Shoulder procedure information
Rotator cuff tears
The rotator cuff is a group of tendons that help stabilise and move the shoulder. Rotator cuff problems may cause pain, weakness, night discomfort and difficulty lifting or reaching. Symptoms can develop gradually through wear and degeneration or occur following injury.
Assessment and diagnosis
Assessment begins with a detailed discussion of symptoms, shoulder function, medical history and treatment goals, followed by examination of shoulder movement and strength. Imaging such as X-ray, ultrasound or MRI scanning may be recommended to assess the rotator cuff tendons and help guide treatment decisions.
Non-surgical options
Non-operative treatment may include physiotherapy, activity modification, pain relief medication or injection therapy depending on the severity of symptoms and the nature of the tendon injury. Some patients improve with conservative management, while others continue to experience persistent pain or weakness.
Surgical treatment options
Surgical treatment may be considered when symptoms persist despite non-operative management or when tendon tears are more significant. Rotator cuff repair aims to restore tendon attachment and improve shoulder comfort and function. Depending on the condition being treated, surgery may be performed arthroscopically through small incisions. Although treatment plans and anaesthetic options vary between patients.
Recovery after treatment
Recovery varies between patients and depends on the size of the tear, tendon quality and the procedure performed. Physiotherapy and rehabilitation are commonly recommended following treatment, and improvement in strength and function often continues gradually over time. Functional recovery may take up to 6-9 months following treatment, however specific advice regarding wound care, driving, work, sport, and return to activities is provided following treatment and depends on the individual recovery progress.
Risks and considerations
All procedures carry risks. Potential risks associated with rotator cuff treatment may include infection, bleeding, stiffness, persistent pain, arthritis, tendon re-tear, nerve irritation or damage, or the need for further treatment. Specific risks and expected outcomes are discussed during consultation.
Frequently asked questions
Do all rotator cuff tears require surgery?
No. Many patients improve with physiotherapy, exercises, activity modification or injection treatment. Surgery may be considered when symptoms persist or when tendon tears significantly affect function.
How long does recovery take?
Recovery varies between patients and depends on the severity of the tear and the type of treatment performed. Rehabilitation and improvement in shoulder strength often continue over several months, with functional recovery commonly taking up to 6-9 months.