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  1. #1
    Da1UnV bodyhard's Avatar
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    My shoulder MRI findings - Have no idea what any of it means

    So I had the MRI done on Saturday I do it at NYULANGONE and you can log into Mychart and read your results so this is what I read, but have no idea what any of this means.

    CUT AND PASTE FROM MYCHART.

    Technique: Multiplanar, multisequential images were obtained on a 1.5T scanner according to standard protocol.

    Prior studies: None

    Findings:

    Bones: No evidence of acute fracture or dislocation.

    Rotator cuff: There is mild/moderate supraspinatus and infraspinatus tendinosis with superimposed partial-thickness articular surface tearing of the supraspinatus tendon that involves approximately 50-60% of the tendon thickness (series 4 image 13). There is mild subscapularis tendinosis. The teres minor tendon is unremarkable. There is no significant fatty degeneration of the musculature. The subacromial/subdeltoid bursa is unremarkable.

    Biceps tendon: Mild tendinosis.

    Rotator Interval: Unremarkable.

    Glenohumeral joint: There is moderate glenohumeral osteoarthritis with broad regions of full-thickness/near full-thickness cartilage loss, subchondral cyst formation, and marginal osteophyte formation. There is mild/moderate posterior subluxation of the humeral head without significant posterior glenoid wear. There is no high riding of the humeral head. There is diffuse degenerative fraying of the labrum. There is a small joint effusion with synovitis.

    Acromioclavicular joint: There is moderate arthrosis of the acromioclavicular joint. There is no subacromial enthesophyte.

    Deltoid: Unremarkable.

    Subcutaneous tissues: Unremarkable.

    Impression:

    Moderate glenohumeral osteoarthritis. Partial-thickness tearing of the supraspinatus tendon.

    I personally reviewed the images and agree with this report. Final Report: Dictated by and Signed by Attending Soterios Gyftopoulos MD 5/19/2017 12:42 PM

    I am waiting on the surgeon to call me and tell me what are the next steps if any.
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  2. #2
    I'm the beast Iceman1800's Avatar
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    It's actually no bad news at all. Lots of degeneration which isn't good but normal for a lifter our age. Partial tears are fixable without surgery too. Jmo, I'd google search rehab for full rotator tears and do that rehab for a while. Limit benching unless you can use Hammer strength machines that don't go all the way back. Rotators don't like the very bottom position on benching. Definitely don't see a need to give up lifting.
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    Registered User ajdahlheimer's Avatar
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    BH--I think the synopsis is you are truly "unremarkable".
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    Registered User polishedball's Avatar
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    That seems to have less issues than I did when I began PT (if i can pull my report ill post it from last Aug), Not sure how bad your day to day is currently, but I was to the point of not being able to even lift my arm without discomfort and couldn't bench the bar. So far PT served me well. 7 months off most upper body weighted work was the worst part. Hope they get a solid workable solution for you that corrects the issue.
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    Da1UnV bodyhard's Avatar
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    This is both confusing and concerning. if what the MRI states (according to you guys) there really isn't anything really damaging to my shoulder, then where is the pain on my Tricep/lat/bicep coming from?

    Last night the pain was so bad (shoulder/bicep/tricep/lat) I had to drop from 80lbs DB to 50lb DB because, not only was it painful, but my whole left arm lost strength mid point through the set.
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    Registered User KeepItMoving's Avatar
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    PT, anti inflammatory meds, possible additional injections, then, if that fails, another surgery.

    Again, I say, you will need to modify your training. You're pretty old for this game. So am I.
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    I'm the beast Iceman1800's Avatar
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    The partial tears cause inflammation which can put pressure on nerves going thru the area. That causes pain and any nerve compression weakens the area the nerves are traveling to. I'm guessing loss of muscle endurance on that side too? Ice and Aleve should become your best friend.
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    Da1UnV bodyhard's Avatar
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    Originally Posted by KeepItMoving View Post
    PT, anti inflammatory meds, possible additional injections, then, if that fails, another surgery.

    Again, I say, you will need to modify your training. You're pretty old for this game. So am I.
    I had the injection on April 12th and the pain is already back, I also take Aleve (2 of them) roughly an hour before I go to the gym.

