Doctor insights on:
Contraindications Of Rotator Cuff Tear 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
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
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
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
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?
I'm 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 I'd work on improving your range of motion and
shoulder strength with specific rotator cuff exercises ...Read more
Maybe: Depends on tissue quality, age of tear, expertise of your surgeon, bone quality, ability to follow post op regimen. ...Read more
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
What can I do for my rotator cuff tear it seems to be getting worse but my personal doctor doesn't want to do any surgery to it because of my age?
Will a partial rotator cuff tear cause weakness 2 the point that it's hard 2 lift things & move arm. Having shoulder surgery in a few weeks?
I'm experiencing rectal bleeding. I had surgery for a rotator cuff tear 4 days ago. Is this normal due to the pain meds causing harder stool than usual? Felt sick yesterday from meds but feel ok now. 1x large amt (aproximately 1/4 cup) 2x small amt
Noninvasive melanoma 8yrs ago on arm pain/tingling there now Dr says its scar tissue from the surgery...thoughts? Have rotator cuff tear same area
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?
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
I have a rotator cuff injury and drop arm test shows supraspinatus tear. Do I need to have surgery?
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
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
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
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
It has been three years since a rotator cuff injury, and sudden sharp pains occur when exercising. Do I require surgery?
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 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
Is surgery necessary to fix a ruptured bursa sac in shoulder? Pain is intense and widespread. Has recently gotten worse. Possible rotator cuff injury?
Very Common: Rotator cuff injuries are most frequently seen in the sport of baseball. The reason is that all positions involve throwing, with the pitcher and catcher doing the most. The overhead throwing motion can cause rubbing of the tendon on the acromion bone. This is increased with weakness or fatique of the muscle. Progressive strengthening and conditioning is critical. ...Read more
Rotator cuff: Rotator Cuff tears can occur traumatically or sometimes be degenerative depending on the age of the patient. Smaller partial thickness tears can sometimes be treated with therapy, injections, and NSAIDS. Full thickness tears are usually managed with surgery to repair the tear depending on the age and activity level of the patient. Consult an Orthopaedic surgeon for a full workup. WilsonShoulder. Com ...Read more
Force: The act of throwing a baseball imposes a tremendous amount of force thru our rotator cuff in a short period of time. Improper mechanics and the shear nature of time can result in gradual failure of the tendon. The greg maddux's and jamie moyers of the world are few and far between for a reason. ...Read more
Small tears commonly: Samller partial thickness tears can often be missed on routine mris. Really a thorough history and detailed physical examination should discern over 95% of all rotator cuff tears. The MRI should really only be a preop surgical tool to ascertain whether any other concomitant pathology exists that may also require more surgery and help with efficient use of or time. ...Read more
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