A rotator cuff tear is a common orthopedic injury that affects millions of people each year, particularly athletes and individuals engaged in repetitive overhead activities. The rotator cuff is a group of four muscles and tendons that stabilize the shoulder joint and allow for a wide range of motion. When torn, it can lead to pain, weakness, and limited mobility, significantly impacting daily life and physical activities.
At the orthopedic practice of Jonathan L. Glashow, MD, in NYC and Westchester, we offer comprehensive treatment options for rotator cuff tears, ranging from conservative management to advanced surgical interventions.
Understanding Rotator Cuff Tears
Rotator cuff tears can result from acute trauma, such as a fall or lifting a heavy object, or from chronic overuse due to repetitive motions. The risk of developing a rotator cuff tear increases with age, with studies estimating that approximately 30% of individuals over the age of 60 have some degree of rotator cuff degeneration.
Non-Surgical Treatment Options
For many patients, conservative treatment can effectively manage symptoms and improve shoulder function. Non-surgical options include:
- Rest and Activity Modification: Avoid activities that exacerbate pain and allow time for healing.
- Physical Therapy: A structured rehabilitation program to strengthen the shoulder muscles and improve range of motion. Studies show that approximately 50% of patients with small to medium tears experience significant symptom relief through physical therapy.
- Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen can help reduce pain and inflammation.
- Corticosteroid Injections: Injections can provide temporary relief by reducing inflammation and pain in the affected area. Typically recommended for patients experiencing severe pain that interferes with daily activities.
- Platelet-Rich Plasma (PRP) Therapy: A regenerative treatment that uses the patient’s own blood components to promote tissue healing and reduce inflammation.
Surgical Treatment Options
If non-surgical treatments fail to provide relief or if the tear is severe, surgical intervention may be necessary. Dr. Jonathan L. Glashow offers cutting-edge surgical solutions, including:
- Arthroscopic Rotator Cuff Repair: A minimally invasive procedure that uses small incisions and a camera to guide the repair of torn tendons. This technique results in less pain and faster recovery compared to traditional open surgery.
- Open Rotator Cuff Repair: Typically used for larger or more complex tears that cannot be addressed arthroscopically.
- Tendon Transfer Surgery: In cases where the tear is irreparable, a tendon from another part of the body may be transferred to restore shoulder function.
- Shoulder Replacement Surgery: For severe cases involving significant joint damage, a partial or total shoulder replacement may be recommended.
Rehabilitation and Recovery
Following both non-surgical and surgical treatment, rehabilitation plays a crucial role in regaining shoulder strength and function. A customized rehabilitation plan is essential to achieving optimal outcomes and preventing future injuries.
Schedule a Consultation
If you are experiencing shoulder pain or suspect a rotator cuff tear, early diagnosis and treatment are key to preventing further damage and ensuring a successful recovery. Contact the orthopedic practice of Jonathan L. Glashow, MD, in NYC and Miami Beach, FL, to explore your treatment options and take the first step toward a pain-free life.
