I had a small rotator cuff tear repaired about 10 months ago and, unfortunately, I am still having issues. I have never been pain free, with most of the pain and "tightness" located in the front of my shoulder. I also have slight swelling in my hand, particularly after exercising my arm/shoulder. My doctor ordered an MRI to examine the rotator cuff, and he said everything looked good with the repair. He advised a cortisone shot to calm down any inflammation that may be causing the pain, and to "break up" the scar tissue. I asked him how everything else looked (biceps tendon, labrum, etc.) and he said as far a he could tell on the MRI, there were no issues. He did mention that he did not believe that the biceps tendon was compromised, mostly based on the in-surgery photographs that showed a healthy biceps tendon. My question is two-fold: first, is there any better way to examine my shoulder than through an MRI (e.g. physical examination/sonogram), and second, should I be concerned about a frayed biceps tendon/labrum tear at this point. The pain is most evident during the "open can" exercises, and the external rotation stretches and exercises. Any feedback on this matter would be greatly appreciated.
As you know, the pain you are describing sounds like rotator cuff driven, and not labrum or biceps pain. I have seen a severe bursitis cause quite excruciating pain, and so i hope the cortisone shot will be helpful. If not, an MRI arthrogram is more useful than a plain MRI. Sonograms can be useful, but they are very user dependant, that is, they depend on the technician and doctor performing and reading the study for really reliable results. I would also suggest, if yu are still doing PT, take a break.
Copyright 1994-2017MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.