My mother's right shoulder supra spinatus muscle tear seen in mri report. In report length measures 10 mm and no evidence of muscle retraction or fatty atrophy. Due to this tear my mother feels heavy pain complete right hand. Kindly suggest medicine for pain relief.

Regards Lybrate user. Tear of supraspinatus may occur due to degenerative or traumatic reasons. This muscle is essential to support the weight of the whole upper extremity (arm). With the information provided, no evidence of muscle retraction may suggest it is a partial tear. Is she currently wearing any sling? If not a shoulder sling might help her to temporarily relieve the pain felt and avoid the heaviness in the arm. Also it will provide a chance for healing of the tissue. Sling should not be used too long (as in weeks & months) as it will lead to muscle weakness. She could try to use the sling for a few days, on and off when pain is more, to relieve the pain. She may try using ice packs for pain relief over the back of shoulder too (ensure the ice pack is not placed directly on skin, use a thin cloth layer between ice pack and skin). Ice packs may be kept for 15 - 20 minutes and repeated multiple times in a day as tolerated. As far as medications, as you had listed, she is currently on multiple medications for her pain already. But if you further feel there is need for her pain to be addressed by medications, you may consult a physician or orthopaedician to discuss the concern.  

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