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Rotator Cuff Injury Treatment in Punjab

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The main aim of any treatment is to lessen the pain and make that body part work better again. Dr Siddharth Aggarwal will make a plan based on the patient's age, health, their activity level, and the type of tear. Doctors usually start with rotator cuff tear treatment

that do not involve surgery, but if those don't work, they may consider surgery.

What is a rotator cuff?

Your rotator cuff is a vital part of your shoulder. It is made up of muscles and tendons that help keep the top part of your upper arm bone snugly in place in your shoulder. When you move your arm, the rotator cuff helps keep your shoulder steady and stable.

What is a rotator cuff injury or tear?

A rotator cuff injury happens when there's damage to the muscles and tendons in your shoulder. This can make your shoulder hurt and make it hard to move your arm. The rotator cuff helps you lift and move your arms. It keeps the ball part of your upper arm bone in place in your shoulder.

Think of your shoulder like a golf ball on a tee. The rotator cuff tears happen when the tendons pull away from your arm bone. This can be because of doing the same movement over and over or from getting hurt another way.

There are two types of torn rotator cuffs:

  • Partial tear: This happens when the tendon is only partially torn, so it's still partly attached to the arm bone.
  • Complete tear: This type of  shoulder cuff injury occurs when the tendon completely separates from the bone, leaving a hole or rip in the tendon.

Cause of Rotator Cuff Injury

Cause of Rotator Cuff Injury

Description

Sudden trauma

Injury caused by a sudden fall, lifting heavy objects, or a rapid twisting motion in the shoulder.

Degenerative process

Slow wearing down of the tendon over time, often associated with aging.

Repetitive motions

Continuous and repetitive movements, such as those in certain sports or occupations.

Lack of blood supply

Reduced blood flow to the rotator cuff tendons due to aging, hindering natural repair processes.

Bone spurs

Overgrowth of bones, particularly common with aging, leading to spurs that rub against shoulder tendons.

Shoulder Impingement

Resulting from bone spurs rubbing on shoulder tendons, causing irritation and inflammation.

Symptoms of Rotator Cuff Tear

When you injure your rotator cuff, it might not always hurt. But if it does, the pain usually happens in the top part of your arm or shoulder. You might feel more pain when you:

  • Lie down, especially on the hurt shoulder
  • Lift your arm or lower it to the front or side
  • Reach behind your back

Some of the other signs of a rotator cuff injury can include:

  • Arm feeling weaker
  • Hearing clicking or popping sounds when you move your arm

What is Rotator Tear Treatment?

Rotator cuff tear treatment usually includes a combination of rest, physical therapy, and, in some cases, surgery. At the initial stage doctors will recommend taking rest and modification in the activities of day to day life to alleviate the symptoms. Physical therapy would be recommended to strengthen the muscles of your shoulder. This will also help to improve flexibility. To manage the pains a doctor might recommend some medications or injections. Even after rest and physical therapy if a patient doesn’t get relief, then a doctor might go for surgical repair options. The surgical method aims to reattach the torn tendon to the bone. The treatment choice depends on several factors like tear severity and the individual's health. Consulting Dr. Siddharth Aggarwal will help determine the most suitable treatment plan according to the specific conditions of individual patients.

Rotator Cuff Tear Diagnosis

To determine if you have a torn rotator cuff, our doctor will begin by asking about the injury and examining your shoulder. During the examination, he will assess your ability to move your shoulder and the strength of your muscles. Dr. Aggarwal will also observe which movements cause pain in your shoulder. As per the diagnosis he will suggest the treatment that best suits the patient’s condition.

Additionally, doctor may use one of the following methods for proper diagnosis:

Rotator Cuff Tear Diagnosis

Description

MRI

Uses radio waves and a powerful magnet to produce detailed images of your shoulder, helping to identify the extent of the tear.

X-rays

X-rays are used to see if the top of your arm bone is pressing into the space of your rotator cuff, which may indicate a tear.

Ultrasound

This method visualizes the soft tissues in your shoulder, including tendons, muscles, and bursas, helping to confirm the presence of a tear.

The Rotator Cuff Tear Treatment Process

 We will discuss the rotator cuff tear treatment process in detail now.

There are two types of methods that are used for treatment of rotator cuff tear:

  • Non-surgical treatment
  • Surgical treatment

Non-surgical treatment

Non-surgical methods of rotator cuff tear treatment are recommended for small tears or tears that cannot be repaired. Strengthening the muscles around the shoulder can improve comfort and function in some cases. 

