Hello, after a recent MRI that showed two small tears in the rotator my orthopedic doc sent me to PT. He claimed that many times these types of small tears can be rehabbed and surgery can be avoided. I have been in PT now for over 6 weeks and I am still having pain. I guess my question is, have any of you been able to go through PT and avoid surgery with these small type tears?
Thats what they do.. They rule out PT first... but then when your done your're left with your hands up saying "now what"? becuase you still aren't 100%... I think in most cases surgery is the real solution, then a solid rehab with PT afterwards.
I already had four cortisone shots over a period of two years. I had surgery two years ago on both shoulders for inpingement and the left shoulder was great but the right has never fully came back and now the two small tears are showing up. I really don't want to have another surgery and go through all of that but in the end it seems this may be the only option. Anyone have any luck with ultrasound therapy and ice calming things down? PT told me many people just live with the small tears and avoid the surgery but at 52 yrs. old I don't think I want to go for the rest of my life in pain. It feels like a rotten toothache most of the time, just that nagging off and on pain. Anyone have any other options or experiences to offer?
The big question is, are the two tears showing on the MRI the origin of the pain. Did the PT examine you with all the appropriate test for the shoulder with full range or the series of movements if there was shoulder restriction. Was your cervical spine involved? In fact what was the PTs diagnosis and what treatment did you have? Did everyone just believe the MRI. Remember if you did an MRI on almost anyone your age who never had pain it would show something abnormal but inconsequential.
You might look into Prolotherapy. I didn't use it for my shoulder because I had already had the surgery but it has saved my back from having to have surgery. Prolo can be done on shoulders, knees, necks, etc... I highly recommend!
What is Prolotherapy and where do you have this done?
Prolotherapy is usefull in the hypermobile shoulder where the ligaments are stretched and the joint may sublux. The injection is into the ligaments back and front. If the diagnosis of muscle tears is correct I'm not sure what prolotherapy would accomplish.