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The shoulder is the most mobile joint of the body. Your shoulders are made up of three bones, including the scapula, humerus, and clavicle, which come together in a ball-and socket joint. When functioning as they should, they provide your arms with a great range of motion. Whether surfing in the ocean, rock climbing in Joshua Tree National park, rocking a baby, or simply picking up a cup of coffee, your shoulders allow you to stretch, lift, and rotate your arms. The joint is held in place by the rotator cuff tendons and the soft tissue glenoid labrum. The rotator cuff tendons stabilize the shoulder and help it move. The rotator cuff muscles are those muscles that surround the shoulder joint. Their job is to provide the power to lift and rotate the arm. As one ages these muscles become thinner and are prone to rupture, sometimes with minimal trauma. Age and overuse can leave your shoulders more susceptible to issues like tendonitis and arthritis. Additionally, many sports put extreme force on the shoulders, making them vulnerable to injury.
A rotator cuff tear occurs when one or more of the rotator cuff tendons are torn. Tendon tears can be partial or complete. They are grouped into non-degenerative and degenerative categories. Unfortunately when the rotator cuff muscles tears completely they do not repair themselves. Leaving them unattended can lead to progression of the tear with progressive loss of motion and power. The longer a large tear is left, the bigger it gets and the more motion and power one loses. The surgical result is likely to be better with a smaller tear than a larger tear and thus the longer one leaves the tear unattended the less satisfactory the surgical result is likely to be. Typically patients get severe pain with elevation of the arm, discomfort at night and a restriction in motion and power. Eventually they may lose the majority of shoulder motion.
Non-operative management gives good results in smaller or partial tears providing the demand on the shoulder is not high. If, however, the tears are moderate to large or the functional deficit is significant then surgery is required.
Symptoms of rotator cuff tear may include:
When you arrive for your initial consultation, one of our team of shoulder specialists will evaluate your areas of concern, discuss your symptoms, and develop a customized and comprehensive treatment plan tailored to your unique needs. This evaluation is a necessary part of diagnosing your condition and providing the best possible care.
Common Treatments: Nonsurgical treatment options may be used to treat some rotator cuff tears and can be effective in managing pain and improving function.
Resting the shoulder and modifying activities can help reduce inflammation and pain. This may include avoiding overhead movements, lifting heavy objects, and using an arm sling to take pressure off the shoulder
Physical therapy is often recommended to strengthen the muscles around the shoulder and improve flexibility. Specific exercises can help restore range of motion and reduce pain.
Non-steroidal anti-inflammatory drugs (NSAIDs) like aspirin and ibuprofen can help reduce pain and swelling. Topical pain-relieving creams may also provide temporary relief.
Corticosteroid injections can be used to reduce inflammation and pain in the shoulder. These injections can provide significant relief, especially for severe pain.
PRP therapy involves injecting concentrated platelets from the patient's own blood into the injured area to promote healing. This regenerative treatment can help reduce pain and improve function.
Adopting a calcium-rich diet and a strength training regimen can help build stronger bones and reduce the risk of future injuries. Athletes should wear appropriate protective gear and avoid overuse to prevent sports-related traumas
Non-surgical treatments for rotator cuff injuries can be effective in managing symptoms and improving shoulder function. However, if these treatments do not provide sufficient relief or if the injury is severe, surgery may be necessary to repair the damaged rotator cuff. It's important to consult with an orthopedic specialist to determine the best treatment plan based on your specific condition and needs.
If you have ruptured rotator cuff muscles caused by ageing or trauma, Benton Franklin Orthopedic Associates expert medical specialists will evaluate the medical treatment you need and determine if torn muscle repair is required on your shoulder rotator cuff. Call to schedule an appointment at 509-586-2828.
Phone: 509.586.2828
Email: referrals@bfsa.com
Address: 8200 West Gage Boulevard Kennewick, Washington 99336
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