Other tests which may help your doctor confirm your diagnosis include: If you have a rotator cuff tear and keep using it despite increasing pain, you may cause further damage. I could write another article regarding shoulder surgery for rotator cuff tears (perhaps another day!). Particularly about what many people are likely to experience during the often long road to recovery. Good luck! Studies have reported that, compared to older individuals, younger patients under 55 years have a higher ratio of smaller tears likely to occur from traumatic events.5,6 Patients over 60 have been found to be twice as likely to experience large rotator cuff tears and three times more likely to experience massive rotator cuff tears compared with younger patients.7,8 The prevalence of full-thickness rotator cuff tears may occur in up to 22% of all patients over 65.9 Approximately 25% of patients in their 60 s and 45% of patients in their 70 s suffer from rotator cuff tears.10 Patients 80 years and over have an even higher occurrence rate of 80%.8, Rotator cuff tear management aims to relieve pain, restore movement and improve function of the shoulder. You may have pain in the shoulder when you lift your arm, or pain that moves down your arm. Usually getting a second opinion is not a bad option if you are not confident that the first opinion is going to lead to the best outcome for you, but I expect that may well be impossible while you are still on deployment? A rotator cuff tear can result from an injury such as a fall or heavy lifting, or from normal wear-and-tear and repetitive activities over many years. 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. If you have concerns, you could ask the surgeon when you next see him whether he thinks your symptoms are from the tendon tear and rotator cuff dysfunction or whiplash? The soft tissues in their neck that were affected by the initial trauma may actually have healed, but they may still be feeling discomfort. Shoulder muscles are very good for stabilizing the ball and socket joint and making large movements (to help lift things, throw objects etc. Good luck! Instead specific movements are required, these shouldn't cause pain while performing the exercise. Does a full thickness tear of the supraspinatus tendon need surgery Fehringer EV, Sun J, VanOeveren LS, Keller BK, Matsen FA 3rd. I left out a bunch of other things that are normal. Must also have to bring the arm back with my other arm if I am lying and have the arm overheadwhich now longer will lie flat on the floor if it is overhead.It has been recommende to do ART then PRP and possibly prolotherapy. I maybe take a few Advil a week with no loss of function at all. GRADEpro GDT: GRADEpro Guideline Development Tool [Software]. MRI). 26. Subcortical reactive changes superiorly and laterally at the humeral head are present. Also an ex ray of my shoulder "Demonstrate my humeral head close to abutting my acromion. If you are not keen to rush into surgery don't be afraid to ask your orthopedic specialist about conservative treatment options that may be worth trialing, on the other hand, your surgeon may be able to give you a good indication of whether they think surgery is the most promising option. In addition to arm elevation, the supraspinatus muscle is critical in pulling the head of the humerus (the ball part of the ball and socket joint) into the glenoid (socket). Your arm is kept in your shoulder socket by the rotator cuff. 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. However, there are a variety of factors that will need to be considered. Only studies published in English will be considered for inclusion in this review. (Left)Overhead view of the four tendons that form the rotator cuff. Rotator cuff exercises will usually be important for anyone looking to return to a racket sport following a supraspinatus tendon tear or shoulder labrum tear (or even someone looking to prevent those injuries). 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). 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. Dr. Mike. Generally speaking, MRIs definitely help the surgeon to make a diagnosis and give them an idea of whether surgery will help. If muscles of the rotator cuff are not providing adequate stability throughout the shoulder's range of motion, this can contribute to shoulder impingement and a break down of the supraspinatus tendon. Small tear involving the supraspinatus tendon only Fig. Studies published from 2010 up to present will be included, as the review conducted by Downie, B. et al. 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). @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 was then I found out how messed up my shoulder actually is 1. I am intrigued by the patient's symptoms and active shoulder range of motion versus her imaging. I have been seeing an orthopedic doctor for the past 18 months. You are also right that many people often don't understand that you are not 'putting on an act'.

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