Do I have rotator cuff tear and is surgery necessary?
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- เผยแพร่เมื่อ 3 ม.ค. 2017
- Whether or not a patient requires surgery after being diagnosed with a rotator cuff tear is a common discussion at the clinic. Just like with most injuries, not all rotator cuff tears are created equal. Before the decision to go in for surgery is made, there are a few factors to be considered: size of the tear, location of the tear, how it started (i.e. gradual onset or after a fall or accident) and how long rotator cuff symptoms have been present.
Symptoms of a rotator cuff injury often include: weakness during overhead activities (i.e. combing hair, reaching to the side), snapping or cracking when moving the arm, stiffness and pain at night, difficulty lying on the shoulder, and pain referred to the outside of the shoulder.
Anatomy of the Rotator Cuff
The rotator cuff provides stability to the shoulder, which is predisposed to dislocations due to its shallow socket. A group of tendons and muscles in the shoulder, the rotator cuff connects the humerus (upper arm) and scapula (shoulder blades). The rotator cuff muscles and tendons keep the humeral head ball in the socket of the scapula during all movement, with the help of the surrounding ligaments. The muscles that make up the rotator cuff are a group of four muscles that work together to lift and rotate the arm: the supraspinatus, infraspinatus, teres minor and subscapularis.
Rotator Cuff Tears
Most commonly, tears occur in the supraspinatus tendon where it attaches on the humeral head. Larger tears can include the infraspinatus, teres minor and subscapularis tendons. A major difference in these tears is whether they are partial or full thickness tears.
Treating full thickness tears with physical therapy is often less successful, especially if the tear occurred abruptly. In the case of a sudden fall or injury, certain studies suggest that surgery is often more successful as compared to physical therapy. If you have experienced a gradual onset of symptoms, you have a higher likelihood of responding to physical therapy.
Other factors that determine whether surgery is necessary really depend on the patient’s individual situation and goals. In the cases of athletes, carpenters, or anyone who engages in repetitive activities (especially above shoulder height), higher demands are placed than those of sedentary individuals.
Proper Diagnosis
A proper diagnosis is essential to ensure the repair of a rotator cuff. In certain cases, the rotator cuff tendon and muscles can shorten if surgery is delayed, which makes it more difficult or even impossible to repair. This diagnosis can only be done with a magnetic resonance imaging (MRI) and a consultation with an orthopedic surgeon.
At times, a neck injury can appear like a rotator cuff tear or tendinitis, so a proper examination of both the shoulder and the neck is essential. In the case of a trauma (i.e. a fall or motor vehicle accident), both the neck and the shoulder can be sources of pain, which is not always clear to the patient or healthcare practitioner in the early stages. In an effort to compensate for the shoulder weakness or pain, patients will shrug to elevate the arm using the muscles of the neck, which may lead to a compensation injury.
Conservative Treatment for Rotator Cuff Injury
If you choose to pursue conservative treatment as opposed to surgery for your rotator cuff injury, care will typically include the following approaches:
1. Rest - Avoid participating in certain activities that delay healing.
2. Nonsteroidal anti-inflammatory drugs (NSAIDs) - Medications like Ibuprofen and
Naproxen can reduce pain and swelling.
3. Physical Therapy - Combinations of exercises to increase range of motion and strengthening of the shoulder and neck, in conjunction with instructions on correct posture and proper movement patterns, will facilitate the healing of a rotator cuff injury.
4. Injections - Several types of injections can be used with varying degrees of success and possible side effects. They range from homeopathic traumeel injections, platelet rich plasma (PRP), hyaluronan injections, and/or steroid injections depending on your surgeon’s preference or experience.
As in any case of deciding if surgery is indicated, discuss your situation with your physical therapist and orthopedic surgeon to understand all of your options for the best possible outcome.
“Like” Apex Orthopedic Rehabilitation’s page for more information and future informative videos to assist you with your rotator cuff injury.
Apex Orthopedic Rehabilitation in Paramus, NJ provides orthopedic and sports physical therapy services for the greater Ridgewood, Paramus, and Bergen County region. This blog is intended for informational purposes only and should not be used for diagnostic or prescriptive purposes. The views expressed here are the author’s views and should be taken as suggestions. Always consult your doctor or healthcare practitioner before engaging in a physical therapy or rehabilitative program.
I had an X-ray on my left shoulder and told I had a torn rotator cuff.
I was told surgery would be needed, but was warned that it might tear again, so I thought what is the point.
I did research and was told the same thing.
I started low intensity stretches with resistance bands for a month. There was quite a bit of improvement. I then started light exercises for the 4 muscles surrounding the rotator cuff, and it was improving very slowly each month.
I then gradually started heavy exercises, ie push ups, pull ups, push and pull exercises basically. But kept up with the stretching exercises.
Cut a long story short, I now do Callisthenics, also I am 57 years old. It took 18 months to heal100%.
So don’t believe everything your doctor or online info say.
I'm Handy Arry we are now seeing patients after rotator cuff surgery that have failed especially in large repairs with full function and pain free. Glad you are better!
I just want people to know their options so they do it if they feel it is appropriate for their situation.
I had surgery 2006 dislocated left shoulder . Took me a year to hear. Yes you may have to get it done again. My DR told me lift nothing over 10lbs. Bouts shoulder hurt now. The L I feel I may need surgery again. Have an appointment soon
Like mine all ok except cannot raise my arm fully up,but stil do push ups,right now i use resistant band to train my shoulder back because of weak.so what type workout you do for resistance band.tq
How are you doing now . I think I have rotator cuff injury. Can you suggest any good exercises?
I had a 50% tear in my left rotator cuff, was so painful and swollen I couldn’t move my elbow away from the side of my body. The surgeon who I had a consultation with told me that it would not repair on its own and that it needed surgery. I done some research myself and found out that even if I was to have it done, there’s a good chance that it may tear again/not be much better than it was, amongst other complications and having 8-12 weeks off work. I decided not to have surgery and slowly I got a full range of motion back and it took about 12 months to get back to full strength and lift weights to what I was pre injury. 2 years later, no surgery and it’s as good as it ever was 🤷🏼♂️
How did you regain your strength back? and how did the injury occur? Thank you please get back to me!!
