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What Does This MRI Report Of Right Shoulder Indicate?
Question: I had a MRI of the right shoulder without IV contrast. Conclusion: 1) Mild arthrosis of the acromioclavicular joint space. 2) No evidence of rotator cuff tear. 3) Normal biceps labral complex. 4) Small non specific subcoracoid joint effusion.
I have been in severe pain for months (especially difficult just trying to sleep). Intense physical therapy and medication have done little in my case. Is surgery needed?
I have been in severe pain for months (especially difficult just trying to sleep). Intense physical therapy and medication have done little in my case. Is surgery needed?
Brief Answer:
MRI shows no major damage
Detailed Answer:
Hi there.
Thanks for the query.
According to the MRI Report you do not have any serious conditions like Rotator cuff tear or Biceps tendon disorders which usually cause pain.
You just have mild arthritis of the acromio-clavicular joint of the right shoulder which may be the cause for the pain you experience. This can be treated by oral medication, anaesthetic and steroid injection into the joint.
A steroid shot will give you considerable relief from the symptoms of arthritis for a period of upto 3 months. Some studies demonstrate upto 5 months relief with Platelet rich plasma which can be derived from a sample of your own blood and has no side effects. Apply ice to the painful area and avoid overhead activities and carrying backpacks or lifting weights. Also you must get tested for Diabetes to rule out causes of Frozen shoulder.
I would recommend you consult your Sports Medicine specialist to get examined for any Acromio-clavicular joint instability. If there is significant instability then surgery may be required otherwise surgery is not indicated in your problem.
I hope I have answered your query.
I will be available to answer your follow up query.
Thanking you.
Regards,
Dr. Aashish Raghu
MRI shows no major damage
Detailed Answer:
Hi there.
Thanks for the query.
According to the MRI Report you do not have any serious conditions like Rotator cuff tear or Biceps tendon disorders which usually cause pain.
You just have mild arthritis of the acromio-clavicular joint of the right shoulder which may be the cause for the pain you experience. This can be treated by oral medication, anaesthetic and steroid injection into the joint.
A steroid shot will give you considerable relief from the symptoms of arthritis for a period of upto 3 months. Some studies demonstrate upto 5 months relief with Platelet rich plasma which can be derived from a sample of your own blood and has no side effects. Apply ice to the painful area and avoid overhead activities and carrying backpacks or lifting weights. Also you must get tested for Diabetes to rule out causes of Frozen shoulder.
I would recommend you consult your Sports Medicine specialist to get examined for any Acromio-clavicular joint instability. If there is significant instability then surgery may be required otherwise surgery is not indicated in your problem.
I hope I have answered your query.
I will be available to answer your follow up query.
Thanking you.
Regards,
Dr. Aashish Raghu
Above answer was peer-reviewed by :
Dr. Raju A.T
I received a steroid shot a couple of months ago and did not improve at all. My Doctor is not comfortable in applying another shot becasuse of possible side effects.
How common is surgery in a mild diagnosis like mine? My shoulder really hurts!!! Is Platelet rich plasma a treatment approved by the Drug and Food Administration in the U.S.?
How common is surgery in a mild diagnosis like mine? My shoulder really hurts!!! Is Platelet rich plasma a treatment approved by the Drug and Food Administration in the U.S.?
Brief Answer:
Need vs risk assessment in the Office use of PRP blood products
Detailed Answer:
Hi there.
The Steroid shot should be infected only in the Acromioclavicular joint as there is arthritis noted only in this joint. It should give your significant relief and very negligible side effects because of no intervening muscles or tendons.
The PRP therapy is part of blood and blood products which is not related by the FDA. The FDA has mentioned that PRP can be used by the Doctor in injections based on his clear clinical judgement of the need to object versus the risk profile which needs to be clearly understood.
I have not come across any side effects of PRP objective in my practice of date.
Kindly consult your Doctor regarding the site of the injection which was administered, if it was into your shoulder joint or in the Acromioclavicular joint. Discuss his views about PRP and it's effects as well.
I hope I have answered your query.
I will be available for follow up queries.
Regards,
Dr. Aashish Raghu
Need vs risk assessment in the Office use of PRP blood products
Detailed Answer:
Hi there.
The Steroid shot should be infected only in the Acromioclavicular joint as there is arthritis noted only in this joint. It should give your significant relief and very negligible side effects because of no intervening muscles or tendons.
The PRP therapy is part of blood and blood products which is not related by the FDA. The FDA has mentioned that PRP can be used by the Doctor in injections based on his clear clinical judgement of the need to object versus the risk profile which needs to be clearly understood.
I have not come across any side effects of PRP objective in my practice of date.
Kindly consult your Doctor regarding the site of the injection which was administered, if it was into your shoulder joint or in the Acromioclavicular joint. Discuss his views about PRP and it's effects as well.
I hope I have answered your query.
I will be available for follow up queries.
Regards,
Dr. Aashish Raghu
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Neel Kudchadkar
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