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Doctor insights on: What Does Surgery For A Rotator Cuff Injury Entail

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What does surgery for a rotator cuff injury entail?

What does surgery for a rotator cuff injury entail?

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

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Dr. Lawrence Kessler
5 doctors shared insights

Rotator Cuff (Definition)

The rotator cuff is a group of four muscles that wrap around the ball of the ball and socket joint f the shoulder. The cuff muscles initiate the movements of internal and external rotation as well as lifting your arm ...Read more


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How do I know if surgery is necessary for a rotator cuff injury?

How do I know if surgery is necessary for a rotator cuff injury?

Many factors: Several factors play a part in the decision to proceed with surgery including the severity of symptoms, accurate physical exam by an orthopedic surgeon, size of the tear on mri, failed nonsurgical treatments, activity level and health of each individual patient. All of the above should be taken into consideration before surgery is planned. ...Read more

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It has been three years since a rotator cuff injury, and sudden sharp pains occur when exercising. Do I require surgery?

It has been three years since a rotator cuff injury, and sudden sharp pains occur when exercising. Do I require surgery?

Rotator cuff tear: Not necessarily. First a repeat MRI has to done to determine if there is a tear and how extensive it is. The MRI should be done with a dye injection(gadolinium ) in the join since you have had prior surgey. A small tear may improve with just physical therapy. ...Read more

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I have a rotator cuff injury and drop arm test shows supraspinatus tear. Do i need to have surgery?

I have a rotator cuff injury and drop arm test shows supraspinatus tear. Do i need to have surgery?

Depends: If you have a complete rotator cuff tear with weakness and night pain in your dominant shoulder then yes, at age 45 you may need surgery. You don't mention having an mri. If you do get an MRI arthrogram as it provides more information. Have you tried any physical therapy yet ? ...Read more

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I have a weird rotator cuff injury. Is it necessary to get surgery?

I have a weird rotator cuff injury. Is it necessary to get surgery?

Not always: The decision to pursue surgical treatment depends on a number of factors, including your age, your activity level, the chronicity of the tear, the size and "repairability" of the tear. Small traumatic tears usually recover predictably well with surgery. Large atraumatic tears often respond to non-operative treatments, although there is some risk of tear progression without surgery. ...Read more

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I have rotator cuff injury and inflammation on both the shoulders. Will tommy johns surgery work in my case?

I have rotator cuff injury and inflammation on both the shoulders. Will tommy johns surgery work in my case?

Not for shoulders!: Tommy john surgery is for elbow instability. Tendon is used to reconstruct the ulnar collateral ligament on the inside part of the elbow. For rotator cuff injuries and tendinitis, a combination of oral/injectable steroids, nsaid's and therapy, is very effective treatment. If non-operative treatment fails, shoulder arthroscopy is the treatment of choice. See a board certified orthopaedic surgeon. ...Read more

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Can i heal my rotator cuff injury without surgery? I fell a couple of months ago and tore my rotator cuff muscle. The dr. Says i need surgery, but I am hesitant, because that would mean a long recovery. I am self-employed and i can't make a living witho

Can i heal my rotator cuff injury without surgery? I fell a couple of months ago and tore my rotator cuff muscle.  The dr. Says i need surgery, but I am hesitant, because that would mean a long recovery.  I am self-employed and i can't make a living witho

I : I agree with dr. Peterson. Depending on type of rotator cuff tear, physical therapy is often an excellent option. By maximizing the muscle strength of the surrounding the other rotator cuff muscles and surrounding shoulder blade muscles, the pain associated with the tear and subsequent dysfunction may be controlled. For those who do not have success with physical therapy, surgery may improve their results. Physical therapy seems to do a little better in the degenerative type tears or the partial thickness rotator cuff tears. Usually, large full thickness rotator cuff tears tend to require surgical repair. ...Read more

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Are rotator cuff injuries best healed with therapy or surgery?

Are rotator cuff injuries best healed with therapy or surgery?

Cuff injuries ...: Cuff injuries aren't all the same and aren't all treated the same way. Some injuries respond well to non-operative treatment with resolution of pain and without loss of function while many require surgery to alleviate pain and/or restore strength and motion. An orthopedic surgeon experienced in the treatment of these injuries is most qualified to help you decide what the best treatment is for you. ...Read more

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Can a rotator cuff tear heal on its own without surgery? What do I have to do?