Khalid I had physio on it. So this was certain stretches that I had to do get a better range of motion and a small amount of strength back into the joint and this would of acted as a pre-habilitation prior to any surgery if I was to have it done. The full strength came back in time with light weights in the gym. I’m a bricklayer, I was at work and layed a thermalite block above my head and I felt my shoulder pinch, that was it! I could move it for the rest of the day but not when I woke up in the morning
@@bentyrrell8083 How did that cause a 50% tear? Seems a bit extreme! I'm glad it's all sorted now, I hope exercises help me.
Khalid I have no idea?!!! I think it must have been getting worn before this and then lifting the block finished it off. For about 3 weeks before , it was aching when I lied on that side in bed, but I was really heavy, about 16 stone, and I thought it was just because of my weight. Yeah keep up with the exercises ect and do your research on recovery. I even looked at stem cell treatment, it was about £7000 per shoulder
@@bentyrrell8083 Mine isn't as quite as bad as yours, I have full ROM but moving my arm in certain ways will cause pain especially twisting of the arm, do you think physio is worth trying?
You are an exceptional Doctor, knowledgeable, helpful and responsive, answering all the questions. You are remarkable!
Thanks. I try!!
Awesome quick review
Doc you're a good teacher. Thanks a lot.
Thanks!
Great video. The best one out there so far. Very helpful 👍
Darroch McElarney thanks
I just want to thank you for actually going through and responding to comments and questions, we appreciate you!
Thank you. Very informative. Please do the second video and explain recovery of partial traumas (non surgical way)
Vlad Puha will do
Yes, how does one recover the non surgical way if so indicated and what are the non surgical structural repairs that are possible?
Keep your shoulders safe, everybody! It's a good idea to build strength among the four muscles of the rotator cuff. There are some good resources available on YT.
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Awesome video- by far the best and clearest explanation without wasting viewer’s time. Thanks and great work!!
Mike 77 thanks mike!
My husband has been in so much pain for over a week. He has a pretty sedentary job so we can't figure out what might have caused this. The tele-doctor through our insurance said that he was young and healthy (he's not; chronic illness from multiple infections that are difficult to kick is a daily struggle and we mentioned that) and told him to take more ibuprofen and continue to rest. 🙄
Thank you SO MUCH for providing so many ways to do some quick tests at home to see how severe this issue may be. We'd rather not go in and spend a bunch of money to be continually dismissed as "young and healthy" but we also prefer to fix things when they are broken, so it's been tough trying to decide what to do.
Your welcome.
Great job! Very crisply and neatly explained.
I feel am definitely having a rotator cuff tear.
Rahul Kundurpi have it checked out
@@apexmovebetter Yes, definitely I will. Thank you so much. 🙏
This was really useful. I work in radiology and hear about cuff tears but never really understood what it meant!
Ellski Thanks for the comment!
You're work in radiology and you don't know what a rotator cuff tear is? Please find another job
Ocular ba ha ha ha nice one!
I had 3/4 tear. I recovered very fast. My key was only take the pain meds for 3 days. Then toss the sling and move your wrist a little. It hurts. Don’t push it. Just move a little from then on. At night for nights 4-6 I needed pain med because my shoulder was warm. After that I kept rehabilitating on my own until I saw the surgeon. He sent me to rehabilitation. Third time in I put my arm all the way over my head. Done. Blew their mind.
luvsilly60 I think a gradual increase in load for a variety of conditions is the key to success
Is a warm shoulder an indication too..u wonder how to test that
Unfortunately for me, despite a fairly diagnostic physical exam for infraspinatus tear, referral to ortho and MRI is not "approved" until you've done 6 weeks of PT. Great info about possible neck involvement causing similar symptoms!
Tell us how you do with PT. Good luck!
Good thing I stumble across this video...I did the side arm test too.. If my arms are bent and I raise my elbow to my side, I dont feel pain but once I fully extend my arm, I feel pain. This suddenly happened and been going on for 2 weeks now. I didnt perform much shoulder exercise to make sure I wont do much damage. Now its getting better but the pain is still there.
It is a good sign it is already starting to improve. With the elbow bent there is less torque on the shoulder. Best of luck!
Through gradually working on rotator cuff and scapula strengthening if you have full range of motion
@Semper Fortis not as sturdy before i guess
I had dislocated my shoulder while playing basketball and I popped back in by itself, I can left my arms up and down at command but still fell pain. Do I need to see the emergency room ?
Very informative video! I have the night pain, lying in that side hurts and I definitely can’t reach behind my back. Putting a jacket on requires some finagling with that shoulder and can be quite painful.
Why don’t you get an evaluation t check it out
This was very helpful, thank
Yolanda Milani glad it helped you!
@@apexmovebetter what are best pain relievers to take while healing?
@@michelebergman4336 if inflammation is causing a portion of your pain a anti inflammatory may reduce your pain. It is important to contact your doctor about the proper use of medication‘s for your situation.
I've been in pain for months and finally had an ultrasound done about a month ago. I was told it's not a tear, but the muscles are inflamed. No Dr. follow up so I don't know what I should be doing? It's getting really bad but I tried the movements you show here and some I can do no problem, others are impossible.
@ɮᴇᴄφᴍɪnɢ - WR No it's not, but I'm much better now. Since Covid started and I'm working from home I am healed! I think.
You may have a rotator cuff tear that depending on the activity it could be painful or pain free. It may also be related to a pinched nerve in your neck. Some neck or cervical problem can mimic a rotator cuff tear. Best of luck! Keep me posted. Get to the MD because if it is a large rotator cuff tear it gets harder to fix the longer you wait.
and you have to know what to insist upon, because a lot of medical plans (like Kaiser) with the arbitration clause, you will get dismissed by a G.P, as being "fine"when if you could sue them, the GP, to protect themselves from lawsuits, would refer you to an orthopedist .
I can't even think about doing any of these tests without moderate pain. Just the very thought and tightening up of the muscles to begin hurts. Lifting the injured arm with my other arm hurts moderately but to let go once in the up position is a no go. Severe, severe pain in the front on the ball and down the bicep. Swelling and pain to the external touch.
Ya doc I couldn’t reach over on the right side passenger 2 weeks ago but now I can I guess it was bruised?
I had my third RC repair on Feb 19th, 2020...one on the left, two now on the right shoulder. All I can say to those of you who feel discomfort in your shoulders is to get yourself evaluated and see a physical therapist sooner rather than later. If they give you strengthening exercises, do them religiously. These tissues weaken as we age and any sudden trauma (in my case, a hard fall on ice) can cause some serious damage. In a fraction of a second, my shoulder was once again toast. I knew it immediately, since I'd felt it before. If I had been disciplined with my shoulder exercises, I may have survived that fall (might not have too...don't know)...but I wasn't disciplined, and now I'll probably never have full range of motion again. Word to the wise.
