I had rotator cuff surgery in early sept. and golfer and tennis elbow ulnar nerve surgery in Feb 07. My ?'s are as follows: The elbow seemed to do very well up untill the surgery for the rotator cuff In Dec. of 06 I was tipping a fryer basket and felt a large pop in elbow the pain was terrible all the way to shoulder. My job for three years started as a food handler for a company lifting 35-50 pounds on a 6 to 8 hour shift or on a line making sandwiches this I did for 2 years than I moved to a facikity where I was a cook the grill was very large and had a long reach, thats when the elbow and shoulder really became bothersome. Than came the day when I tipped the fryer basket and all hell broke/ Well first the doctor said the shoulder was referred pain from the elbow we did injections rest and PT to no avail so surgery. during post op pt I complained a lot about shoulder and bicep pain. We did ultra sound on them but did not relieve pain. Doc injeceted the shoulder as well no help so off for a MRI torn rotator. Still he doesn't think it came from tipping fryer basket. Had that surgery in Sept. having major problems WC after 2 doc's one being a causation doc. and after surgery sends records to a independt records reveiw, that doc says it's degenrative I am 44 years old the tear was 50% can that be degenrative? I didn't do alot of overhead lifting but my job was very repetitive with long raeches and heavy lifting, can these cause tears? I never had pain till that day. Also since the surgery I still have bi-cep pain and after surgery I had a catching on shoulder through PT it finally snapped and now I can't reach to pull pants up, brush hair , snap bra, put hand in back pocket, put coat on. Doctor thought maybe frozen shoulder PT says NO any ideas? sorry post is so long but I am losing it, next will be anti depressents. Thanks for any comment in advance.
How are you feeling now?
I want you to relax and revisit what all has happened till now.
I am not sure whether you can call it degenerative or not, as it depends on your clinical examination and also on scan what you have shown the doctor's.
Yes, repetitive movements involving above the head range of motion for arm can cause tears. Your job involved that. Rotator cuff tear usually presents as diffuse, dull, aching pain localized over the shoulder joint and upper arm with pain in overhead activities.
Since the ligaments and muscle were strong, holding on to the joint, hence it was never painful. When the moment came to such an extent that there was tearing more than 50%, it started giving way and you had injury.
60% of cuff tears occur in those >60 years old.
Partial-thickness tears are likely to progress to full-thickness tears over time (+).
Biceps pain might be due nerve injury during surgery that will take time to heal.
Your physiotherapy should continue and that should include;
Rotator cuff program: Gradually increase strength and range of motion.
No active movements with >60Â° of flexion or abduction while painful.
Strengthen cuff muscles, deltoid, biceps, scapular stabilizers.
Ice, ultrasound, electrical stimulation therapy will help.
Keep me informed about your disease progression.
P.S- Find below is the reference which matches your disease progression.
+-Yamanaka K, Matsumoto T. The joint side tear of the rotator cuff. A followup study by arthrography. Clin Orthop Relat Res 1994;304:68â€“73.
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.