RinaldiPT - Rotator Cuff Tears: Repair or Treat?

Copley Professional Centre
7000 South Ave. Suite #7
Boardman, Ohio 44512
Ph: (330) 629-8834

New Articles:

New Study Finds Rotator Cuff Injuries are Treatable.

A new comparative effectiveness report published by the Department of Health & Human Services' (HHS) Agency for Healthcare Research and Quality (AHRQ) has issued a statement based on a report that: Injuries to the rotator cuff are treatable

However, it is unclear whether surgery or nonsurgical treatments are best.

Tears to the shoulder's rotator cuff, which is composed of four muscle-tendon units, are common among older adults. If you've ever had one, then you know just how painful and debilitating they can be.

The report cited treatment and rehabilitative options for rotator cuff tears and found that all treatments, whether surgical or nonsurgical, result in improvement. There were few differences as well.

Keep in mind however, that the study was conducted in Canada and may not be reflective of what occurs here in the US.

Researchers are relieved/pleased to know that many options work; they conclude that it is still best for a patient to discuss options with their doctor.

Hmmm...imagine that.

Older persons who have degerative tears usually undergo conservative care (medicine, rest, PT). If no better, surgical intervention can be commenced.

In younger adults and athletes who have tears--as a result of traumatic injury--surgery is usually the first option.

Some doctors have maintained that earlier surgery results in less pain and better use of the shoulder, leading to an earlier return to work and decreased costs. This much is usually true, but depends on factors such as the size of the tear, quality of the tissue, patient willingness, and other factors.

Researchers don't seem to think that those factors matter.

Our experience: they do.

Lazy, careless, or neglectful patients who haven't taken care of themselves generally don't change their behaviors just because a traumatic injury has occurred. Usually the same type of non-confront and neglectful behavior patterns that existed before surgery, will exist after.

It is the skill of the surgeon and the intent of the therapist in the recovery period that greatly influences a person's recovery.

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