Body

  • Broken Hand
  • NSAIDS: To Use or Not to Use
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  • Body: Pain Meds vs Sex
  • Appendectomy and Climbing Training
  • Body: Injury Truths
  • Body: BPA and Waterbottles
  • Body: Bouldering for Bone Density
  • Body: Chronic Injury
  • Body: Bouldering for the Bones
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  • Back

  • Lumbar Bone Spurs
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  • Back: Spinal Fracture
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  • Abdomen

  • Abdomen: Muscle Tear/Hernia
  • Arm

    No items found.

    Shoulder

  • Thoracic Musculature Tightness
  • Chronic Posterior Shoulder Pain
  • Supraspinatus and Labral Tears
  • Chronic Shoulder Pain
  • Shoulder Replacement
  • Shoulder Pain
  • Exploding Shoulder
  • Shoulder: Thoracic Outlet Syndrome
  • Shoulder: SLAP Lesion and Cortisone
  • Shoulder: Frozen Shoulder
  • Shoulder: Torn Labrum, SLAP Lesion
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  • Dodgy Elbows Revisited
  • Synovial Chips
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  • Elbow Pain and Cortisone Use
  • Do Compression Sleeves Work?
  • Elbow: Tennis Elbow
  • Elbow: Medial Tendonosis
  • Elbow Pain and Dodgy Elbows
  • Elbow: Tendonosis
  • Elbow: Medial Epicondylosis and Taping
  • Elbow: Tingling and Numbness
  • Elbows: Minimizing Fingerboard Injuries
  • Elbow: Medial Epicondyle Tendonosis
  • Elbow: Stress Fracture
  • Elbow: Pain and Hangboarding
  • Wrist

  • TFCC Tear
  • Wrist Pain From Cleaning Routes
  • Wrist: Klienbock's Disease
  • Wrist: Ruptured Tendon
  • Snap, Crackle, Wrist
  • Wrist: Fractured Scaphoid
  • Wrist: Instability
  • Hand

  • Broken Hand
  • Hand: Hook of the Hamate Fracture
  • Fingers: Everything You Need to Know About Finger Stress
  • Hands: Dupuytren's Disease (lump in palm)
  • Hands: Numbness and Carpal Tunnel Syndrome
  • Fingers

  • Swollen Right Index Finger
  • Pinky Numbness
  • Avulsion Fracture
  • Hand: Arthritis
  • Finger Numbness
  • Fourth Metacarpal Break
  • First Pulley Strain
  • Freezing Fingers Today, Benefit Tomorrow?
  • Cysts in Fingers
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  • Major Finger Pain
  • Fingers: What To Do with a Ruptured Flexor Digitorum Superficialis
  • Fingers: Everything You Need to Know About Finger Stress
  • Fingers: Hyper-extended
  • Fingers: Cysts and Pain
  • Fingers: Cracked Fingertips
  • Fingers: De Quervain's Tenosynovitis
  • Fingers: NSAID Treatment
  • Fingers: Torn A2 Pulley
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  • Hands: Numbness and Carpal Tunnel Syndrome
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  • Leg

  • Leg: Achilles Tendonitis
  • Leg and Knee: Broken Femur and Shattered Kneecap
  • Leg: Pulled Hamstring
  • Leg: Fracture
  • Knee

  • Outside Knee Pain: Tibiofibular Joint
  • MCL Injury
  • Blown Knees
  • Knee Tendonitis after Ankle Fusion
  • Meniscal Tear on a Drop Knee
  • Knee: Rockfall Causes Lump
  • Knee: Chondral Injury of the Lateral Tibial Plateau
  • Leg and Knee: Broken Femur and Shattered Kneecap
  • Knee: Ruptured ACL
  • Knee: Ruptured Ligament and Meniscus
  • Knee: Synovial Cartilage Damage
  • Ankle

  • Osteochondral Talus Fracture
  • Knee Tendonitis after Ankle Fusion
  • Snapped ankle tendon
  • Possible Death of the Talus Bone
  • Broken Talus Bone
  • Ankle: Loud Pop Ankle Roll
  • Feet

  • Bunions
  • Dr. J Attacks Fungal Toenails
  • Feet: Broken Foot
  • Feet: Gout and Pseudogout
  • Feet: Toe Fracture
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    Supraspinatus and Labral Tears

    02-Jun-2015
    By

    I hurt my shoulder several months ago and after six weeks of PT I feel about 50 percent better. My orthopod has me doing another six weeks in the hopes that I will continue to improve. Two radiologists viewed my MRI. The first said I had a partial tear of the supraspinatus and labral tear, and the other said I had a borderline partial/full tear of the supraspinatus and labral tear. What are the odds of being able to recover from this? Should I have surgery or continue with therapy?

    —Michael Denkovich | Plainview, NY

    You’ll be fine. I foresee that your shoulder will recover and you will find happiness in a dark-haired girl with ash-green eyes and a smile of pearls. You will reach a new high point in climbing by the end of next year, having spent a few months using mind power, food and sex to heal and strengthen your shoulder. You’ll appear on NBC in a TV series that will empower the American people with your recipe to life and happiness. God knows the Americans currently need it.

    Most labral tears will settle without surgical intervention. The primary two symptoms that would propel you into the surgical theater are ongoing pain (beyond six months) and locking of the shoulder whereby you cannot continue to move it without first reversing it and giving it a little shake out. That’s the cartilage tear wedging in the joint. BADNESS.

    Going to surgery before either occurs is hastier than a Middle Eastern invasion. The dilemma here is that even with an MRI it’s difficult to elucidate the extent of damage. Because of this there is little data for physicians to extrapolate what injuries are likely to settle down without surgery.

    At face value your injury looks no worse than most and should continue to settle. There is, of course, a chance that it won’t, so keep communicating with your ortho; it sounds like she is on the ball.


    This article was published in Rock and Ice 198 (December 2011).

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