Non-surgical options include:

Rest: Rest and avoiding overhead activities, sometimes using a sling to keep the shoulder still. This is the most common rotator cuff injury treatment method that is suggested to the patients with minor problems.

Activity Modification: Avoiding certain actions and activities to prevent shoulder pain.

Anti-Inflammatory Medication: Medicines like Acetaminophen, Ibuprofen, or Naproxen to reduce pain and swelling.

Physical Therapy: Exercises to strengthen shoulder muscles, restore movement, and improve flexibility and range of motion.

Steroid Treatment: Injections of a local anesthetic and cortisone if rest, medication, and exercises don't help.

Stem Cell Treatment: Stem cells harvested from one area and injected into the damaged area to aid natural healing.

Note:

These non-surgical treatment methods have downsides:

  • Tear might get worse over time if done without guidance of an experienced doctor
  • Activities of day to day life may be limited due to restricted shoulder movement

It is therefore advisable to have a word with Dr. Siddharth Aggarwal and know the exact type of treatment methods that are suitable for the patient as per their conditions. 

Surgical Treatment for Rotator Cuff Tear

When the non-surgical treatments do not relieve ongoing pain, then a doctor can suggest surgery. The main goal of surgery is to reattach the tendon to the upper arm bone. There are two main surgical options:

  • Shoulder Arthroscopy: A minimally invasive surgery using a tiny camera called an arthroscope. This method diagnoses and repairs shoulder injuries like rotator cuff tears with minimal risk and faster healing.
  • Open Surgery: This is a traditional approach that involves a large incision over the shoulder. Muscles are detached, bone spurs removed, and the injury treated. This method is less recommended as the advantages of arthroscopy are comparatively more. 

Why Choose Dr. Siddharth Aggarwal for Rotator Cuff Tear Treatment?

A strong rotator cuff makes it easy to move your arms, but it can get damaged from too much strain, getting older, or accidents. Luckily, experienced doctors can treat these injuries well. If you see the right doctor as soon as you feel pain, you might not need surgery. The best doctor in Punjab for Rotator Cuff tear treatment suggests resting, using ice, and doing physical therapy to heal rotator cuff damage.

If the pain or injury is serious, you might need rotator cuff tear surgery in Punjab. For the best treatment, you can consult Dr. Siddharth Aggarwal, one of the top orthopedic doctors. He specializes in sports injuries and arthroscopic surgeries for shoulders, knees, and ankles.

Dr. Siddharth Aggarwal is well-known for arthroscopy and sports surgeries, including knee surgeries like meniscal repairs, ACL & PCL reconstructions, and cartilage surgeries. He also has years of experience in shoulder reconstructions, including bank arts repair and rotator cuff repairs.

FAQ’s

What is the best treatment for rotator cuff injury?

There is nothing called best treatment for any particular injury. The treatment type depends on the seriousness of the  rotator cuff injury. Depending upon the condition doctors can recommend either non-surgical or surgical methods. The best treatment for  rotator cuff injury can be availed if the patient follows instructions of the best and experienced doctors like Dr. Siddharth Aggarwal.

What are 3 warning signs of a rotator cuff tear?

The top 3 warning signs of a rotator cuff tear includes:

  • Pain in the shoulder
  • Weakness or loss of strength in lifting things or moving the shoulder.
  • Loss of mobility especially in lifting hands above shoulder levels

Is a rotator cuff tear serious?

Yes! If the rotator cuff tear or shoulder cuff injury is left untreated then it can be serious. Without treatment at the right time by an experienced doctor a patient could experience permanent loss of movement or weakness in the shoulder.

What foods help the rotator cuff?

To help your body heal after an injury or surgery, you should eat foods with protein, healthy fats (like those found in nuts and avocados), and carbohydrates. Good food choices include fruits, vegetables, pasta, bread, chicken, eggs, and fish. You can also boost your protein intake by having a protein drink with your meals.

How to avoid rotator cuff tears?

To lower your chance of getting a rotator cuff tear, you can do exercises to make your shoulders stronger. You should work on both the front muscles of your chest, shoulder, and upper arm, as well as the back of your shoulder. This helps keep your muscles in balance. Talk to your doctor for exercise suggestions to strengthen your shoulder area.

What are the signs for surgical rotator cuff tear treatment?

Signs that surgery is needed for rotator cuff injury treatment include:

  • Long-lasting pain and difficulty using the shoulder
  • Large tear with healthy surrounding tissues
  • Significant weakness and loss of shoulder function
  • Tear from a sudden injury