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Rotator cuff injury is a common shoulder disease, which mainly includes rotator cuff tendonitis, rotator cuff tear and other pathological changes. For rotator cuff injuries, the need for surgery has always been a concern for patients. This article will invite orthopedic surgeons to answer the best methods of rotator cuff injuries and the necessity of surgery, hoping to provide some help for you.
First, let's take a look at rotator cuff injuries. The rotator cuff is made up of tendons of four muscles (supraspinatus, infraspinatus, teres minor, and subscapularis muscles) that together make up the stability and motor function of the shoulder joint. Rotator cuff injuries occur when the tendons of these four muscles are damaged. Common symptoms of rotator cuff injuries include shoulder pain, limited movement, fatigue, etc.
For rotator cuff injury, there are mainly two methods: conservative and surgical. Conservative mainly includes drugs, physics, functional exercises, etc. Medications** mainly include non-steroidal anti-inflammatory drugs, hormone injections, etc., which can relieve pain and inflammation. Physical**, including heat, cold, ultrasound**, etc., can improve local blood circulation, relieve muscle tension and pain. Functional exercises mainly include active and passive activities of the shoulder joint, which can enhance shoulder muscle strength and joint stability.
Conservatism is the preferred approach for rotator cuff injuries and most patients can achieve remission with conservatism. However, the effects of conservative** vary from person to person, and some patients may require longer** or even less effective. At this point, surgery** may be an option.
Surgery** mainly includes arthroscopic surgery and open surgery. Arthroscopic surgery is a minimally invasive procedure in which a lens and surgical instruments are inserted through small incisions to repair rotator cuff injuries. This surgical method is less invasive and has a quick recovery, but it requires a certain amount of technical equipment and experience. Open surgery, on the other hand, is performed through a larger incision to repair the damaged tendon more directly. The goal of surgery** is to restore the structure and function of the rotator cuff, reduce pain and improve motor performance.
So, when is surgery needed**? Orthopedic surgeons note that surgery may be considered in the following situations**
1.Conservative** ineffective: After at least 3 months of conservative**, there is no significant improvement in symptoms, affecting daily life and work.
2.Severe rotator cuff tears: Rotator cuff tears are found to be large by imaging examinations (e.g., MRI), which are conservative and difficult to repair.
3.Joint instability: The shoulder joint is less stable and needs to be repaired surgically.
4.Significant weakening of muscle strength: Affecting daily life and work, requiring surgery to restore shoulder muscle strength.
5.Combined with other pathological changes, such as labral injury, shoulder degeneration, etc., requiring surgery**.
When deciding whether or not to undergo surgery**, patients should fully understand the risks and benefits of surgery, and have adequate communication and discussion with their doctor. Surgery** can effectively repair rotator cuff injuries, but it also carries certain risks, such as infection, nerve damage, joint stiffness, etc. Therefore, careful consideration should be given when choosing a surgery**.
In conclusion, the appropriate method for rotator cuff injury should be selected according to the specific situation of the patient and the degree of injury. Conservatism is preferred, and most patients can achieve remission with conservatism. However, for patients who do not respond to conservatively** or have more severe disease, surgery** may be an effective option. Patients should maintain close communication with their doctors during the process, understand the advantages and disadvantages of various methods, and choose the most suitable plan for themselves.
Finally, I hope that everyone can pay attention to shoulder health and prevent rotator cuff injuries. In daily life, pay attention to shoulder protection to avoid overwork and injury. Exercises that strengthen the shoulder muscles and improve the strength and stability of the shoulder muscles. If symptoms such as shoulder pain and limited movement appear, you should seek medical attention in time to avoid exacerbation. Let's pay attention to rotator cuff injuries and protect shoulder health!
Thank you for taking the time to read our article. If you have any questions or need further assistance, please do not hesitate to contact us. I wish you all the best!