The good is that the muscle is not a complete tear. That actually surprised me. I fully expected the doctor to say it had completely torn, as he suspected. In some strange way, I'm a little disappointed. That sounds odd, I know, but at least it would fully explain why it felt like it had completely separated.
So what exactly is wrong with my shoulder? The summary paragraph says:
"Longitudinal delamination/tears of the supraspinatus and infraspinatus tendons are likely to be concealed at arthroscopy although is not possible to exclude pinpoint communication of the supraspinatus tear to the bursal surface."The doctor explained that this means the muscle and/or previous tear is rubbing and causing small wear tears on that muscle. It's being compressed in the joint.
The solution? There really is none, other than to continue physio to improve the strength. If there's no improvement, surgery could be an option but it's unlikely.
I made an appointment with my physiotherapist to show her the results so we could plan our next course of action. She said that this condition usually occurs with males 45 yrs and older. In my case, the original injury is just adding to it, along with my poor posture.
The course of action? Keep doing what I'm doing with regards to the exercises and focus more on better posture (says me, as I slouch in my chair typing this...) She also suggested that I may want to consider massage therapy for my neck, but I'll need to get a referral from my doctor for that if I want it to be covered by my health insurance.
The bad is that my cycling will likely aggravate it. :( The only thing I can do to minimize the discomfort is to adjust my seat and/or handlebars so that I'm not bent over the handlebars as much, and perhaps take more frequent breaks while I'm out cycling.
I'm not happy about it. A few people have suggested a recumbent bicycle. While it would help with my shoulder and pinched neck nerve issues, I'm not to keen on the thought. I ride in a lot of places where a recumbent bike would simply not work. I read a little about them and if I were to consider one, it would definitely be the tricycle style.
I have the winter to work on improving my shoulder and neck and I guess I'll see what happens in the spring when I resume cycling.