Rotator cuff surgery questions
Does a rotator cuff tear need surgery?
A tear from an injury that left the arm weak does better when it is repaired within the first few months. A worn-in tear usually earns a real trial of physical therapy first. The MRI and the story of how it started tell Dr. Raynor which kind you have. Rotator cuff tears: symptoms, diagnosis and treatment.
How is the repair done?
Arthroscopically, through four small portals, with a double row of anchors that presses the whole width of the tendon flat against the bone, and the biceps tendon moved at the same time so it does not keep hurting afterward. Outpatient, with a nerve block. Watch the repair, step by step.
What is the recovery like?
Six weeks in a sling, strengthening from three months, most patients doing what they want by six months. The tendon heals, then gets strong over a few months. Pain varies; it is not an operation where you feel good right away. The recovery roadmap, week by week.
What if the tear is massive or has been there a long time?
Some can still be repaired, some need a different plan. Dr. Raynor reads the MRI for tendon quality, retraction and muscle wasting before promising a repair. Massive and irreparable rotator cuff tears: the options.
My repair tore again. Can it be fixed?
Often, yes. Revision rotator cuff repair starts with why the first repair failed and what tissue is left to work with. Revision rotator cuff repair.
Can I get a second opinion?
Yes, and it is a routine part of Dr. Raynor’s practice. Bring your MRI images and report, and your operative report if that shoulder has had surgery. He will go through the images with you, tell you what kind of tear you have and whether it needs repair, and explain exactly how he would do it. What a rotator cuff second opinion with Dr. Raynor involves.