Rotator Cuff Problem: Do You Need Surgery?

What Causes Rotator Cuff Problems

Your rotator cuff is a group of tendons and muscles in your shoulder. It helps you lift and rotate your arm. It also helps keep your shoulder joint in place. But sometimes, the rotator cuff tendons tear or get pinched by the bones around them. An injury, like falling on your arm, can cause this to happen. But wear and tear over time can take its toll on your shoulder, too. The pain can be severe.

Treatment

Home care can treat many rotator cuff problems. Your doctor will tell you to rest your shoulder joint and ice the area. Over-the-counter pain relievers can help ease your pain and swelling while your rotator cuff heals. Physical therapy will help restore your shoulder strength.

What About Surgery?

If you’re not getting any relief with these steps, surgery may be the next option for you.

You may need surgery if:

• Your shoulder hasn’t improved after 6 to 12 months
• You’ve lost a lot of strength in your shoulder and find it painful to move
• You have a tear in your rotator cuff tendon
• You’re active and rely on your shoulder strength for your job or to play sports

What Type of Surgery Do I Need?

Surgery can relieve your pain and restore function to your shoulder. Some are done on an outpatient basis. For others, you may need to stay in a hospital.

The most common types are:

Arthroscopic repair. After making one or two very small cuts in your skin, a surgeon will insert a tiny camera called an arthroscope and special, thin tools into your shoulder. These will let them see which parts of your rotator cuff are damaged and how best to fix them.

Open tendon repair. This surgery has been around a long time. It was the first technique used to repair the rotator cuff. If you have a tear that’s very large or complex, your surgeon may choose this method.