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Shoulder SOS: Dealing with a Rotator Cuff Tear and Recovery

The amazing complexity and utility of the shoulder joint makes it susceptible to injuries including the rotator cuff. The rotator cuff is a group of muscles and tendons which stabilise the shoulder and allow it to perform all the usual functions.

The rotator cuff is made up of 4 muscles with long names: the infraspinatus, supraspinatus, teres minor and subscapularis. Tears to the rotator cuff are common and can occur in young patients but also in elderly patients with degenerative disease.

RISKS FOR ROTATOR CUFF TEARS

Rotator cuff tears can occur in young people following falls, lifting heavy objects or repetitive overhead motions. There are some elements, however, that increase your risk of rotator cuff tears, for example:

        • Age – increasing age can make degenerative tears more likely.
        • Smoking – can reduce blood flow to tissues and impair healing making tears more likely.
        • High cholesterol – cholesterol deposits may influence the health of tendons increasing the chance of tears.

If you have a rotator cuff tear, stopping smoking and having a healthy diet can help your shoulder heal as quickly as possible.

TREATING ROTATOR CUFF TEARS

Treating rotator cuff tears can vary hugely depending on factors such as the age of the patient, the characteristics of the tear (full or partial) and the mechanism of the tear.

NON OPERATIVE
  • Painkillers and anti-inflammatory medications can help control the pain
  • Physiotherapy plays a pivotal role in restoring strength and range of motion
  • Ultrasound-guided steroid injections can also help reduce pain and inflammation
SURGICAL TREATMENT
  • Rotator cuff tendons are generally repaired using keyhole surgery where the tendon is reattached with bone anchors and sutures back to the bone (the humerus).
  • A sling is worn for up to 6 weeks after the repair, patience and strict adherence to the rehabilitation plan are needed.
  • Rehabilitation post rotator cuff repair can vary hugely but patients should expect to return to full work duty by 6 months but generally takes around 3 months.

90% of patients have improvement in pain but sometimes the tendon can fail to heal to the bone leading to ongoing pain and stiffness.

WE PROVIDE ADVANCED DIAGNOSTIC ASSESSMENTS AND A WIDE RANGE OF ULTRASOUND GUIDED INJECTION PROCEDURES TO TREAT JOINT PAIN AND SPORTS INJURIES.