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Arthroscopic rotator cuff repair is a procedure for fixing a rotator cuff tear, from shaving bone spurs or repairing torn tendons and muscles in the shoulder. If the patient’s injury extends beyond the rotator cuff, then the surgeon can perform modified rotator cuff surgery with bicep repair to correct the injury.
The rotator cuff comprises a group of muscles and tendons surrounding the shoulder joint. It is responsible for supporting the shoulder joint and keeping the head of the arm within the joint socket. Rotator cuff surgeries are performed for rotator cuff injuries. Rotator cuff damage is very common in people who have jobs that require repeated overhead motions or in athletes due to sudden jerking motions.
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Rotator cuff injuries are easy to diagnose via a physical exam. First, the doctor tests the strength in the shoulder and arm muscles to assess the extent of the damage before performing other diagnostic tests. Other diagnostic tests that are performed for rotator cuff injury diagnosis are:
For minor injuries, medical management is possible via rest, ice and physical therapy, but for rotator cuff tear repair, the only appropriate treatment is via Arthroscopic Tendon Repair. During the surgery, the surgeon inserts an arthroscope and surgical instruments to reattach the tears via small incisions. Patients will need a little physical therapy for torn rotator cuff after surgery.
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There is no other treatment for torn rotator cuff other than surgery. With enough medication and physiotherapy, people can improve joint function and decrease pain, but without surgical intervention, the tear will not heal entirely, and the patient will lack strength in their limbs.
A rotator cuff is a group of muscles and tendons around the shoulder joint that helps maintain arm function. It supports the shoulder joint and helps keep the motions of the humerus smoother. In addition, it helps perform the abduction, medial rotation and lateral rotation motions of the arm.
Rotator cuff injuries are self-diagnosable. If you want to check for rotator cuff injury, follow the given checklist:
Torn rotator cuff operation, also known as, torn rotator cuff and bone spur surgery, is the best treatment for such injuries.
Suture anchors are tiny screws that are used to attach soft tissues such as tendons, ligaments, and meniscus to the bone to enhance healing in arthroscopic procedures. At Pristyn Care, we use PEEK and other biocomposite suture anchors material for rotator cuff surgery.
The average cost of rotator cuff surgery in Pune is 60,000-75,000 INR at Pristyn Care. This is the average cost of our treatment package and includes the cost of other auxiliary facilities we provide. It can depend based on:
This test is performed to find out the weakness of the supraspinatus muscle. The supraspinatus muscle is most often injured rotator cuff muscle. In this test, you have to extend your arm outside/to the side while in a sitting/standing position. First, raise your arm to 90 degrees with or without a helper, then try to lower the arm in a very controlled manner. If you have an injured rotator cuff, controlled lowering of the atm will be very painful and challenging.
It is the most reliable test for diagnosing a rotator cuff injury. The test is performed with an assistant’s help to look for weaknesses in the supraspinatus muscle. Raise your arm at a 90 degree angle, parallel to the ground. Then rotate your arm, palm facing backwards and thumb facing down. Then have a helper apply force on the arm and push back against the helper. If you have pain and difficulty resisting, that is a definite sign of a rotator cuff injury.
Lift-off test is performed to test the function of the subscapularis muscle, a muscle in front of the shoulder blade. To perform the test, place your injured arm behind your back with your palm resting on your lower back and then try to raise your arm. If you have any pain, then you may have a rotator cuff injury.
If you have a rotator cuff injury, you should get treatment as soon as possible to prevent the damage from worsening. The earlier it is treated, the less complicated the treatment will be. Make sure to keep the shoulder immobile to not exacerbate the injury.
Usually, mild traumatic rotator cuff injuries heal within 2 to 4 weeks with medical management. However, chronic and severe injuries may take a few months, including physiotherapy. Since rotator cuff tears do not heal without surgery, severe rotator cuff tears can be healed within 4 to 6 months with surgery.
Depending on the severity of the rotator cuff injury, you may require 2-8 weeks of physiotherapy after the surgery. You will be discharged in 1-2 days after the surgery. You can minimize the stiffness of the shoulder joint by immediately beginning the physiotherapy.
Complete healing from rotator cuff surgery takes 4-6 months, depending on the severity of the injury. However, most patients regain almost shoulder function and strength within 2-8 weeks. In chronic severe injuries, complete recovery may even take over a year. A torn rotator cuff in the elderly can also take much longer to heal due to their declining recovery capability.
You should massage the injured shoulder by applying heat. It helps control the inflammation and pain in the area by releasing the scar tissue and loosening the tight muscles, thus increasing the range of motion of the joint. However, you should avoid deep tissue massage till your doctor has approved of it.
Rotator cuff injuries are very common and, if not properly managed, can cause permanent disabilities. They can be caused by:
The most common reason behind rotator cuff injuries is muscle degeneration due to aging or arthritis.
A rotator cuff is a group of muscles and tendons surrounding the shoulder joint that includes:
Arthroscopic rotator cuff repair surgery is very safe and usually does not have any complications. Patients usually feel no pain after rotator cuff surgery, however, sometimes, in rare cases, there may be some complications associated with it:
Certain medications can increase the chances of infection and hemorrhage after rotator cuff surgery. Therefore, you should avoid certain medicines like aspirin, coumadin, celebrex, ibuprofen, naprosyn, plavix, etc., after the surgery. Do not take any medication without consulting your doctor beforehand.
After the surgery, you need to take good care of your shoulder to ensure proper healing. Tips for faster recovery after rotator cuff repair are:
The surgery is performed in the following steps:
Pristyn Care is associated with the best orthopedic surgeons in Pune who have ample experience in performing arthroscopic rotator cuff surgery without any complications. Arthroscopic rotator cuff surgery is a minimally invasive surgery that does not involve any significant trauma to the surrounding tissues. The procedure is usually performed for rotator cuff injuries due to :
Pristyn Care is a leading arthroscopic surgery provider in Pune for rotator cuff repair. Our patient’s care and comfort is our biggest priority, and to ensure maximum care and comfort for all patients, we provide patient-care facilities like:
If you have pain in the shoulder, perform a self-assessment test to ensure whether you have a shoulder rotator cuff injury. If you are exhibiting any symptoms, then book an appointment with the best rotator cuff surgeons near you today. Do not wait for the condition to progress. You can book an appointment with Pristyn Care orthopedic surgeons in Pune by either calling the number on top of the page or filling in the “Book an Appointment” form. Our care coordinators will immediately get in touch with you to book your appointment. You can also download our dedicated patient care app and book an appointment yourself.
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