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What Does My MRI Scan Report Indicate?

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Posted on Wed, 17 Feb 2016
Question: I had a small lifting problem with an small bag I did not know how heavy it was, aprox. 5 months ago. I am 75 years old. The pain was only in the left shoulder. An MRI found: 15 mm. lengh full thickness tear of the supraspinatus tendon without significant retraction. (FULL THICKNESS ROTATOR CUFF TEAR). The pain have been disapearing almost in 90% since 3 days ago and the movements are improving every day . Question: Could I live without surgery? Is it mandatory? I am retired and don't want the surgery. Edmundo
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Answered by Dr. Olsi Taka (2 hours later)
Brief Answer:
Surgery not mandatory

Detailed Answer:
I read your question carefully and I understand your reluctance to undergo surgery.

Not all rotator cuff tears end up having surgery. In many patients conservative management with rest, physical therapy, anti inflammatory drugs can may lead to improvement. There may be some permanent reduction in strength though and there is the risk of the tear getting bigger.

Surgery is considered really necessary for tears of over 3cm, symptoms lasting for over 6 months and a significant loss of strength and function. So since you say that the symptoms are diminishing and movement is improving I think surgery should not be the first choice although it is wise that you are seeing an orthopaedic specialist.

I remain at your disposal for other questions.
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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Answered by
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Dr. Olsi Taka

Neurologist

Practicing since :2004

Answered : 3672 Questions

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What Does My MRI Scan Report Indicate?

Brief Answer: Surgery not mandatory Detailed Answer: I read your question carefully and I understand your reluctance to undergo surgery. Not all rotator cuff tears end up having surgery. In many patients conservative management with rest, physical therapy, anti inflammatory drugs can may lead to improvement. There may be some permanent reduction in strength though and there is the risk of the tear getting bigger. Surgery is considered really necessary for tears of over 3cm, symptoms lasting for over 6 months and a significant loss of strength and function. So since you say that the symptoms are diminishing and movement is improving I think surgery should not be the first choice although it is wise that you are seeing an orthopaedic specialist. I remain at your disposal for other questions.