Suggest treatment for rotator cuff tear and tingling numbness in legs
In August of 2014 I was operated on for severe cervical stenosis which was corrected with C3 thru C7 laminoplasty. I was on the mend remarkably well, until …
I tripped and fell in January of 2015 …
• Breaking a tooth
• Tearing my left rotator cuff 0% or greater at the supraspinatus tendon
• Nerve damage caused at L4-L5 that is causing numbness and tingling in both legs and feet.
• Recent EMG reveals chronic multilevel cervical radiculopathy, C5/6 C6/7
Here is my dilemma, the orthopedic “surgeon” is recommending rotator cuff surgery, but 6 other involved practitioners are cautioning me against going through with the surgery. At different levels they are all basically saying the same thing … the laminoplasty operation never fully healed and then was complicated with the multilevel cervical radiculopathy at C5/6 C6/7 after falling … they all seem to express that post op physical therapy would be impossible for me to ever complete.
• First, would you agree with these practitioners?
• Second, if I did go through with the surgery and was unable to undergo the physical therapy, what could I expect to happen with my shoulder and arm?
• Second, if I opt to do nothing what could I expect to be in store for me down the road? I have been a physically active 62yo male until now.
The tear is 50% or greater
Rotator cuff surgery should be done
I have studied your case and I think you need to go for Rotator cuff tear surgery. As you are having partial tear then you need to get surgery for this.
It may be contributing in neck pain also. So it is possible that once you get shoulder surgery then your neck pain will also feel better.
As far as cuff surgery is concerned It can be done with some caution and I do not think that shoulder surgery will cause any problem in physiotherapy.
So I am not with Practitioners and I would suggest you to go with cuff surgery. If you do nothing then this cuff tear will progress and it can cause further damage and pain with limitation of shoulder movements.
I hope this answer will be useful for you,Let me know if there is any other followup questions.
If I did go through with the surgery and was UNABLE to undergo or complete the physical therapy, what could I expect to happen with my shoulder and arm?
You can have a stiff shoulder
physiotherapy is important for cuff surgery and if you do not do this your shoulder will become stiff. So you need to do physio. But I do not think that there is any problem for you in doing exercises.
The User accepted the expert's answer
Get personalised answers from verified doctor in minutes across 80+ specialties
- Symptoms of Rotator cuff tear
- Rotator cuff tear causes
- Treatment and cure for Rotator cuff tear
- Diagnosis of Rotator cuff tear
- Injection for rotator cuff tear
- Full thickness rotator cuff tear
- Massive rotator cuff tear treatment
- Rotator cuff tear vs impingement
- Rotator cuff tear recovery
- Estim for rotator cuff tear
- Suggest treatment for foot drop
- What are symptoms of rib fracture?
- What causes pain in inside of elbow of both arms?
- Suggest treatment for cervical spondylitis
- What causes red knots on arms,legs and body with swelling on ankles?
- What causes pain and swelling in knee and calf with history of...
- Can i travel with swollen ankle post injury?
- What causes throbbing pain in right side of abdomen?
- What is the cause and treatment for pain in heels?
- What causes pain in ankle radiating to heel?