Hi, doctor, I fell out of bed and landed on my elbows and knees - most of the force seemed to be on my right elbow. I had severe pain in both shoulders and knees so I went to the ER. There were several x-rays taken. No bones were broken. I have had therapy on my shoulders. The physical therapist is suspicious of a bone spur and of a possible rotator cuff tear. I am unable to extend my right arm as in shaking hands. However, if I raise my right arm a few inches I can then use my left arm to raise my right arm further. The condition has slightly improved but I do have pain when raising or lowering the right arm. It seems as though something is restricting the movement in both directions. It also feels as though I have no muscle power as I extend my arm. The therapist is considering asking my doctor to order an MRI to look for tearing or bone chip or anything else. Where can I find more information about rotator cuff - descriptions, pictures, animations, etc.? Also, do you have any other suggestions? Thank you, XXXX at YYYY@YYYY thank you
Hi, To confirm the diagnosis of rotator cough tear the investigation of choice is MRI scan. If there is rotator cuff tear, you need arthroscopic surgery to repair it. Hope I have answered your query. Let me know if I can assist you further.