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Suggest Treatment For Rotator Cuff Partial Thickness Tear
Question: I have got a rotator cuff partial thickness tear involving the brusal aspect of the supraspinatus tendon close to its foot plate. I have been asked to undergo artheroscopic subacromial decompression + labral repair level 5 surgery. I would like to know if i can avoid this surgery and also a second opinion on the treatment and medication plan.
Brief Answer:
Surgery is not necessity,there is scope for conservative treatment.
Detailed Answer:
Hello,
I have read your query and MRI report.
For partial tear in supraspinatus tendon at age of 29 in non athlete there may not be need of surgery. Exercises and physiotherapy with manual therapy will help.
[I consider that you are not associated with professional sports]
You may need to continue physiotherapy for rehabilitation
He may start TENS ,or ultrasound which is helpful in your case.
Medication like methylcobalamine and tendocare will reduce symptoms; you can take them consulting your treating doctor.
You may need to continue daily exercises at home.
Some exercises which can be done after pain has reduced include- gradual neck rotation, touching your ears to shoulder, shoulder shrugging exercises, shoulder rotation, shoulder abduction.
Also check your vit B12 and vit D3 in your blood.
Subacromial bursal steroid injection may help to reduce symptoms.
You may repeat 3 tesla MRI at other centre.
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
Wishing you good health.
Take care
Regards
Dr Vaibhav
Surgery is not necessity,there is scope for conservative treatment.
Detailed Answer:
Hello,
I have read your query and MRI report.
For partial tear in supraspinatus tendon at age of 29 in non athlete there may not be need of surgery. Exercises and physiotherapy with manual therapy will help.
[I consider that you are not associated with professional sports]
You may need to continue physiotherapy for rehabilitation
He may start TENS ,or ultrasound which is helpful in your case.
Medication like methylcobalamine and tendocare will reduce symptoms; you can take them consulting your treating doctor.
You may need to continue daily exercises at home.
Some exercises which can be done after pain has reduced include- gradual neck rotation, touching your ears to shoulder, shoulder shrugging exercises, shoulder rotation, shoulder abduction.
Also check your vit B12 and vit D3 in your blood.
Subacromial bursal steroid injection may help to reduce symptoms.
You may repeat 3 tesla MRI at other centre.
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
Wishing you good health.
Take care
Regards
Dr Vaibhav
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you sir for the reply. Can you please tell me how the tear will be reattached by doing physiotherapy.
Brief Answer:
Its partial tear so fibrosis will occur gradually
Detailed Answer:
Hello again,
This is not complete tear,partial tear will show gradual healing by natural healing mechanism.
Physiotherapy will enhance healing and strengthening.
Ultrasonic waves have healing potential,TENS will help to reduce pain and swelling internally.
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
Wishing you good health.
Take care.
Its partial tear so fibrosis will occur gradually
Detailed Answer:
Hello again,
This is not complete tear,partial tear will show gradual healing by natural healing mechanism.
Physiotherapy will enhance healing and strengthening.
Ultrasonic waves have healing potential,TENS will help to reduce pain and swelling internally.
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
Wishing you good health.
Take care.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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