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Doctor insights on: Contraindications Of Rotator Cuff Tear Surgery

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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

Dr. Darrin Cunningham
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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Will a full thickness rotator cuff tear always require surgery?

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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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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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

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?: 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

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Is a full rotator cuff tear with a 3 1/3 CM retraction repairable via arthroscopic surgery?

Maybe: Depends on tissue quality, age of tear, expertise of your surgeon, bone quality, ability to follow post op regimen. ...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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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?

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?

Yes: You are describing some of the symptoms of rotator cuff tear. It will be easier to repair if it is only partial. The rehab afterwards is very important to restoring function so listen to the instructions and follow them as long as you are told to for best results. ...Read more

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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

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

Symptoms not due to: Melanoma in situ or lentigo maligna was cured 8 years ago. Symptoms related to shoulder or neck. Should be checked yearly by dermatologist. Cured from 1 skin cancer= increased risk of future skin cancer. ...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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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 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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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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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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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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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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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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How could a rotator cuff tear be caused in baseball?

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

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Possible rotator cuff tear or impingement? How can I tell?

Best way to tell...: Is to see a doctor. A physical exam will lead to the diagnosis. This can be confirmed by mri. Thank you. ...Read more

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Hi docs, would a slight rotator cuff tear heal on its own?

Yes, it can: Depending on the size of the tear, this can get better with physical therapy, anti-inflammatories and modification of the activities that caused your pain to begin with. ...Read more

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What is the difference between rotator cuff tear and impingement?

Intact vs. Nonintact: Impingement means that the rotator cuff is intact, but inflammed or impinged by the bony architecture of the shoulder. A rotator cuff tear is, obviously, when the rotator cuff tendon (s) are torn away from their bony insertion. ...Read more

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How to tell if I have a possible rotator cuff tear or impingement?

How to tell if I have a possible rotator cuff tear or impingement?

Shoulder Specialist: Extrinsic impingement or the idea that a bone spur wears the rotator cuff away is currently thought to not be accurate. Learn more about this topic here:
http://www. Theshouldercenter. Com/shoulderpain/2013/shoulder-surgery/spur-acromioplasty-impingement/. ...Read more

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What should I do about potential rotator cuff tear or impingement?

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

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What would be the cause of a rotator cuff tear in a baseball pitcher?

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

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Does anyone know whether a rotator cuff tear could be missed in imaging?

Does anyone know whether a rotator cuff tear could be missed in imaging?

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

Dr. Thomas Deberardino
158 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. Brian Badman
164 Doctors shared insights

Rotator Cuff Tear (Definition)

There are 4 muscles and tendons that make up the rotator cuff giving the shoulder lifting and rotational strength as well as contributing to stability ...Read more