New member to the board, looking for some advice on my situation as I see there are many helpful members on this particular board.
Recently got an MRI of my left shoulder which revealed the following:
-partial rotator cuff tear
-bone spur on my acromion
-severe tendonitis of my supraspinatus
-some inflammation in the joint capsule
I have a noticeable "crack" when lifting the effected shoulder out and over-head, along with instability and definite weakness. However my WORST symptom BY FAR is a sharp, dull pain I feel shooting down my arm, concentrated just below the left bicep in the bend of my arm. Is this pain due to the rotator cuff tear? Or is it a separate bicep issue? I also have some pain if I sleep on the effected shoulder.
I also have tightness in my upper trap, which I understand to be tendonitis of my supraspinatus??
Long story short, I originally got diagnosed with impingement syndrome. Went to PT 2 separate times with no long term relief. Post therapy the pain started shooting down my arm and has really effected my training for the past year and a half. I took time off, did a lot of eccentric work, ART, Graston etc to no avail. The shoulder itself doesn't hurt much, only when I do over-head work at medium to heavy weight (which I have been avoiding now).
I most recently got a cortisone shot in the shoulder, this has not helped and to be honest the pain shooting down my arm has been worse since the shot (2 weeks ago.) Before the shot it would only hurt when I did direct bicep work or certain other movements, now I feel a heaviness in that arm no matter what.
I have a follow up appointment in a couple weeks and the doc said if there's no improvement then surgery would be the next step since I've been dealing with this for well over a year.
My question are as follows:
-What is causing the pain shooting down my arm? I'm guessing its the bone spur impinging the long head bicep tendon???
-There is a lack of blood flow to that arm, I'm very very worried about my tendons and long term damage. Should I expect the surgery to fix all these issues??
-Is it best to stay out of the gym until I get this surgery? Or perhaps I should only train legs and abs in the meantime? Or.... still workout and just be smart and avoid any exercises that I notice pain from? I ask because I know its possible to do damage without feeling pain necessarily.
Any help from someone who's been through what I'm experiencing would be awesome as well as some feedback for my questions.
Appreciate it very much!