Left Shoulder Mri Result ???

[deekayman]

Hi everyone

I've results from MRI scan for my left shoulder which says:

LINEAR SIGNAL ABNORMALITY WITHIN THE SUBSTANCE OF THE MID SUPRASPINATUS TENDON CONSISTENT WITH INTRASUBSTANCE DELAMINATION TEAR. NO EVIDENCE OF SA/SD BURSITIS.

Also in description there's a mention of intrasubstance tear that extend over a distance of 21mm, terminating at the greater tuberosity.

Can someone please explain what does it mean to me?

I started to feel the pain few weeks ago but I can't remember that I've done something to it to cause the pain.
I'm a self employed painter by trade and 40 years old.
Also I'm a keen golfer (right handed).
I'm unable to work properly or to lift heavy things and definitely can't play golf.

Could someone please describe why is it happening, what should I do in relation to my profession (coz I can't continue like this)?
Anyone with knowledge and experience please reply and let me know what is ahead of me in relation with this injury.
I'm in Adelaide and any recommendation (names please) will help me approach this problem.
Please ask if I haven't explain myself properly.

DK

[steve_q]

this problem could be a combination of overuse in your profession and bad technique in your sport. First of all you must avoid anything that is painful and see if it gets better.

[deekayman]

Thanks Steveq

I've completely stopped playing golf for a 2 months and my work also suffered
in this time coz I've been trying to give my body rest as much as possible (which was hard).

At one stage (for 3-4 days) I felt a bit better (slept bit better and no problems to get out of bed) but Christmas Day all came back once I tried to play a bit of basketball with my kids in the backyard (5 min) and I felt really bad.

I've consulted with physio and he thinks he can help, so I'm starting next week treatment.

My GP told me that I don't need an operation at this stage, no injections but the recovery may be very slow and to see him in a month time after physiotherapy.

Any suggestions?

[kjwilkin]

Hi there,

I would be going to see a sports physician/doctor that has dealt with a lot of shoulder injuries. Most often GPs have no idea about these type of problems. So, wouldn't really listen to what they are saying. Wakefield Sports Medicine is meant to be very good. There are some good sports physicians/doctors there I believe.

Great if your physio can help you. I would give that a good go before considering surgery.

If you do end up needing surgery make sure you go to someone that specialises in shoulders, it is really important. I've had both shoulders operated on and the recovery is often painful and slow. I had a great shoulder surgeon in Melbourne that treats a lot of elite athletes, including the Australian Cricket team.

Good luck.

[deekayman]

Thanks kjwilkin

It seems that physio therapy is not really helping my problem so I'm going
back to my GP soon.
I went to Wakefield hospital and my physio helped me to locate where the pain is and when it hurts the most and that was basically my therapy.
I had to do some exercises at home with the rubber band to strengthen certain muscles but apart from that, no other treatment!!?? Is that the case with other guys? Rubber band!!!
Physio told me if there's no improvement the only other option is operation.
If it comes to that, which doctor to see here in Adelaide and also Melbourne, from your experience?
What is the whole process like (finding a right specialist, organizing it, cost, waiting period, operation length, recovery time, looking after it ...everything connected with it)?
Has anyone tried the glucose injections with doctor Baratozi in Adelaide ?
What does glucose injection do to the injuries?

[kjwilkin]

Hi there,

I really wouldn't bother going back to see your GP. Doesn't sound like they really know what's going on.

Andrew Potter is meant to be a good sports physician in Adelaide. My sports physician recommended him for a friend of mine. Wakefield Sports Medicine is meant to be very good too. It's probably the best place in Adelaide from what I hear.

In Melbourne Greg Hoy is the best for shoulders. John Salmon is pretty good too. John did my left shoulder surgery and Greg operated on my right shoulder back in 2007. I really liked Greg as he's down to earth and very conservative. Let me know if you want their details. Sorry, don't know of any good shoulder surgeons in Adelaide but if you go to see a good sports physician they should be able to refer you to someone good.

It is really important that you go to a physio that specialises in shoulders other wise it can be a waste of time. Has anyone looked at your back as well ? It is often interlinked and may be a problem there that needs addressing. My upper back gets very stiff which affects my shoulder in a big way.

Good luck with it all. Let us know how you get on.