I went for a third opinion today, May 6th. This doctor came recommended by numerous people.

 He looked over my info, then read the MRI on paper. They had me take off my top layers and he did an exam, moving my arm/shoulder this way and that.He asked if I had tried PT and I said no, he seemed to think it was worth a shot. I explained that I have been reading and most people that try end up having the surgery anyway. PT wont repair the tear, my lifestyle and comfort area lready compromised. He seemed to understand.

He asked if I had an xray, I said no because I forgot I did at the 1st Dr. (I hope Insurance doesnt get me!) He said it looked ok but he wants a other ind of MRI, the one where they inject dye so that he can really see whats going on, how far the tear is and  if theres other things going on. He doesnt want to go into surgery blind.

I went for a second opinion last week, May 1st. The Dr. didnt bring my file in with him. ASked what was wrong. Didn't even have me take off my top layer when he performed an exam. Looked at MRI and said uh-huh SLAP tear. I felt like I couldnt ask him questions and what I did ask the answer was always up to me. Recomended surgery but was in no rush or not concerned of further injury. Didn't seem concerned either when I expressed that I was in pain. Couldn't explain when I would be in pain when at rest.

Just didn't feel right. 

I first went to an OS at the beginning of April since the discomfort and pain had gone beyond only when active (gym weakness, clicking popping). I started to feel pain while doing nothing sitting on the train and sleeping.

 Saw Dr. got history full exam and took xrays and ordered MRI. Went back MRI showed SLAP tear, she talked, was very involved and animated. Seemed concerned, thought the tear was pretty bad and said to think about surgery.

Hyperintensity and mild thinning affecting the bursal surface of the supraspinatus tendon are present. The remainder of the rotator cuff is intact. There is mild diffuse teres minor edema suggesting denervation injury. minimal abnormal fluid is present within the subacromial/subdeltoid bursa. minor hypertrophic changes of the acromioclavicular joint are noted.

No Hill Sachs or bony Bankart fractures are demonstrated. However, complex linear signal extending through the labrum superiorly indicating labral tear is present. The tear propagates to involve the entire anterior labrum and to involve the labrum posterosuperiorly. The tendon of the long head of the biceps is intact. There is no glenohumeral effusion.

 Impression:

1. Supraspinatus tendinosis and mild partial thickness bursal surface tear.
2. Milc AC arthrosis and mild subacromial/subdeltoid bursitis.
3. Superior labral tear with anterior and posterosuperior extension.
4. Mild diffuse teres minor edema suggesting denervation injury.