How are you doing now after 1 year?
Please do an AC joint video, I have a pain on top of the AC ligament after exercises with the roll ab wheel.
I can easily pass all the tests you demonstrated. No issues. Have had pain that comes and goes in my shoulder that started as a “pinched nerve” type issue in my upper neck region. Pain travelled down to my right rotator regions and, while the neck pain/stiffness has greatly improved, the pain is still nagging in my right shoulder. It also increases when I look up with my head. But, again, my shoulder is strong...can easily pass all the strength and range tests you demonstrate here. 🤷🏻♂️
Totally Neck issues
Dude I love the tie.
Thanks!
A few years ago in high school I felt like I tore something in my shoulder so I just stopped playing baseball I never got it checked ... I’d say 3-4 years but now I’m feeling some night/morning pains and pains throughout the day on my right shoulder ... idk what it could be
Senpapi.it may not be linked to the first injury but may be worth an evaluation if it gets worse
Thank you for the video. As I see you respond to most questions, I have some of these symptoms, probably hurt myself 10 days ago. I didn’t have a sudden injury or atleast can’t place when it happened. But just felt sore in the upper back and right shoulder where the tendons attach and more sore is subsequent days. I do some exercises everyday and maybe I was hurting myself a little everyday. I also haven’t seen any bruising.
After 10 days I feel less sore and still feel weakness in the arm while doing some of these movements. But can bring my arm up and down slowly and hear a click.. Have developed a neck tension on right side after this.
Without any bruising , and without any sudden dramatic pain, can it still be a tear? Thanks.
It can still be a tear but I would make sure the neck is not contributing to the current problem. Non-traumatic tears typically do better than falls resulting from fall or clear trauma.
Apex Orthopedic Rehabilitation thank you for your response. How long would you say I wait and see before going to a specialist?
Non traumatic tears, do they often heal on their own ? What’s the general recovery time?
@@KK-wv3vg hi k k it is two years now how you going? Is it getting better by now?
About 7 months ago I "felt wrong" starting elevated pushups - but did them anyway. You know, no pain, no gain (it was only 40, 5 times a day, every other day). The following day I started to have back pain (or shoulder, no longer recall). It's also possible I hit my back on a turnstile trying to squeeze through a day or three before.
It got bad especially trying to do anything behind me and even the weight of the arm bothered me. Saw an orthopedic doctor and he gave me a shot and some exercises to do, and they did an x-ray plus scheduled an MRI.
Diagnosis was rotator cuff, micro-tears. It's been improving with the bands for exercise and now doing 20 of the inclined pushups after. I'm supposed to do the exercises twice daily but am doing it once, twice every other day, 10-30 reps recommended and am up to 20. On my good shoulder the bands seem like almost nothing, but hard to do on the bad one still.
The pain is at the shoulder blade not the shoulder itself but I believe the doctor's diagnosis to be correct.
I'm 66 years old, and was just wondering, I have been noticeably improving lately, but have daily off and on pain, just not so bad I'd consider another shot. How long does it usually take to get back to "normal"? Do I need to work through all four bands before stopping the exercises, I'm just on the 2nd from weakest.
Helpful. Thank you. Hope I didn’t wait too long. Appointment made to see a doctor later today.
Larry Clark good luck
I have pain in the front of my shoulder and i cant raise it my arm can only bend at the elbow my left hand hurts a lot what do you think it is?
Mse! I literally spit the water out of my mouth reading your comment. I’m a physical therapist and I have to agree with your assessment. It’s definitely a prolapsed anus
Stop self pleasuring and pray.
Hi I have all of these symptoms my shoulder also feels like it as dropped a little bit and I keep getting pains in my chest through to my ribs all on the same side also been getting pins and needles for the last 3 months which lasts for about 10 to 15 minutes in the same arm what do you think this could be and should I see my doctor as I am a bit stubborn lol so keep putting it off thanks
Martin Plumb I would check with a doctor to ensure you are not developing neurological weakness.
I tore my supraspinatus and infraspinatus tendons and a mild labrum tear in a fall on ice. Massive tears with retraction of both. MRI confirmed and I couldn't lift my arm up much even with PT before they did my surgery over 4 months later. Over 3 1/2 months post op and I still can't raise it much. Maybe 50 degrees. If they are torn, you will know it. Mine was worse case and they couldn't repair a lot of it. Good luck with what ever problem you may be having.
Mykal Tee thanks for sharing. Sorry you are still having difficulty raising your arm.
I had a skiing accident. Got x-rays the same day. They said nothing was broken. However, I couldn’t move my shoulder fully for 2 days. Now 6 days after the accident I can do everything except “push up type resistance”. And if I move my shoulder a certain way I can feel the joint move unnatural. Pain is minimal unless the joint is tested. And I have a gnarly bruise from my trap down to my peck
I injured my shoulder after reaching for a fast ball in badminton match, i heard a pop or a crunch and a sharp pain. After few days its not hurting ALL the time, but im kind of "feeling" it constantly. I pass all these tests, but when im rotating my shoulder front and up in a 90 degree angle, i feel pain and hear a constant crunching sound through the motion, what might it be? Should i rest for couple more days and see if the pain goes away on its own, or should i go to the doctors office next thing on monday?
Akusticostacos if it doesn’t get better by 2-3 weeks I would Get a orthopedic consultation.
@@apexmovebetter Thanks for great content and helpful advice!
I feel the same pain, but I dont hear any sound
At the ac joint I would rest from over shoulder height movements for 1-2 weeks it should start feeling better. Avoid wide bench, lat pull behind your head and military press for3-6 weeks .
How are you doing? Any questions?
O man damn military presswe had to do for gym on school no wonder
I will take y option and take a break thanks
Thank you!
