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Watauga Orthopaedics
Watauga Orthopaedics
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Surgical Vs. Non-Surgical Treatment for Rotator Cuff Injury

January 17, 2025

Rotator cuff injuries are common among athletes, manual laborers, and even everyday individuals. When faced with such an injury, one might wonder whether to opt for surgical or non-surgical treatment options.

Here is a comprehensive guide on the options available for treating rotator cuff injuries, helping you make an informed decision.

Understanding Rotator Cuff Injuries

The rotator cuff is a group of four muscles and tendons in the shoulder joint that stabilize it and allow for a wide range of arm movements. However, because of its frequent use, it is prone to injuries, such as rotator cuff injury.

Rotator cuff injuries often occur from repetitive motion in sports like tennis or baseball. They can also result from heavy lifting or sudden trauma, such as a fall.

Symptoms of rotator cuff injury include shoulder pain, weakness, and difficulty lifting the arm. Sometimes, you may experience a clicking sensation when moving the shoulder.

Exploring Non-Surgical Treatments for Rotator Cuff Injury

Non-surgical treatments for rotator cuff injuries are essential for recovery and involve several approaches.

Rest and Ice Therapy

The initial step in treating a rotator cuff injury is often resting the affected shoulder and applying ice packs. Rest allows the injured tissues to heal without further strain, while ice therapy works to decrease inflammation and numb the pain, thereby offering relief.

Typically, ice should be applied for 15-20 minutes every few hours, especially during the first few days following the rotator cuff injury.

Physical Therapy

Physical therapy plays a crucial role in rehabilitating a rotator cuff injury. A physical therapist will design a personalized exercise program aimed at strengthening the shoulder muscles and restoring flexibility.

These exercises are carefully developed to improve mobility and prevent future rotator cuff injuries. Consistent participation in physical therapy can lead to significant improvements in shoulder function over time.

Medication

Over-the-counter medications such as paracetamol (Tylenol) and ibuprofen (Advil) are often recommended to manage pain and swelling. These medications help reduce inflammation and shoulder discomfort caused by rotator cuff injury.

Understanding Surgical Treatments

Surgery is typically considered if non-surgical treatments do not alleviate symptoms or if there is a complete tendon tear. Surgical treatments for rotator cuff injury include.

Arthroscopic Tendon Repair

Arthroscopic tendon repair is a minimally invasive surgical procedure used to fix a torn tendon. This procedure involves making small incisions in the skin through which a tiny camera, called an arthroscope, and specialized surgical instruments are inserted.

The camera provides a live video feed to a monitor, allowing the surgeon to see inside the joint and accurately reattach the torn tendon to the bone. This surgery technique is often preferred due to its less invasive nature.

Open Tendon Repair

Open tendon repair is a surgical method used when a larger incision is necessary to repair a damaged tendon. Unlike arthroscopic repair, this technique involves making a single, more extensive incision to provide direct access to the injured tendon.

This approach is often chosen when the damage to the tendon is more severe or when an arthroscopic repair is not feasible. The orthopedic surgeon can then carefully reattach the torn tendon to the bone. This ensures that the tendon is securely fastened for optimal healing.

Tendon Transfer

A tendon transfer is a surgical option considered when a tendon is too severely damaged to be repaired. In this procedure, the orthopedic surgeon uses a nearby healthy tendon to take over the function of the injured one.

The healthy tendon is detached from its original position and reattached to the bone where the damaged tendon was supposed to be. This method helps restore movement and strength to the affected area.

Shoulder Replacement and Reverse Shoulder Arthroplasty

Shoulder replacement surgery is often recommended for individuals with severe shoulder injuries, such as massive rotator cuff injuries.

One advanced form of shoulder replacement is known as reverse shoulder arthroplasty. In this shoulder procedure, the positions of the ball and socket in the shoulder joint are reversed. The ball component is attached to the shoulder blade, while the socket is fixed to the upper arm bone.

Reverse shoulder arthroplasty allows patients to regain shoulder movement and reduce pain, improving their overall quality of life.

Treatment for Rotator Cuff Injury in Johnson City, Kingsport, Bristol, & Greeneville, TN

Understanding the differences between surgical and non-surgical treatment for rotator cuff injuries is crucial for making an informed decision. Each rotator cuff injury treatment has its pros and cons, and what works for one person might not work for another.

If you are ready to explore the best treatment options for your rotator cuff injury, consider reaching out to Watauga Orthopaedics. Our team of experts offers personalized orthopedic care and the latest in orthopedic treatments.

To learn more about treatment for rotator cuff injury or schedule a consultation, call us today at (423) 282-9011 or use our appointment request form. We look forward to serving you!

Filed Under: Shoulder & Elbow Tagged With: Non-Surgical Treatment for Rotator Cuff Injury, physical therapy, Rotator Cuff Injury, Surgical Treatment for Rotator Cuff Injury, Treatment for Rotator Cuff Injury, Treatment for Rotator Cuff Injury Near Me, Watauga Orthopaedics

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JOHNSON CITY ORTHOPAEDICS OFFICE
2410 Susannah Street | Johnson City, TN 37601
Physical Therapy Office: 2412 Susannah Street | Johnson City, TN 37601
Phone: (423) 282-9011
Fax: (423) 282-0035
Appointments: M-F: 8 am – 5 pm
Walk-In Clinic:
M-F, 8 am – 8 pm
Sat: 8 am – 5 pm | Sun: 1 pm – 5 pm
After Hours Virtual Care Available Through the HURT! App 24/7/365

KINGSPORT ORTHOPAEDICS OFFICE
875 Larry Neil Way | Kingsport, TN 37660
Phone: (423) 282-9011
Fax: (423) 282-0035
Appointments: M-F, 8 am – 5 pm
Walk-In Clinic: M-F, 8 am – 8 pm
After Hours Virtual Care Available Through the HURT! App 24/7/365

BRISTOL ORTHOPAEDICS OFFICE 
340 Steeles Road | Bristol, TN 37620
Phone: (423) 282-9011
Fax: (423) 282-0035
Appointments: M-F, 8 am – 5 pm
Walk-In Clinic: M-F, 8 am – 8 pm
After Hours Virtual Care Available Through the HURT! App 24/7/365

GREENEVILLE OFFICE
1132 Erwin Hwy, Greeneville, TN 37745
Phone: (423) 282-9011
Fax:(423) 282-0035
Walk-In Clinic: M-F, 8 am – 5 pm
After Hours Virtual Care Available Through the HURT! App 24/7/365

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At Watauga Orthopaedics, our board-certified orthopedic surgeons are experts in treating injuries and conditions of the Spine/Neck/Back, Foot & Ankle, Hand & Wrist, Hip & Knee, Joint Replacement, Pediatric Orthopaedics, Shoulder & Elbow, Sports Medicine, Trauma & Fractures, and Work-Related Injuries. We offer multiple treatments and services in Johnson City, Kingsport, and Bristol, TN.