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Suggest Treatment For Tear Of Labrum

Posted on Mon, 11 May 2015

Question: tearing of the superior, posterosuperior and posterior labrum prominent associated multiloculated cyst formation noted extending from the posterior labral tear along the posterior aspect of the glenoid and into the supraspinatus and infraspinatus muscles
this are findings in a right shoulder mri probably caused by repetition stocking shelves for 20 years i am a 43 year old man
i was given a cortisone shot which has not help
my question is should i have a surgery

Answered by Dr. Dr. Praveen Tayal (12 minutes later)

Brief Answer:
Surgical repair is a better option.

Detailed Answer:
Hello,
Thanks for posting your query.
If the tear of labrum is a full thickness one then surgical repair is recommended. Labrum is not very well vascularized so the spontaneous healing is slow. Steroid shots will only help in reducing the inflammation. Healing needs complete rest for at least 4 weeks. There many be thinning due to cyst and that can interfere with normal healing process. The pain will persist till it heals properly.
It is better to get it arthroscopically repaired. It will help in early recovery.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
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. Neel Kudchadkar

Follow up: Dr. Dr. Praveen Tayal (5 minutes later)

thanks for your answer
what would be the consequences if I keep using my shoulder and ignore the pain

Answered by Dr. Dr. Praveen Tayal (3 hours later)

Brief Answer:
It can increase further.

Detailed Answer:
Hello.
Thanks for writing again.
In case you ignore the pain and continue with your normal activities then it will not heal and eventually the pain may increase further compelling you to take rest.
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

Follow up: Dr. Dr. Praveen Tayal (1 hour later)

thank you for your reply I uploaded the mri pictures please tell me your opinion
how does it looks should I have surgery now or wait

http://www.healthcaremagic.com/MultiAction?task=documentAccess&documentId=62665

Answered by Dr. Dr. Praveen Tayal (7 hours later)

Brief Answer:
Images are incomplete.

Detailed Answer:
I have seen the uploaded images. Please upload the report given by the radiologist to assess the depth of the tear.
If the tear is more than partial thickness tear then surgical treatment is recommended.
Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Praveen Tayal (23 hours later)

thanks for your reply this is the report
http://www.healthcaremagic.com/MultiAction?task=documentAccess&documentId=62802

is it normal that the pain radiates to upper chest?

Answered by Dr. Dr. Praveen Tayal (40 minutes later)

Brief Answer:
Not a full thickness tear.

Detailed Answer:
I have seen the attached report. It is not likely to be a complete thickness tear. Surgery can be avoided if complete rest is provided to the shoulder joint.
The pain from shoulder can radiate to the upper chest due to associated muscle spasm. Taking oral muscle relaxants will help.
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