Surgery may be considered if:
- Your rotator cuff injury is very severe.
- You have severe pain and loss of shoulder function that haven't responded to other treatment.
- You have shoulder weakness
caused by a complete tear, especially when the rotator cuff is otherwise healthy.
Surgery typically is
used to repair a torn rotator cuff in a healthy young person, because good
results are more likely if there is little or no evidence of other problems. People who have advanced rotator cuff
disorders and tendons that are tough, stringy (fibrous), and stiff usually
respond less well to surgery. Surgery may successfully repair the tear, but it
can't repair all the damage caused by age or degeneration.
If surgery isn't done right away, repair of a large tear may not be as
successful. But it still usually relieves pain and restores enough strength for
you to do routine, nonstrenuous activities.
After surgery, a program of physical rehabilitation (rehab) is very important. You may not do as well after surgery if you aren't willing or able to commit to completing a challenging physical rehab program.
- Rotator Cuff Problems: Should I Have Surgery?
Shoulder surgery for rotator cuff disorders usually
involves one or more of the following:
These procedures may be done
arthroscopically, by traditional open surgery, or by a
combination of the two approaches.
Sometimes a rotator cuff tear is so severe that it can't be fixed in the usual ways. If this happens in a younger person, the doctor may suggest moving another tendon to substitute for the torn tendon. In an older person, the doctor may suggest a special shoulder replacement.
What to think about
The success of surgery for rotator cuff tears depends on
many things, such as:
- The amount of other damage
- Your age.
- Other medical conditions. Some
may cause you to heal slower.
- Your recovery
goals and commitment to and compliance with a physical rehabilitation
- Whether you smoke. Smoking decreases the blood
supply throughout the body and slows the healing process.