I'm only through two years of med school, and have yet to cover any orthopedics. This is NOT a professional opinion, and should not be viewed as such. However, I do know a bit. And, as someone previously mentioned, don't get too worked up until you get the MRI and have an Orthopedist give his/her opinion.
Surgery will depend on the results of the MRI, as well how well you can exhibit full range of motion. If you have a complete tear, then you are definitely going to surgery. If you have a partial tear, then it will depend on the degree of the tear, as well as the range of motion. To the best of my knowledge, a shoulder is never 100% after surgery. HOWEVER, if you are diligent to the utmost degree with physical therapy and continue to keep the shoulder and its stabilizing muscles strong, then you won't notice a deficit.
If you have a partial tear and can exhibit an adequate range of motion, then conservative care is suggested. This does not involve surgery, but does involve immobilization of the shoulder for a while and pain meds. After a certain period of time, you will undergo intensive physical therapy. AGAIN, diligence in following a physical therapy regimen and keeping the shoulder health is key. Too many patients slack off during physical therapy and then complain that their shoulder, knee, etc. never feels the same.
In the mean time consistently ice it and take anti-inflammatories (advil, ibuprofen) as directed on the bottle. And, when I say ice it consistently, make your best attempt to do 20 minute intervals as often as possible. Make sure there is some sort of cloth barrier between the ice and your skin so as not to destroy your nociceptors or irritate the skin.
Again, the information I have provided is NOT a professional opinion, and should not be viewed as such.
Last edited by billygold18; 04-08-2010 at 02:29 AM.