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Rotator Cuff Repair Surgery - Diagnosis & Procedure

Get a detailed diagnosis and suitable treatment for rotator cuff repair in India at Pristyn Care. Consult the highly experienced surgeons to undergo Rotator Cuff Repair Surgery.

Get a detailed diagnosis and suitable treatment for rotator cuff repair in India ... Read More

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    Dr. Manu Bora (2CDYqEqpB0)

    Dr. Manu Bora

    MBBS, MS-Orthopedics
    18 Yrs.Exp.

    4.7/5

    18 Years Experience

    location icon F10/4, Golf Course Road, DLF Phase 1, Sector 27, Gurugram, Haryana 122001
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    Dr. Debashish Chanda (ncpD3B72NM)

    Dr. Debashish Chanda

    MBBS, MS-Orthopedics
    15 Yrs.Exp.

    4.8/5

    16 Years Experience

    location icon Delhi
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    Dr Sourabh Chachan (xBdD2Q9LOS)

    Dr Sourabh Chachan

    MBBS, MS (Ortho), MRCS (Edinburgh) FMISS (Seoul), FIASA (USA), FACS (USA) Robotic & Endoscopic Spine Surgeon
    13 Yrs.Exp.

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    13 Years Experience

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    Dr. Amyn Mohamed Husein Rajani (3KhO8PQQeH)

    Dr. Amyn Mohamed Husein ...

    MBBS, MS-Orthopedics, Fellowship in Arthroplasty, Fellowship in Arthroscopy,
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    24 Years Experience

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  • What is Rotator Cuff Repair?

    Rotator cuff injury surgery is a specialised medical procedure designed to repair torn tendons in the shoulder. These tendons are integral to arm mobility and stability. When they tear, they can cause severe discomfort and limit your ability to move your arm freely.

    Performed by seasoned orthopaedic surgeons, rotator cuff repair surgery is typically conducted on an outpatient basis, so you don’t have to worry about extended stays at the hospital. It’s an incredibly common and safe procedure that has helped countless individuals regain their full range of motion.

    During the procedure, surgical tools, including sutures and bone anchors, are used to reattach the torn tendon to the humerus, which is your upper arm bone. If the tear is only partial, debridement may be carried out to trim and smooth the tendon rather than executing a full repair.

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    What Are The Types Of Rotator Cuff Repair Surgery?

    Rotator cuff repair surgery has seen many advances over the years, with several types of procedures available based on the severity and location of the tear. Here are the main types of rotator cuff injury surgeries:

    • Open Repair: This traditional form of surgery involves making a several-centimetre incision over the shoulder area. The deltoid muscle is detached or split open to access and repair the torn tendon. Bone spurs, if present, are removed from the underside of the acromion. This approach is typically used for larger, more complex tears or when additional reconstruction is needed.
    • Arthroscopic Repair: This is a minimally invasive procedure that utilises small incisions and an arthroscope. This camera device helps to view and repair the tear, with miniature surgical instruments inserted through the incisions to reattach the tendon. As the least invasive option, it is often performed as outpatient surgery.
    • Mini-Open Repair: This combines elements of both open and arthroscopic repair. First, arthroscopy is used to evaluate and treat any other shoulder issues, like bone spurs. Then a 2-3 inch incision is made to repair the rotator cuff tendon. This method causes less soft tissue damage than a full open repair, leading to quicker recovery times.

    Remember, your doctor will choose the most suitable procedure based on your individual condition and needs.

    Are you going through any of these symptoms?

    Diagnosis Before Rotator Cuff Repair Surgery

    Diagnosing a rotator cuff injury that requires surgical intervention involves a series of steps. These include:

    • Medical History: A comprehensive review of your medical history plays a vital role in diagnosing rotator cuff tears. Your doctor will ask about any past injuries, the duration and nature of your symptoms, and activities that may aggravate your shoulder pain.
    • Physical Examination: Your physician will perform a series of shoulder movement tests to assess the location and severity of the injury. They may test your range of motion, strength, and stability to determine the extent of the tear.
    • Imaging Tests: In certain cases, X-rays, MRI scans or ultrasound may be ordered to verify the diagnosis and evaluate the extent of the tear. These imaging tests provide detailed pictures of structures within your shoulder, helping the doctor confirm a rotator cuff tear.

    What Is The Procedure For Rotator Cuff Repair Surgery?

    Rotator cuff repair surgery aims to fix torn tendons in the shoulder. The procedure entails:

    • Anaesthesia: The surgery is usually performed under general anaesthesia so you won’t feel any pain during the operation.
    • Incision: Depending on the nature of your injury, your surgeon will choose one of three approaches: open repair (a large incision), mini-open repair (initial arthroscopy followed by a smaller incision), or arthroscopic repair (small incisions and a camera).
    • Repair: Once access is granted to the torn tendon, it is repaired using sutures and anchors to reattach it to the humerus, which is the upper arm bone. If necessary, bone spurs will be removed.
    • Closure: The incisions are then stitched up, and a bandage applied to protect the surgical site as it heals.

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    Who Is The Right Candidate For Rotator Cuff Repair Surgery?

    Determining if you’re a suitable candidate for rotator cuff repair surgery depends on several factors. These include:

    • Severity of Symptoms: If you experience consistent pain, persistent weakness or limited range of motion that impairs your day-to-day activities, surgery may be a viable option.
    • Failure of Conservative Treatment: Surgery is considered when non-surgical treatments such as physical therapy, rest, and medication do not relieve rotator cuff injury symptoms.
    • Size of the Tear: Large or complex tears, or those that affect most of the tendon, are likelier candidates for surgical repair.
    • Patient’s Age and Health: Younger, active individuals in good overall health are more likely to benefit from rotator cuff repair surgery. However, each case is unique and the surgeon will make a decision based on your specific circumstances.

    What Are The Benefits Of Rotator Cuff Repair Surgery?

    If you’re experiencing persistent shoulder pain and weakness, rotator cuff repair surgery might be a solution for you. Here’s how it could help:

    • Significant Improvement in Shoulder Strength: One of the key benefits of undergoing this surgery is that it considerably improves shoulder strength, helping you to undertake daily tasks with greater ease.
    • Pain Relief: Another major advantage is that majority of patients report a significant reduction in pain post-surgery.
    • Similar Results Across Techniques: Whether you opt for open surgery, mini-open or arthroscopic techniques, patient satisfaction, pain relief and strength improvement remain similar across all methods.
    • Faster Recovery with Arthroscopic Repair: Compared to open repair, arthroscopic repair offers benefits such as less tissue damage, faster recovery, less discomfort and smaller scars.

    How To Prepare For Rotator Cuff Repair Surgery?

    As you prepare for your rotator cuff repair surgery, here are a few steps that could help:

    • Consult Your Surgeon: Discuss with your doctor the suitable procedure based on factors such as tear size, anatomy and tissue quality.
    • Medication Review: Some medications might need to be stopped before the rotator cuff injury surgery. Ensure to consult your doctor about the same.
    • Arrange Help: Arrange support for daily activities and transportation post-surgery.

    What Are The Recovery Tips And Precautions To Follow After Rotator Cuff Repair Surgery?

    Post-surgery recovery needs careful handling. Here’s what you can do to ensure smooth healing:

    • Wear a Sling: To protect the repaired tendon, it is advisable to immobilise your arm with a sling for about 4-6 weeks.
    • Limit Arm Use: Avoid using your arm for activities aside from those illustrated by your physical therapist for the first 4-6 weeks.
    • Exercise Gradually: Gentle range-of-motion exercises can be started in the first 4-6 weeks. You can then progress to strengthening exercises over time.
    • Patience is Key: It may take 4-6 months to regain functional range-of-motion, and even longer for complete recovery.
    • Avoid Smoking: Smoking and nicotine use can hinder your chances of a satisfactory result.

    Potential Risks Or Complications Associated With Rotator Cuff Repair Surgery

    Like any surgical procedure, rotator cuff repair surgery carries some risks, including:

    • Nerve Injury: This commonly involves the nerve of the deltoid muscle.
    • Infection: If an infection occurs, it might require additional surgery and antibiotics.
    • Deltoid Detachment: This can occur during open repair. Be mindful to protect it during rehab.
    • Stiffness: While this usually improves with more aggressive therapy, it may be uncomfortable initially.
    • Tendon Re-tear: Although this is more likely with larger tears, it usually does not necessitate repeat surgery if pain and function are acceptable.

    Remember, your full participation in the rehabilitation programme and diligently following your surgeon’s instructions are key to a successful recovery.

    What Is The Cost Of Rotator Cuff Repair Surgery In India?

    Rotator cuff repair surgery is a procedure performed to mend a torn tendon in the shoulder. The cost in India can significantly var. This variation in cost can be affected by several factors including:

    • Type of Surgery: Whether the surgery is open, arthroscopy, or mini-open can determine the cost.
    • Severity of Tear: The complexity and severity of the tear in your rotator cuff will also influence the cost of rotator cuff injury surgery.
    • Surgeon and Hospital Fees: Fees can range based on the expertise of your surgeon and the hospital you choose for your treatment.
    • Geographic Location: The cost of medical procedures can differ across various cities or regions within India.
    • Public or Private Hospital: Private hospitals generally have higher costs compared to public hospitals.

    Insurance Coverage: Depending on your policy, insurance may cover part of the cost of your procedure.

    Is Rotator Cuff Repair Surgery Covered Under Insurance?

    The coverage for rotator cuff repair surgery largely depends on your individual insurance policy. In general, insurance companies do provide coverage for such surgeries. This typically includes the surgeon’s fees, assistant surgeon’s fees, anaesthesiologist fees, and hospital costs. However, there might be exclusions such as premium ward rooms or experimental procedures. If you have a pre-existing condition that complicates the operation, treatment for it may not be included.

    In India, insurance coverage differs by provider. It is crucial to consult with your insurance provider about the specific details of your plan before scheduling a surgery. This will give you a clear understanding of what costs you can expect to cover out-of-pocket.

    Frequently Asked Questions

    1. What are the typical symptoms of a rotator cuff injury?

    While every individual’s experience is unique, some common signs of a rotator cuff injury might include discomfort and pain, especially while lifting or rotating your arm, loss of range in arm movements, and weakness in your shoulder. Night-time discomfort disturbing sleep is also frequently reported.

    2. What are the main causes leading to a rotator cuff injury?

    A rotator cuff injury is usually caused by either an acute incident like a sudden fall or repetitive stress over time. It can also occur due to the natural ageing process, which can cause degeneration and weakening of the tendons in the shoulder.

    3. How can I know if I have a rotator cuff injury?

    If you have persistent shoulder pain or weakness that impedes your daily activities, it is advisable to consult a doctor, who may then recommend imaging tests such as X-rays, MRIs or ultrasounds for a rotator cuff injury diagnosis.

    4. What are the non-surgical treatment options for a rotator cuff injury?

    Non-surgical rotator cuff injury treatment options may include physical therapy, non-steroidal anti-inflammatory drugs (NSAIDs), steroidal injections, and activity modification.

    5. What does the rotator cuff surgery involve?

    Rotator cuff injury surgery generally involves repairing the torn tendon. The exact technique used can vary based on factors such as the size, shape, and location of the tear.

    6. How long does it typically take to recover from a rotator cuff injury surgery?

    Rotator cuff injury recovery time varies depending on factors like age, health condition, severity of injury, and type of rotator cuff injury surgery performed. Generally, total rotator cuff injury recovery time could range from a few months to a year.

    7. What complications could possibly arise from a rotator cuff injury?

    Possible rotator cuff injury complications include persistent pain, infection, stiffness, and weakness in the shoulder. In some cases, the tendon might not heal completely, or it might re-tear.

    8. What role does physiotherapy play in the rotator cuff injury recovery process?

    Physiotherapy plays a crucial role in rotator cuff injury recovery. It aids in restoring shoulder strength and flexibility, thereby accelerating the healing process and reducing the chance of future injuries.

    9. Are there any ways to prevent a rotator cuff injury?

    Prevention measures include incorporating shoulder strengthening exercises into your routine, practising good posture, avoiding lifting heavy weights overhead, and taking regular breaks from repetitive shoulder activities.

    10. Can I return to my normal activities post-rotator cuff injury surgery?

    Yes, you can generally return to your normal activities post-surgery, although the timeline differs for every individual. It is best to consult with your doctor or physiotherapist to ensure a safe return to your activities.

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    Content Reviewed By
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    Dr. Manu Bora
    18 Years Experience Overall
    Last Updated : September 26, 2024

    Our Patient Love Us

    Based on 35 Recommendations | Rated 5 Out of 5
    • SN

      Suneeta Nayak

      5/5

      My experience with Pristyn Care for rotator cuff repair surgery was excellent. The doctors were highly skilled and compassionate, making me feel comfortable and confident about the procedure. They thoroughly explained the surgical process and patiently addressed all my concerns. Pristyn Care's team provided exceptional post-operative care, ensuring my comfort and closely monitoring my recovery. They were supportive and available to answer my questions throughout the journey. Thanks to Pristyn Care, my shoulder is now repaired, and I feel more relieved and satisfied. I am grateful for their expertise and caring approach during this transformative surgery.

      City : LUCKNOW
    • DR

      Deepmala Rawal

      5/5

      Pristyn Care's rotator cuff repair treatment was beyond my expectations! I was hesitant about the surgery, but the team's expertise put me at ease. They customized the treatment to my specific needs and guided me throughout the process. The surgery was a success, and the recovery was better than I anticipated. Thanks to Pristyn Care, I can now move my shoulder without pain

      City : CHANDIGARH
    • TR

      Taruna Rana

      5/5

      Choosing Pristyn Care for my rotator cuff repair surgery was the best decision. The doctors were not only highly experienced but also empathetic, putting my fears at ease. They thoroughly explained the procedure and ensured I had realistic expectations. Pristyn Care's team provided personalized post-operative care, ensuring a smooth healing process. They were attentive to my needs and provided valuable guidance during my recovery. Thanks to Pristyn Care, my shoulder is now stronger, and I feel more confident and satisfied. I highly recommend their services for rotator cuff repair surgery.

      City : COIMBATORE
    • BP

      Bhoomi Patnaik

      5/5

      My experience with Pristyn Care for rotator cuff repair surgery was fantastic. The doctors were highly skilled and understanding, making me feel understood and supported. They thoroughly assessed my condition and recommended a personalized treatment plan. Pristyn Care's team provided excellent post-operative care, ensuring my comfort and closely monitoring my progress. They were available for follow-ups and provided valuable advice. Thanks to Pristyn Care, my shoulder is now fully functional, and I feel more relieved and healthier. I am grateful for their expertise and compassionate care during this transformative surgery.

      City : VISAKHAPATNAM
    • DT

      Deepa Tiwari

      5/5

      My experience with Pristyn Care was very good. I faced no complications or any major side effects after the surgery. Thank you.

      City : FARIDABAD
    • JO

      John

      5/5

      The staff and doctors were very professional and polite. I had a rotator cuff surgery in Hyderabad through Pristyn Care and I am very happy with the results. I would definitely recommend their services.

      City : HYDERABAD