Rotator Cuff Tear: What is it?
A rotator cuff tear happens when one or more tendons connecting your shoulder muscles to the bones fray or tear. These tendons work with the muscles to lift and rotate your arm. Rotator cuff injuries may range from inflammation to partial or complete tears.
Symptoms: What Does a Rotator Cuff Tear Feel Like?
Rotator cuff tears often cause pain and weakness around your shoulder, especially when you try to lift your arm over your head or rotate it. You might notice:
- Pain on the top or outside of your shoulder
- Difficulty lifting objects or reaching overhead
- Weakness or limited range of motion
- Pain when lying down or sleeping
Some people do not have any symptoms even if they have a tear. However, it is common for pain and weakness to develop over time, especially if the tear worsens.
Causes of a Rotator Cuff Tear
A rotator cuff tear can happen due to:
- Falling and trying to catch yourself with an extended arm
- Lifting heavy objects or repetitive overhead movements
- General wear and tear as you age
Many rotator cuff injuries are chronic, especially in people over 60. According to orthopedic experts at Orthopedic Institute, most tears happen over time and are not caused by sudden trauma.
Evaluation: How is a Rotator Cuff Tear Diagnosed?
To diagnose a rotator cuff tear, your doctor will:
- Ask about your medical history
- Perform a physical exam to assess your shoulder’s strength and movement
- Order imaging tests like an MRI or ultrasound to confirm the diagnosis
At Orthopedic Institute, physicians specialize in evaluating shoulder injuries and providing personalized care for each patient.
Treatment Options for Rotator Cuff Tears
Most people with a rotator cuff tear can avoid surgery through non-operative treatments like:
- Rest and physical therapy
- Over-the-counter pain relievers
- Corticosteroid injections
If these treatments does not help, surgery may be recommended, especially for full-thickness tears. At Orthopedic Institute, arthroscopic surgery is a common treatment for severe rotator cuff tears. This minimally invasive procedure repairs the tear with small incisions, helping patients return home the same day.
Non-Surgical Treatment
Non-surgical treatment can effectively manage symptoms for many people. Physical therapy strengthens the muscles around your shoulder, helping it work better without surgery.
Surgical Treatment
Surgical repair, typically performed arthroscopically at Orthopedic Institute, is necessary for full-thickness tears. Recovery from surgery may include wearing a sling for 4–6 weeks and starting physical therapy soon after.
Recovery: What to Expect
After non-surgical treatment, your recovery depends on following your doctor’s advice about rest and activity. For those undergoing surgery, expect:
- 4–6 weeks in a sling
- Physical therapy to restore movement and strength
- Light activities at 3 months, with more intense movements 5–6 months after surgery
Most patients feel better and regain strength after a few months, but full recovery can take up to a year.