full thickness tear of the supraspinatus tendon surgery

It has been helpful. There are several treatment options for a rotator cuff tear, and the best option is different for every person. or should you just ask for their opinion with no outside information> Thanks Judy. Not too sure if this article is still active but I'll ask anyways. Now I have these results stated above. The surgeon(s) who ordered the imaging are usually the best person to speak with regarding the pros and cons in any particular case. At first, the pain may be mild and present only when lifting your arm over your head, such as reaching into a cupboard. Garofalo R, Flanagin B, Castagna A, Calvisi V, Krishnan SG. The effect of neuromuscular electrical stimulation of the infraspinatus on shoulder external rotation force production after rotator cuff repair surgery. Kim SH, Ha KI, Park JH, Kang JS, Oh SK, Oh I. Arthroscopic versus mini-open salvage repair of the rotator cuff tear: outcome analysis at 2 to 6 years follow-up. The choice of, and response to, rotator cuff tear treatment may vary with age due to differences in etiology and pathogenesis. Did MRI of neck 1st which showed degenerative disc disease in c5-6 and c7-t1. Gumina S, Carbone S, Campagna V, Candela V, Sacchetti FM, Giannicola G. The impact of aging on rotator cuff tear size. These tears can be painful. Lol. I sleep fine as it does not hurt to lay on my back. Most tears are the result of a wearing down of the tendon that occurs slowly over time. 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. A proposed search strategy for PubMed is detailed in Appendix I. It is also worth noting that whiplash associated disorders are complex. Methods: Patients ranged in age from twenty-nine to seventy-nine years. You may still be able to return to most or all of the things you enjoy it just may not be in the next 6 to 9 months though. This can cause a lump to form and a large bruise to appear on the affected area. I've started having a smoothie everyday of red vege's (beetroot) and fruit (all the berries) with a slice of ginger and the big one for inflammation turmeric! Im a bodybuilder for years but I'm getting old. is PT a good options. Rotator cuff tear is the term commonly used by the general public to describe any detachment or tear of the tendons that connect that connect or attach the muscle from your shoulder to the head of the humerus. Also an ex ray of my shoulder "Demonstrate my humeral head close to abutting my acromion. Consult with your orthopaedic surgeon to determine the best solution for your case, your supraspinatus tears, any other associated injuries, and your lifestyle. 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. (Left)Overhead view of the four tendons that form the rotator cuff. I'm sorry to hear of your shoulder trouble. 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. A full thickness tear of the supraspinatus. We will also discuss surgical interventions for tendon injuries. You may have pain in the shoulder when you lift your arm, or pain that moves down your arm. Your doctor should be able to explain your options and potential expected outcomes. Some general information that may be useful to know is that some people who have similar pathology to that which you have described end up having surgery while other do not. I guess my question is does this always require surgery? 14. In many cases, torn tendons begin by fraying. I am sorry I can't provide you specific advice over the internet. have got bursal thickening as well and mild thickening of. I wrote a previous commentsaw my orthopedic surgeon this week. From time to time tendons do rupture from a variety of causes, in your case it sounds like the surgeons description of rope fraying is a good one. If not then, your surgeon will be able to give the likely benefits, risks and recovery time following surgery. Rotator Cuff Tears: Surgical Treatment Options, Rotator Cuff Tears: Frequently Asked Questions, Shoulder Impingement/Rotator Cuff Tendinitis. Many professions require repetitive or heavy overhead work (roof plasterer etc.). Thanks! 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). Good luck! 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. Sometimes, it is difficult to tell from people recalling what happened whether a shoulder has been dislocated. There are generally (at least) two main foci when considering whether to have surgery soon or to delay as long as possible. At a 10-year follow-up, tendon repair is superior to physiotherapy in the treatment of small and medium-sized rotator cuff tears. The recovery time after surgery is substantial (and may vary depending on the surgeon, and specific structures repaired). My question to you is why can they not try to repair the rotator cuff using a graft of somesort. They do reveal most substantial soft tissue injuries, but they are only as useful as the person interpreting them is skilled. Rest, pain relievers and physical therapy can help. Old age is also a major factor in supraspinatus tears; in fact, over 50% of people over seventy years old have a supraspinatus tear when they pass. These types of injuries seem quite common for people who work in construction and are often associated with doing work above shoulder height. 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. 12. That being said, contemporary surgical repairs and surgical re-attachments have relatively high rates of success (albeit after a difficult post-surgical recovery period) when performed in a timely manner. 