Your welcome!
i had an injury to my shoulder in April 2015 at age 45, after an MRI, orthopedic said I only had a small tear which is okay and should not cause me much pain, and the main problem was degenerative genoid(?) arthritis. I insisted that I had no problems/pain with my shoulder until after the injury. I was prescribed meloxicam with no relief over the months. Old doc retired, assigned me new doc, who I complained to about same issue, he said same thg, and prescribed tramadol for the "arthritis" pain, which went on for about 1yr, kept ignoring the fact that I had no issues before my injury, kept explaining that degenerative mean the arthritis will only get worse over time. I stopped going, but continued to have pain in my shoulder ALL DAY EVERY SINGLE DAY. Long story short, I went back to same orthopedic Feb 2020 now age 50, for the constant ache, pain, no sleep, headaches, discomfort of now 360° around and through my left shoulder. Had another MRI, and now the "degenerative genoid arthritis" is so bad that it's not seen in someone my age, but in 70 & 80 yr olds. My shoulder isn't even in the same place now, and I have bone spurs. Now my shoulder can not be repaired, so I opted for cortisone shot, twice with no relief. Does not want to do shoulder replacement due to my age, but will do a procedure that involves putting cushion in the joints to help relieve some of the bone on bone friction. Since I was told the arthritis would only get worse, I got busy with life, and just dealt with the deep constant pain, muscle weakness, and all the other horrible symptoms for years. Currently prescribed Volteran 1% which won't be any immediate relief. I am also being referred to pain mgmt, but I think I want the cushion procedure, out of desperation for some relief. I came across this video while searching for answers to my issue, and just had to jump in with my story. Sorry so long. But if yu know of any other types of relief that would be good to try, please let know😢😢 Thank yu for taking the time to read this.
Tamra Matthis sorry to hear you are having such a rough time. You may benefit from some gentle stretching and strengthening. A maintenance plan to make sure you don't get lose range of motion and atriohy
Hello. Thank you for this great and very informative video. I am a professional athlete and recently hurt my left shoulder. The injury occurred 10 days ago. I had my left arm overly stretched out during an exercise and felt pain creeping up on me. At first it hurt in the back but then also gave me pain while doing push ups, pushing my car door open and sleeping etc.. Long story short. I had an MRI and the radiologist reported a rim-rent tear of the subscapularis and then it said it's a partial-thickness tear of the subscapularis tendon... Everything else of the rotator cuff is intact.. All muscles and all other tendons are intact..
I am not asking for a diagnosis here. My question is: is it possible to recover from a partial thickness tear or is it recommended to have it repaired, especially for me being an athlete? All possible tests are negative. Full range of motion but pain with activity.
I am thinking that the orthopedic specialist that I am seeing (and he mostly does shoulders) might read the MRI different... I am just confused as what to do as I know that even in partial thickness tears, the tendon never really heals like it was before...
Alexander Witthöft__THE_GERMANATOR he tear doesn’t heal but it may no longer generate pain or limit you. That being said as a professional athlete you are stressing your shoulder more than an average athlete and may need surgery.
@@apexmovebetter I appreciate your feedback. Thank you 🙏. I will see the surgeon next week and will discuss my case. I am an ICU RN and even if I don't need surgery, I will need time off. Thanks again.
@@wakejump4me Hello what happened in the end you did surgery ? It works? Thank you
@@wakejump4me Can you please share your result? Hope you are feeling better.
Any updates?
I was involved in an accident and my back is in pain but it comes and go, it doesn't hurt when I'm laying down but when I lift my right arm I can feel pain on the left shoulder on my back and slight pain going towards my neck
Hello sir
Thanks for you good experience
And I have this problem due to accident
Now I am facing same all problem so please make one more video on physiotherapy for this same problem which is you are indicating in this video
I strained my teres minor doing pull ups and was in pain for about a week. Now 7 months later I have had minor pain and soreness in that area after bad posture and excercises for the back. Is this a sign of a major tear in the rotator cuff?
i did theraband excercises for 1 and half months and I feel it's stronger but still I am getting clicking sound while I do rotation movements what does it results? do I still have a tear? and please let me know whether I can do normal house old works which a man normally does?
Go get the spine check I recommend gonstead chiropractic I had the same feeling I was hurting my shoulder more because I had a back problem causing it it can Come from the upper part or neck area
Laying in bed with an icepack ... ready to try these tests
Yeah im in the same boat bro i hate i
I hope you can answer me
A few months I got shoulder pain . I have no problem rising my hand or putting some pressure on her I can swim and its not problem. When im not doing nothing just staying i got pain. They gave me an injection
2x times and anti inflammatory cream and pills. What should I do ?
excellent sir all points r very true
Thanks!
Hey doctor I've just turned 16 and around a year ago I performed a military press of 20KG with no warm-up. I was younger so I didn't know about form and injuries. And while doing it i felt a strain around the my back/shoulder blade, also deep within my chest. It hurt severely when breathing and it was sharp pain. The pain subsided over a couple months. I went back to the gym after some rest and I have clicking right under my shoulder blade somewhere during lat pull downs (also when mimicking the pull down movement with arm at 90° to the side). No pain with the clicking though. Any ideas?? I really just want to go to the gym and hit the weights again. I really miss going. Thanks
Edit: I sometimes feel a tiny bit of nagging pain when I think about it too much. The very bottom of my shoulder blade muscle also clicks when i push down on it. It's weird to explain.
Nick Williams you may have a rib issue that is displaced under the shoulder blade. No big deal if it is that. I would seek a physical therapy evaluation and get more information.
@@apexmovebetter I appreciate the response. Keep it up the amazing content!
How are you doing now?
That could be a neck problem. Most shoulder problems don’t give you hand pain. Do you have any neck pain?
Apex Orthopedic Rehabilitation I’ve been diagnosed with shoulder impingement. It’s been 6 months. Happened when I was 39 by putting my hand on my hip (yep, that’s all it took). I turned 40 a couple months ago, but I’m in great physical shape. I do have shallow shoulder sockets and am hypermobile. It’s not getting better. I’ve had an x-ray and it showed no tears and I also still had great strength in all these tests. I can’t go back to my ortho right now due to the virus. I got mad at being patient with no change so I did full planks the other day. I’m now back with the cold feeling down my arm and sharp pains again. I just want this to heal. I’ve lost so much range of motion. I used to be able to wash my own back and apply my own moisturizer on my back and I can’t even shave my armpits and put on deodorant. It’s frustrating. Any help would be appreciated.
Edit: I know this is directly related to my neck, also. On days I wake with a stiff neck the pain and tightness is worse and there’s sharp pain. I’m just trying to understand what is going on and why it’s not getting better.
Helpful thanks
Good luck
Hello. I am playing Badminton since 10 years in advanced level. I used to have training 5 times a week ( 3 hours per session). Since 4 months I started getting pain in my right shoulder area. I took medications like Diclofenac and Ibuprofen and the pain used to go away and again come back after playing. Then I went to a shoulder specialist. The doctor suggested me for a MRI scan and it revealed that I have full thickness 6 mm rotator cuff tear and I have to undergo surgery for this.
