Doctor insights on:
Hip Rotator Cuff
Hurt shoulder and can't lift it up to the side past hip without major pain. Had MRI waiting on results. Doc thinks I tore my rotator cuff?
While its difficult: To say without a physical exam, your symptoms do sound like a torn rotator cuff. If you are able to continue to lift it up to the side, but it just hurts, then you may only have partial thickness tear, but if you are unable to lift it even near parallel to the ground, then it may be full thickness. Wait for mri, and make sure you have a good ortho to follow up with. Best of luck. ...Read more
I have a rotator cuff injury. I have a complex ovarian cyst. Now when I lie on either side = severe pain in hips and shoulders. What could it be?
NO relation: You have given very little history. It may be from your work or some type of exercise you do. Would not overdo anything until you have an ortho check you out. The rotator cuff injury may be a clue as to why your joints hurt if it is joint. See the doc for better advice. ...Read more
Severe pain from shoulder down deltoid into bicep. Not rotator cuff. More pain when arm is rotated toward chest. Torn cartilage in other shoulder.??
Get examined!: At age 55 your most common cause for this pain would still be 'impingement' (or bursitis). Labral tears causing this pain are less likely unless associated with the biceps 'anchor' (SLAP) lesions -- but less likely in isolation in your age group.Osteoarthritis can cause pain in this distribution. AC joint arthritis can also cause pain when rotating arm towards chest (adduction). See an ORS! GL! ...Read more
Long history with tendonitis. Wrists, elbows, shoulders, hip, and ankles affected. Calcified in both rotator cuffs. Can there be a global cause?
Tendinitis and bursitis are conditions known as soft tissue rheumatic syndrome.
Conditions, related to tendinitis or bursitis could be: overuse or injury of the joints, rheumatoid arthritis, thyroid disease, gout, kidney diseases. Sometimes, statins and fluoroquinolone antibiotics can cause tendinitis or tendon rupture. ...Read more
Most likely rotator: Cuff impingement. Make sure it is rc pain first. If it is on the sides of your shoulders and hurts with overhead activity it could be rotator cuff issues. Initially treat with nsaids, ice and modification of activity (no overhead activity, no heavy pushing or lifting) if it is not getting better see and orthopaedist. They might offer you pt, oral steroids or hopefully a cortisone shot. ...Read more
Functional loss: The rotator cuff typically tears at the insertion where it attaches to the humerus bone (ball part of the ball and socket). Since it stabilizes the shoulder, a tear doesn't allow the large muscles of the shoulder (deltoids) to function correctly and indirectly causes weakness and pain. A rotator cuff tear does not heal itself and usually requires surgery to reattach the tendon to the bone. ...Read more
From neck to elbow: Rotator cuff pain is usually located in the shoulder, especially the deltoid muscle. The pain can be felt anywhere from the neck to the elbow. Rotator cuff tears are usually more painful at night and with activities involving shoulder motion. See a board certified orthopaedic surgeon for evaluation and treatment. ...Read more
No cure is permanent: Rotator cuff pain or tendonitis is very common and usually self- limiting requiring no formal medical attention. Pain from cuff tendon tears (partial or full thickness) often requires medical attention with therapy or sometimes surgery. The provoking activity or injury that results in pain is a very important variable. Similar repetitive activity or repeat injury can cause resolved pain to recur. ...Read more
Shoulder dysfunction: Typically patients with significant rotator cuff tears complain of shoulder pain with range of motion or at night time. Patients may also have a loss of shoulder strength and overall motion. With a full thickness rotator cuff tear that remains untreated, a patient may ultimately develop shoulder arthritis ...Read more
No much: A strain implies the muscle has been overloaded in some fashion but no structural damage has occurred. The fact that it hurts implies injury but not all injury is structurally significant. ...Read more
Pain: Pain is the most common complaint typically activity related and worse with resistance. Pain such as lifting a jug of milk with your arm extended forward. Night pain also worrisome. Weakness is typically only noted with larger tears as smaller tears can have relatively normal strength. Unlikely in patients under 40 without injury. Agree, are age related with 80% odds by time turn 80. ...Read more
Reattachment of RC: In my hands 99% of rotator cuff repairs are performed arthroscopically (through small incisions with the help of a fiberoptic camera). Patients go home the same day and full recovery can take 3-12 months. Each repair is different and depends on the type of tear, but generally the rotator cuff tendon which has torn loose from the humerus (shoulder) bone is reattached using a combination of sutures. ...Read more
Pain: Rotator cuff tear pain typically is worse w/ overhead activities and at night. Sleeping on the affected side is difficult. Commonly the pain is referred to the outside of the upper arm (deltoid). Catching and' popping' may occur w/ certain motions of the arm. Pain and weakness w/ initiation of movement away from the arm is typical (abduction).Rotator cuff tears do not heal (generally). Gl! ...Read more
Tendon quality: Poor tendon quality or degeneration accounts for the majority or suture pull- out. Some can also be attributed to surgical technique. Failure to mobilize the tendon before repair, too much tension on the repair, or an insufficient number or pattern of suturing can lead to repair failure. ...Read more
Physical therapy: Therapy and otc NSAID is a good start. ...Read more
Not too bad!!!: Although all surgeries can involve some initial pain and discomfort, rotator cuff repair surgery can be done very safely these days and with minimal risk. Although some tears can be challenging to repair, recovery time and therapy that goes along with it are generally well tolerated. An experienced surgeon with high skill with arthroscopic techniques can usually achieve excellent clinical results. ...Read more
? Sprain: If you have injured your rotator cuff over time or w/ one episode of trauma you may have 'strained' or irritated the rot cuff. These generally will get better w/time. If, however, you tore or partially tore the rot. Cuff this may not improve completely and may require surgery. A good exam and quality MRI scan can differentiate between the two. See an ors w/ specialty training in shoulder surg. Gl! ...Read more
Painful and weak: A torn rotator cuff tendon is usually quite painful, especially at night or during forceful shoulder motion. The rotator cuff starts out as 4 individual muscle attached to the shoulder blade. As they approach there insertion onto the tuberosities of the humerus, they come together to make a tendonus cuff. When this cuff of tissue is torn, active shoulder motion becomes difficult. Needs surgery. ...Read more
Pain: Typical signs of a rotator cuff tear depends on the muscle involved. There are 4 that make up the rotator cuff. Most commonly, people complain of pain with reaching or overhead motion, pain radiating down the arm, pain that wakes them up at night, sometimes numbness and tingling in the arm and hand/fingers, a feeling of heaviness to the arm. Recommend you see a sports medicine MD/orthopedist. ...Read more
Learn more about this topic here:
http://www. Theshouldercenter. Com/shoulderpain/2013/shoulder-surgery/spur-acromioplasty-impingement/
and http://theshouldercenter. Com/rotator-cuff-tear. Htm
it's important to have a clear diagnosis and cause for your shoulder pain before considering surgery. ...Read more
$5500: As dr. Coats has indicated, it does depend on many factors, and the amounts that get paid are often much less than are charged. In the U.S., cash rates are now around $5500, which should include facility fee, surgeon fee, anesthesia fee, and an average number of implants. The price obviously depends on location, type of rotator cuff repair, and severity. ...Read more
It depends: Many people have degenerative rotator cuff tears as we mature. Non operative conservative treatment should be the first line of treatment. This often consists of NSAIDS, injection, and physical therapy. If conservative treatment fails, operative treatment may be warranted. Ask your orthopaedic surgeon for more details. Good luck ...Read more
Absolutely: Is all about the getting proper history, examining, treating, reexamining. Treatment could includes oral medications, injections. Evaluation include history, exam, xray, mri, referral to physical therapy, ortho, pain management. Be aware rotator cuff is a general term (we have many terms depending on findings). Remember it could take 6 months to fully recover (many time it takes less). ...Read more
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