Many of us would have suffered shoulder injuries and the most common of them would be of the rotator cuff injury. Before we delve further about this injuries of the rotator cuff, we have to know where this rotator cuff is exactly located in the shoulder region. It is a group of muscles and tendons located in the shoulder that connects the shoulder blade to the upper arm. The tendons in the cuff provide stability whilst the muscles allow the hand to rotate. The rotator cuff tear treatment helps to lift and provides stability to the ball in the shoulder which is within the joint.
The common injuries to the rotator cuff are
- Rotator cuff tear
- Rotator cuff tendinitis
- Rotator cuff impingement
- Frozen shoulder
- Subacromial bursitis
All the above cause tremendous pain and discomfort to the individual but various treatments and exercises have helped to relieve pain and bring back the agility of the limb as before.
Today we shall focus on the most common injury that is the rotator cuff tear.
TREATMENT of rotator cuff
Depending on the diagnosis the orthopedist will decide which kind of rotator cuff tear treatment will be effective and whether surgical intervention is required to solve the rotator cuff tear.
Many of the tears are treated non surgically with medication, physiotherapy and steroid injections which help in relieving pain and help in regaining strength in the arm. If there is constant wear and tear of the rotator cuff especially sportsmen who constantly have to use it would have to go in for surgery to rectify the problem. As this would be a niggling injury which may hamper their winning prospects as well as threaten their careers.
Types of surgeries to help solve rotator cuff tears
- Traditional open repair
- Mini open repair
- Arthroscopic repair
These surgeries are done looking into what kind of tear if it is a small tear then a procedure called debridement or if it’s a full thickness tear both sides of the tendon are repaired. And if the tear is from the shoulder it is repaired directly to the bone.
- Risks involved during surgery
- Blood loss during surgery may occur.
- Nerve injury
- Infection in the area
- Deltoid detachment
- Tendon re-tear
There are chances that the healing may not occur because of large tears of the cuff or because of advanced age factor.
After surgery treatment
It is very important for the patient to have proper rehabilitation after surgery as the movement of the repaired limb will be stiff and will strengthen and the free movement will take some time and physiotherapy. The patient will be required to do certain exercises and follow up from the doctors to check on the healing process, initially rigorous movement will be harmful and full utility will not be there but as time and constant application of the suggested techniques of the therapist will ensure that full movement and usage of the arm with out pain and discomfort will be achieved.