I can still perform same kind of movements right now with both left and right shoulder. I can still use my right shoulder for my normal daily activities without any problems / pain. BUT I GET PAIN only when I play badminton again.
I started badminton training when I am 20 years old and I am 30 years old now. I have no idea how to deal with this situation. I am software professional by profession but also a sports oriented person. I do not prefer to undergo surgery. I am even ready to give up badminton forever. Can you please let me know if there are any options to avoid surgery for my situation if I stop playing badminton completely
Thanks a lot.
Better to know for sure.
I fell down arms stretched a couple of weeks ago. I was wounded on my right arm, which was pretty bad, so I was critical in curing it, and was not bothered about other pains. 2 weeks since that, now I have realised with this video that I have a an injury. Doctor, I was not able to do that thumbs down excercise. The pain is severe. I haven't visited a doctor yet. As mentioned by you about the pain. For me, there isn't any pain below the elbow. What should I do? Should I rush to a doctor or any exercise or rest be enough?
nisha kumar I would give it 4 weeks then consult with a doctor
@@apexmovebetter Thank you Doctor for your reply. I have a question again, so should something ? Means, any exercise? Also I should mention thet I did a pretty much lifting in these days, not knowing the seriousness of this matter. So the previous night I had pain in the shoulder. Until this day, I had only pain when I was lifting hands, (not when resting it). So should I be just giving rest to my hands or should I move it well?
I would not lift until that point. That be delaying the healIng
@@apexmovebetter
Ok Doctor....then I shall rest that hand right?
I would rest it
I have pain in first movement what can I do I don't really understand video because of my English but if you write I can understand
Great video! I had Clavicle Resection 2 years ago....I have RA and now there is popping cracking and TONS of pain all the time in my left shoulder. It is not regular RA pain, I've had 5 injections, take muscle relaxers and yet nothing has helped😡
My Hysterectomy Journey with Angel Have you done any strengthening with a physical therapist?
@@apexmovebetter i have to no relief unfortunately
I've been diagnosed with a full supraspinatas tendon tear. However, I still have full movement and still manage, for example,120 pushups (4 sets of 30) and 32 chinups ( 4 sets of 8). I passed all these tests without any problem, pain or concern at all. I have no real pain (including no night pain) except when I move suddenly in an unusual way or my shoulder is suddenly jolted. I have trouble with some specific exercises like dips or shoulder press. I'm 50 years old. The shoulder surgeon has suggested surgery (because of the MRI result). I'm petrified. I don't want this. I feel like the surgeon who diagnosed me can't be fully correct, but I can't dispute the MRI. I trust this youtube site for advice. What would people do? Surgery and maybe never FULL recovery OR no surgery and maybe never quite normal again? Maybe just downhill despite feeling ok now? Thanks infinitely for any comments.
Wayne Kelly if you are highly functional except for the dips and shoulder presses the concern is that may even be present after having the surgery. The length of time since the onset, tissue quality and expertise of the physician all play into the success of this procedure. You do have a window of opportunity that you don’t want to miss. I would definitely consult with a physician that does shoulder exclusively. Also, make sure you don’t have any possibility of your neck causing any of your pain. If you are in north jersey I would glad to take a look at your shoulder.
Surgery will likely make it worse IMO. I would stop press ups and let it heal. Stop over working that shoulder. So now, 3 years later- how is it and what did you do- surgery? It sometimes helps but it is not a magic cure for sure. Can make things worse and always leave behind scar tissue at best.
@@apexmovebetter Should I stop dips? My shoulder hurt but after PT I am almost 100%. I don't want it to come back. What about bench press? I had been doing both of those plus pull ups and tricept pushdowns when I first injured it. Not sure which movement caused the issue. I was not going too hard- but hard enough plus I am older now. What is safe to do- I enjoy working out. I have just been going light on all those movements and it seems fine. I can feel it but only slightly. I still do some of the rubber band work he showed me. Maybe DIPS are to be avoided? I think I feel that the most. I will still get in the dip position but then do leg lifts from there- like a bicycle motion with knees up high. It's a great ab workout.
Thanks.
Wayne Kelly, how are you feeling today? 🥰
Did you have the surgery?
@@renatasorgon2981 Nice dog- poodle? I had PT and it did the trick. I was hesitant to get a permanent surgery though sometimes they can help- sometimes they make things worse. You have to find a great surgeon- even then... I hope you are well if you hurt yours too. Not always easy.
Hello, I have had for the past 3 months pain in my right shoulder (precisely rear deltoid area).
It's difficult to wear a coat, get my arm behind my back and I have pain when I extend my arm upward.
In your opinion is this a rotator cuff injury? I thought it was going away with time, but three months into this and the pain is always the same
Same and my shoulder is frozen
Two or three years ago, I had scat scan test done on my right shoulder, doctor said very small tear...so he gave me steroid shot on top of my shoulder. Oh golly it hurts worse after the shot for about three months. I would never get a shot like that. Now my left shoulder been hurting since January. Going to ask my primary doctor this week to order scat scan test. I am deaf. I had cochlear implant magnet on side of my head where I can't have MRI because of the magnet. My primary doctor need to order test for me about my shoulder. I drop coffee cup twice. Weak arm..hurts whenever I raise my arm up. One time my pinky finger hurts whenever I lift something and it is called ulnar but it went away in matter of time. That is what my shoulder feels like similar to ulnar. Since I can't have MRI, what kind of tests do I need to tell doctor? ? Ultrasound, ink, scat scan or what? It may be pinched nerve or rotor cuff? ? Please let me know what tests I should ask for.
Bobbie Sue Sanders you can get ultrasound but not sure about how accurate it is for rotator cuff tears. If Suspected nerve involvement a nerve conduction study would be appropriate
@@apexmovebetter I am 64. I have bad neck, been told I need neck surgery. I had myelogram test on my back, oh hell that f u . . ing hurts like hell. I will never never get that myelogram test ever again ever. I have arthritis, had two back surgeries, scoliosis, osteoarthritis, bad joint in my hip been told I need hip replacement, the list can go on and on. I don't think I will ever recover or be pain free. The pain management took me off of pain medicine because I made one mistake. The other pain managements won't take me. My RA doctor is trying to find one that would help but the last two medicines, one is patch and the other is in the cheek and I am allergic to both of them. I am allergic to mobic. I just want my life back. It just feel like tooth ache all over my body. All the joints hurts. And my left shoulder horrible.
