





Tendinopathy of subscapularis and supraspinatus, need some help!
Hello everyone.
I am a police officer and back in 2024 (specifically on November 13th), during a physical education session in a military course, I ended up injuring my right shoulder while performing push-ups.
The pain started off small, but a month later, whenever I rotated my right arm to the sides, I felt a very sharp pain.
I saw the first doctor and, since I was still in the middle of the course, he gave me a corticosteroid infiltration directly into my shoulder tendon. I had an ultrasound done, and it was confirmed at the time that it was a mild tendinopathy of the supraspinatus and subscapularis.
The infiltration lasted for a few months, but my shoulder was still bothering me a lot. In September 2025, I underwent a magnetic resonance imaging (MRI) scan, which showed subacromial impingement and mild supraspinatus tendinopathy.
I went to see another orthopedist, and he told me that my acromion is curved (hooked/curved acromion), which was causing changes in my tendon, and that if physical therapy did not resolve it, I would have to undergo a decompression surgery (acromioplasty).
I kept training normally at the gym; I continued doing my pull-ups and everything else.
However, over the last two months, the pain has worsened significantly. On June 15th, I went to another orthopedist who ordered a new MRI, and it was noted that the condition has deteriorated. I am now diagnosed with these issues:
DIAGNOSTIC IMPRESSION:
Thin fluid film in the subacromial/subdeltoid bursa.
Tendinopathy of the supraspinatus, infraspinatus, and the intra-articular portion of the long head of the biceps.
Osteocapsular hypertrophy of the acromioclavicular joint causing compression on adjacent soft tissues.
Capsuloligamentous thickening in the axillary recess.
I started feeling severe pain in my right shoulder; sleeping has become difficult, and I can no longer do pull-ups without experiencing pain. Also, lifting my arm above my head hurts badly, and it feels like I am losing strength.
The doctor put me on medical leave from my police duties for 60 days, prescribed physical therapy sessions for this period, but told me that if it doesn't resolve the issue, I will have to undergo an acromioplasty.
The worst part is that I am doing the sessions and I am not feeling any improvement! Im worried that may It will need surgery, but the problem is that I'm feeling a lot of pain but in the MRI doesnt shows any signal of tears!! So, it will be necessary surgery?
I will be attaching the MRI images here. If anyone can help me, I appreciate it!