Hi, thanks for writing to HCM.
All the findings in the description suggest ROTATOR CUFF
ARTHROPATHY with DEGENERATION.
* ACROMIO CLAVICULAR JOINT(ACJ) ARTHRITIS
- An asymptomatic ACJ does not require treatment even if the MRI is positive. The initial treatment for this problem is by ACTIVITY MODIFICATION by avoiding movements that puts strain on the joint and ANALGESIC
MEDICATIONS. If the pain is very severe, then a STEROID
INJECTION into the joint will provide good relief.
If everything fails, then an arthroscopic or open distal clavicular resection is advised.
* MANAGEMENT OF ROTATOR CUFF TEARS - If a tear is partial and small , conservative treatment is tried which includes analgesic antiinflammatory medicines and PHYSIOTHERAPY
to strengthen the rotator cuff muscles and scapular stabilizer muscles. If there is no improvement, then an ARTHROSCOPIC REPAIR may be needed.
Consult a good arthroscopic surgeon in your locality and follow his advice.
Hope this information is helpful. Good day