About Rotator Cuff Treatment

"The rotator cuff is a group of four muscles and their tendons that stabilize the shoulder joint and enable a wide range of arm movements. Tears or injuries to the rotator cuff—often caused by repetitive overhead motions, trauma, or age-related wear—can lead to pain, weakness, and limited mobility. As an orthopedic surgeon, I offer both non-surgical and surgical treatments to address rotator cuff issues, tailored to the severity of the injury and your lifestyle goals.

Non-Surgical Treatment

For partial tears or mild inflammation, surgery may not be necessary. Initial treatment often includes:
Physical Therapy: Exercises to strengthen surrounding muscles and improve range of motion.
Medications: Anti-inflammatory drugs (e.g., ibuprofen) or pain relievers to reduce discomfort.
Injections: Corticosteroids to decrease inflammation and pain, providing temporary relief.
Rest: Limiting aggravating activities to allow healing.

The Procedure (Surgical Rotator Cuff Repair)

When a tear is large, complete, or doesn’t respond to conservative care, surgery is often the best option. I typically perform rotator cuff repair using arthroscopy—a minimally invasive technique. Here’s how it works:

1. Preparation: The procedure is done under general or regional anesthesia for your comfort.

2. Arthroscopic Access: Small incisions (about 1 cm each) are made around the shoulder, and a tiny camera (arthroscope) is inserted to guide the surgery.

3. Tendon Repair: The torn tendon is reattached to the humerus (upper arm bone) using sutures and small anchors embedded in the bone. If the tear is too damaged, a graft may be used in rare cases.

4. Cleanup: Any frayed tissue or bone spurs (which can contribute to tears) are smoothed out to prevent future irritation.

5. Closure: The incisions are closed with sutures or adhesive strips, leaving minimal scarring.

The surgery usually takes 1-2 hours, depending on the tear’s size and complexity.

Recovery Timeline

Recovery from rotator cuff repair is a phased process, and I work closely with physical therapists to ensure optimal healing:
Weeks 1-6: The shoulder is immobilized in a sling to protect the repair. Pain is managed with medication, and passive motion exercises (guided by a therapist) begin to prevent stiffness.
Weeks 6-12: The sling is gradually discontinued, and active motion exercises start to rebuild range of motion. Light strengthening may begin toward the end of this period.
Months 3-6: Therapy focuses on restoring full strength and function. Most patients resume normal daily activities, like driving or light work, during this time.
6-12 Months: Full recovery, including a return to sports or heavy lifting, typically occurs within 6-12 months, depending on the tear’s severity and your rehabilitation progress.

Long-Term Outlook

A successful rotator cuff repair can restore near-normal shoulder function, with most patients experiencing significant pain relief and improved strength. My approach emphasizes precision during surgery and a structured recovery plan to maximize your outcome. If you’re struggling with shoulder pain or weakness, let’s evaluate your rotator cuff and determine the best treatment to get you moving again."