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Doctor insights on: Intrasubstance Tear Supraspinatus Tendon

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Can supraspinatus intrasubstance tendon tear (7x1x6 mm) heal by itself without surgery? How long may it take for a healthy 62 years old to heal?

Can supraspinatus intrasubstance tendon tear (7x1x6 mm) heal by itself without surgery? How long may it take for a healthy 62 years old to heal?

Unlikely: Partial thickness rotator cuff tears rarely'heal'. They may become less painful occassionally in some patients who are able to 'tolerate' them. However, most progress(esp.in older adults) w/time to small full thickness tears, etc. If u are not improving w/ pt, NSAIDs, etc.consider having an experienced arthroscopist perform repair(intrasubstance or 'taken down' and repair to bone). Pain relief! ...Read more

Tendon (Definition)

Tendons are made up of collagen and are the functional tissue that interfaces between muscles and bone. Muscles generate force that is transmitted through its tendon that inserts on a specific bone that is moved in the plane of the connecting joint made ...Read more


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What does increased intrasubstance in the supraspinatus tendon mean and is it reason for concern?

Tendon signal: I assume you mean intrasubstance signal. The supraspinatus is one of the rotator cuff muscles. Depending on the degree of signal abnormality, it could mean intrasubstance tear, inflammation, or tendinosis. ...Read more

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High grade partial thickness bursal surface tear distal junction supraspinatus and infraspinatus tendons?

MRI diagnosis: The best results happen when a clear diagnosis is established with a detailed examination and history and confirmed with testing such as an MRI or emg, not the other way around. Be careful about having surgery based on an MRI report. Learn more: http://www.Theshouldercenter. Com/shoulder-pain. Htm
and
http://www.Theshouldercenter. Com/rotator-cuff-tear. Htm. ...Read more

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Is surgery required when diagnosis says full-thickness tear of supraspinatus tendon is seen? Been 4 mos. What's consequence when surgery is not done?

Is surgery required when diagnosis says full-thickness tear of supraspinatus tendon is seen? Been 4 mos. What's consequence when surgery is not done?

Depends: Often surgery is required but some people do really hard rehab and come back maybe nit100% but well enough to reach up to their expectations. Each person is different. ...Read more

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What does a "full thickness tear of the supraspinatus tendon" mean?

What does a "full thickness tear of the supraspinatus tendon" mean?

Rotator Cuff Tear: If you are 31 and have a full thickness tear of your suprspinatous tendon, you have a problem. The supraspinatous is one of the 4 muscles that make up your rotator cuff. Tears at your age are unusual, often due to trauma and should generally be repaired with surgery. See an orthopaedist to get it checked out. ...Read more

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

Arthroscopic eval: A high-grade tear of the rotator cuff acts like a full-thickness tear, although there are still some intact fibers. Injections and therapy may provide temporary relief of pain at night and with activities. The most effective may to achieve long-term pain relief and improved function is with shoulder arthroscopy. See a board certified orthopaedic surgeon for evaluation and treatment. ...Read more

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Can an undersurface tear of the supraspinatus tendon be seen visually using arthroscopy and if so can it also be repaired arthroscopicaly?

Can an undersurface tear of the supraspinatus tendon be seen visually using arthroscopy and if so can it also be repaired arthroscopicaly?

If no a full tear...: If no a full tear only fraying, it is usually just shaved to smooth it out. If it 50%or larger depending on what it looks like, it most likely will B repaired. ...Read more

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Partial thickness intrasubstance tear 3 x 5 involving anterodistal suptaspinatus tendon. Three months of PT and one cortisone injection. Surgery time?

Partial thickness intrasubstance tear 3 x 5 involving anterodistal suptaspinatus tendon. Three months of PT and one cortisone injection. Surgery time?

Not necessarily: All depends on your age, level of function, and how much it is disrupting your life and daily activities. Discuss all of these things with your primary Dr and/or orthopedic surgeon to determine the best next step for you. ...Read more

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Tear involving the supraspinatus tendon without evidence of a full thickness rotator cuff dose it got anything to do with pectoralis major m pain?

Tear involving the supraspinatus tendon
without evidence of a full thickness rotator cuff dose it got anything to do with pectoralis major m pain?

Sometimes: Sounds like a partial year of the supraspinatius which is actually a very common MRI finding. Most patients describe pain over the deltoid but have seen some describe pectoral pain. You should be examined to confirm it is your shoulder and treatment should be effective with pt and possibly an injection. ...Read more

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My daddy got MRI results 2day, supraspinatus tendon tear, it is a little more than 1/2 reffered 2 ortho surg., surgprolly?63yrs, small, weak, health issues!

Several options: If he hasn't had pt yet, that may be worthwhile to pursue. If very painful, a cortisone injection may be helpful in temporarily reducing pain. If tried and unsuccessful, surgical repair may be next step. Good luck! ...Read more

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Do I need surgery for fluid in the subcromial/subdeltoid bursa and a high grade partial thickness articulare sided tear supraspinatus tendon?

Do I need surgery for fluid in the subcromial/subdeltoid bursa and a high grade partial thickness articulare sided tear supraspinatus tendon?

Varies: Full thickness tears of the rotator cuff will often retract and not heal; so if someone is young and reasonably active surgery usually optimizes outcome. Partial tears can heal at times without surgery. A high grade partial tear is very close to a complete tear; you would certainly want to be followed closely by an orthopedic surgeon to discuss your progress. ...Read more

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My ultrasound shows there's a partial thickness articular surface tear of the supraspinatus tendon messing 4x3x9mm. What's the best way to heal it?

