Manual labourers, who perform repetitive physical tasks, are more prone to rotator cuff tears.
Rotator cuff is a group of tendons which attaches to humerus(upper arm bone) and helps in movement of shoulder
We reattaches the tornedrotator cuff tendons to the humerus (upper arm bone) using an absorbable suture anchors by minimally invasive arthroscopic procedure aim to achieve pain free shoulder movements.
Manual labourers, who perform repetitive physical tasks, are more prone to rotator cuff tears.
You’re more likely to suffer a rotator cuff tear due to repetitive motions related to athletic activities, like pitching a baseball or lifting weights over and over.
Many people tear their rotator cuffs as a result of a fall. They either fall directly on their shoulder or extend their arm as a natural protective gesture while falling.
Unfortunately, your risk for tearing your rotator cuff increases as you get older, and wear-and-tear intensifies from age 40 on.
Torn rotator cuff symptoms include shoulder pain even while resting, being unable to fully rotate or raise and lower your arm without pain, shoulder weakness, and even audible snaps or pops when you move your shoulder.
Tears that develop slowly over time with wear-and-tear present more subtle symptoms, while symptoms are more immediate if you have a traumatic injury like a fall.
When you consult us we thoroughly examine and diagnose the rotator cuff tear clinically.
However we may ask you to get an x-ray and MRI scan to confirm the diagnosis and also to rule out other injuries.
The goal of our treatment is to reduce pain and restore the joint function. There are several treatment options for a rotator cuff tear, In planning your treatment, we will consider your age, activity level, general health, and the type of tear you have.
Nonsurgical treatment relieves pain and improves function in most of the patients.
Nonsurgical treatment options may include:
Surgical treatment are indicated inFull thickness tears,Persistant of pain and weakness,Patients wants to resume to their activities quickly,Whennon surgical treatment fails.
We recommend surgeryfor
We recommend to get the surgery done with in 3weeks in case of full thickness tear and with in 6 to 8 weeks in case of partial thickness tear which are not responding to other treatment modalities to get faster and maximal recovery of shoulder movements.
Tears tend to get larger with time.
The results of repairing large or massive tears are not as good as repairing smaller tears,
Delaying surgery in patients who need it can result in poor outcome with prolonged rehabilitation program
It can leads to rotator cuff arthropathy which in turn may need shoulder replacement surgery.
We do arthroscopic rotator cuff repair under anesthesia.Usually we use general anesthesia for the procedure.
We make tiny holes on your shoulder and enter into the join using arthroscope which has an inbuilt camera.
We asses your joint anatomy completely,identify the torned tendons and reattached it to its native place using implants called absorbable suture anchors
This procedure takes approximately one to one and half hour and varies from person to person depending on the size of the tear and other parameters
You will be shifted to recovery room after the procedure for observation and then to ward.
Possible complications include:
When we do arthroscopic rotator cuff repair, you can go home on the same day.However we recommend you to stay at least 24hrs in the hospital for proper care and monitoring
Talk with your surgeon about any precautions you may have after surgery.
Make sure you have a follow-up appointment scheduled with your surgeon 10 to 14 days after your surgery.
Your surgeon and physical therapist will talk with you about your home exercise program. Follow any instructions he or she gives you. This will have a big impact on your recovery.
Swelling after surgery is common. You may experience the most swelling 7 to 10 days after surgery. Raise (elevate) your leg above the level of your heart by placing a pillow under your calf or ankle, not your knee. Apply ice for 20 minutes, 3 to 4 times a day to help reduce swelling. Call your surgeon right away if you have an increase in calf pain.
You will likely have a decrease in energy after surgery. Make sure to balance your activity with rest and continue with your home exercise program.
You will have some pain, discomfort and stiffness after surgery. It is important to create a pain plan to follow at home. Follow your surgeon’s instructions for pain medicine.
You may not feel like eating for the first few weeks after surgery. However, good nutrition is essential for your recovery. Try to resume eating healthful meals and snacks as soon as you are able. Make sure to drink six to eight 8-ounce glasses of liquids each day and include protein (meat, poultry, fish, beans, nuts and seeds) in your meals and snacks to help your body heal.