Bobbie Sue Sanders Very sorry to hear. Please keep exercising as much as your condition allows
I was doing handstands and I kept falling and it was just sore but after a pretty intense swim practice one of my shoulders hurts really bad and to move it up and I’m worried I tore something the pain is coming from my armpit area.
I would get a Orthopedic evaluation this week.
So I in my 40 years out of no where I now have the pain and symptoms as described, I don't remember pulling or strecthing etc. Whats best to do? I don't want to bother the doctor or AE given the current situation with Corona but even with pain releif I am having real trouble sleeping, getting t-shirts on and off etc.
Stormforce999 that is not unusual to not have a trauma or moment. do you you have any loss of motion? Just pain? Any weakness?
Stormforce999 I would work on range of motion and probably move to isometrics. That is general advice but we are limited. I’m offering Telehealth very soon.
@@apexmovebetter wow thanks for quick reply, lots of pain when I try to raise my arm above waist height or reach behind etc. No noticeable weakness though I am trying to avoid moving it.
Stormforce999 where are you located?
@@apexmovebetter in the UK
Great content but the sounds is too low!
Sam T thanks for the feedback. Working on improving the sound.
I pop my right shoulder all the time to make it feel better. I can lift weights just fine. It does hurt to reach across my left side and to sleep on my right side. I was diagnosed with a partially torn labrum. There is some atrophy to my right arm. Any suggestions?
Hi Doc, great video, I failed all your tests and sleeping on my side is a nightmare. I damaged both shoulders doing dumbbell flys for my chest in the gym. Lying flat on my back on a bench and lowering the weight to my sides and raising again as if given a big bear hug. I knew immediately I hurt myself. It's been sore now since before Xmas, so nearly 5 months. Any advice?
Dan The Chippie do you have any range of motion loss?
How are you doing now?
I have all of those symptoms but not severed. I mean my arm does not drop down but I have painfull feelings. My pain is going down half of my shoulder. I still workout. I have chosen excersices and range of motion that does not make pain worse. Do you think that is ok or better stop all training? When I had initial injury I had to stop workout for 2 years. Then slowly I was able to start training again. But one uncareful move and I have this problem again.
I'm going through the same thing , I injured my shoulder doing bench press and I was not able to workout again for a year. Now I can do it but I have to be really careful or I will feel like an inside pain in the front of my shoulder, specially if I'm doing any overhead exercises. I think it might also be a labrum tear and I don't know if it happens to you too but I always hear a clicking sound in my shoulder
@@yoendyprado Clicking sound is a bad sign. I am sorry you have this. Iэму injured the during the same excessive. Bench press with dumbbells. My problem was that I did not do this exercise while I was getting very strong with other excessive. For example I did 3 sets 20 reps on parallel bars with 20kg extra weight including my 90kg. So my chest got strong but with involving rotator cuff, so when I started to do bench press I could use quite a heavy weight on chest musсles, but my other shoulder stabilizers was not ready. I should not listen to gym trainer and just continue my routine.
I had a rotator cuff tear from football. It lasted for about a week. It was actually hard to lift my left arm up because of a hit. It eventually healed and I played the rest of the season being able to lift it up easily.
Glad to hear you recovered!
Oh and I am currently having collar bone pains when I lift as well as when I let my right arm hang down ... is there any resolution to this ?
Is there a resolution to this?
May want to limits bench presses, pec flies and shirts for 1-2 weeks then return to liggt lifts. If It isn’t better you may need a formal evaluation
Apex Orthopedic Rehabilitation ok thank you!
Okay so I dislocated my shoulder last week and i could move the arm that got dislocated fine without the help of my other arm but when I bring the arm back like reach your arm out and bring it back it hurts for I say 30 seconds to 2 minutes and I get a little muscle spasms like 1 or 2 randomly for every like 3 to maybe 5 hours and I have pain in my shoulder for a good 2 minutes everyday at night but never in the day and idk if it’s just recovering from the injury or I have a tear in my rotary cuff:/
My shoulder kills when I flex it at odd times. It's very strange. The cross over test is a big thing for me. That was one of the first things I noticed. I can lift it sometimes with no problems and other times it kills. It sometimes wakes me up at night as well... I just threw the blanket over to my husband feet with my right arm and my shoulder clicked and it was very painful and my blanket obviously is not heavy but just the motion it self hurt. I do work out and I mustve done something wrong or pushed myself too hard. I want to go to a doctor but I'm afraid due to covid 19. I have a 2 yr old and no baby sitter or family near by. My husband is still working 6 days a week. I've given it 2 months now and I think I feel relief at times and then i do something and it hurts me... I have to get to a doctor soon...
If you're having shoulder pain, I hope you feel better soon ❤ thus really sucks. Lol.
This video is incredibly informative and I truly appreciate it! 🙏
GOD bless you all and stay safe 🙏❤
Hey Tom, I've been trying to figure out what my problem is and was wondering if you could help me. I'm pretty sure it isn't a rotator cuff issue. When I move my arm into flexion, there is minor pain however when I move my arm into lateral flexion there is a lot more. The problem is that the pain is located in my biceps, either on the short or long head, hard to pinpoint. The pain is also most severe as soon as I wake. I made sure I was NOT sleeping in a position that could potentially cause this, I was on my back. If you have any idea what it could be I would appreciate a response very much, thanks!
youlolmuch I would think a long head bicep and/or labral tear.
I don't have a lot of difficulty moving my shoulder, unless i have to lift things up like shoulder press. It kills me. I really hope its not a tear
mrreginator that is a movement that is difficult with a tendonitis or tear in the rotator cuff. I would get it work Orthopedic evaluation
Thank=you very much for all this very good information. I hurt my shoulder by having a really hard pull downward from someone dropping their end of a long heavy box. My Dr sent me for X-rays and then recommended injecting cortisone today. I have a feeling from what you have stated I do have a tear and it should be repaired. I am 58, active and would like to fix it if possible.
right shoulder pain Roto cuff tear couple years back.now feels extremely worse pain at nite pain at work been going to therapy
Justin Pate Make sure your physical therapist understands what you are going through so you understand what is “good pain” and “bad pain” so you progress without set backs.
Mine only hurts when I lift and I noticed that I have weakness in it but other than that no pain
That could be simple inflammation in the shoulder.