My ultrasound shows there's a partial thickness articular surface tear of the supraspinatus tendon messing 4x3x9mm. What's the best way to heal it?

Take it easy: Healing rotator cuff tears without surgery can be difficult. The tenets of conservative care are a structured physical therapy program, antiinflammatories for pain, and avoidance of any offending activities. Overhead work should be limited for up to 12 weeks. ...Read more

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Hi, I have pain in my right shoulder. I had an MRI done. Can you please tell me what the following findings mean? 1. Extensive tendinosis versus full-thickness focal tear of the supraspinatus. Tendinosis of the infraspinatus and subscapularis tendons.

Hi,
I have pain in my right shoulder.  I had an MRI done.  Can you please tell me what the following findings mean?
1. Extensive tendinosis versus full-thickness focal tear of the supraspinatus.  Tendinosis of the infraspinatus and subscapularis tendons.

Rotator cuff: Your rotator vuff is a group of 3 muscles which r on top of the shoulder blade I t attaches to the humerus by three tendons,supraspinatous, infraspinatous and teres minor. These tendons r very thick so when they tear they usually tear partially,not unlike a shoe string that begins to unravel. Subscapularis tendon helps piUll your arm back towards the midline.it and the infraspinatous tendons ...Read more

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I have a tear of my Supraspinatus tendon and my labrum tendon. I am having tingling and numbness in my right arm and hand. The same arm that my injury has occurred. Is this something that I should get seen right away about?

I have a tear of my Supraspinatus tendon and my labrum tendon. I am having tingling and numbness in my right arm and hand. The same arm that my injury has occurred. Is this something that I should get seen right away about?

"Stretch Injury": You probably stretched the nerves under your shoulder (arm pit) and the symptoms should subside. If they persist your doctor (who should be an Orthopedic or Occupational Medicine doc) can order tests to further evaluate your symptoms. ...Read more

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

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

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 firsthand. ...Read more

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Mri of shoulder mild partial intrasubstance tearing of supra, infras and subsc tendon insertions". Tendinopathy of the intra-articular bicep tendon?

Mri of shoulder mild partial intrasubstance tearing of supra, infras and subsc tendon insertions".  Tendinopathy of the intra-articular bicep tendon?

Diagnosis?: Don't make the mistake of determining your treatment based on an MRI reading. If you don't already have a diagnosis that makes sense to you on an anatomic basis prior to the mri, consider a second opinion. For instance, the number of changes you describe may be because of chronic untreated instability. Learn more: http://theshouldercenter. Com/shoulder-pain. Htm. ...Read more

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Flexor pronator tendon origin, severe tendinosos with 17 x 9 mm partial thickness instrasubstance tear. How can this be repaired. Chronic for 2 yrs?

Flexor pronator tendon origin, severe tendinosos with 17 x 9 mm partial thickness instrasubstance tear.  How can this be repaired.  Chronic for 2 yrs?

Tendon injury: Injuries to bones, tendons, & ligaments are best dealt with by orthopedic surgeons or hand surgeons (if applicable). They can evaluate status of injury, offer options for treatment, including surgery if indicated. ...Read more

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What does small irregularity at supraspinatus tendon mean and what could cause it?

What does small irregularity at supraspinatus tendon mean and what could cause it?

Tear, most likely: You could have a tear or calcium deposit in the tendon. It happens due to stress the muscle undergoes as you raise and lower your arm especially if you lift something heavy or do a repetitive job where lifting is constant. ...Read more

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What does "thickening of the supraspinatus tendon with linear high level T2 hyperintensity mean?

What does "thickening of the supraspinatus tendon with linear high level T2 hyperintensity mean?

Acute vs Chronic: Tendonitis is an acute injury of the tendon areas resulting in inflammation and irritation noted on imaging studies. Tendonopathy is a chronic condition in which inflammation is not the issue but micro tearing and lack of healing taking place in the tendon. Consider PRP or stem cell therapy for either condition to use your own body's healing and anti-inflammatory factors to regenerate tissue. ...Read more

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Could you advise on an operation for a fully torn supraspinatus tendon of the shoulder as I am now 75?

Could you advise on an operation for a fully torn supraspinatus tendon of the shoulder as I am now 75?

Depends: Would like more information as the treatment is really based on the state of the tendon. If retracted and with a lot of atrophy, you may be better suited with a reverse shoulder barring failure of other nonop measures. If your tendon is fixable and smaller and not with signify atrophy and you are active 75, I would advise arthroscopic repair. ...Read more

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Whole R arm burning aching pain on and off. When I lift my arm I get pain and a popping noise around the supraspinatus tendon. This all related?causes

Nerve compression?: This sounds like the burning and aching in your right arm could be related to compression of a nerve that travels to that arm, and the popping could be a hint to the location of that compression. Could be from the neck or shoulder area. This should be investigated. ...Read more

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Tendinopathy near the insertion site of the supraspinatus tendon with mild ac joint hypertrophy. The ac joint generates mild impression on rotatorcuff?

Tendinopathy near the insertion site of the supraspinatus tendon with mild ac joint hypertrophy. The ac joint generates mild impression on rotatorcuff?

That is a statement : Not a question. Just putting a? Mark does not let us kno what Ur question is. This is just stating an MRI reading of findings. Let us know if U had an injury or an insidious onset. Also, what R Ur activities, overhead sports (swimming, volleyball,tennis, weight lifting R some).

Please try again with these suggestions in Ur question. ...Read more