I work in healthcare and injured my right shoulder a year ago, doing repetitive movement. However, about 2 months ago I was taking a shower and reached down and my shoulder "feel out of place" but went back in. It has done this about 30 times since, and I have been in a lot of pain. I have been in physical therapy and had an MRI that read

"ROTATOR CUFF: At the anterior glenoid changes supraspinatus tendon seen on coronal image 11, there is fluid signal at the footprint attachment of which represents either a deep bursal surface partial-thickness tear or a less likely focal linear full-thickness tear. This measures 8 mm mediolateral and about 9 mm AP. The infraspinatus muscle and tendon are normal. The teres minor tendon is normal. Subscapularis shows tendinopathy without tear.

The muscle bulk is normal with no advanced atrophy.

GLENOHUMERAL JOINT AND LABROLIGAMENTOUS STRUCTURES: The humerus is round with no Hill-Sachs lesion. There is no bone Bankart abnormality. The inferior glenohumeral ligament shows no disruption. There is a trace glenohumeral joint effusion. Articular cartilage shows no focal defect.

LONG HEAD BICEPS TENDON: The long head biceps tendon is located in the groove and is followed through the rotator interval to attach normal at the supraglenoid tubercle and anchor.

CORACOACROMIAL ARCH AND IMPINGEMENT FACTORS: The AC joint shows mild hypertrophic arthropathy. There is capsular thickening. There are small spurs. The undersurface of the acromion is flat. There is lateral downsloping of the acromion. There is no significant thickening of the coracoacromial ligament. Trace subacromial bursitis is present. There is subcoracoid bursitis.

BONES: There is a lobular T2 hyperintense structure in the proximal humerus at the neck measuring 0.9 x 1 cm, representing a low-grade cartilage lesion. The bone marrow signal otherwise is normal

OTHER: Coracoclavicular ligaments are intact. The remaining subcutaneous and soft tissues show no significant abnormality.


Impression


1. Pathology at the anterior leading edge of the supraspinatus tendon. A small 9 x 8 mm fluid signal region is seen at the footprint insertion of the supraspinatus. This is most likely deep bursal surface partial-thickness tear.
2. Subacromial/subdeltoid and subcoracoid bursitis
3. Mild AC joint hypertrophic arthropathy and lateral downsloping acromion
4. A low-grade cartilage lesion of the proximal humerus
5. Trace glenohumeral joint effusion

I am concerned since my should came out during PT and they have canceled my last two sessions. What is my next course?