Question 1

what does high grade insertional tear anteriorly in the supraspinatus footprint - 7mm sagittal with retraction of 5 mm.  will i have to have surgery?

Accepted Answer

: Discuss with orthopedic surgeon, as physical therapy may be useful, and surgical repair may not be urgent, but you provide only partial description of extent of abnormality, so, best that orthopedist who examines you and reviews your films provides recommendations.

Question 2

what is treatment for moderate insertional tendinosis of achillies at calcaneal insertion with interstitial tearing at insertion?

Accepted Answer

See a doctor: could be surgery you need to see a foot doctor, or a orthopedic surgeon for proper evaluation and treatment

Question 3

what would you suggest about having partial rotator cuff surgery and is this tear a high risk of increasing? i've just been diagnosis with a partial focal tear of the supraspinatus at insertion with most anchor fiber intact. after steriod injection, my ri

Accepted Answer

I : I don't have all the answers, but i might be able to clarify a few things.

First of all, when a test is interpreted as showing a "tear", that implies damage that should be repaired.  But rotator cuff tendinopathy is more like greying and hair loss--expected changes with age. I find the term "partial tear" particularly misleading and even sinister. It's really just a signal change on MRI due to the changes in the tendon. You don't state your age and sport.  If you are a throwing athlete under 40 years of age, the process is different.

Second, and to reinforce the first point, not all of these tendon changes cause pain.  We know this from studies of patients with no shoulder pain and from studies of a patient's non-painful shoulder.

Third, like greying and hair loss we do know that rotator cuff tendinopathy is progressive.

Finally surgery does not cure the problem any more than hair plugs or rogain cures hair loss--it just patches things up for a bit.  The larger the defect, the quicker it will recur.  Surgery helps many people feel better, but you should not have surgery under the misconception that it is necessary.

Question 4

shoulderpain ~2 yrs. mri-mild tendinosis of supraspinatus tendon, 2 mm interstital tear, mild subacr-subdelt bursitis, trace glenohumoral joint effusion?

Accepted Answer

See details: The MRI of the shoulder is not particularly impressive. As various therapies have not worked, consider seeing an orthopedist who specializes in shoulder issues. There is no way to be more specific with you without having the opportunity to examine the shoulder first hand.

Question 5

the mri read: greater tuberosity avulsion fracture involving the supraspinatus and infraspinatus distraction of fragments 1.4cm from normal insertion?

Accepted Answer

Needs treatment: This must be trauma related. This should be reviewed by an orthopedic surgeon, depending on the displacement may require treatment including surgery.

Question 6

what does massive rotator cuff tear manifested buy full thickness full width tearing of the supraspinatus and intraspinatus tendons with medical retr?

Accepted Answer

Large tear.: That indicates a large tear that has pulled back far from its insertion point. May be tougher to surgically repair.

Question 7

what is the best prescription for hi grade partial undersurface tear of distal supraspinatus tendon?

Accepted Answer

Family practice: I usually refer to an orthopedist  for a surgical evaluation. But takin Ibuprofen and having physical therapy for a few weeks is what usually is recommended.

Question 8

i have moderate supraspinatus tendinosis with high grade partial tear of the rotary cuff. will i need surgery!

Accepted Answer

Try physiotherapy: Did you talk to the orthopedic or physiatrist?

You must have had MRI.

Possible to heal with physiotherapy.

Shoulder surgery is very complicated.

Question 9

i have a distal full thickness supraspinatus tendon tear with12mm retraction , increased in size since last scan 6 months ago . will this need surgery?

Accepted Answer

Tear: If your problem is pain and lost of mobility the answer is yes.
Other things you may try before surgery is physical therapy and rehabilitation to improve your strength

Question 10

does physiotherapy help in partial supraspinatus tear?

Accepted Answer

Yes: Partial thickness(articular or bursal sided)rotator cuff tears esp. In someone only 27 yrs.Old may respond to a rotator cuff strengthening program.... If pain or weakness ( or instability, possibly) worsen than arthroscopic  debridement or repair(depending on the thickness of the tear) can be performed in conjunction w/ decompression or capsular plication. See an experienced shoulder specialist.

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Doctor answers about:

Trendinosis and punctate interstitial insertional tearing of the supraspinatus

A member asked:

What does high grade insertional tear anteriorly in the supraspinatus footprint - 7mm sagittal with retraction of 5 mm. will i have to have surgery?

A member asked:

What is treatment for moderate insertional tendinosis of achillies at calcaneal insertion with interstitial tearing at insertion?

A member asked:

What would you suggest about having partial rotator cuff surgery and is this tear a high risk of increasing? i've just been diagnosis with a partial focal tear of the supraspinatus at insertion with most anchor fiber intact. after steriod injection, my ri

A member asked:

Shoulderpain ~2 yrs. mri-mild tendinosis of supraspinatus tendon, 2 mm interstital tear, mild subacr-subdelt bursitis, trace glenohumoral joint effusion?

A member asked:

The mri read: greater tuberosity avulsion fracture involving the supraspinatus and infraspinatus distraction of fragments 1.4cm from normal insertion?

A member asked:

What does massive rotator cuff tear manifested buy full thickness full width tearing of the supraspinatus and intraspinatus tendons with medical retr?

A member asked:

What is the best prescription for hi grade partial undersurface tear of distal supraspinatus tendon?

A member asked:

I have moderate supraspinatus tendinosis with high grade partial tear of the rotary cuff. will i need surgery!

A member asked:

I have a distal full thickness supraspinatus tendon tear with12mm retraction , increased in size since last scan 6 months ago . will this need surgery?

A member asked:

Does physiotherapy help in partial supraspinatus tear?

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