayed moderate performance with an accuracy of 76.4%, a sensitivity of 79.2%, and a specificity of 74.3% for . A few months ago it seemed to hurt more and I had problems lifting my arm out or above my head. only taking out for prescribed exercises (e.g. its been 5 months since my partialthickness tear of mysupraspinatus the the footplate..im 56 and also have degenerative change o the acromioclavicular joint impinging on the supraspinatus at the myotendinous junctionNarrowing of the acromiohumral distancetenosynovitis of the lpng head of the bicepswill I need surgery???? I completed 6 treatments of prolotherapy approximately 9 months ago prior to this latest diagnosis. @anonymous: Dude, I just did nearly the exact same thing. Subcortical reactive changes superiorly and laterally at the humeral head are present. You should not feel pain in the shoulder during the movement. Don't be afraid to have an open discussion with your GP about whether or not a referral to a surgeon is the right way to go (or not) for your specific circumstance. I am sorry I can't give you any specific advice over the internet, but here are some thoughts that may be useful to you. That is some interesting advice you have received. Overall, it will often take 6 months or more before the shoulder is completely back to normal. I am unable to carry any significant weight. Our results suggest that surgeons should carefully check subscapularis tendon during surgery in posterior delamination patients. Good luck! Your orthopedist may now be recommending a rotator cuff surgery or management with non-surgical methods. bone spurs and/or rotator cuff tears. Moderately large joint effusion. Pain is really consistent and moderate with moments of severe. Should you immobilize or not move a shoulder with a suspected partial rotator cuff tear? Good luck! If your tendon were to completely rupture while you were pregnant, this may be very problematic. Ongoing serious pain influencing daily life, sleep etc. I have continued to have problems with my arm and initially was told that I had a partial tear of my rotator cuff. Wish me luck!!! A few months ago it seemed to hurt more and I had problems lifting my arm out or above my head. Thanks for the update and let us know how you go. There may also be insurance implications etc. If pregnant or nursing, consult with a qualified provider on an individual basis. While there is still some attachment present, the need for surgery is not as urgent, as indicated by Ortho doc #2. There is compromise of the subacromial space with impression on the underlying torn supraspinatus. Drugs, supplements, and natural remedies may have dangerous side effects. So in summary Tim, I would say I feel for you buddy. In physio just weeks after the onset of injury, I was unable to lift a 1lb weight with the injured arm bent near armpit while lying on my back. Information on this topic is also available as an OrthoInfo Basics PDF Handout. Equally as important is a discussion about the likelihood of certain outcomes without further surgery. I am 60 years old and do not want surgery but if it helps to stop it getting worse as I get older I will have to. @Reallmadhatter: Good question. Gloria Freeman from Alabama USA on January 21, 2013: Hi lot of good info and tips here. I wear an arm sling a lot to relieve weight from my shoulder, which helps to some degree. Medium. I have had shoulder pain for years and years. If you get a chance drop by again and let us know how you went. Thanks for stopping by and sharing your interesting story. There is some spurring at the glenoid articular surface. However, other parts of the rotator cuff may also be involved in the injury. 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