Comments on: Supraspinatus Tendon – Tendinitis, Tendinosis and Tear

By: Jacob

Jacob — Mon, 05 Jun 2017 13:04:00 +0000

Good evening, hope you can give an opinion on this PLEASE, I beg you. I am based in New Zealand & I am felling very disillusioned about what to do. I am getting conflicting advice from different Dr’s here about what i should do. I am a 34 year old male. I have received my MRI report and it reads; The right shoulder scan demonstrates a relatively large partial thickness articular surface tear of the anterior aspect of the footprint of the supraspinatus tear 5 x 8 x 3 mm with a few intact bursal surface fibres present. Mild right subacromial subdeltoid bursitis. If you had a patient like this would you recommend surgery or conservative treatment like physio etc.? I would appreciate any feedback on this matter please 🙂 I don’t suffer a lot of pain, only for certain overhead movements & throwing a ball hard will i experience some loss of power & some pain. I may have had this injury for a while too and I am not sure if parts of my muscle may have atrophied. I can forward you my MRI report too if you would like to see it, but it is basically what I mentioned here in this email. I would appreciate any feedback or opinion.

I wonder what the future holds for rotator cuff tendon surgery when you consider that with ACL treatments there is new of treating the ACL treatments more effectively. Have a look at this youtube video ..This new surgery — bridge-enhanced ACL repair (BEAR) — uses a special protein-enriched sponge to encourage the torn ends of an ACL to reconnect and heal. Please let me know what you think about my partial thickness report? Thank you 🙂

By: Satya Sunkara

Satya Sunkara — Thu, 23 Feb 2017 09:19:00 +0000

In reply to venkatesh. Hi Venkatesh, I was diagnosed with same problem as you have described. Currently I am on pain and anti inflammatory drugs for a week. what was your treatment regimen? How is your condition now.

By: HealthHype

HealthHype — Tue, 24 Jan 2017 15:17:00 +0000

Hi Joseph. You need to consult with the doctor/specialist who requested the MRI for him/her to explain the results to you. We do not intervene in the diagnosis or treatment stage between patient or practitioner as this affects the practitioner’s ability to diagnose or manage the condition. With that said, the term edema refers to swelling, often due to inflammation, and tendons are bands of connective tissue that attach a muscle to a bone. The supraspinatus muscle runs in the upper back and shoulder. Your doctor will guide you further.

By: venkatesh

venkatesh — Sun, 06 Nov 2016 15:37:00 +0000

Hi.. i have right shoulder pain .doctor told me to take X-ray .it is normal than blood test .It is also normal then i went for MRI .It shows T2WI and PD hyperintense signal noted intrasubstance of supraspinnatous tendon of insertion site-suggestive of partial intrasubstance tear of supraspinatus tendon. do i need surgery??
Thanking you

By: Beatrix Horman

Beatrix Horman — Mon, 08 Jun 2015 02:53:00 +0000

Hi, I had a shoulder injury 3 years ago. Already had two surgeries and the initial pain is still there, getting worse. My last contrast MRI shows a SLAP tear, 1st degree, Rotator cuff tendinosis and intermediate to high grade partial articular sided tear of the infraspinatus. I’m not able to use my arm and the pain keeps getting worse. Looking for treatment options, not finding much with my web searches.

By: ma

ma — Thu, 13 Nov 2014 13:05:00 +0000

In reply to HealthHype. Thank you very much!!!

By: HealthHype

HealthHype — Wed, 12 Nov 2014 18:12:00 +0000

In reply to ma. Given the heart condition and so on coupled with the information you provided, surgery would not usually be considered. Intensive physical therapy over a long period of time, anti-inflammatory drugs and so on would be the better options.

By: ma

ma — Mon, 10 Nov 2014 19:47:00 +0000

In reply to HealthHype. Thank you so much for the answer! I (52y. old and activ person )just would like to know, in similar cases the ortho doc does surgery, or is another way to help patient? I feel now chronic pain and have already swollen arm, and I I have numbness is my hand and I don't feel my fingers. And the problem is I can't take still painkiller because of my problem with heart and paradox reaction of some analgetica. Thank you in advice!!!

By: HealthHype

HealthHype — Mon, 10 Nov 2014 19:30:00 +0000

In reply to ma. Hi Ma. It really depends on multiple factors like your age, severity of symptoms and so on. We are not allowed to provide any advice on the next step in management (be it on whether surgery is needed or which medication you should use) as part of our comment policy. Please do understand that we are only here to guide you with your symptoms, not reach a diagnosis from your medical reports or determine the treatment. You need to speak to you doctor about your case as he/she is more familiar with it.

By: ma

ma — Fri, 07 Nov 2014 19:38:00 +0000

Hi, I have shoulder injury end of January, and now doctor send me to MRI, here is the result,

Both the subscapularis and supraspinatus tendons are bulbous and inhomogeneous with tendinosis tendinopathy.
Fluid in the subacromial / subdeltoid bursa , representing bursitis.
Hypertrophic acromioclavicular joint changes and laterally down -sloping type II acromial configuration extends to about the underlying supraspinatus with compromise of the subacromial space.
Trace fluid of the long head of the biceps tendon sheath and trace fluid at the rotator interval capsule of the glenohumeral joint.
My question is, do I need surgery??
Thank you!