Left shoulder pain, some elbow pain and thumb pain. Can’t lift up arm to side or back and front, limited and very painful. Neck is bothering me a bit too. Throbs when I’m in a lot of pain and can’t get any decent sleep. Hurts when I move steering wheel, can’t comb the back of my hair lol, can’t even lift to shave my armpit cry!!! Some numbness too, can’t open pill bottles and so on. X-ray didn’t show anything, have an MRI and nerve test coming up. I had surgery 12 years ago on my right shoulder, bone spurs. I think this is different though. I’ve diagnosed myself with a tear lol.
squincegoddess get a Orthopaedic evaluation to make sure you know if you have a shoulder or neck injury or both. You just don’t want to waste time treating one When it may be the other
I had two rotator cuffs that were totally detached and retracted for over a year. My surgeon that reattached them was the surgeon from a MLB team that repaired them because no other doctor would do it.
I was wondering. I’ve had rotator cuff surgery in the past. Their times where I do get shoulder pain when I start working out once in awhile.. I noticed that my pain doesn’t mess up my flexibility on my shoulder and I pass the test from here.also the ones the doctor told me to. I don’t have any pain while doing the test or loss range of motion. Is their something I can do to help me with my shoulder?
Ryan Vallejo it is a broad question but going back to 1-2 x week of rotator cuff and scapula stabilizer strengthening.
@@apexmovebetter where are you located
@@lashondahursey6116 Paramus, New Jersey
@@apexmovebetter I'm unsatisfied with the options in Lansing mi ..do you do telehealth or can you answer a couple questions
@@lashondahursey6116 what questions do you have? I can't do telehealth since I'm not licensed where you are located
Me laying in bed at 3:30am putting ice on my shoulder this pain is no joke😂c
Sorry to hear.
girl same!!! never related to something more in my life
I have every symptom he demonstrated ! And my shoulder has the loudest pop when I move it in certain positions.
Nike Air I would get Orthopedic evaluation.
@@apexmovebetter Thank you....yeah I figured that out thru the videos but what I was hoping is to find sum sort of exercise to fix it.
my father had surgery back in april 2019 he has had therapy done on both shoulder they got the right arm working pretty good but the left arm he cant raise it and has tingling sensation in hand could it be because the surgery on his neck caused his arm to lock up he could move both arms now he can only raise up one
Your welcome!
You may want to consider another physical therapist. Concerned if this is a frozen shoulder or MRI missed something. Just a thought.
Definitely try another physical therapist. Maybe a fresh approach would help and make sure they ensure the neck isn’t contributing to the condition.
You may have tear but other muscles are compensating for the tear
Sorry doctor I'm very afraid what can I do to heal it
No doctor other activities I can do relate to my shoulder push ups but I can't use my shoulder while throwing the ball
Had a shoulder injury for awhile. If I had to guess it’s been about maybe 5-6 months. I workout 4-5 times a week and I believe this is how I injury my shoulder doing bench press. I haven’t been able to work my chest out properly or shoulders workouts. Does this sound a like a rotator cuff injury ?
Hey Doc, 7 months ago I picked something up and heard a pop in what I thought was my back followed by bad muscle spasms, they thought maybe I had a bulging disk, I don't. Then they thought maybe I had a pinched nerve in my neck because of the burning. MRI came back no compression. In between my neck and shoulder it is tender, burns and the skin is even sensitive to the touch, the pain / burning seems to go all the way down underneath my shoulder blade, I am going for a second opinion as my first ortho won't do anymore imaging just tells me to do physical therapy and thinks I have torn muscle /tendon. Just curious as to what you think this could be? I can tell the difference when I relax my shoulders as well, by my shoulder blade it seems unstable compared to the other side.
That area you describe is common for neck related problems. A goodphysical therapist should be able to tell the difference between a shoulder or neck issues. Sometimes imaging comes back clean even with disk issue.
Sir I was doing some fly's in the gym and then I felt like my right shoulder got pinched and it made sort of like a bone cracking sound.i have a swollen right neck and face with a nerve popping out off my neck. Does that mean I have a rotator cuff tear. Please advice.
That sounds like neck injury. I don’t quite understand the face swelling
@@apexmovebetter thank u.
I hurt my shoulder and I can't grasp anything with my hand.
Sierra Jacobs grasp and lift or your grip is weak. What movements are difficult?
Two weeks ago I was trying to flip a heavy (but skinny) box over on its side using mostly my fingers and I felt the ball in my right shoulder socket sort of 'pop' forward as the box lifted. Not a loud pop but maybe more of a muscle pop. More like a 'twist' though than the ball 'dislocating.' I haven't lost any movement in my arm. I can easily lift my arms above my head and control it down without any pain. I don't have any pain lifting my hand behind my back with that arm. I can also 'pour' water out of a bottle and turn my arm and wrist without any pain. But I do have 'nagging' pain. I notice the most pain is if I hold my arm tight across my body and then try to lift something I'm gripping. Like a 'bar' of soap across my chest in the shower. Then I get a tight 'succint' pain. Some of that is also in the bicep. If I was to lift something heavy it feels like it's going to be painful obviously not that I've tried. I would say mostly it feels like something is 'pinching' in my shoulder. Also when I am driving I avoid turning the wheel completely with that arm because it feels like if I twist too far out there's sort of a tightness 'threshold' there. Three days a week I work in an 'industrial' type job where I operate a forklift and sometimes have to lift my arms up and have sort of been working 'through' it. Though the other four days of the week I don't do anything physically strenuous related to my shoulder. It hasn't forced me to take any time off work but again, the pain is constantly there and nighttime is the worst though there have been nights where I have been pain free up until the moment I wake up. I am trying to figure out whether I have actually torn something major or not.
Blujonny11 after 6-8 weeks if it persists and is significantly better I would seek an orthopedic evaluation. Especially since it’s causing you to lose work time
@@apexmovebetter thanks for the response. Did you mean 'isn't' better?
I meant isn’t
Awesome thanks
I have all of these symptoms for a torn rotator cuff; however, I can’t go get it checked out because of this stupid Coronavirus.
Leon Phelps how long have you had shoulde me problems?