    Originally Posted by Iceman1800 View Post
    The partial tears cause inflammation which can put pressure on nerves going thru the area. That causes pain and any nerve compression weakens the area the nerves are traveling to. I'm guessing loss of muscle endurance on that side too? Ice and Aleve should become your best friend.
    Yes I seemed to lose strength the more reps I did, the weight wasn't heavy at all, but like a numbness/weird feeling started coming in (aside from the pain) and I lost strength and the weight (50lbs felt heavy) I don't do the ice but I definitely take Aleves prior to hitting the gym.
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    Registered User polishedball's Avatar
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    Originally Posted by bodyhard View Post
    This is both confusing and concerning. if what the MRI states (according to you guys) there really isn't anything really damaging to my shoulder, then where is the pain on my Tricep/lat/bicep coming from?

    Last night the pain was so bad (shoulder/bicep/tricep/lat) I had to drop from 80lbs DB to 50lb DB because, not only was it painful, but my whole left arm lost strength mid point through the set.
    I had an issue with TOS ~Thoracic outlet syndrome~ years back that caused numbness and pain in shoulder and arms. Not sure if my lat was effected but traps were. Not sure how to explain it but the best thing i did for it and still do is making like upside down cat/owl eyes where you hold your index finger to thumb tip and flip your remaining fingers towards you putting the circle over your eye. And if you understand ill even be surprised
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    Registered User polishedball's Avatar
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    at the 2minute mark is what i am trying to say, also iirc mine was caused by a top rib that had moved


    Last edited by polishedball; 05-22-2018 at 11:11 AM.
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  11. #11
    I'm the beast Iceman1800's Avatar
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    Google Rotator cuff pendulum swings then click images. Lots of illustrations on exercises that help repair the area. They're more for post surgery rotator fixes but they're very beneficial for all shoulder rehab.
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  12. #12
    Da1UnV bodyhard's Avatar
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    Originally Posted by polishedball View Post
    I had an issue with TOS ~Thoracic outlet syndrome~ years back that caused numbness and pain in shoulder and arms. Not sure if my lat was effected but traps were. Not sure how to explain it but the best thing i did for it and still do is making like upside down cat/owl eyes where you hold your index finger to thumb tip and flip your remaining fingers towards you putting the circle over your eye. And if you understand ill even be surprised
    Originally Posted by polishedball View Post
    at the 2minute mark is what i am trying to say, also iirc mine was caused by a top rib that had moved


    Originally Posted by Iceman1800 View Post
    Google Rotator cuff pendulum swings then click images. Lots of illustrations on exercises that help repair the area. They're more for post surgery rotator fixes but they're very beneficial for all shoulder rehab.
    hanks fellas I am at work right now so can't view the video nor do a google search but I will when I get home.
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    Originally Posted by bodyhard View Post
    Deltoid: Unremarkable.
    Hmm, sounds like they don't think very highly of your delts. You might need to go back with a stringer on, and hit a back double bicep pose. Say "who's unremarkable now bish!"
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    Weak and foolish OldFartTom's Avatar
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    I was just thinking that, if they said your delts were unremarkable that's fighting talk? you should find that doc and punch him out
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    Registered User shmobin's Avatar
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    Looks to me like they're calling you out for having weak ass deltoids bro.
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    This is both confusing and concerning. if what the MRI states (according to you guys) there really isn't anything really damaging to my shoulder, then where is the pain on my Tricep/lat/bicep coming from?

    They aren’t saying everything is OK, it’s not... they are saying it’s not unfixable. Essentially you have cartilage loss, are beginning to get some arthritis and have a partial tear of an important tendon.

    I’d wait until you hear from the doc to start anything new or any therapies you look up on the internet, there’s a reason the guy has “Doctor” in front of his name, and you might want to lay off any lifts involving shoulder movements until then too. If it hurts it’s probably bad.

    However, from what I know based on my own experience and that of others I know, you’re probably going to have to lay off most upper body lifting for a few months, put in some time with a PT and maybe some minor surgery to repair things if rest and PT doesn’t get it done.

    My father had a partial tear of the same tendon, ignored the docs advice and ended up tearing it completely, resulting in a much more serious surgery when surgery might have been avoided altogether.

    Take it easy for a bit, get the docs advice and follow it then get the PTs advice on how to modify your workout once you’re back to lifting.
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    Read through it all and all I got was "maybe its a tumor?".
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    The tendinosis is what is causing your pain.

    Take a break from all pushing exercises for a month and do lots of stretching.

