Sunday, November 13, 2016

Rotator cuff tears - what about non-operative management?

Initial medical management of rotator cuff tears: a demographic analysis of surgical and nonsurgical treatment in the United States Medicare population.

These authors find that rotator cuff tears have a lifetime incidence between 25% and 40% in the United States. They evaluated the proportions of patients treated with nonoperative and operative modalities during an 8-year period (2005-2012) among patients with Medicare.

During the study period, 878,049 patients were identified; 397,116 patients had rotator cuff repair.

The proportion of patients treated initially with physical therapy dropped from 30.0% in 2005 to 13.2% in 2012

 The proportion of patients who had rotator cuff repair increased from 33.8% to 40.4% from 2005 to 2012 (P < .001).

The surgical treatment of a chronic cuff tear is elective. In that many tears are minimally symptomatic it seems reasonable to see if non-operative management can be helpful. This post is relevant, especially in light of the high rate of failure of repair surgery and the results with non-operative management:

42% failure rate for rotator cuff repair - are the patient's genes at fault?

 Is surgery better than non-operative treatment for non-traumatic rotator cuff tears?

Rotator cuff tears - non-operative and arthroscopic management

Rotator cuff tears - getting better without surgery


Information about shoulder exercises can be found at this link.

Use the "Search" box to the right to find other topics of interest to you.

You may be interested in some of our most visited web pages including:shoulder arthritis, total shoulder, ream and runreverse total shoulderCTA arthroplasty, and rotator cuff surgery as well as the 'ream and run essentials'