If your injury is severe, you might need surgery. If conservative treatments haven't reduced your pain, your doctor might recommend a steroid injection into your shoulder joint, especially if the pain is interfering with your sleep, daily activities or physical therapy.
While such shots are often temporarily helpful, they should be used judiciously, as they can contribute to weakening of the tendon and may lower the success of surgery if this is eventually needed. Physical therapy is usually one of the first treatments your doctor may suggest.
Exercises tailored to the specific location of your rotator cuff injury can help restore flexibility and strength to your shoulder. Physical therapy is also an important part of the recovery process after rotator cuff surgery.
During an arthroscopic repair of a rotator cuff tendon, the surgeon inserts a tiny camera and tools through small incisions in the shoulder. The rotator cuff is a group of muscles and tendons that hold the shoulder joint in place and allow you to move your arm and shoulder. Problems occur when part of the rotator cuff becomes irritated or damaged.
This can result in pain, weakness and reduced range of motion. Sometimes one or more tendons become detached from the bone. In some cases, a surgeon can reattach the tendon to the bone using a thread-like material called a suture. But sometimes the tendon is too badly damaged to be reattached.
In that case, the surgeon may consider a "tendon transfer. The tendon most commonly transferred is the latissimus dorsi tendon in the back. For a latissimus dorsi transfer, the surgeon makes two incisions: one in the back and one in the front of the shoulder. In the back, the surgeon detaches one end of a latissimus dorsi tendon and attaches a suture to that end.
In the front, the surgeon creates a flap in the deltoid muscle, which covers the shoulder. He or she inserts a tool to grasp the end of the latissimus dorsi tendon. The surgeon brings the tendon under the deltoid to its new position. Sutures are used to connect the transferred tendon to any remaining rotator cuff as well as bone.
The surgeon tightens the sutures to pull the tendon against the bone and ties it securely in place. In some cases, anchors are inserted into the bone to help hold the sutures in place. The surgeon closes the flap in the deltoid muscle. The incisions are then closed in the front and back. You may have a partial or total tear. A partial tear means the rotator muscles are not severed completely.
With a total tear, the muscles are completely split apart. To make an appointment with a physician or other Sports Medicine expert and properly diagnose a rotator cuff injury, call SPORT To avoid long-term pain and limited use of your shoulder, you should treat any rotator cuff injury right away. Even a minor tear can worsen over time if not given the chance to properly heal.
Recovery time can take anywhere from several weeks to several months, and varies depending on the severity of the tear. In cases where surgery is needed, your doctor will discuss your recovery time and plan with you in detail. For minor tears, you need to give your shoulder a break and let the muscles heal on their own.
Your doctor may recommend:. Each year, millions of people in the U. A rotator cuff tear is a common cause of pain and disability among adults. Injury and degeneration are the 2 main causes of rotator cuff tears. An injury to the rotator cuff, such as a tear, may happen suddenly when falling on an outstretched hand. It may also develop over time due to repetitive activities. Rotator cuff tears can also happen due to the breakdown degeneration of the tissues, which may happen as part of the aging process.
Symptoms may be a bit different for each person. Symptoms may include:. The symptoms of a rotator cuff tear may be caused by other conditions or health problems. Always talk with your healthcare provider for a diagnosis. Your healthcare provider will take a complete health history and do a physical exam.
You may also have diagnostic tests, such as:. A rotator cuff may tear partly or fully. Partial-thickness tears don't completely remove the tendon from the shoulder. Treatment will depend on your symptoms, age, and general health. It'll also depend on how severe the condition is. While conservative methods can treat most injuries, some people may require surgery to reduce pain and improve their range of motion.
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