Can a rotator cuff tear heal on its own without surgery? What do I have to do?

Depends: http://www.theshouldercenter.com/rotator-cuff-tear.htm an acute injury can result in significant weakness but not mean that there is a large tear. We need more information and a clearer extent of pathology and diagnosis. A drop arm test by itself is not sufficient to make the decision for surgery. Consider a more detailed evaluation with a shoulder specialist to review your options. ...Read more

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A couple months ago they told me I had a partial right rotator cuff tear.I have lots of pain and take meds but they only do so much they told me I needed surgery any other suggestions?

A couple months ago they told me I had a partial right rotator cuff tear.I have lots of pain and take meds but they only do so much they told me I needed surgery any other suggestions?

Physical therapy: 90% of these problems respond to physical therapy, nonsteroidal anti inflammatory medication and occasionally, subacromial cortisone injections. If, after 3 months of non operative care your symptoms persist and a MRI of your shoulder reveals pathology that can be treated surgically, then go ahead with it. ...Read more

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Rotator cuff tear surgery, how does it recover?

Rotator cuff tear surgery, how does it recover?

6 months.: Our protocol calls for 3 weeks in a sling, then we initiate physical therapy. Our patients participate in physical therapy for about 4-6 months before being released to all activities. ...Read more

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Will a full thickness rotator cuff tear always require surgery?

Depends: Surgical treatment for full thickness rotator cuff tears (RCT) depends on age, activity level, pain level, weakness, and tear characteristics (size, location, amount of retraction, chronicity). Your orthopaedic surgeon will discuss these issues to help you decide if and when surgery is appropriate. 33 is very young to have a RCT and I usually recommend surgery for acute tears at this age. ...Read more

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Partial rotator cuff tear can be healed without surgery?.I have been doing rehab and icing it for last 2 months . Pain is gone but swelling remains

One option: Have you considered asking your physician about adding acupuncture to your current treatment regimen? It can help reduce inflammation & swelling as increasing range of motion. ...Read more

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Pls advise which drugs can be used for a rotator cuff tear which does not require surgery. Pain is moderate but ongoing, have full movement/strength ?

Pls advise which drugs can be used for a rotator cuff tear which does not require surgery. Pain is moderate but ongoing, have full movement/strength ?

Nsaids?: Im not sure what you mean by a rotator cuff tear that doesn't require surgery. But at age 74, I would certainly try to decrease your pain and swelling with some nsaid medications Then Id work on improving your range of motion and shoulder strength with specific rotator cuff exercises ...Read more

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I have a rotator cuff tear in my l shoulder and am suddenly hearing a clicking noise when i move it. Is it getting worse? Surgery is a month away!

Noise is expected: Tears can get larger with time, but clicking in a shoulder with a known tear is not unusual. Worsening function or pain should be brought to your surgeons attention, however. ...Read more

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Age 16, i hurt my shoulder 2 months ago. Physical therapy and cortisone not helpful. Mri shows rotator cuff tear and bone spur. Should I have surgery?

Age 16, i hurt my shoulder 2 months ago. Physical therapy and cortisone not helpful. Mri shows rotator cuff tear and bone spur. Should I have surgery?

Shoulder Specialist: I rarely see patients at age 16 that have a rotator cuff tear and don't have other shoulder pathology such as a labrum tear, suprascapular nerve injury or an unstable shoulder. I would recommend you have an evaluation with someone that performs hundreds of shoulder repairs like yours annually. I am also suspicious of the bone spur diagnosis. http://www.theshouldercenter.com/shoulderpain/2013/sho. ...Read more

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Dr. Thomas Deberardino
152 doctors shared insights

Rotator Cuff Injury (Definition)

Your rotator cuff muscles are the fine motor control muscles that allow the arm/elbow/hand to be placed in a specific position in space. With an injury to the rotator cuff, patients have pain with discrete shoulder ...Read more


Dr. Patricia Foster
1 doctor shared a insight

Injuries (Definition)

An injury, of any severity, is a condition in which a person has damage to any part of his body. Examples of major injuries include gunshot wounds, knife wounds, large burns, severed ...Read more