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. Surgery may also involve orthopedic alteration of biomechanical factors around the shoulder joint in order to prevent further ongoing damage to the supraspinatus tendon. Nike shoes helped manage my plantar fasciitis. So my tear went from a near full thickness tear to a full thickness tear. 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). Went down a water slide on a mat head first arms supporting my body. The reverse shoulder surgery is extremely involved so I am getting a second opinion. Supraspinatus is the most commonly injured rotator cuff tendon. coracoacromial ligament. They decided to do a re examination of my MRI to see if there was something they were missing. pain that increases with shoulder use. 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). It's a supraspinatus tendon tear with 50% thickness and no labral tear. However, I went in to see my GP last week for an initial visit and have been advised to do a month of strengthening exercises. Appointments 216.444.2606 Pain can also be brought on by laying on the side. Being referrfed to a shoulder specialist Tuesday. bone spurs and/or rotator cuff tears. Advice welcomed. However, it sounds as though you must be under the care of a medical team in order to have received MRI results, which is a good thing. I am sorry I am unable to provide any specific advice over the internet without conducting a physical examination etc. It is also worth noting that sometimes you can do everything right (good surgery, follow instructions etc.) Wolters Kluwer Health Some people need surgery to reattach a torn rotator cuff. There is no conflict of interest in this project. A complete, full thickness tear means that the tear goes all the way through the tendon. I'm sorry I can't give you specific advice over the internet about the best option for your situation. Again, I'm sorry I can't provide specific advice, but I hope this general information is useful to you. 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! Your doctor will test your range of motion by having you move your arm in different directions. It is one of the four rotator cuff muscles. Also now taking Tylenol 500 with5 hydrocodone. This is partly because rehabilitation following surgery will depend on the surgical technique used. Geary MB, Elfar JC. Glenohumeral joint effusion and finding may signify capsulosynovitis or perhaps capsular strain. The search for unpublished studies will include: ProQuest Dissertations and Theses, ClinicalTrials.gov, Cochrane Central Register of Controlled Trials, ANZCTR and ICTRP. If you get a chance please let us know how you go. An initial limited search of PubMed and CINAHL will be undertaken. The rotator cuff is a group of four muscles that come together as tendons to form a covering around the head of the humerus. 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. Physiotherapy interventions typically consist of stretching and strengthening exercises but can also include electrotherapy and other physical modalities such as ultrasound, moist heat and laser therapy.16-19 Treatment by injections in recent studies often involves corticosteroids, hyaluronic acid and platelet-rich plasma.20-22 The literature suggests that the majority of patients begin with non-surgical treatment and if pain persists or improvement in function is less than optimal, surgery is considered. He did say that it can be done in the next few months and no urgent intervention required. Full thickness tears are the complete disruption of the fibers of the supraspinatus muscle, and generally require a more aggressive treatment plan and surgery. Selected studies will be critically appraised by two independent reviewers using standardized critical appraisal instruments from JBI SUMARI. Efficacy of platelet-rich plasma in arthroscopic repair of full-thickness rotator cuff tears: a meta-analysis. The glenoid labrum and bicipital tendon appear unremarkable in position and morphology. I am aware than many clinicians who administer prolotherapy advocate for its benefits though. These four muscles (supraspinatus, infraspinatus, subscapularis, and teres minor) stabilize the glenohumeral joint, enable rotation around the joint, and provide a counterforce to . There are a few options for repairing rotator cuff tears. Good luck with it! Those words exactly. All Rights Reserved. It turns out, this management approach is not terribly effective in leading to a prompt repair of the damaged structures. So in other words, tendinosis is the condition and one of the rotator cuff tendons is probably the structure that was affected. Full thickness tear means a complete tear of the rotator cuff supraspinatus tendon. and still end up with an unexpected problem. but can get back fairly good motion about the shoulder . Yes, surgery can be painful initially, but your surgeon should be able to tell you the likelihood of a successful outcome of surgery based on your specific circumstances. I'm sorry I can't provide you with specific advice, rather I only provide some general information. You should not feel pain in the shoulder during the movement. damage to the tendon without swelling). only taking out for prescribed exercises (e.g. @anonymous: mike but not dr. mike. The soft tissues in their neck that were affected by the initial trauma may actually have healed, but they may still be feeling discomfort. Rotator cuff tendon augmentation grafts are a promising area of research. Even if surgery is required, the physical therapy program can help strengthen the rotator cuff muscles before the surgery. my ROM did increase a very small amount, but my pain and discomfort never went away. Following the post-surgery protocol will help minimize the chance of a poor outcome and further problems. Following the search, all identified citations will be collated and uploaded into bibliographic software or citation management system and duplicates removed. 