Rotator Cuff
Problems

Your doctor will diagnose a rotator cuff problem through a physical examination, where you will be asked to perform a set of arm and shoulder movements to determine the location and severity of pain. Imaging tests such as X-ray, Magnetic Resonance Imaging (MRI) and ultrasound may also be conducted.

Depending on the severity of the rotator cuff problem, treatment can range from conservative management to surgical means.

Physiotherapy

Physiotherapy exercises are done to improve mobility and stability of the shoulder as well as reduce pain.

Injections

Corticosteroid injections may be recommended to reduce inflammation and pain. However, the effects are temporary.

Surgery

In severe cases such as a complete tendon tear, shoulder surgery may be recommended.

• Arthroscopic tendon repair
  Using a thin scope attached with a camera, the surgeon will access and operate on the injured rotator cuff through small incisions. Here, the damaged tendon will be reattached to the bone.
• Open tendon repair
  This traditional type of shoulder surgery involves creating a larger incision to access the rotator cuff and reattach the injured tendon back to the bone. Compared to the arthroscopic technique, the recovery period is longer.
• Tendon transfer
  This method is necessary if the tendon is too damaged to be reattached to the bone. In this case, the surgeon will obtain a tendon from another part of the body to be replaced the damaged tendon on the shoulder.
• Shoulder replacement
  This is usually reserved for patients with severe rotator cuff injuries. The shoulder surgeon will remove and replace the original shoulder joint with an artificial ball-and-socket mechanism in order to restore mobility.