You may have constipation. This can be caused by taking pain medicine. Talk with your surgeon about ways to manage constipation.
You may feel some numbness in the skin around your incision. This should get better over time.
Continue with your home exercise program. This will have a big impact on your recovery.
You may continue to have pain, discomfort, stiffness and swelling. This is common and should get better over time. Continue treating with elevation, ice and other non-medicine ways to treat pain. (Most people are off pain medicine unless they were already taking pain medicine before surgery.) If you feel new pain or your pain gets worse, call your surgeon right away.
You should be able to resume most of your regular activities if your surgeon says it is OK. Some activities such as jogging, jumping and aerobics put a lot of strain or pressure on your new joint and should be avoided. Check with your surgeon before starting any new activities.
Ask your surgeon when it is OK to resume having routine dental appointments or any dental work done.
Your surgeon may want you to schedule an appointment 6 months after surgery to talk about your recovery and do an X-ray if needed.
Most of your pain should be gone 1 year after surgery. However, you may still have some swelling in your lower leg and foot, and discomfort going up and down stairs or sitting in one position for too long. It is important to be physically active and maintain a healthy weight for the best recovery.
You may resume playing low-intensity activities such as volleyball or softball. Do not do high-intensity activities such as soccer, tennis or basketball.
Many studies have shown that knee replacements have been lasted for 20 Years.
It takes 4 to 6 weeks to resume to your daily activities
Most patients can expect to be able to almost fully straighten the replaced knee and to bend the knee sufficiently to climb stairs and get in and out of a car
Dentistry, also known as Dental and Oral Medicine, is a branch of medicine that consists.
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Fellowship in Knee & Shoulder Surgery (Aus, NZ, Japan)
Specialist in Joint Replacement & Arthroscopy, Senior Consultant Ortho Surgeon.
Fellowship in Joint Replacement and Arthroscopy
Specialist in sports medicine and joint replacement surgery
Senior consultant Ortho surgeon
Fellowship in Joint replacement and Arthroscopy
Specialist in sports medicine and joint replacement surgery
Specialist in complex trauma surgery
Senior consultant Ortho surgeon
Fellowship in Arthroscopy, Joint replacement, Trauma & Ilizarov Limb Reconstruction
Fellowship in spine surgery
Senior consultant Ortho Surgeon
An arthroscopic rotator cuff repair is a Minimally invasive surgical procedure to repair a torn rotator cuff.
The rotator cuff is a group of muscles and tendons that attach the upper arm bone (humerus) to the shoulder blade (scapula) and stabilize the shoulder joint.
Individuals who have suffered a rotator cuff tear that is affecting their daily activities and causing significant pain may need an arthroscopic rotator cuff repair.
The surgery is performed using arthroscopy, which involves making small incisions and using a camera to visualize and repair the damaged rotator cuff.
Like any surgery, an arthroscopic rotator cuff repair carries some risks, including infection, bleeding, nerve damage, and stiffness. There may also be a risk of re-injury, recurrent tear or the need for revision surgery.
Recovery time varies from person to person, but most people can return to light physical activity within 4-6 months after surgery. Full recovery can take up to a year or more, depending on the individual's age, physical condition, and other factors.
Arthroscopic rotator cuff repair has a high success rate, with more than 80% of patients reporting improved shoulder function and pain relief. However, proper rehabilitation and physical therapy are essential for a successful recovery.
Patients may experience pain and Discomfort during the initial recovery period, but this can usually be managed with pain medications prescribed by the doctor.
Yes, arthroscopic rotator cuff repair can be done on an outpatient basis, but the specific arrangements will depend on the individual's case and the surgeon's preference.
The cost of arthroscopic rotator cuff repair varies widely depending on the patient's location, insurance coverage, and the surgeon's fees. It is important to discuss cost and insurance options with the doctor or a healthcare financial counsellor.