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Christopher Stepien December 20, 2017 at 5:14 pm.
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Christopher Stepien
I have a 69 year old woman with full thickness full-width tears in the supraspinatus and infraspinatus tendons (with mild to moderate muscular atrophy).
She came in with pretty severe pain and with treatment, left with no pain.
She exacerbated it once and with one treatment, her pain was gone indefinitely.
She owns a cleaning business for a living.
With her MRI results and her career, it makes sense to get the surgery to stitch up the muscles. she might say, “Why? Anytime I hurt, you can treat it?” My argument is that she already has moderate atrophy, which will get worse, and she’s going to have to continue using her arm. If she was going to go limp noodle for the rest of her life, she could potentially get away with not getting the surgery.
Am I right to nudge this woman to surgery?
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