Hi,Back in November I started having numbness on my right armpit and tingling. My pcp order an emg, of my right arm whicChatDoctore back negative. She then ordered an MRI of my right shoulder and neck. The neck MRI showed mild disc profusion a c5-6. The shoulder MRI showed a 70% of the depth of the tendon of the posterior fibers of the supraspinatus and anterior fibers of the infraspinatus, a type 3 downslopping acromion spur . I saw a PA today but i wasn t totally convinced with his evaluation, to begin he mentioned that the tear was of 50% then I asked about the spur he then told me that with PT the tendon can be deviated from the spur. Im totally confused. should i go for a second opinion?
Dear patient your shoulder MRI is suggestive of partial tear of supraspinatus and infraspinatus muscles extending up to 70 percent of tendon depth. This can progress to complete tear with minor trauma. Your acromion is type 3 meaning curved and might impinge on rotator cuff muscles resulting in pain and tear. You need to be examined by arthroscopic surgeon in details, and he can guide you for proper treatment. Sometimes partial tear needs repair to prevent progression of pain is significant and associated with weakness. Physiotherapy helps in many ways if done properly under supervision of sports physiotherapist.