Doctor insights on:
How To Tear Your Rotator Cuff On Purpose
Psychiatrist: Hurting yourself intentionally seems a bit ridiculous to me. But if I take your question seriously, a person must be pretty intelligent and athletic to control the body to injury something as specific as the ACL, or any other specific ligament/tendon/body part. You must know the exact anatomic motion and the exact way to injure such a specific body part. There are psychiatric disorders involved ...Read more
Not Likely!: I can't imagine anyone wanting to tear the meniscus in their knee on purpose. Quite painful and significantly debilitating in the short term depending on the extent. Usually one tears their meniscus by accident while trying to go one way and their knee going awkwardly in another direction. For example, like planting your foot and twisting in the opposite direction for a kick. ...Read more
How long does it take to strengthen your rotator cuff muscles after having rotator cuff repair surgery for a massive tear where tissue is good quality?
Patience: It can take 12-24 months to maximize strength gains after a large repair, providing the tissue heals correctly ...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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
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 moreSee 3 more doctor answers
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 moreSee 1 more doctor answer
Rest: This is an answer best asked of your surgeon. Every surgeon has different protocols and different philosophies about motion after rotator cuff repairs. The rotator cuff pulls against the repair even when you sit in a sling/immobilizer completely braced. So it will never be completely protected. Some surgeons want physical therapy right away to keep motion. Others will wait 6-12 weeks. ...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 moreSee 3 more doctor answers
Strengthening: Allow several days of relative rest after an injury, then gradually and progressively strengthen the muscles that form the rotator cuff. These muscles are those that turn your forearm in and out when your elbow is held in a fixed location. Elastic bands are very useful for this type of rehab. ...Read moreSee 2 more doctor answers
What is the difference between a rotator cuff tear and a slap tear. Should you immobilize our keep it moving as tolerated?
Will a rotator cuff impingment or tear heal on its own, and will it cause arthritis in the shoulder joint?
Depends: Rotator cuff impingement is often a self limiting problemthat can resolve either on its own or with treatment. The rotator cuff is present these do not feel on their own but if our small can be treated like impingement. Larger rotator cuff tearsleft untreated can lead to arthritis of the show. ...Read moreSee 1 more doctor answer
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