heal shoulder w/o surgery? long again...

cocob1

Cathlete
I had posted a few weeks ago about this and received some great feedback. I just had another MRI with dye injected into the rt shoulder joint. The Orthopedic Surgeon is talking surgery. ( I had herniated L4 & L5 disks 10 years ago (I had foot drop and sciatica) and chose not to do surgery. I didn't like the 50/50 odds of getting better or worse. It took 6 months to heal and took about a year before I could start running. I'd been doing Firm w/o way back then and then moved on to Cathe.)
Is this shoulder thing something I can heal on my own? Do tendons heal themselves slowly over time like my vertebra did or do they stay torn?
Below is the technical stuff from the latest MRI.... What has anyone else done with this kind of event happening to them?

The Dr.'s talking 6 weeks in a sling and then start PT.

Colleen:mad:

Conclusion
4mm x 8mm area of contrast material extending into deep surface fiber tearing posterior to the mid supraspinatus tendon less than 1 cm proximal to its insertion. This appears to focally involve, at maximum, nearly three fourths of the fiber thickness. Mild fraying and tendinosis of deep surface fibers of the supraspinatus anterior to this.
Diffuse appearance of tearing of the glenoid labrum. No discrete paralabral ganglion is seen. AC joint DJD with mild to moderate supraspinatus deformity. Mild subacromial/subdeltoid bursitis. The long head of the biceps tendon is intact and nondisplaced from the bicipital groove. Glenohumeral joint distended with contrast material status post arthrogram injection. 6. Mild to moderate synovitis, but without evidence for a discrete loose body.
 
without surgery your tendon will not heal completely because they have poor blood supply. So the bottom line is how much can you live with it? You will not be able to do a lot of your upper body workouts(heavy chest/back/shoulders) but you could train your shoulders differently such as therapeutic exercises. It really depends on how much pain your in, how much you can tolerate, and how much your willing to alter your lifestlye. I've had many patients that opted for no surgery and just scaled back on everything and were fine. Others opted for surgery right away since they wanted to continue to play the sports they were in and continue with their typical workout routine. Is you doctors recommendation for the sling for 6 months before/without surgery? If so, i would be careful with that. I'm not a medical doctor but not moving your shoulder for 6 months will lead eventually to a frozen shoulder which is more difficult to treat than the the torn tendon. I hope this helps some. I know there are other medical professionals that can assist you.
 
Hi Kariev,
Thanks for your reply.
The Dr. said 6 weeks in a sling after the surgery and some kind of "chair" for at home therapy that moves the arm with out my using any muscles to lift it to keep range of motion in the joint and then PT.
The part that is the worst is the bone spur that is right over the supraspanatus and that making the tear worse. Do bone spurs ever reabsorb into the body?
I'm so scared over this. I'm reading as many PT/Sports Injury/Rehab books I can get my hands on so I can make an informed decision.
One minute I'm thinking lets get this over with since I can't do my regular workouts and the next I think why not continue to not do any upper body weights so I can at least do running! He said in the sling I could only walk or do elliptical and I can't spend any money right now on a gym membership or on an elliptical. I couldn't even preorder Cathe's pull up tower let alone an elliptical! It's been financially scary at our house for a few years and now this.
Are there any rehab books you'd recommend?
Colleen
 
i would be a little nervous of the docs advice of immobilizing the arm for that long after surgery. we see our rotator cuff repair patients the day after surgery. we take them throught passive range of motion and some soft tissure massage to decrease the pain and swelling. if you don't move for 6 months, scar tissue will form and you will again have restrictive range in the shoulder. i don't have any rehab books to recommend, sorry. try doing a search on amazon for books and see what you can find.

fyi: bone spurs don't reabsorb into the body. i'm really sorry your experiencing this:(
 

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