@@apexmovebetter I dislocated my shoulder 3 weeks ago.. Can't lift my arm like you demonstrated.. Can't get checked til May 1st.. Any advice is appreciated
Me to shit i can't sleep at night
Pain
99jic l
I DO ALOT OF LIFTING. I have pain in my shoulder blade and when i move it up and down it sounds like its cracking or snapping against each other. some pain in my left of my neck as well. All had to do with my left side. do you think it could be a rotator cuff? i feel pain through my neck to my elbow. What should i do 765three79one4five3
Ilie Lafever that sounds like more of neck issue because of the shoulder blade pain
I have the same exact problem except for the neck pain. I stopped lifting because my shoulder snaps and cracks every time I rotate it certain ways. Maybe I drive too much? I dont have health care and that is why I havent seen a doctor yet. Is this a rotator cuff too?
That sounds like a pure shoulder problem. That being said Occasionally you have problems at the neck that don’t cause actual neck pain but more shoulder, elbow and hand pain.
I m also same problem please help me to relief this
Sardar Anmol Singh you probably need. A formal physical therapy evaluation.
What if you CAN raise your arms slowly and lower, but still with some pain?
Hello,
I need some help. I’m a breakdancer that suffered a shoulder injury back in April 2017, and I have footage of the occurence. I definitely didn’t dislocate my shoulder but i did feel/heard tears and cracks when the incident happened. I decided to just let it heal on its own but didn’t stop dancing.
I did not do any physical therapy on it or saw a doctor about it (at the time). Fast forward about a couple months (July 2017), I did a backflip and reinjured my shoulder again. I was not expecting it to return considering i thought it was healed. Althought not as severe, i unfortunately heard/felt the same cracks on that shoulder.
I decided to go see a doctor, and i got an xray but nothing was out of place. He suggested i get an MRI, and even got it all scheduled, but I got too lazy about it and just let it go. All the advice he gave me was to do some shoulder exercises or PT. He gave me a packet with a list of exercises to do. So i was kinda lazy about it and fast forward about,
A year and a half, i reinjured it doing a backflip again. Its so weird because ive been doing many backflips between the time I last injured, and never got it reinjured until then. I did however notice it would almost give out whenever doing flips, but i never reinjured it to that extent until it happened again. I don’t know if it’s a certain angle I do my flip where it causes that tear. I am currently a student but unemployed so i’ll have to figure out how to get a doctor to give me an order for an MRI.
I’m fine now but it most certainly feels weaker. and now i have crepitus whenever i lift my shoulder in specific motions (such as laying on my back and raising my arm from my side, all the way up above my head, or even when I make the same motion when I injured it the first time).
I have footage of both the first and second injuries of my shoulder, and I wanted to see if you, with your knowledge as a sports doctor, could help discover what ligaments I might have torn and how I can prevent it from tearing again.
I have full range of motion, but it does feel a bit weaker in certain moments. Maybe you could help tell me if it’s a partial or full tear?
Thank you!
BboyJJRuda my feeling is doing some Rotator cuff and scapular stabilizer exercises for six day weeks. If you don’t see a difference then I would seek an orthopedic evaluation. I would hope to see a difference in your strength start changing at that time. Just for the record I am E orthopedic and sports physical therapist not a doctor. If you happen to be in northern Jersey I replied to look at it for you. Best of luck!
Hi doctor I’ve had some difficulty with both my shoulders for years I’ve gotten MRI done on my right shoulder and I know it’s a partial thickness tear. That was a few years ago and I now am getting the exact same pain in my left shoulder so I’m pretty sure it’s the same thing I do all the rehab exercises and everything but I still get some discomfort with certain movements not that much pain. I really would like to avoid any surgery seeing as I cannot afford it. Also I lift weights pretty often. But I get the same discomfort whether I lift weights or I rest it. I actually feel like its better when I am lifting. Any suggestions?
🤔Meeee toooo, it's now coming into my left shoulder!! Really concerned about my arm pain when I, for example when I clean, crocheting or writing for long periods of time 😣😣
I probably already waited too long. Think I have a tear in the supraspinatus for the past year, but can't get to a doctor because I'm only covered in my home state and I travel full-time for business. Thanks Obama!
Uncle Putin. I would at least get an MRI. It would be worth at least to know what you have.
It is not all that bad if you can't take time off to get it fixed. It has nothing to do with Obama.
I wanted to ask a question about my shoulder: when I was running along with other students one person ran into me but with her hands on my shoulder and she was running pretty fast, now it hurts to lift my arm to go the side, to go the rhe back or lift anything. The pain is coming from the bottom of my shoulder and I have some back pain when I try to lift things too, but the back of my shoulder hurts the most, should I see a doctor or not?
Helen Chow I would give it 2-3 weeks and then seek an evaluation if it doesn’t improve.
Hi Doc, these are the MRI impression results- 1. Medially dislocated long head biceps tendon w/ accompanying longitudinal split tear 2. Full thickness full width subscapularis tendon tear 3. Full thickness partial width supraspinatus tendon tear. I'm doing physical therapy now for 3 weeks and no improvement. Do you recommend surgery?
That is to early to tell if conservative care will work.
Wtf, just watched the Bills lose to the Texans, havent been able to get my mind off it. Try to watch some youtube and now I see a Bills jersey in the background?
Anthony Grosso creepy!
@Bruce Parkes He's getting there, constantly improving and has raw athleticism to back it up
hey doc, that tie has to go
Gonçalo Gomes come on man! Any recommendations?
how about a burgundy tie with paisley pattern?
@@apexmovebetter don't listen to this person, the tie is fabulous!
What could it mean if I have trouble raising my arms only on some days? Some days I have no pain at all and other days I can barely move my arms without pain. I also get night pain a lot and it's rare for me to wake up without shoulder pain in the morning. I've had this problem for years but for some reason I've never done anything about it. Going to the doctor soon. Hope it's not a severe tear that is beyond repair.
Hi. I'm a 39 year old snowboarder and I injured my shoulder from a bad fall 1 week ago. I suspect I've torn my supraspinatus as it was tender to touch and initially I couldn't raise my arm more than 30°. After only 1 week I have improved significantly and would say I have almost full range of motion, maybe 80%, but still some difficulty, weakness and pain with certain movements and positions, emptying a can of water for example. No resting pain or problems sleeping on it and most day to day activities are now fine.
I had a very similar injury to the same shoulder 5 months ago and did not seek medical treatment. After 3 months or so I was not having any real problems with it, maybe some very minor aching occasionally, so assumed it was healed. I'm considering getting medical treatment this time, however I'm currently in a different country for another 2 months. My question is do you think that it's possible I have a full thickness tear considering how much I have improved after 1 week? Should I get it looked at asap even though it doesn't feel that bad anymore? Or would it be ok to wait 2 months till I'm back home?