Doctor insights on:
Medicine For Rotator Cuff Injury
It depends: Many people have degenerative rotator cuff tears as we mature. Non operative conservative treatment should be the first line of treatment. This often consists of NSAIDS, injection, and physical therapy. If conservative treatment fails or if an acute traumatic tear, operative treatment may be warranted. Ask your orthopaedic surgeon for more details. Physical examination and imaging (MRI) are needed ...Read more
Strength Testing: There are a series of tests a doctor can use to determine which, if any, of the rotator cuff's have been injured. In most of these tests, the physician will ask you to hold your arm out in various positions and ask you to hold it up against resistence. Pain, or inability to hold up the arm may be an indication of injury. Also, an MRI can help determine injury as well. ...Read more
Rest and exercise: As long as it is not torn, a cuff sprain/strain resolves with rest for a couple of days with the use of anti inflammatory meds, followed by gradual exercises involving rotation of the shoulder (look up codmans exercises, which are pendulum exercises for the shoulder). Perform slowly, as pain resolves, can add light weights while performing them to strengthen rtc muscles. ...Read more
Good Question: We need a better understanding of your true diagnosis first. Do you have a strain/sprain without tear, a minor partial tear, a structural partial tear, or a full thickness tear? Each has a different prognosis and treatment. Learn more here: http://www.Theshouldercenter.Com/rotator-cuff-tear.Htm. ...Read more
Be smart & lucky: While there are some variables that you have the ability to control (such as how you lift, what activities you participate in, etc), there are some variables that you cannot easily control. This includes normal aging of the tendon and genetics. ...Read more
Pain and weakness: When the rotator cuff is injured, it first stops working. Without the rotator cuff to stabilize the shoulder, attempts to raise the arm results in improper motion. This in turn causes pain and weakness. An injury may resolve on its own after 4-6 weeks when the rotator cuff recovers. If it has torn, it will not heal on its own and may need a repair. ...Read more
Depends on symptoms:
Without an injury rotator cuff tears are not common in people under 40 but if you are having pain at night that is bad enough to keep you awake or wake you up, then maybe yes.
If you are unable to raise your arm straight over your head (same as other side) then maybe yes.
Hard to make any sweeping blanket statements, but hope this helps. ...Read more
6-12 wks if healable: Minor or partial rotator cuff tears are usually allowed to heal via nonoperative means initially. Physical therpay, appropriate rest, then strengthening or titrated to the needs of each patient and their particular cuff tear. I healing does not work by 6-12 weeks, the tear may well need surgical intervention. ...Read more
See shoulder surgeon: First step to treatment is correct diagnosis. Initial treatment is rest, stretching exercises to prevent stiffness, nsaids, ice. If no help, and symptoms persist more than 2-3 weeks, see a shoulder specialist. A history and physical exam is performed, and x-ray is done. If rotator cuff tear is suspected, additional imaging (mri or ultrasound) may be recommended. ...Read more
If you inflammation of the rotator cuff the treatment by using anti-inflammatory medication could in form tablets or injection in the shoulder area, it take about 3-4 weeks.
If you have tear of the cuff and the tear is complete you need surgery for that.If surgery was done it take 8-12 weeks. ...Read more
See below: Symptoms vary with severity, but usually pain when you try to use the arm, particularly elevating the arm to reach out for something, difficulty lying on that side at night, pain radiates to the side of the upper arm. With a severe rotator cuff tear you may not be able to lift the arm above shoulder level due to a complete tear. Weakness of certain muscles called external rotator muscles as well. ...Read more
Pain with activity: Mild rotator cuff injuries are associated with inflammation without structural damage. Most of the symptoms occur during shoulder activities, such as reaching, lifting and throwing. As symptoms progress, the shoulder becomes painful at rest and even at night. Ice, activity modification and nsaid's are early treatments. Physical therapy and oral/injectable steroids are used in severe cases. ...Read more
Pain and weakness: Most patients with a rotator cuff tear have pain throughout the shoulder region which can be quite severe at night. You may have mild stiffness, but significant stiffness suggests other problems. Your pain most likely will be made worse with overhead activities and lifting objects. You may experience weakness with similar activities. It is best to see a doctor to get it checked out. ...Read more
6-12 weeks: Typically, a rotator cuff strain resolves in 6-12 weeks. They are sometimes associated with other injuries that may take longer. Rotator cuff tears do not heal on their own. They may calm down and stop producing pain, but will not heal back to the original position. Healing after a rotator cuff repair takes 12-16 weeks and continues to improve 6 months after surgery. ...Read more
Yes: After a fall u may b just generally sore ; as u become more active u begin 2 feel like cuff injury. ...Read more
One of the:
major tendons injured (torn) in a RTC (Rotator Cuff) injury is the SUPRASPINATUS which is the majot muscle/tendon complex responsible for LIFTING YOUR ARM OVERHEAD....thus RESTING IT is a necessary part of the REHABILITATION from a RTC injury!!!!
Hope this helps!
Dr Z ...Read more
Stiffness by itself is not diagnostic of a rotator cuff tear but rather a frozen or stiff shoulder. Any sort of shoulder injury or trauma can initiate the process of adhesive capsulitis (frozen shoulder).
Learn more here:
http://theshouldercenter.Com/frozen-shoulder.Htm. ...Read more
See below: Often times, if there is injury in the rotator cuff muscles there is also can be a lot of inflammation of the bursas (fluid sacs) in the shoulder. This can cause the capsule of the shoulder to get sticky and bound down and can also do the same to the tendons. If a person with rtc injury avoids movement because of pain, they often develops stiffness called adhesive capsulitis. ...Read more
Pain, loss of motion: Will both cause stiffness. As movements of the shoulder hurt, while not moving it ( and resting it) would mean less pain but it'll result in stiffness. ...Read more
Non-op 1st: The first line treatments of a cuff injury is non-operative with rest, tylenol, (acetaminophen) nsaid's, physical therapy, and possible cortisone injections. If these measures don't provide relief, surgery can be considered. If the tendon is torn, it is repaired. A repair can be performed either through a traditional open incision, a mini-open approach, or arthroscopically (through very small incisions). ...Read more
Attach cuff to bone.: A rotator cuff tear occurs when the tendon is torn off the bone. For the tendon to heal, it must be reattached to the bone. This is done arthroscopically with suture anchors. The anchors have sutures inside and are placed into the bone. The sutures are placed within the torn rotator cuff and tied down to the bone. The cuff is protected for 6 wks before therapy begins, 3-6 months for recovery. ...Read more
Severity dictates: Not all rotator cuff injuries are the same. Important variables that determine time to healing include: size, location and extent of the cuff injury along with the overall health of the injured patient. History of injury, examination findings, and imaging studies (x-ray & mri) allow your treating physician to make a reasonably accurate estimation regarding time to healing with or without surgery. ...Read more