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What Factors Influence a Rotator Cuff Tear Doctor’s Treatment Plan?

Rotator cuff tears are one of the most common shoulder injuries, often affecting athletes, workers engaged in repetitive overhead movements, and individuals as they age. The rotator cuff, a group of muscles and tendons that stabilize the shoulder, can become torn due to overuse, trauma, or natural degeneration. For many people, surgery is seen as the last resort. Thankfully, advances in minimally invasive treatments have provided patients with effective alternatives, reducing the need for invasive surgical procedures. Here’s what Rotator Cuff Tear Doctor in Houston, Texas recommend for treating rotator cuff tears using minimally invasive techniques.

1. Physical Therapy and Rehabilitation

In many cases, physical therapy is the first line of treatment for rotator cuff tears. Doctors often recommend a structured rehabilitation program to help restore movement and strengthen the shoulder muscles. The goal of physical therapy is to improve the range of motion, reduce pain, and prevent further injury by targeting surrounding muscles that compensate for the weakened rotator cuff.

Eric F Berkman MD – Top Rated Orthopedic Surgeon in Houston, Texas. Specializing in treating various orthopedic conditions of shoulder, elbow, knee, hand, and foot and ankle. Orthopedic injuries are common in motor vehicle accidents, sports and in daily activities. He offers a comprehensive and high quality medical care for his patients. Dr Berkman offers the best possible treatment and utmost care to each individual to restore freedom of movement and relieve the pain of diseased and degenerative joints.

A physical therapist will guide patients through exercises that focus on stretching and strengthening the shoulder muscles, as well as stabilizing the shoulder joint. Many individuals with minor or partial tears experience significant improvement with a consistent rehabilitation program and can avoid surgery altogether.

2. Steroid Injections

For those who experience persistent pain from a rotator cuff tear but are not yet candidates for surgery, corticosteroid injections can offer relief. These injections, typically administered directly into the shoulder joint, help reduce inflammation and alleviate pain. While they don’t heal the tear itself, they can provide temporary relief, allowing patients to engage in physical therapy and other forms of treatment more effectively.

However, doctors typically limit the use of steroid injections due to potential side effects like weakening of the tendons with repeated use. They are generally recommended for patients with moderate pain who have not found relief through other treatments.

3. Platelet-Rich Plasma (PRP) Therapy

PRP therapy is an innovative, minimally invasive procedure that is becoming increasingly popular for treating rotator cuff tears. It involves drawing a small amount of the patient’s blood, processing it to concentrate the platelets, and injecting the resulting platelet-rich plasma directly into the damaged rotator cuff tendon.

Platelets contain growth factors that can promote healing and tissue regeneration. While research is still ongoing, studies suggest that PRP therapy can accelerate the healing of tendon injuries, reduce inflammation, and improve pain and function. This treatment is often used in conjunction with physical therapy for the best outcomes.

4. Hyaluronic Acid Injections

Another non-surgical option that doctors may recommend is hyaluronic acid injections. Hyaluronic acid is a substance naturally found in the joints and helps with lubrication and cushioning. When injected into the shoulder joint, it can provide pain relief by reducing friction between the torn tendon and surrounding tissues.

Hyaluronic acid injections are particularly beneficial for individuals with mild to moderate rotator cuff tears or those who have arthritis alongside their rotator cuff injury. Like corticosteroid injections, the relief provided by hyaluronic acid is temporary but can significantly improve mobility and function.

5. Arthroscopic Surgery

While technically a surgical procedure, arthroscopic surgery is considered minimally invasive due to the small incisions required. This technique uses a tiny camera (arthroscope) to view the inside of the shoulder joint, allowing the surgeon to repair the tear with specialized tools. The procedure is less traumatic to the surrounding tissues, leading to faster recovery times and fewer complications compared to traditional open surgery.

In cases where conservative treatments fail or the tear is more severe, arthroscopic surgery may be the best option. It can also be used in combination with other treatments, like PRP therapy, to enhance healing after the surgery.

Minimally invasive treatments for rotator cuff tears provide promising alternatives to traditional open surgery, offering patients faster recovery, less pain, and improved outcomes. Whether through physical therapy, injections, or arthroscopic surgery, doctors aim to tailor treatments to the specific needs of the individual. If you experience a rotator cuff injury, it’s important to consult with an orthopedic specialist to determine the best course of action, as early intervention can make a significant difference in the healing process and long-term shoulder health.

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