What is rotator cuff?
Covering of the shoulder joint formed by fusion of four muscles is Rotator cuff. It stabilises, moves and protects the joint?
How does rotator cuff tear occur?
Tear of rotator cuff can occur either due to continuous overuse wear and tear such as in fast bowlers or due to sudden injury as in contact sports athletes.
Can rotator cuff heal on its own?
With complete rest a small tear or strain usually heals by itself.
What is the best treatment for rotator cuff injury?
Treatment for rotator cuff depends on type of injury. Acute strain heals itself with proper rest and medications. Chronic complete tears need surgery to relive pain and restore function.
What are the best exercises for rotator cuff injury?
Exercises which can help strengthen rotator cuff muscles are;
- Side-lying external rotation,
- Pendulum swing,
- Doorway stretch,
- Lawn-mower pull,
- Reverse fly,
Can you lift your arm with a rotator cuff tear?
Sideways lifting of the arm is difficult and painful with large tears.
What happens if a torn rotator cuff is not repaired?
If neglected a major tear will lead to degeneration of the muscle, loss of power and motion. Tear will also increase in size with time and may become non-repairable.
Can rotator cuff repair be delayed?
Delay of few days or weeks cause no significant harm. But neglect will cause loss of power, bulk and motion. Degeneration of muscles and torn end of tendons cause sub-optimal outcome or failure of surgery.
Is rotator cuff surgery painful?
Shoulder surgery is painful as it initially requires to be kept immobilised in a sling for few days after surgery.
Is surgery necessary for rotator cuff tear?
Most of the patients with rotator cuff tear doesn’t need surgery. Strains and minor tear get healed with rest, immobilisation and medications. Surgery for torn rotator cuff is required mostly in active young adults especially sportsmen.
Can I wear sling for Rotator cuff tear?
Wearing a sling helps in resting the arm and reduce pain. If used for long time may cause stiffness of shoulder and decrease in muscle strength about shoulder.
How long does arthroscopic rotator cuff surgery take?
Arthroscopic repair of rotator cuff takes about 2 hours.
What tests are done to diagnose Rotator cuff tear?
Magnetic Resonance Imaging (MRI) give the most accurate details of tear of any of the tendons of rotator cuff.
How much is recovery time after rotator cuff surgery?
With proper rehabilitation it takes about 4-6 months for recovery from an arthroscopic rotator cuff surgery. And it takes about one year to regain pre-injury shoulder strength and movement.
Is arthroscopic rotator cuff surgery a major surgery?
Yes, it’s a major surgery that needs dedicated long-term physical therapy and rehabilitation.
How long before you can drive after rotator cuff surgery?
After rotator cuff repair, driving a car should be avoided for at least 2-3 months.
What is the success rate of rotator cuff surgery?
Arthroscopic rotator cuff surgery has an average success rate of about 80%. The success of a rotator cuff repair depends on various factors like, delay in treatment, size of the tear, quality of repair, and experience of the surgeon.
What one cannot do after arthroscopic rotator cuff surgery?
Pushing, pulling, lifting weights, and reaching out to grab something must be avoided few weeks after arthroscopic repair of the rotator cuff.