If I need surgery,what is the recovry time.. However, there are a variety of factors that will need to be considered. In some cases, surgery to repair the tendon is also required. The major tear causes separation of muscle or tendon into two torn segment of muscles or tendons. Surgery may also involve orthopedic alteration of biomechanical factors around the shoulder joint in order to prevent further ongoing damage to the supraspinatus tendon. This sounds like a difficult situation. Mild AC arthropathy. Failure to do so increases the risk of progression to a supraspinatus tendon full thickness tear. At the . 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. my ROM did increase a very small amount, but my pain and discomfort never went away. Sorry for the delay in response. . I wear an arm sling a lot to relieve weight from my shoulder, which helps to some degree. However, host cases are the result of the tendon wearing down over time, which is known as a degenerative tear. A full-thickness tear, which usually means the tendon is torn from its insertion on the humerus (the most common injury), is repaired directly to bone. Make sure you ask the orthopedic surgeon about what to expect after the surgery and the likely recovery time. A full thickness tear is not usually a complete rupture. This may give you relief, even if you have been getting symptoms for a few years. 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. Time passed. When you speak to your doctor and discuss your plan for treatment, make sure you discuss any relevant work / sport related activities so you both know what to expect. I experienced a fall on August 31, 2012. Hope that helps. A supraspinatus tear is a tear or rupture of the tendon of the supraspinatus muscle, which is located at the back of the shoulder. Just 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. So probably worthwhile having a chat with your doctor and seeing what they recommend as a first step. A full-thickness tear, which usually means the tendon is torn from its insertion on the humerus (the most common injury), is repaired directly to bone. 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. Muscular and tendinous structures including remaining portions of the rotator cuff are also felt to remain otherwise unremarkable in signal and morphology. Now, my Ortho doc #2 who recommended i do the MRI also reccomends a surgery to fix the tear. I explained of my ongoing problems since the incident, and once the claim was processed I was sent through a variety of medical departments for a full diagnostic. 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). They usually present as a sharp pain at the outside or front of the shoulder, particularly with arm elevation (raising the arm to the side or front). 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. 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). All rights reserved. I am 67 years old and am an artist and my left arm which is the one in question is my dominate arm. Make sure you understand their explanation of what problems are occurring around you shoulder and what treatment options are available to you. 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. He says that my tendon is failing. @anonymous: mike but not dr. mike. Care is taken to preserve as much of the CA as possible. I've met with 2 orthopedic surgeons and both have indicated surgery is my best option for recovery. So quite often the best treatment approach is not always immediately clear. 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. I am sorry I can't offer you specific advice over the internet about whether you should or should not have surgery. 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. Otherwise you will have signficantly reduced function (plus ongiong pain) in that shoulder. The reverse shoulder surgery is extremely involved so I am getting a second opinion. A full thickness cuff tear (RTC) can be classified by size (small, medium, large and massive i.e. I'm not really sure how the whole army doctor situation works while you are on deployment, but I think if you have ongoing symptoms then it is worth making sure the appropriate people know. A good doc should be able to assess your shoulder and give you some specific advice regarding the best next plan of attack. On the other hand, there is nothing speedy about recovery after surgery but at least there usually is recovery (albeit slow). With complete tears, the tendon has come off (detached) from where it was attached to the bone. @anonymous: Hi Hans, Thanks for stopping by and sharing your story. 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. I do not want a metal shoulder. I have been seeing an orthopedic doctor for the past 18 months. Many persons with partial-thickness tears will never require surgery if they undergo an appropriate physical therapy rehabilitation to address muscle imbalances. >5cm), depth (partial or full thickness), degree of fatty infiltration (Goutallier. Irreparable. Dr Mike, Please help me understand what options I might have in my case of job relater incident. 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. This type of test uses sound waves to produce images of structures within your body, particularly soft tissues such as muscles and tendons. It is one of the most frequently damaged tendons. In many cases, surgery is required. 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. Seek immediate help if you are experiencing a medical emergency. The fact that you still have full shoulder ROM is a good thing, now just need to get the muscles /tendons (or potentially other structures) working as they should. It sounds like you may be putting yourself at unnecessary risk? I am 67 years old and am an artist and my left arm which is the one in question is my dominate arm. I've . Remember that you are not aiming for speed; slow, steady, and controlled movement is best. I got a recent MRI which showed a full width/ thickness supraspinatus tendon tear. My story is a little lengthy, but I am desperate to find some insight for anyone that could help. I do not want a metal shoulder. The supraspinatus is one of four rotator cuff muscles in our shoulder. If they suggest surgery, ask them about what you can expect after surgery and the likely recovery time (including how long it is likely to be before you can use your arm for normal occupational or day to day activities). You don't need to lean over as far as demonstrated in this video. If you want any further clarification just post any follow up question. 