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The rotator cuff is comprised of a group of four muscles and four tendons that surround, protect and stabilize the shoulder joint. It plays a critical role in shoulder movement and functionality, providing a full range of pain-free arm movement when healthy.
Shoulder pain is one of the most common reasons patients seek medical attention each year, and rotator cuff injuries are often the source. Generally, these injuries are in of the following four forms:
The underlying cause of such injuries can usually be isolated to one of the following three:
Our aim when treating rotator cuff injuries is to utilize therapies that are the most effective in healing the injury and relieving symptoms while also causing minimal disruption for the patient. In many cases, this can be accomplished using non-surgical methods such as nonsteroidal anti-inflammatories (NSAIDs) or steroidal injections for pain relief and physical therapy. In others, surgical repair may be necessary. Fortunately, the arthroscopic repair preferred by most surgeons today offers patients many benefits:
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Severe impingement or tendinitis can result in a tearing of the rotator cuff. The rotator cuff is a network of muscles and tendons that attaches the upper arm to the shoulder blade. When these muscles and tendons are damaged or inflamed, it can become painful. Treatment follows a conservative approach for impingement with further diagnostic testing such as MRI if indicated. A discussion of the risks, benefits and alternatives of rotator cuff tear treatment helps the patient decide if they want non-operative treatment, open repair or arthroscopic repair for the rotator cuff.
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