It is common to ask the question of whether surgery is necessary for a rotator cuff tear. But the interesting thing now being reported is surgery may NO longer be the BEST option.

But how can that be? Isn’t surgery needed to fix a tear?

Well, this depends on the location, size of tear, and impact on function. What has been discovered is that many people over the age of 40 have small (partial) tears but have NO PAIN or loss of function. This has led to further study of this problem and we now know that surgery may not be best (especially for this subset). Even if a person happens to become symptomatic (painful), there are great odds that with some rehab, the individual can resume daily activities without issues or pain.

But I have more severe pain or limitation in daily function?

Again, the good news is that proper rehab can be very successful with this population. And if rehab is not successful, then the option for surgery will likely remain anyway. After all, wouldn’t it be nice to avoid surgery and sling time afterward by doing a few weeks of rehab straight away?

Now…for those with a “full” rotator cuff tear, what can be done? The answer to this is more of an IT DEPENDS situation. How much active motion does the person have? And how much impact on daily life are they having? If the person has good range of motion and the shoulder minimally impacts daily function then surgery may not be a good option (especially if older). Research has found that even some folks with full cuff tears can be highly functional without surgery. On the other hand, if a person is unable to raise their arm or they are significantly limiting in daily activity because of their arm then surgery may move up the decision making list.

Not sure of the best option for your shoulder problem? Concerned about issues for years to come? If so, then why not have a conversation to discuss some potential options. Click HERE to request a FREE phone consultation to discuss your problems and goals and begin your action plan.