    Buy a pair of 1 lb (yes 1 lb) indian clubs and swing them. Just do mills.

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    i gotta get my left scap checked almost certain theres some kind of tear in there but i just keep lifting on it

    the scaps like bumps on ribcage and the trap is always shrugged up kinda
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    Originally Posted by keyboardworkout View Post
    The tendinosis is what is causing your pain.

    Take a break from all pushing exercises for a month and do lots of stretching.

    Buy a pair of 1 lb (yes 1 lb) indian clubs and swing them. Just do mills.

    You could put out someone's eye with that thing!
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    I can go along with the tendinosis angle. I was in PT and they stretched mine out, had this wicked painful knot that was stubborn. Heat me up, range the arm... go after the knot. It got better and I was okay to go back to the gym, but no overhead work! My shoulder is a lot worse than yours.

    The good news is that I don't see anything mentioning bone spurs and significant calcification. Those are the things that will shred a RC if you keep working out against them. How much do you ice the shoulder up after the gym? I would do 20 minutes out of an hour for at least 1 cycle, maybe 2 if the pain is that bad. I would fill a baggie with ice and clothespin it to my shirt and watch TV.
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    I did the exercises on the video and holy fck they were extremely painful my left arm just doesn't have that range of motion at all.

    I have no idea how my shoulder is affecting my Tricep/lat/Bicep to the extent that it is, I am going to have a thourough discussion with my surgeon on exactly what/where the pain is (aside from my shoulder pain) as this is becoming more and more confusing for me.

    Last night I did back/biceps and while my shoulder was hurting it was tolerable. My Tricep was hurting during BOR and Cable rows and my lat felt like it wanted to rip in two when doing pull-ups. My bicep ironically was not hurting while doing curls but it is painful while doing bench.
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    Originally Posted by bodyhard View Post
    I did the exercises on the video and holy fck they were extremely painful my left arm just doesn't have that range of motion at all.
    I'd avoid it then, when I did it even though I slowly had to work on getting there, I would feel a release of pain, not more pain.

    The nerves are odd and when the problem is in one area it is often perceived in another, so even though it doesn't make sense it is somewhat common.

    Hope the doc has a solid plan of action for you.
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    BH, i googled 4 key phrases from your mri findings and tried to understand the search results. That was a no go, and i am usually pretty good at interpreting complex things. I would just wait for your consultation and not FK around with this stuff. I recall DBX describing degenerative joints and it isn't something to tinker with.
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    I had my right shoulder operated on when I was 65. Worked out great. Next month I'm getting the left shoulder operated on. Then I'll have a matched set. Neither injury had anything to do with the decades of weight lifting. Left was caused by a OCD of wandering thru the woods with a machete for 45 years behind my cutting things. Eventually created a calcium deposit underneath the acromium where the humorous kept rubbing. The right one was from a Hoist v5 tipping over on me and me catching it at the last second. It still pinned me to the floor and I had to get out from under it myself since nobody else was around to help. My stupidity when taking the machine apart. My rehab took about 2 months on the first one. Guess it'll be about the same this time. Your MRI is pretty close to what mine is on the right shoulder.
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    Originally Posted by bodyhard View Post
    I did the exercises on the video and holy fck they were extremely painful my left arm just doesn't have that range of motion at all.

    I have no idea how my shoulder is affecting my Tricep/lat/Bicep to the extent that it is, I am going to have a thourough discussion with my surgeon on exactly what/where the pain is (aside from my shoulder pain) as this is becoming more and more confusing for me.
    Nah, that's a pu**y move. Clearly the best course of action is to listen to all the forum MD's and their limited sample size anecdotal evidence.


    I'll add my own input (of which I hope I'm wrong); I'm an MRI Tech and can envision what the images looked like based on the report- if I was scanning it, I would have said to myself "that sucks, he's going to be recovering from surgery most of the summer".
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    Originally Posted by bodyhard View Post
    My bicep ironically was not hurting while doing curls but it is painful while doing bench.
    Shoulder pain refers everywhere so it's hard to isolate the painful spot.

    Just an FYI. Avoid all pulling movements (like curls) before pressing movements. Ideally, you want a day of rest between pulling and pushing. The biceps tendon has a very narrow path through the shoulder. Inflaming the biceps tendon from pulling movements can cause pain when pressing.

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