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Rotator Cuff Injuries and the Need for Surgery

Rotator Cuff Injuries and the Need for Surgery

Rotator Cuff Injuries and the Need for Surgery


The rotator cuff, or rotor cuff, is an important joint when it comes to a person being a functional member of society. The rotor cuff is the collection of tendons and muscles that helps to stabilize the shoulder joint, making it easier for us to carry objects and even to simply lift our arms above our head. A small tear can render the entire joint system motionless and leave a patient in agonizing pain.

Rotor injuries can stem from a few different causes. One of which is a trauma sustained by the joint because of an injury. This trauma can lead the tendons and muscles to tear. A more common cause of rotor cuff injuries starts at work with repetitive motion that stresses the joint. These repetitive stress injuries are common in instances where a person is either required to repeatedly lift their arms above their head (tennis players and baseball pitchers) or from a task that places direct stress on the stability of the joint. More often than not, a person who receives a repetitive stress injury in the shoulder may not know until they start waking up at night because they are lying on their shoulder, or find difficulty reaching for their toothbrush in the morning.

Orthopedic surgeons initially try and treat most rotor cuff injuries with non-operative solutions. This can involve a few different avenues. For less severe injuries, conservative care is exercised so that the patient not only avoids motions that agitate the joint, but most other major arm motions altogether. The is often coupled with oral medication to treat pain, and the application of ice packs. A more recent addition to the conservative care regiment has been the administering of cortisone shots into the joint work as an anti-inflammatory. The next step for a more severe injury, or a situation in which conservative care did not work, would be to start a physical therapy regiment. In this physical therapy treatment, a patient would begin much like in a conservative care approach, by restricting the motion of the joint, incorporating light stretching to avoid stiffness. Then, the patient will progress to a regimen in which the joint is subject to a passive range of motion. The passive range of motion slowly introduces the joint back to normal functionality, until finally strengthening can occur.

There are times when a tear is so severe that surgery is needed to repair the tendons and muscles. Often, this involves reattaching the muscle to the head of the humorous (upper-arm) bone. In instances like this, the patient should see a Board Certified Orthopedic Surgeon and discuss their surgery options. Patients in the Los Angeles area can read more information about shoulder injuries at http://www.drkvitne.com.
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Rotator Cuff Injuries and the Need for Surgery