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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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How to treat the findings in ultrasound of shoulder without surgery?

as USG Rt Shoulder report, Sir I am near complete to complete full thickness teaar of supraspinatus tendon with atrophic muscle bellly. Fluid distension of bicipital groove, SA_SD bursa and supcoracoid recess. Suspicious small tear in cranial fibers of subscapularis tendon. Degenerative cortical irregularity of humerous. please let me know I should go for surgery. As I am cardiac patient I want to avoid surgery. What should iI do please. J.K.Arora
Fri, 20 May 2016
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Physical Therapist or Physiotherapist 's  Response
hi,

thank-you for providing the brief history of you.

As your ultrasound reports suggest you have a rotator cuff injury and the pain level should be high as per the reports.

Also, there is some degenerative changes in the muscles and bones around the shoulder joint as this is a common thing to happen as ageing progresses.

I will advice you to undergo physical therapy and regain the full ROM of the shoulder joint and also the Strengthening of the muscles of the rotator cuff by which the next plan can be decided.

In my clinical practice I have seen rotator cuff injuries and with atleast 2 muscles complete torn. But keeping into consideration the age of the patient we dealt only with physical therapy and regained the full shoulder functionality. Ofcourse surgery is avoided for her and maintenance of the shoulder mobility is what the plan .

i will be happy to help you further if you can give me more details about your case and can be taken further from here to avoid surgery.

Regards
Jay Indravadan Patel
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