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Treatments for a Rotator Cuff Tear

October 11, 2024

A torn rotator cuff can make it hard to do everyday things and play sports. Understanding your treatment options is important whether you are an athlete or someone with a sore shoulder.

Let us explore different ways to treat a torn rotator cuff, both with and without surgery, and discuss what to do after treatment.

Understanding the Rotator Cuff

Your shoulder is a ball-and-socket joint that allows you to move your arm in many ways. A group of special muscles and cords called tendons help hold the ball in place and allow you to lift and move your arm. This group of tendons is called the rotator cuff.

Imagine your shoulder as a baseball and its socket. The rotator cuff is like the glove that holds the ball firmly in place. When one of these cords (tendons) gets torn, it can be very painful and make it hard to use your arm.

Tears in the rotator cuff can happen suddenly, like when you fall and land on your outstretched arm. Or they can happen slowly over time from doing the same arm movements again and again.

Non-Surgical Rotator Cuff Treatment

Often, doctors try to fix a torn rotator cuff without surgery first. These treatments can help to ease pain, improve how your shoulder works, and stop the tear from getting worse.

These non-surgical ways to get better include rest, special exercises, and medicine. Following your doctor’s advice will help you heal faster.

Rest and Activity Modification

One of the first things to do for a torn rotator cuff is to give your shoulder a break. This means stopping activities that make your shoulder hurt, like lifting heavy things or reaching up high.

Resting helps the torn part of your shoulder heal and goes down with swelling. It is important not to keep your shoulder completely still, but you should change how you do things to avoid hurting it.

Physical Therapy

Physical therapy is crucial for healing a torn rotator cuff. It enhances shoulder muscle strength, promotes better movement, and alleviates discomfort. A therapist will create a tailored exercise plan to help you recover. Regular sessions and daily home exercises are vital for a full recovery.

Anti-Inflammatory Medications

You can take medicine to help with the pain and swelling. There are medicines you can buy without a doctor’s note. But always follow what your doctor says.

If the pain is really bad, your doctor might give you stronger medicine. Never take any new medicine without asking your doctor first.

Corticosteroid Injections

For severe pain that does not respond to other treatments, you and your doctor may consider corticosteroid injections. These injections deliver medication directly to the rotator cuff injury. This way, they provide quick relief.

However, they are not a long-term solution. Corticosteroids should be used sparingly due to potential side effects.

Surgical Options

When non-surgical treatments do not provide sufficient relief, your orthopedist may recommend surgical options. Surgery might be necessary for more severe tears or when the shoulder remains impaired.

Arthroscopic Surgery

Arthroscopic surgery is a minimally invasive procedure. A surgeon inserts a tiny camera and instruments through small incisions to repair the torn tendon.

This method has several benefits, including:

  • Reduced pain
  • Shorter recovery time
  • Less scarring
  • Swift return to normal activities

Open Surgery

When the tear is extensive or if arthroscopy is not suitable, open surgery may be necessary. This involves making a larger incision to access and repair the tendon.

While recovery may take longer, open surgery can effectively address more complex injuries. Discuss with your surgeon to determine the best approach for your specific condition.

Recovery Process

Recovery from rotator cuff surgery varies based on the procedure and the individual. Initially, the shoulder will be restricted in a sling.

Physical therapy will begin right after surgery to regain strength and mobility. Full recovery can take several months. Following the rehabilitation plan is also crucial.

Post-Treatment Rehabilitation

Post-treatment rehab is a critical phase in recovering from a rotator cuff injury. This period involves a structured approach to restoring shoulder flexibility, strength, and function. It is important to follow the rehab plan closely to achieve optimal outcomes and avoid re-injury.

Physical Therapy and Exercises

Post-treatment rehab is essential to restore shoulder function and prevent future injuries.

A physical therapist will guide you through exercises to strengthen the rotator cuff muscles. These exercises may include:

  • gentle stretches
  • resistance training
  • range-of-motion activities

Progress will be gradual.

Gradual Return to Activities

Returning to normal activities should be done gradually to avoid re-injury. Follow your doctor’s and physical therapist’s directions regarding when to resume specific tasks.

Athletes might have to adjust their training and competition schedules to allow for adequate healing and recovery.

Monitoring and Follow-Up

Regular follow-up appointments with your orthopedist in Catonsville, MD, are essential. They will assess the healing of the tendon, address any concerns, and adjust your treatment plan as needed.

Staying proactive in your recovery can help you achieve the best possible outcome.

Expert Shoulder Surgery in Catonsville, MD

A rotator cuff tear can impact your life, but recovery is possible with the right treatment and care. If you are looking for the best services for a rotator tear cuff, visit us here at Orthopaedic Associates of Central Maryland. Our highly dedicated, skilled, and compassionate healthcare team will ensure you receive nothing short of the best care for shoulder pain in Baltimore. From diagnosis to recovery, we will be with you at every step.

For more information about our services or to schedule a personalized consultation with one of our providers, call us today at (410) 644-1880 or use our appointment request form.

We look forward to serving you!

Filed Under: Shoulder Tagged With: orthopedic surgeon, Rotator cuff injuries, rotator cuff injury treatment Central Maryland, Rotator cuff surgery, Rotator Cuff Tear Treatment, shoulder surgery catonsville md

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The Centers for Advanced Orthopaedics Orthopaedic Associates of Central Maryland Division is your premier center for comprehensive physical therapy and orthopedic services for conditions affecting the back and neck, foot and ankle, hand and wrist, hip and knee, and shoulder and elbow. We are also proud to offer a Bone Health Program, nonoperative treatments, after-hours care, and on-site imaging at our 12 locations across Central Maryland.