One type of shoulder injury can cause pain and limit the use of your arm. Rotator cuff tears are a very common injury, especially among athletes and older adults. Prompt rotator cuff tear treatments are critical for improving patient outcomes.
There are various rotator cuff tear treatments, ranging from nonsurgical methods to different types of surgical repair. Knowing the severity of your injury and options for treatment can help you make important health decisions.
Nonsurgical Treatments
For new tears or partial rotator cuff tears, doctors usually recommend nonsurgical treatments. The goal is to reduce pain and improve shoulder function.
1. Rest and Sling
Resting the shoulder is crucial. Avoid activities that cause pain or strain on the shoulder. A sling may be used to keep the shoulder immobilized, allowing the injured tissue to heal.
2. Physical Therapy
Physical therapy plays a significant role in recovery. A physical therapist can help strengthen your shoulder muscles and improve flexibility through gentle exercises. This helps in restoring the range of motion and reducing pain.
Nonsurgical treatments can be effective for many patients. However, if pain persists or the tear worsens, surgical options might be considered.
Surgical Treatments
Surgical options are typically reserved for complete rotator cuff tears or partial tears that do not respond to nonsurgical treatments. Surgery shouldn’t be delayed indefinitely, especially for younger, active patients with worsening symptoms.
There are several surgical methods, each with their advantages.
1. Open Surgical Repair
For an open surgical repair, the orthopedic surgeon makes a large incision over the shoulder. The surgeon then reattaches the torn tendon to the bone. This method allows for a direct and clear view of the shoulder structures. Open repair is usually recommended for large and complex rotator cuff tears.
2. Arthroscopic Repair
Arthroscopic repair is the least invasive surgical option. The surgeon makes small incisions and inserts an arthroscope (a thin tube with a camera) to view the inside of the shoulder. Instruments are inserted through the incisions to repair the tear. This method typically results in less pain and a quicker recovery time compared to open surgery.
Adding a rehabilitation plan is important for healing and strengthening the repaired tendons.
3. Mini-Open Repair
Mini-open repair combines elements of both open surgery and arthroscopy. The surgeon makes a smaller incision compared to open surgery but also uses an arthroscope to view the shoulder. This method allows for a less invasive approach while still providing a clear view for repair.
4. Debridement
For partial tears, debridement may be recommended. This arthroscopic procedure involves only removing loose fragments of tendon, bursa, and other debris from the shoulder. It helps in reducing pain and improving shoulder function.
Deciding Between Surgical and Nonsurgical Treatments
Choosing between surgical and nonsurgical treatments depends on several factors:
- Severity of the Tear: Complete tears or significant partial tears that do not respond to nonsurgical treatments may require surgery.
- Age and Activity Level: Younger, more active individuals might benefit from surgery to fully restore shoulder function. Older adults or those with lower activity levels might opt for nonsurgical treatments.
- Overall Health: Patients with health conditions that increase surgical risks might prefer nonsurgical options.
- Personal Goals: Consider your lifestyle and goals. If you need to return to sports or physical activities, surgery might be the better option for a full recovery.
Recovery and Rehabilitation
Recovery varies depending on the treatment chosen. Nonsurgical treatments usually involve a period of rest followed by physical therapy. Surgical treatments require a longer recovery period.
- Post-Surgical Care: After surgery, the shoulder will be immobilized in a sling for several weeks. This helps protect the repair as it heals. Medication is enough to manage pain and swelling.
- Physical Therapy: Physical therapy is crucial for both surgical and nonsurgical treatments. It helps with pain and restores shoulder function.
- Full Recovery: Complete recovery from surgery can take several months. Adherence to the rehabilitation plan is essential for a successful outcome.
Understanding the various rotator cuff tear treatments is important in making the best decision for your care. Consulting with an orthopedic surgeon will help you determine the best treatment approach. With the right approach, you can achieve a full recovery and return to your normal activities.
Rotator Cuff Tear Treatments in North Dakota
The orthopedic surgeons at The Bone & Joint Center have advanced training in rotator cuff treatments. Our doctors create personalized treatment plans for our patients. We will determine whether your shoulder condition is best treated with nonsurgical methods or surgery.
To schedule an appointment with a shoulder doctor, call our office today at (701) 946-7400 or (866) 900-8650. You can also use our convenient appointment request form to schedule your visit.
