Shoulder clicking

[madiyaan]

Thank you for your replies.

I have a long story to share.

I went to the doctor and he performed a few x-rays to rule out bone-on-bone grinding. Thankfully there was none. He referred me to the PT to do RC strengthening. The clicking/grinding sensation remained (it was audible but not painful). Gradually it started become painful when under weight. For example, the bottom part of wide-grip pull ups when the arm is fully extended elicited a click/grind noise along with some pain. Push-ups don't cause the click.

I got more concerned and got more tests done. A supraspinatus outlet-view x-ray of my shoulder revealed an acromion bone spur. He referred me to an MRI thinking there might be more damage. Here are the results of the MRI:

Study: MRI of the left shoulder without contrast
Findings: The acromioclavicular joint is unremarkable.

There is diffuse thickening of the posterior aspect of the supraspinatus tendon, without focal tearing. The remaining portions of the supraspinatus tendon are unremarkable. The infraspinatus, teres minor and subscapularis tendons are unremarkable. No muscle atrophy of the rotator cuff is identified.

The biceps tenon is unremarkable. There is abnormal increased signal within the anterior labrum (axial sequence, images 12, 15) of unclear etiology. Further evaluation is limited owing to lack of significant joint effusion. There is no associated Hill-Sachs deformity.

The humeral head is normally situated. Normal marrow signal intensity is seen.

Impression:
1. Abnormal signal intensity within the anterior labrum of unclear etiology. Further evaluation is limited owing to lack of significant joint effusion. An MR arthrogram is recommended for further evaulation.
2. Mild tendinosis of the posterior aspect of the supraspinatus tendon, without tearing.


According to my ortho, I have a tear in the anterior labrum, though not a major one.

My question is this: do my symptoms match those of an anterior labrum tear? I am going to get a second opinion soon, but am really concerned about labrum tears because of their notoriety of not healing properly. What are my chances of recovering from this? I want to be able to lift weights and do exercises without grinding/clicking and the slight pain when I do certain exercises.