Rotator Cuff Tears

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The rotator cuff consists of four muscles that stabilize your shoulder joint and aid in lifting and rotating your arm.

A rotator cuff tear happens when the tendons—tough, connecting tissues from muscle to bone—around your upper shoulder bone come loose. This injury can cause pain and make it hard to move your arm, troubling routine tasks like brushing hair, grabbing things from a shelf, or lifting a bag.

Common Causes of Rotator Cuff Tears

Frequent overhead movements and certain jobs, like painting, increase the risk of rotator cuff injuries. These tears can develop from ongoing strain or sudden actions. For instance, if you switch to tennis after winter without adequate preparation, you might tear your rotator cuff. Overlifting, excessive arm use during activities like moving, or injuries from a fall or shoulder dislocation are also typical reasons for these tears.


Symptoms of a Rotator Cuff Tear

  • Experience a constant, dull shoulder pain that intensifies when you lay down.

  • Feel discomfort from the shoulder to the upper arm.

  • Notice a pop or crack when moving your arm.

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  • Experience shoulder pain during overhead lifts or throws, or even at rest.

  • Noticeable arm weakness.

  • Sensation of your shoulder being stuck.

Best Treatment for Rotator Cuff Tears

At Stride Physical Therapy, your shoulder specialist will inquire about your pain's history—its onset, whether it was injury-induced or slow-developing, and what eases or intensifies it.

Your visit will start with a physical exam where your Freehold, NJ shoulder specialist will check for pain points by pressing on your shoulder and moving your arm in different positions. They'll also measure how far and easily you can move your arm on your own. An X-ray might be done to see if there are other causes of pain like arthritis or bone issues, although it won't show torn rotator cuff tendons. An ultrasound, which uses sound waves, may be used for a quick and detailed view of your shoulder, helping to direct treatment injections if needed. Finally, to get the clearest picture of your rotator cuff tendons and to check for tears, your doctor will probably request an MRI.

If you have a rotator cuff tear, your Freehol, NJ specialist will likely suggest trying non-surgical options first. This includes resting the shoulder and doing physical therapy to build up nearby muscles. They'll usually not recommend a sling, to prevent a condition called frozen shoulder. Taking anti-inflammatory drugs or getting corticosteroid shots can also ease inflammation and lessen shoulder pain, making movement easier.

Surgical Solutions

If your shoulder pain persists despite non-surgical treatments, consider surgery. This minor procedure uses an arthroscope to examine the rotator cuff for tears. While deeper and complete tears are repaired surgically, shallower ones might just be cleaned. To mend the tear, sutures and anchors reattach the tendon to the upper arm bone, encouraging healing. Post-surgery, you'll wear a sling for 4 to 6 weeks to immobilize the shoulder and protect the repair. Physical therapy follows to restore mobility and strength to the shoulder.

MEET YOUR RECOVERY TEAM

Kanwal Bhardwaj  PT, M.Sc.PT, CIMT, CMNT

Kanwal Bhardwaj

PT, M.Sc.PT, CIMT, CMNT

Meet Kanwal Bhardwaj, PT, M.Sc.PT, CIMT, CMNT, the driving force behind Stride Physical Therapy in Freehold, NJ. With over 20 years of dedicated experience in the field, Kanwal brings a wealth of expertise and a passion for holistic healing to his practice. Kanwal's journey began with a Master of Science in Orthopedic Physical Therapy from Quinnipiac University in 2004. Over the years, he honed his skills and gained invaluable insights during 18 years of service in outpatient physical therapy offices. In 2014, fueled by a desire to deepen his understanding of patient care, he pursued a manual therapy certification (CIMT). This transformative experience allowed him to adopt a whole-body perspective, focusing on treating the root cause rather than just the symptoms...


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