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Contents
  • Non-Surgical Options
  • When Surgery is Considered
  • Comparing Outcomes

Rotator Cuff Tears: Surgery or Physical Therapy?

Rotator Cuff Tears: Surgery or Physical Therapy?

Why It Matters

Choosing between surgery and physical therapy for rotator cuff tears can be challenging. This article explores the pros and cons of each treatment option.
Contents
  • Non-Surgical Options
  • When Surgery is Considered
  • Comparing Outcomes

Non-Surgical Options

Physical therapy is often the first line of treatment for rotator cuff tears. Through exercises focusing on shoulder and muscle strengthening, therapy aims to improve function and reduce pain. Glucocorticoid injections may also be used to alleviate pain, but their long-term benefits are uncertain.

When Surgery is Considered

Surgery may be recommended for large tears or when physical therapy fails to improve symptoms. Surgical options vary from arthroscopic repair to more extensive procedures like shoulder arthroplasty. Young patients or those with acute injuries often have better surgical outcomes.
A rotator cuff tear is a common injury causing pain and weakness in the shoulder. Treatments include physical therapy and surgical options like arthroscopic repair.

Comparing Outcomes

Research shows mixed results for surgery versus physical therapy. While surgery might offer better long-term relief for some, many patients improve with therapy alone. The decision often hinges on tear size, patient age, and activity level.

FAQs

Is surgery always necessary?

No, many improve with physical therapy.

When should I consider surgery?

For large tears or failed therapy outcomes.

Are therapy results effective?

Yes, many find significant relief through therapy.

What about glucocorticoid injections?

They help with pain but may not be long-term solutions.

Wrapping Up

The choice between surgery and therapy should be personalized based on specific needs and conditions.
Consult Doctronic to understand the best treatment plan for your rotator cuff tear.
Additional References
  1. Moosmayer S, Lund G, Seljom US, et al. Tendon repair compared with physiotherapy in the treatment of rotator cuff tears: a randomized controlled study in 103 cases with a five-year follow-up. J Bone Joint Surg Am 2014; 96:1504.
  2. Kukkonen J, Joukainen A, Lehtinen J, et al. Treatment of Nontraumatic Rotator Cuff Tears: A Randomized Controlled Trial with Two Years of Clinical and Imaging Follow-up. J Bone Joint Surg Am 2015; 97:1729.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic.