There you are, winding up to throw the winning pitch to win
the softball tournament, and you find yourself tripping over your own feet. You
put out an arm to break the fall, but hear a snap when you land. A hurried –
and painful – ride to the Emergency Room results in an orthopedic diagnosis.
You have a torn rotator cuff.
No more softball for you as rotator cuff repair surgery is
the recommended treatment. What does all of this mean and when can you expect
to be back out on the pitcher’s mound?
What is a rotator
cuff?
The rotator cuff is made up of four tendons and muscles that
work as a team to stabilize and move the shoulder.
What causes a tear in
the rotator cuff?
There are a number of reasons why a rotator cuff injury can
occur. Typically, wear and tear – especially for patients reaching their 40s
and 50s – is the most common culprit.
An over-the-head action that is repeated over and over can
cause inflammation and a shoulder tear. This is common for avid swimmers,
tennis players, and yes, baseball or softball pitchers. Even some tradesmen such
as carpenters and painters experience damage to the shoulder’s rotator cuff.
Other causes include an improper lift or pull and a fall
that is broken with the arm.
Are certain patients
more likely to experience a tear than others?
Studies show that patients who repeatedly smoke or rely on steroid
injections for shoulder pain are more likely to have rotator cuff difficulties.
The integrity of the rotator cuff is often compromised and partial or complete
tears of the tendons or muscles are likely.
Can a patient live
with a torn rotator cuff?
Tendons do not heal like other parts of the body. Only
orthopedic rotator cuff repair surgery will correct the shoulder condition. However, patients can live with rotator cuff
tears for a limited amount of time.
Bear in mind that the rotator cuff injury will worsen,
causing additional damage and certainly more shoulder pain and weakness. The
rate at which this happens depends solely on the patient and the nature of the
injury.
Many patients can no longer maintain a normal activity
schedule. Secondary side effects include difficulty sleeping and a noticeable
catch or grinding sound when shoulder movement is attempted.
Mild pain-relieving medications will temporarily help the
discomfort. And while steroid injections may seem like a viable option, they
will weaken the quality and quantity of the tendon.
For these reasons, orthopedic surgeons recommend rotator
cuff repair surgery to be performed within 2-3 weeks of the injury for best
results. Although more challenging, the rotator cuff can also be repaired after
chronic injury to the tendons.
What can patients
expect after a rotator cuff repair surgery?
The overall success of the procedure depends entirely on the
patient’s health and motivation.
Naturally, the shoulder will be weak for several months, and
the range of motion may be limited. However, an orthopedic surgeon will
recommend gentle rehabilitation exercises in order to prevent scar tissue and
speed up recovery.
If the recommended post-surgery steps are followed, patients
will be able to jump back into their daily activities within a few months.
Although the tendon will be repaired, it will never regain its original state.
Patients can rest assured, though, that they will experience an improvement in
shoulder mobility and comfort.
If you have a torn rotator cuff and are in need of
orthopedic surgery, contact MedToGo today. We can help you get the treatment
you need and the care you deserve.