I am a 30 year old male. I had three dislocations approximately 5-6 months apart, in my right shoulder when playing tennis and once when I was sleeping. Then I underwent an arthroscopic surgery on my right shoulder. The Surgeon in his report reported, “There was a massive hills sachs lession This was debrided of any loose, chondral fragments. There was a massive anterior labral tear. This was extremely fragmented. It was not amenable to repair.” I was back to normal but would hear small sounds when I tried to rotate my shoulder. However, there were no further dislocations.

However, about 5 months ago when I was sleeping my shoulder dislocated again. The following was reported on my MRI. There is a small Hill Sachs deformity. The glenohumereal joint is maintained. The rotator cuff muscles are normally developed. There is a partial, articular surface tear of the infraspinatus tendon, near the Hill Sachs deformity. It involves the proximally 25% of the thickness of the tendon fibers (coronal image #10, sagittal image #4). The rotator cuff is otherwise normal. There is a slight irregularity to the anterior inferior labrum, suspicious for a subtle tear. In this region, the anterior inferior labrum is diminutive. Again, a discrete osseous Bankart deformity is not identified, however it is possible that a subtle deformity can be better identified with a CT scan. The labrum is otherwise normal. The intra and extraarticular biceps tendons are intact.

I have been doing physical therapy for the last three months to strengthen my rotator cuff. I am able to do most of my regular activities.

My question is should I continue doing Physical Therapy? When will I know if my condition has become better?