Got the MRI done and saw the doc. Luckily there is no rotator cuff tear.
Anyway here is the doctors report (I dont really quite understand it and he didnt explain it to well so maybe some of you guys can break it down for me):
Findings: There is a Type II acromion with mild lateral downsloping. There is mild degenerative change involving the AC joint. These findings produce mild to moderate indentation upon the supraspinatus tendon. The rotator cuff is intact with no evidence of a full thickness tear. There is no retraction of the supraspinatus musculotendinous junction.
There is a small amount of fluid within the subacromial space. There is no fluid in the subdeltoid space. The biceptial tendon is in normal location. The remaining muscles around the shoulder joint are well developed. There is slight irregularity involving the anterior/superior glenoid labrum. There is no fracture or other bony abnormality noted.
LOL so whats wrong? He told me “shoulder instability” and recommended physical therapy for 8 weeks and said stay away from the military press at all costs.
Disclaimer: I’m no M.D., just a rotator cuff tear patient, so I’ve done a lot of self-research and picked my ortho’s brain. A type II acromion process dips down (is downward sloping) and leaves less space for the supraspinatus tendon (lateral rotator cuff muscle) than a type I (most desirable) acromion does, but is better than a type III (least desirable and most curved).
This means that overhead movement carries a higher risk of impingement for you that a person with a type I acromion. As far as degenerative change of the AC joint, it sounds like maybe pre-arthritic acromio-clavicular joint (junction of the collarbone and clavicle).
If there is a small amount of fluid in the sub-acromial space, you may have a partial-thickness rotator cuff tear (usually overcome w/PT); the body will fill these spaces with fluid, leaving a ‘clear’ impression on the MRI. The glenoid labrum is a cartilaginous triangle-shaped ‘pocket’, if you will, into which the humerus fits, but I don’t know enough about that to talk any shit, really.
I would take his advice and stop pressing, otherwise, you could have a full-thickness supraspinatus tear to show for it, like me, and that won’t heal itself.[/quote]
Wow. Awesome explanation.
One more question though: The doctor said I can do floor presses and neutral grip presses (none over head though). Did you continue to do any of those? If not, how long did you stop doing those? He basically made it sound like I can do presses (except bench) as long as “you can see your elbows from the corner of your eyes.” I figured DB floor presses shouldn’t be too taxing on the shoulder. From your experience what do you think?