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Shoulder MRI shows narrowing of subacromial space with supraspinatous tendinosis. Treatment?

MRI multiplanar multisequence MRI of left shoulder.
"Findings: Normal AC joint. Lateral downsloping acromiom with curved undersurface and narrowing of the subacromial space.
Supraspinatus insertional tendinosis with lowgrade articular sided tear.
Trace fluid within the subacromial subdeltoid space. The infraspinatus, subscapularis and teres minor remain intact. Biceps tendon intact lying within the bicipital groove. Rotator muscle bulk preserved.
No joint effusion. No abnormal marrow signal. Periarticular soft tissues and muscles appear unremarkable.
Impression: Narrowing of the subacromial space with supraspinatous tendinosis and lowgrade articular sided tearing.
Question for orthopaedic surgeon? What treatment would you recommend? Surgery? I have already had 4 months physiotherapy (once a week). I'm having difficulty retrieving patient charts for clinic, while respecting manual handling techniques.
This has been ongoing for 1 year with permanent dull pain and three excruciating flare ups.
Asked On : Sun, 28 Apr 2013
Answers:  1 Views:  334
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Orthopaedic Surgeon 's  Response
Thanks for writing to us.
The MRI scan results are suggestive of frozen shoulder. Rest, hot fomentation, oral muscle relaxants are the main treatment. Regular physiotherapy exercises are recommended once the acute pain subsides.
I hope this information has been both informative and helpful for you.
Dr. Praveen Tayal ,
Answered: Wed, 19 Jun 2013
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