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Suggest Treatment For Tear Of Subcapsularis Tendon
Question: My shoulder injury was as a result of a fall on July 16th (while attempting to escape from yellow jackets). Based on the accompanying report is there any alternative to surgery? I am an active 54 year-old male and my work requires considerable use of both arms. I am currently experiencing a great deal of pain and weakness.
Brief Answer:
Please attach the reports.
Detailed Answer:
Hello,
Thanks for posting your query.
I am sorry there are no reports attached with this query. Please upload the report in the box provided at the right hand side of the query page so that I can help you better.
Till then take rest and avoid all overhead activities.
Waiting for the reports.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Please attach the reports.
Detailed Answer:
Hello,
Thanks for posting your query.
I am sorry there are no reports attached with this query. Please upload the report in the box provided at the right hand side of the query page so that I can help you better.
Till then take rest and avoid all overhead activities.
Waiting for the reports.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I attached the MRI report again. Please let em know if you can view it now. Thank you.
Brief Answer:
No.
Detailed Answer:
I do not see your attached reports here. Do care to send it to
YYYY@YYYY with my name (Attn : Dr Praveen Tayal ) in the subject.
Regards.
No.
Detailed Answer:
I do not see your attached reports here. Do care to send it to
YYYY@YYYY with my name (Attn : Dr Praveen Tayal ) in the subject.
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Ok, I sent it to the email. I don't know why I couldn't get it to upload correctly.
Brief Answer:
Needs surgical repair.
Detailed Answer:
Hello.
I have seen the report. You have a full thickness tear of subcapsularis tendon with a retraction of 2.5cm. This needs to be surgically repaired as a retracted tendon can never heal on a conservative treatment.
Your doctor has guided you correctly. A surgical treatment in this case is necessary.
Please feel free to discuss further.
Regards.
Needs surgical repair.
Detailed Answer:
Hello.
I have seen the report. You have a full thickness tear of subcapsularis tendon with a retraction of 2.5cm. This needs to be surgically repaired as a retracted tendon can never heal on a conservative treatment.
Your doctor has guided you correctly. A surgical treatment in this case is necessary.
Please feel free to discuss further.
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you for looking at the report and your response. Can you tell me how time sensitive this surgery is? Would waiting another week or two or even a month make any difference in the final outcome of the surgery? What kind of recovery can I expect? Should the surgery restore full function with no pain?
Brief Answer:
Details below.
Detailed Answer:
Hello.
Thanks for writing again.
The surgery should be done within one to two weeks of the injury. The delay will cause a fibrosis of the torn ends of the tendon and will delay the healing and will make the proper repair of the tendon more difficult.
After the surgery it usually takes 3-4 weeks for recovery. Pain and swelling may persist for few weeks. You will have to do proper physiotherapy to restore the full range of movement around your shoulder joint.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Details below.
Detailed Answer:
Hello.
Thanks for writing again.
The surgery should be done within one to two weeks of the injury. The delay will cause a fibrosis of the torn ends of the tendon and will delay the healing and will make the proper repair of the tendon more difficult.
After the surgery it usually takes 3-4 weeks for recovery. Pain and swelling may persist for few weeks. You will have to do proper physiotherapy to restore the full range of movement around your shoulder joint.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you for your response. Unfortunately it has already been four weeks since the accident. I have an appointment with a surgeon in a couple of days and will schedule the surgery at that time. Is there any problem with taking ibuprofen for the pain? I read somewhere that it interferes with the tendon healing and should not be taken.
Brief Answer:
Use in moderate doses.
Detailed Answer:
Hello.
Ibuprofen taken in moderate doses like 400mg taken thrice a day after meals is not harmful and does not interfere with the blood supply of the tendons. You can use it on SOS basis also if the pain is less. Do keep the arm immobilized till then.
Regards.
Use in moderate doses.
Detailed Answer:
Hello.
Ibuprofen taken in moderate doses like 400mg taken thrice a day after meals is not harmful and does not interfere with the blood supply of the tendons. You can use it on SOS basis also if the pain is less. Do keep the arm immobilized till then.
Regards.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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