Rotator Cuff Tears: When Physical Therapy vs Surgery Is Recommended

Rotator Cuff Tears: When Physical Therapy vs Surgery Is Recommended, Orthopedics and Sports MedicineRotator cuff tears are a common cause of shoulder pain, particularly in active individuals and aging patients. These injuries can range from mild inflammation to complete tendon tears.

Understanding when physical therapy is sufficient and when surgery may be necessary is key to choosing the right treatment. At the practice of Steven C. Thomas, MD and Donald W Pennington, DO, our board-certified  surgeons specialize in orthopedic procedures in the Las Vegas area.

What Is the Rotator Cuff?

The rotator cuff is a group of muscles and tendons that stabilize the shoulder and allow for movement. A tear occurs when one or more of these tendons become damaged.

Symptoms of a Rotator Cuff Tear

  • Shoulder pain, especially when lifting the arm

  • Weakness in the shoulder

  • Limited range of motion

  • Pain at night or when lying on the affected side

When Physical Therapy Is Recommended

Many rotator cuff tears can be treated without surgery, especially if they are:

  • Partial tears

  • Degenerative (age-related) tears

  • Associated with mild to moderate symptoms

Benefits of Physical Therapy

  • Strengthens surrounding muscles

  • Improves flexibility

  • Reduces pain

  • Restores function

When Surgery May Be Necessary

Surgery may be recommended if:

  • The tear is complete or severe

  • Symptoms do not improve with conservative treatment

  • There is significant weakness or loss of function

  • The patient is highly active or an athlete

Types of Surgical Treatment

  • Arthroscopic repair

  • Tendon reattachment

  • Debridement of damaged tissue

Recovery Expectations

  • Physical therapy is essential after surgery

  • Recovery may take several months

  • Gradual return to normal activities

If you are experiencing persistent shoulder pain or weakness, early evaluation can help determine the best treatment approach. Contact our office to schedule a consultation and develop a personalized plan.

Contact Surgeons Dr. Thomas and Dr. Pennington at the Knee and Shoulder Institute in Las Vegas, NV to Schedule an Appointment:

If you would like to schedule an appointment or learn more about the Knee and Shoulder Institute procedures & treatments,contact the office today click here.

Serving patients from and around greater Las Vegas, Lake Havasu, Bullhead City, Mesquite, Pahrump, Nevada

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