Thanks Mary for the detail.
This is likely to be partial rotator cuff tear with tendonitis. Those people who do not respond to the initial physical therapy are considered for the following;
1) A subacromial corticosteroid injection
2) A glenohumeral intra articular injection
3) Surgery; arthroscopic or open surgery for the repair of the tear.
You may also meanwhile contiue following;
2) Warm compresses
3) Physical therapy under water
5) Deep electrotherapy; diathermy, therapeutic ultrasound, electrical stimulation etc.
The abnormal marrow signal may be just an incidental finding and may not be significant as many times, MRI can over diagnose (called as false positive, which means positive findings in the absence of disease). Still your orthopedic doctor may get the following investigations fone, for the cautionary reasons to rule out any abnormality;
1) Bone scan
2) Complete blood counts
3) Peripheral blood smear
4) Bone marrow cytology and biopsy.
Please feel free for your follow up questions.
I would be happy to assist you further, if you need any more information.
Thanks for using Just Answer.
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