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

What are the symtoms: First, why do you think you have a rc problem? Your doc could take a look at you and make a diagnosis relatively easily. Mri can see a tear but not all need surgery.

Rotator cuff: If you have significant pain or difficulty raising your arm overhead then surgery may be indicated. However many rotator cuff injuries can be treated with therapy and nsaids. A MRI can help determine how significant the injury is.

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.

If torn off bone.: Surgery is usually required if the tear is off the arm bone. Partial tears or strains have potential to improve with medication and physical therapy.