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Rotator Cuff Tears: Surgery or Physical Therapy?
Published: May 07, 2024
Choosing between surgery and physical therapy for rotator cuff tears can be challenging. This article explores the pros and cons of each treatment option.
Non-Surgical Options
Physical therapy is often the first line of treatment for rotator cuff tears. Through exercises focusing on shoulder and muscle strengthening, therapy aims to improve function and reduce pain. Glucocorticoid injections may also be used to alleviate pain, but their long-term benefits are uncertain.
When Surgery is Considered
Surgery may be recommended for large tears or when physical therapy fails to improve symptoms. Surgical options vary from arthroscopic repair to more extensive procedures like shoulder arthroplasty. Young patients or those with acute injuries often have better surgical outcomes.
Comparing Outcomes
Research shows mixed results for surgery versus physical therapy. While surgery might offer better long-term relief for some, many patients improve with therapy alone. The decision often hinges on tear size, patient age, and activity level.
Frequently Asked Questions
No, many improve with physical therapy.
For large tears or failed therapy outcomes.
Yes, many find significant relief through therapy.
They help with pain but may not be long-term solutions.
Wrapping Up
The choice between surgery and therapy should be personalized based on specific needs and conditions.
References
- Moosmayer S, Lund G, Seljom US, et al. Tendon repair compared with physiotherapy in the treatment of rotator cuff tears: a randomized controlled study in 103 cases with a five-year follow-up. J Bone Joint Surg Am 2014; 96:1504.
- Kukkonen J, Joukainen A, Lehtinen J, et al. Treatment of Nontraumatic Rotator Cuff Tears: A Randomized Controlled Trial with Two Years of Clinical and Imaging Follow-up. J Bone Joint Surg Am 2015; 97:1729.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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