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Shoulder joint pain
Hello doctor,
I have been into weight lifting and kickboxing for the last 10 years. My practice sessions are very aggressive , but I do it in a proper way. 2 years before ,I started having a sharp pain in the left shoulder joint while lifting weights . I thought it was a minor issue. But later on, pain became high whenever I lifted weights. Other than that I usually don have any pains while walking or running. Visited a physiotherapist who gave IFT and sonar therapy. The pain has reduced a bit, but not completely cured. So. I took a MRI scan, the result was " A SMALL FOCAL TEAR IS NOTED IN THE ANTERIOR ASPECT OF SUPRASPINATUS TENDON & PARTIAL TEARS OF ACROMIO- CLAVICULAR JOINT. This is what has been mentioned in the result. I would like to know, if this is something very serious.? Do I have to go through a surgery? Or will it cured by giving rest for few months ? Expecting ur valuable suggestions.
Answers (9)
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As of now your condition can treated by proper shoulder rehabilitation.
You should consult a Physiotherapist for complete assessment and treatment.
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First of all this is not serious,but timely intervention in the form of Rehabilitation is essential.
There is a possibility of the condition worsening,if adequate measures are not taken to prevent the further progression.
Please do consult a Shoulder Specialist like Orthopedician,Physiatrist or Sport Medicine specialist.
Please do share your MRI for further assessment.
Your treatment needs Algorithm like
1.Rest.
2.Modalities in the form of LASER therapy.
3.Strengthening of the entire rotator cuff.
4.Gradual increase in the weight lifting.
5.If the above measures are followed and if still not responding,we can consider ultrasound guided procedure like Proliferative therapy which has good results.
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Please share the reports so we can guide you properly
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Hello, this is not serious for now but it can leads Into... I recommend you start lifting weights with gradually increased weight amd intensity, also work in your rotator cuff muscles strengthening after pain subsides because these muscles plays an very important role in lifting. For now ultrasound and laser is the best option with reduced lifting for now.
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Hello, reading through what you have written, I feel that you are not a good candidate for a surgical intervention. However, Rehab is essential. But you need to consider an option of seeing a shoulder specialist for a detailed clinical assessment and evaluation of your MRI images.
Hope this helps.
Next Steps
Seek out a shoulder specialist in your area. consult them. You can always consult me through an audio or a video setting if you are comfortable.
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Laser physiotherapy treatment best option for you
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Its common to get Focal tear after 40 years, It can be managed through Physiotherapy treatment within 4-6 weeks.
Taking medicine of NSAID if pain is severe
Massage, improving circulation and improving range of motion.
Next Steps
Stretching, Cross over arms exercises, doorsteps passive movements and pendulum exercises.
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Mr. Nitin Kumar Arora (PT)
Physiotherapist
8 yrs exp
Delhi
You need to undergo comprehensive and vigorous shoulder rehabilitation.
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Hello, it is not very serious, but without proper treatment, exercise and rest the pain will not go. You need to do proper rehab, otherwise whenever you lift the weight, the pain will increase and there can be further tear. So please take proper care n treatment for the same
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