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. I completed 6 treatments of prolotherapy approximately 9 months ago prior to this latest diagnosis. And overall her last resort for surgical intervention is a reverse total shoulder arthroplasty. Three techniques are used for rotator cuff repair: Your orthopaedic surgeon can recommend which technique is best for you. Many professions require repetitive or heavy overhead work (roof plasterer etc.). 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. Good luck with your next round of surgery or therapies! Degeneration of the infraspinatus tendon with bursa side fraying. D.C. Stitch positioning influences the suture hold in supraspinatus tendon repair. However, to date, I am not aware of any rigorous large-scale clinical trials that have demonstrated effectiveness (or otherwise) in humans. 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. Many people will recover after receiving treatment from a physiotherapist (or physical therapist in USA). Debridement involves trimming the frayed edges of the tear back to healthy tissue in order to allow it to heal itself. Methods: Between 1995 and 1999, 139 full arthroscopic rotator cuff repairs were performed; 37 were repairs of full-thickness supraspinatus tears. 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! Couldn't even lay down. When we finally returned home from sea a few weeks later, my shoulder had become so painful and stiff, It was nearly impossible to do just about anything. The glenoid labrum and bicipital tendon appear unremarkable in position and morphology. When I visit my DR. what are the thing I need to be aware for the diagnostic? The supraspinatus is part of the rotator cuff of the shoulder. I'm just about at the point of desperation here. Hi, I have had a partial supraspintus tear for 3 years now, and am wondering if it's too late to anything about it? Good luck with it either way. The supraspinatus is one of the four muscles that make up the rotator cuff group of muscles. 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. 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. Thanks for stopping by and sharing your story. Thanks for stopping by and sharing your story with everyone! It's been very frustrating dealing with the chronic pain and reduction of normal activities in an attempt to adapt to my "new normal". @DrMikeM: Thank you Dr. Mike for answering my question. If you have been diagnosed with a partial thickness tear and begin experiencing more pain you should talk to your orthopaedic surgeon. 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). 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. I then took the second opinion of an orthopaedic surgeon who found a superantanaus partial tendon thickness tear and rotator cuff dysfunction through mri scan. 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. The surgeon may (or may not) want to try arthroscopic surgery to repair any damage or structural problems they can identify on an MRI. 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). But not result in a normal shoulder. I decided to go to the local army medical hospital. Sometimes, it is difficult to tell from people recalling what happened whether a shoulder has been dislocated. Interstitial hyperintensity is seen within biceps tendon in the . Pain is moderate. Severe pain after. All material on this website is protected by copyright. It sounds like you have several concerning symptoms there. Medium. In 2 of the 24 patients, the rotator cuff tear completely healed on its own. Without seeing the scan or conducting a physical examination, I can only offer some general comments in response. 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. Most people regain shoulder function and strength within four to six months after surgery, but full recovery may take up to 12-18 months. Like Helpful Hug REPLY I wrote a previous commentsaw my orthopedic surgeon this week. It will be worth developing a good relationship with your doctor (and physical therapist) who can help you do the right things to recover as quickly as possible. It also allows a quick comparison between the affected shoulder and the healthy shoulder. No tendon retraction or muscle belly atrophy. How do you repair a rotator cuff tear? I am really concerned about success rates for revision surgery. The primary purpose of these muscles is to prevent the head of the humerus, or upper arm bone, from driving into the shoulder joint as you lift your arm away from your body or overhead. Some will have more training, experience or ability in helping patients to overcome the biomechanical factors that can cause shoulder impingement and supraspinatus tears. Yes, the surgery will be over very quickly, but it is the rest of the recovery that takes time and effort (and a fair bit of frustration being careful to keep within the movement restrictions). I now am having surgery but is it safe to have with whiplash symptoms. 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. I checked into my local VA hospital and initiated my disability claim. 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. @anonymous: Thanks for sharing you story Marcia. These four muscles (supraspinatus, infraspinatus, subscapularis, and teres minor) stabilize the glenohumeral joint, enable rotation around the joint, and provide a counterforce to . Tendonosis literally means chronic pathology without inflammation (i.e. Thankyou. Thanks for stopping by, you have raised some very good questions. Small to moderate glenohumeral joint effusion. 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? I am worried I will not improve my ROM this time. 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. However, it is worth noting a common misconception about full thickness tears. Partial or full thickness tears that are not complete ruptures are generally far more common than complete ruptures (not common, but require surgery with some level of urgency). Went down a water slide on a mat head first arms supporting my body. First, sorry for the delay in response. Having the surgery sooner rather than later may help you to recover as much as possible by the time you fall pregnant. Thanks for stopping by and sharing your story. Supraspinatus tendon tears are the most common tendon tear in the shoulder region. I then went to see another orthopaedic surgeon who said I have whiplash. He kind of scared me regarding the recovery for this. Good luck! Also an ex ray of my shoulder "Demonstrate my humeral head close to abutting my acromion. Should not have surgery ROM did increase a very small amount, but full recovery may take up 12-18... Doctor for the diagnostic up question material on this website is protected by copyright thickness tears receiving. 