Hi,

I recently had an MRI of my left shoulder after the pain recurred about a month after a 2 sets of rehab/therapy sessions (total of 12 sessions).

Prior to the rehab/therapy sessions and the MRI, I've experienced a dull pain on the left shoulder.

I used to lift weights at the gym & stopped about 2 years ago. In fact, months before I stopped going to the gym I already noticed that when I do military presses, the barbell tends to tilt towards the left. At the time, there was very slight pain.

The MRI findings are as follows:

MRI examination of the left shoulder in the oblique coronal, oblique sagittal and axial planes shows the following
"findings:
1. Moderate fluid collec1ion is seen distending the joint capsule with fluid accumulation likewise seen along the
bicipital tendon sheath.
2. The proximal biceps tendon exhibits minimal in1rasubstance increased signal. The biceps tendon is within its
normal position within the bicipital groove.
3. There is in1rasubstance hyperintensity likewise noted at the supraspinatus tendon near the musculotendinous
junction. There are signal changes further seen at the supraspinatus attachment site to the greater tuberosity.
Minimal bright fluid signals are detected surrounding the tendon.
4. The subscapularis tendon superior tendon slips are thickened and heterogenous. Minimal fluid signals
surround the tendon.
5. The infraspinatus-teres minor tendons are Slightly thickened. The muscles comprising the rotator cuff show
normal course and configura1ion.
6. The anterior-inferior glenoid labrum appears detached but undisplaced, with intermediate signal soft tissue
that may represent fibrosis. There is likewise intermediate signal at the superior labrum posterior aspect that
may be due to degeneration or partial tear.
7. The humeral head shows normal configuration and articulates properly with the normally developed glenoid.
There is minimal osteophyte formation at the greater tuberosity. The articular surfaces are smooth and show
norma! cortical thickness.
8. The glenohumeral joint space is normal in width. The bone marrow segment is normal in signal.
9. The acromion-clavicular joint space has normal configuration. The acromion shows slight inferolateral tilting.
Its inferior margin is slightly convex.
10. There is no fluid accumulation in the subacromial-subdeltoid bursa. The peri bursal fat planes are intact.
11. The other muscles around the shoulder joint appear normal, as do imaged portions on the lung and soft
tissues.

Impression:
Moderate joint and biceps sheath fluid collection.
Consider proximal biceps tendon intrasubstance tear.
SuggesTIve tear with fibrosis, anteroinferior glenoid labrum.
Consider small partial superior labral tear or degeneration at its more posterior portion.
Intrasubstance tear of the supraspinatus tendon and possible tear at the greater tuberosity insertion.
Subscapularis tendinosis with partial tear of its upper lhird.
Infraspinatus-teres minor tendinosis.
Slight infero-lateral-1ilting acromon process.
Osteophyte forma1ion at the humeral greater tuberosity.

My doctor suggested surgery. Problem is, I'm diabetic & my blood sugar control is unstable. Given the above findings & impression, is there hope for a non-surgical treatment?

I would appreciate your opinions and suggestions.

Thanks ...

Similar Threads: