rim rent tear supraspinatus

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1 Answers
Dr. Timothy Silver answered:

How much physical therapy for a rim rent tear?

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Physical_therapy
This is a partial thickness tear of the rotator cuff, the supraspinatus muscle is the muscle involved. It usually responds to rehab from 6 weeks to 4 months, if not responding may require arthroscopy. Discuss with your surgeon.
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1 Answers
Dr. Timothy Silver answered:

How much physical therapy need for a rim rent tear?

Discuss with MD

Physical_therapy
This is a partial thickness tear of the rotator cuff, the supraspinatus muscle is the muscle involved. It usually responds to rehab from 6 weeks to 4 months, if not responding may require arthroscopy. Discuss with your surgeon.
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Where would asupraspinatus tendon tear, or a rim rent tear be located?

See below

Extremity-joint-shoulder
The shoulder . This is one of the 4 rotator cuff muscles And most commonly torn . Follow up with an orthopedic surgeon Good luck thank you
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Dr. David Trettin answered:

I have a rim rent partial thickness tear involving the articular surface of the infraspinatus tendon 2/3rd of the thickness what treatment would recom?

Depends

Tendon
Depends if you are having shoulder pain and your exam correlates w/ your pain and MRI findings.Your history doesn'tmention shoulder pain. If u do and it meets criteria above then arthroscopic repair(for2/3 partial thickness tear) would be done.Your symptoms suggest other possibilities in addition to your "MRI diagnosis". See an experienced ORS... GL!
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Dr. David Trettin answered:

Does physiotherapy help in partial supraspinatus tear?

Yes

Physical_therapy
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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What is the treatment of a partial tear to the supraspinatus?

Rehab for most

Physical_therapy
This is commonly managed with a structured physical therapy program and takes months to optimize outcome. Surgery is discussed after months of rehab with continued pain and associated weakened despite full compliance with a proper rehab program.
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Dr. Keith Baldwin answered:

What does high grade partial undersurface supraspinatus tear mean?

Partial rotator cuff

Rehab
This tear can respond to rehab, sometimes in higher level athletes a nagging injury will require tear completion and repair
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What does a "full thickness tear of the supraspinatus tendon" mean?

Rotator Cuff Tear

Tendon
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.
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What is the best Rx 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.
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I have a rotator cuff injury and drop arm test shows supraspinatus tear. Do I need to have surgery?

Depends

Open-uri20121116-1522-s1nvdz
If you have a complete rotator cuff tear with weakness and night pain in your dominant shoulder then yes, at age 45 you may need surgery. You don't mention having an MRI. If you do get an MRI arthrogram as it provides more information. Have you tried any physical therapy yet ?
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