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Hi. Can You Please Review My MRI Results And Tell

Posted on Sat, 19 Sep 2020

Question: Hi. Can you please review my MRI results and tell me if surgery is recommened or if there are any benefits to surgery verses PT? My Dr wants PT but I am 43 yearsold and I want the fix to the problem to be permanent and I want the issue corrected. I would like a 2nd opinion. In addition, my pain has been getting worse over the past few weeks and now my shoulder is popping if I lift my arm. Is that normal?

Answered by Dr. Aashish Raghu (3 hours later)

Brief Answer:
Answer

Detailed Answer:
Hi there

Thanks for the query

Looking as your scans it appears that you have early degenerative changes of the rotator cuff tendons.

This does not require surgery unless the AC joint arthritis is scratching the tendons but it doesn't appear so.

You could undergo arthroscopic debridement of AC joint osteophytes to reduce scratching of the sharp osteophytes on the tendons but surgery at this stage won't change the outcome significantly.

Physiotherapy will suffice.

I hope I have answered your query.

I will be available to answer your follow up queries.

Regards,

Aashish Raghu

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Aashish Raghu (2 hours later)

The tendenopathy and fraying is also degenrative? What are the statistics that PT will be successful and how long is therapy usually?

Thank you

Answered by Dr. Aashish Raghu (15 hours later)

Brief Answer:
Answer

Detailed Answer:
Yes, those findings can occur in degeneration. 70-90% of partial years go to full recovery with lesser pain scores than those treated with operation.

Therapy could last from 4-8 months.

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Prasad