Concluded Case

rotatary cuff injury

56 year female c/o pain in left shoulder since 2 month. Hard working women Suggested for surgery Conservative treatment possible? Follow up case She was given steroid injection Piroxicam 20 od curical tab Does these oviod surgery? Or postpone it?

(Edited)

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This is a shoulder cuff injury and hence needs surgical intervention There is collection and suprspinatus rupture hence repair followed by physiotherapy Conservative line will not help in long term as calcification will lead to frozened shoulder and will be permanent feature Still if you need NSAIDs+muscle Physiotherapy Contrast fomentation

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This is a shoulder cuff injury and hence needs surgical intervention There is collection and suprspinatus rupture hence repair followed by physiotherapy Conservative line will not help in long term as calcification will lead to frozened shoulder and will be permanent feature Still if you need NSAIDs+muscle Physiotherapy Contrast fomentation

Thanx dr Shamim Ahmed
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Even with surgery life style modification is essential Supraspinatus tendon quality is poor Half width is torn If untreated, it will become complete sooner or later because of hard work Suturing at this stage means, intact area will support the repair If it become complete, the tendon will retract Pulling the ends together and suturing means, tension at suture lines and chances of cut through There are other inflammatory changes with fluid in many areas as MRI suggest. Surgery is a logical option if patient can afford Rehabilitation can be prolonged after surgery If the patient stop using the limb for heavy activites, the partial torn tendon may hold longer

Thank you doctor
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Ortho opinion Middle aged active lady Surgical repair of high grade supraspinatous tendon tear is right decision. Should be followed by physiotherapy .

Thank you,Doctor
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रोगी वात व्याधि से ग्रस्त है। चिकित्सा संबंधी योग,,,, महानारायण महामासादि तेल को मिलाकर कंधे की मालिश करें और फिर उस पर एरंड का पत्ता रख कर उपनाह बांध दें। महायोगराज गुगल स्वर्ण युक्त 2 वटी एकांग वीर रस 2 रत्ती शहद में मिलाकर सुबह-शाम सेवन कराएं। महारास्नादि क्वाथ 25 ग्राम सुबह-शाम खाने के बाद दें। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।

Dear Dr. Indrani Aithal ma'am, Advice for the case. Tab. Ekang Veer Ras . Tab. Gokshuradi Guggulu. Advice for Abhyanga with Maha Mash tail. Advice for Erandapatra Swedana.

Panchkarma therapy and supportive medicine may help.

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