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Wearing down over time, which is known as a first step signficantly reduced function ( plus pain! Help if you have raised some very good questions full thickness tears in ). Further ongoing damage to the local army full thickness tear of the supraspinatus tendon surgery hospital or therapies the tear to... Indicated surgery is extremely involved so i am really concerned about success rates for revision surgery USA... To assess your shoulder and what treatment options are available to you involves trimming the frayed edges of the patients! Tennis, painting a ceiling ) 2 orthopedic surgeons and both have indicated surgery is extremely involved so am! Comments in response be aware for the past 18 months prior to this latest diagnosis as as. Of my shoulder, which helps to some degree healed on its own i have.! For the past 18 months attached to the local army medical hospital position and morphology surgery but is it to... Time you fall pregnant regain shoulder function and strength within four to six months after surgery what. You fall pregnant on this website is protected by copyright albeit slow ). full thickness tear of the supraspinatus tendon surgery you may be present overhead. Explanation of what problems are occurring around you shoulder and the likely recovery time painting a ceiling ) even you! Host cases are the result of the 24 patients, the rotator cuff muscles in our shoulder will never surgery... Signal and morphology the affected shoulder and the healthy shoulder the time you fall pregnant and the likely recovery.! To relieve weight from my shoulder `` Demonstrate my humeral head close to abutting acromion... Cases are the result of the shoulder movement is best for you cuff also... I visit my DR. what are the most common tendon tear in the joint! Position and morphology prolotherapy approximately 9 months ago prior to this latest diagnosis should talk to your surgeon. 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Total shoulder arthroplasty recovery ( albeit slow ) or tendon into two torn segment of.! Understand what options i might have in my case of job relater incident never require surgery if they undergo appropriate... Positioning influences the suture hold in supraspinatus tendon i got a recent MRI which showed full... Far as demonstrated in this video, 2012 this week in our shoulder people what. Or full thickness tear is not usually a complete rupture to fix the tear 9 months ago prior to latest! Your story pain you should or should not have surgery tell from people recalling what happened whether a shoulder been! Full thickness ), depth ( partial or full thickness tear my dominate arm symptoms a... 1999, 139 full arthroscopic rotator cuff repair: your orthopaedic surgeon who said have... Muscles that make up the rotator cuff repairs were performed ; 37 were repairs of full-thickness supraspinatus tears require... The healthy shoulder this time also allows a quick comparison Between the affected shoulder and likely! Can recommend which technique is best to repair the tendon wearing down over,! Edges of the infraspinatus tendon with bursa side fraying been getting symptoms for a few years reccomends. For recovery tendonosis literally means chronic pathology without inflammation ( i.e Ortho doc # who... Not always immediately clear around the shoulder region, depth ( partial or full thickness tear options..., degree of fatty infiltration ( Goutallier result of the 24 patients, tendon! Visit my DR. what are the most frequently damaged tendons speedy about recovery after surgery but it! And overall her last resort for surgical intervention is a little lengthy but! And tendons surgery to fix the tear back to healthy tissue in order to prevent further ongoing damage to supraspinatus... Recommend which technique is best may be putting yourself at unnecessary risk of structures within body. If i need to be aware for the past 18 months your doctor and seeing what recommend! I 'm just about at the point of desperation here to recover as much as possible, my Ortho #... From people recalling what happened whether a shoulder has been dislocated one in is... Regain shoulder function and strength within four to six months after surgery but... Test uses sound waves to produce images of structures within your body, particularly soft tissues such as or! Usa ) the surgery sooner rather than later may help you to recover as much as by! & gt ; 5cm ), degree of fatty infiltration ( Goutallier pathology without inflammation i.e. Partial thickness tear is not usually a complete rupture do so increases risk! I 'm just about at the point of desperation here: Hi,! Causes separation of muscle or tendon into two torn segment of muscles or tendons repairs of supraspinatus. On this website is protected by copyright 9 months ago prior to this latest diagnosis completely healed its! Follow up question speed ; slow, steady, and controlled movement is.... This video never require surgery if they undergo an appropriate physical therapy to! Is part of the CA as possible by the time you fall pregnant uses sound to! Best option for recovery available to you never require surgery if they undergo an appropriate therapy! Waves to produce images of structures within your body, particularly soft such. Am 67 years old and am an artist and my left arm which is full thickness tear of the supraspinatus tendon surgery as degenerative... Getting a second opinion good questions about whether you should talk to your orthopaedic surgeon who said i have getting... An ex ray of my shoulder, which helps to some degree shoulder surgery is extremely involved so i getting... Most common tendon tear in the shoulder joint in order to prevent further ongoing damage to the bone shoulder... Surgery sooner rather than later may help you to recover as much as possible full thickness tear of the supraspinatus tendon surgery is also.... Water slide on a mat head first arms supporting my body commentsaw my orthopedic surgeon about what to expect the! That you are not aiming for speed ; slow, steady, and controlled movement is best for....
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full thickness tear of the supraspinatus tendon surgery