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. 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. 7. The review will exclude studies which include patients with concomitant shoulder conditions such as osteoarthritis, fractures, osteonecrosis, instability, and additional intra-articular pathology or acromion morphology, as these conditions may necessitate intervention/s that may be different from patients who have rotator cuff tear only. 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. 2012 completed their search in 2009.25. twice, second time relief only lasted 5 minutes) finally local doc ordered M.R.I. Elderly patients; full thickness rotator cuff tear; non-surgical and surgical treatment. What I really want right now is to regain enough to get through normal everyday activities and not feel limited trying to lift an object and also not drop things so frequently. Exercise is important for many reasons (not the least of which are physical and mental health benefits). 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). My best wishes go to all of them. 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). Examination otherwise demonstrates the osseous structures of the shoulder to be otherwise unremarkable in signal and morphology. 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. The results of the search will be reported in full in the final report and presented in a PRISMA flow diagram. By June '13 I was better in many ways than before the injury. Depending on the severity of your shoulder tear and other injuries, your age, general health, and lifestyle, it might be possible to alleviate the pain and minimize the issues resulting from a supraspinatus year through a combination of non-invasive tactics like medication and physiotherapy. Humeral head is riding high abutting the underside of the acromin process. 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. Ongoing serious pain influencing daily life, sleep etc. Men over forty are the most likely to have degenerative supraspinatus tears. I completed 6 treatments of prolotherapy approximately 9 months ago prior to this latest diagnosis. Treatment of rotator cuff tears in older individuals: a systematic review. Poorly defined large full-thickness tear of the supraspinatus and infraspinatus tendon measuring at least 2 cm in anteroposterior dimension. Follow up not til next Wednesday. Is surgery my only option? The orthopedic said that after 6 weeks of PT if there is pain then we looka possible surgery, is there something else that I should do or look at? Superior subluxation of the humeral head. If you have any uncertainty around the need for your sling use, please call your surgeon's office today. Does the reverse shoulder arthroplasty and deltoid repair be a possible option of treatment? Thoughts on surgery? Moderate subacromial/sub deltoid bursitis. Lazarides AL, Alentorn-Geli E, Choi JH, Stuart JJ, Lo IK, Garrigues GE, et al. Please enable scripts and reload this page. The incident happened on Sept 25 and it is now Nov 10. This can be one of the most frustrating things for people who have whiplash associated disorders. Some days later, I was called back to the VA so they could tell me what they found. 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. This tear leaves only a very thin layer of intact cuff at the site, no impingement, labrum is intact. Pain is really consistent and moderate with moments of severe. I think this is a common dilemma that people face. Moraiti C, Valle P, Maqdes A, Boughebri O, Dib C, Giakas G, et al. Am I destined for surgery in order to regain even 50% of what I've loss or should I try another round of prolotherapy? Any suggestions and generally how long is the recovery period? Subacromial decompression surgery is the most common option to open up the subacromial space and is combined with a rotator cuff repair if the supraspinatus tendon is torn. I have about 3" less range reaching up behind my back, but I think some pre-existing tears and arthritis were fixed. Supraspinatus tendon tears require specific rehabilitation of the rotator cuff and muscles that stabilize the shoulder blade. Mild surface irregularity of the supraspinatus in keeping with scuffing-mild partial thickness bursal surface tearing. Thanks for stopping by and sharing your story. I. report .This happen 9 weeks ago , my shoulder is still sores I am going for phisio, messages and still no progess,does that mean I will need surgery,or will it heel by it self. Popping noises can occur for a variety of reasons, the most common of which are completely normal. If the ball is popping out of the joint (dislocating), then that is a major concern (but this usually doesn't occur without trauma)! 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 can reach behind my back ok. prospective, randomised trial in 103 patients with a mean four-year follow-up. Good luck! dull ache in your shoulder and upper arm. Jung HJ, Sim GB, Bae KH, Kekatpure AL, Chun JM, Jeon IH. Physiotherapy, including stretching and strengthening exercises, electrotherapy, ultrasound, moist heat and laser therapy. 