Rotator cuff MRI results: partial RC tear

[RiderJen]

Finally got the MRI results yesterday (3-1/2 months after onset of pain): Partial RC tear

Back in October, the first ortho doc gave me the diagnosis "RC tendinitis", on which was based the PT therapy exercises (which only added more pain and new pain). At my request, the PT referred me to a sports ortho doc with an excellent reputation, and I saw him for the first time yesterday.

This sports ortho doc (whose specialty is shoulders and has a special interest in RC repair) read the MRI and determined that I have multiple partial tears just below the acromion, and noted the "very narrow" space between the acromion and the RC. He also checked neck function to verify the shoulder pain is not due to a neck problem.

This doctor prefers a conservative approach and does not rush into surgery. He feels I don't need surgery (at least not yet), and prescribed the following PT plan to be done in stages; if no improvement in 6-7 weeks, then he will discuss other options (including surgery):

1. Improve scapula function, then
2. Advance to RC activities when scapula function is improved and pain lowered; then
3. gradually advance to my regular activities (cycling, etc.).

He also showed me some things I can do on my own while driving, lifting etc by pinching my shoulder blades (in a natural form, not exaggerated), or just standing straight and pinching my shoulder blades.

My new PT regimen will begin on Monday; looking forward to learning the new exercises. I am hoping to be able to return to cycling, gardening, and other activities very soon without surgery, but will keep my mind open to whatever he thinks is best.

I searched and found this interesting article on scapular stability:
The Importance of Shoulder Mobility and Scapular Stability | Mark's Daily Apple

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