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. Hopefully your physio can set you up with an exercise program to strengthen your rotator cuff and improve the biomechanics at your shoulder joint. Dwyer T, Razmjou H, Holtby R. Full-thickness rotator cuff tears in patients younger than 55 years: clinical outcome of arthroscopic repair in comparison with older patients. Whiplash is more difficult to detect with common imaging approaches, like an MRI, than supraspinatus tendon tears. @anonymous: Dude, I just did nearly the exact same thing. Your message has been successfully sent to your colleague. Fluid signal anterior to the proximal humerus as well as within the sucoracoid bursa. 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. thank you for your considiration and helle from Turkey:-). All rights reserved. Either way, this kind of ongoing shoulder pain is not good. The supraspinatus is one of the four muscles that make up the rotator cuff group of muscles. (Right) A full-thickness tear in the supraspinatus tendon. The goal of any shoulder joint treatment plan is to reduce pain and restore function as much as possible. Athletes are especially vulnerable to overuse tears, particularly tennis players and baseball pitchers. I had rotator cuff surgery in May for a Small(2mm) tear In the supraspinatus tendon. Rotator cuff surgery in patients older than 75 years with large and massive tears. However, in some cases, the better option may be to consider surgery sooner rather than later (e.g. i d glad if ortopedist or physiotherapist reply ansver. Time passed. I have not returned back. Rotator Cuff Tears in the. It would be particularly unusual for a radiologist to see a tear that was non-existent (perhaps more likely to miss one that was hard to see than to see one that is not there). Some general information you may find useful is that generally not a lot of people seem to have a full recovery following a SLAP lesion without surgery. Generally speaking, do small tears need surgical repair? I think these are promising approaches for the types of pathology you described. For many years shoulder dislocations were commonly managed by making sure the ball was back in the socket, giving a bit of ice, perhaps some anti-inflammatory medications and putting the arm in an internal rotation sling (a sling that holds the arm near the body with the elbow bent at about 90 degrees). The tendon that seems to be most commonly affected is the supraspinatus, although it could also easily be either infraspinatus, long head of biceps, subscapularis or teres minor tendons. Thank you for the info posted on this page. 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. Where required, authors of papers will be contacted to request for missing or additional data. 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. For anyone contemplating surgery, buy a recliner to sleep in after surgery. Overall my subscapularis does appear intact." When one or more of the rotator cuff tendons is torn, the tendon becomes partially or completely detached from the head of the humerus. Osteophytes and inferior capsular swelling indents the superior margin of the mytendinous junction of supraspinatus. If I need surgery,what is the recovry time.. If you do opt for surgery. @anonymous: Hi Elania, Thanks for stopping by and sharing. Good luck! It is difficult for me to comment further based on this information. Studies that meet or could potentially meet the inclusion criteria will be retrieved in full and their details imported into the Joanna Briggs Institute System for the unified Management Assessment and Review of Information package (JBI SUMARI). However, some people will never experience the same level of recovery without the surgery. I am sorry I can't offer you specific advice over the internet regarding surgery or specific exercises. I have continued to have problems with my arm and initially was told that I had a partial tear of my rotator cuff. It's also a new procedure to deal with this problem. I have not lost any ROM I just have severe pain in my right shoulder. A supraspinatus tendon tear can be full thickness (meaning that the entire muscle is affected) or partial thickness (or an incomplete tear). Most people with ongoing pain will usually try the conservative interventions before considering surgery. Any thoughts on treatment for this considering previous surgery? Additionally, you do not want to be dependent on strong medications to reduce pain while you are pregnant. The databases to be searched include: CINAHL, Scopus, MEDLINE (PubMed), Embase, Web of Science and PEDro. Surgery may be recommended sooner rather than later for younger patients, particularly those whove experienced acute trauma. Of course, all these options should involve regular check-ups with your orthopaedic surgeon in order to make sure the problem isnt getting worse. 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. Large rotator cuff tear with poor quality tissue Fig. Injury to the rotator cuff is common and progression of injury typically begins in the supraspinatus tendon mostly as a result of an intrinsic attritional process that leads to partial and eventually full-thickness tearing. I mention this, as this will often influence treatment decisions. Good luck!

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