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Dr. Andrew Johns

Acupressurist, Gwalior

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Dr. Andrew Johns Acupressurist, Gwalior
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
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Rotator Cuff - Surgical Options Of Treating It!

MS - Orthopaedics, DNB (Orthopedics)
Orthopedist, Guwahati
Rotator Cuff - Surgical Options Of Treating It!

Rotator cuff is the name given to four muscles and their tendons, which keep your arms in your shoulder sockets, allowing you to lift your arms and do day-to-day stuff like combing your hair, cutting vegetables etc.

The shoulder joint is a very important joint of the body and this is why any tear that happens in the rotator cuff can be devastating.

Causes

Tears can happen in rotator cuff due to a number of factors like injury and degeneration due to age. Tears that happen due to an injury to the shoulder are called acute. Degenerative tears are tears that happen due to degeneration of the tendon over time.

Common causes of degeneration are lack of proper blood circulation, which impedes the rotator cuff’s ability to repair itself. Repetitive stress is another cause where we stress the tendon by repeating the same shoulder motions again and again while playing games like tennis, cricket etc. and doing jobs that require us to extend our arms upwards a lot. Lifting heavy objects can also lead to tears.

Symptoms

Chronic shoulder and arm pain are good reasons for you to see your doctor. If you suffer from pain in your shoulder at rest, while sleeping on the affected shoulder or pain while lifting and lowering your arm, then there is no time to wait.

The doctor will do a physical examination by moving your arm in different directions. He may follow it up with X-rays and MRI to check how big the tear is in your rotator cuff.

Treatment

Once confirmed that you indeed have a rotator cuff tear, your doctor will start the treatment. The goal of any treatment is to reduce pain and make your shoulder joint work properly again.

Nonsurgical Treatments: 

Nonsurgical treatments include rest, using of a sling to protect the shoulder and modifying your daily activities. This means you may not be able to do activities that cause shoulder pain. Your doctor can also prescribe pain and anti-inflammatory medicines. Strengthening and physical therapy bring up the rear of this type of treatment.

What you must remember is that nonsurgical treatment relieves pain and improves function in the shoulder, but does not improve shoulder strength. The size of your tear may also increase over time.

Surgery

Surgery, which attaches the rotator cuff to your bone, is done if you suffer from continuous pain and symptoms over a year or so. If you have a large tear, conservative treatments will not work and surgery will have to be resorted to. 

If you have been suffering from chronic shoulder or arm pain, waiting and watching is definitely not an option. You must visit an orthopedic surgeon at the earliest. Remember, if treatment is not started soon enough, your rotator cuff tear will get larger and will require only surgery.

4374 people found this helpful

Sir, When I eat anything after some times. It comes out from mouth with water and I feel pain in my left hand shoulder it from 2 months.

Diploma in Acupuncture, Pranic Healing, MD - Acupuncture
Acupuncturist, Bangalore
Sir, When I eat anything after some times. It comes out from mouth with water and I feel pain in my left hand shoulde...
Massage with your thumbs from the mid points of the shoulder blades on both sides towards the lower back of your head up to lower level of the ears. Use oil or water for massage. Rotate your head clockwise and anticlockwise, forward and down, left and right a few times. Do for 5 to 10 times morning and evening. Give pressure the dipping point on the portion between the thumb and the index finger on the back of the palm. Press and release for 15 times where the pain is more. This will solve the problem. Further do some wrist rotation exercise. Inform after 5 days.

I haven't been able to sleep since 2 days and I am having a severe headache, tried multiple home remedies, but didn't work, what to do? Whenever I tries to do heavy work my hand joints bone displaces I replace it with my own but I can't control the pain till that.

MPT, BPT
Physiotherapist, Noida
I haven't been able to sleep since 2 days and I am having a severe headache, tried multiple home remedies, but didn't...
Neck Advice Neck Exercises. Neck Stretching. Postural Correction. Shoulder Shrugs frequent Breaks at work Use cervical pillow Use Back Support. Self Massage the back of neck.
3 people found this helpful

Hi, I am asking this question many times ,but I didn't not get reason for my problem, I had costochondritis problem since 4 months I had shoulder pain arm pain also, now left hand pain with numbness I feel, 2 months back I got ECG ECO Endoscopy all r normal, one month back I got MRI it shows some minor inflammation in bone, I went many doctors cardiologist, orthopaedic, general physician, gastroenterologist. cardiologist and orthopaedic doctors told me costochondritis pain radiates left hand shoulder. Some parts. I saw some videos in YouTube regarding costochondritis everyone told they r suffering with shoulder pain also, but I didn't get when it cures. Really this is bad situation in my life.

M.P.Th (Musculoskeletal Sciences), B.P.Th
Physiotherapist, Mumbai
Hi, I am asking this question many times ,but I didn't not get reason for my problem, I had costochondritis problem s...
Hello lybrate-user, Avoid doing any strenuous left shoulder activities/ minimise activities which provokes pain. Apply ice over tender areas 10-15 minutes/ 3 times per day. Take Ibuprofen twice a day post meal for pain, if not allergic to it. Try getting local therapeutic ultrasound, stretching of pectoral muscles and kinesiotaping done from a Physiotherapist. Visit a board certified physiotherapist with masters in Musculoskeletal sciences or Orthopaedic physiotherapy, who can evaluate you and guide you best with further the treatment.

Hi, I'm a 32 year old male, suffering from hair fall. A doctor I consulted previously prescribed Minoxidil 10% along with Finpecia tablets. While I used Finpecia only for 3 months and noticed visible hair growth, I still continue to use only Minoxidil 10% (almost 9 months) but see very minimal hair growth especially in my front region. Do I use Finpecia again? If yes then how long? Thanks.

Vaidya Visharad
Sexologist, Narnaul
Hi, I'm a 32 year old male, suffering from hair fall. A doctor I consulted previously prescribed Minoxidil 10% along ...
Regular massaging of the scalp with lukewarm oil helps to stimulate the hair follicles. This is also an easy way to cure hair growth deterrents like dandruff and fungal infections. Regular massaging increases the blood circulation in the scalp. It is also useful for lowering anxiety or stress that is often the underlying reason for thinning of hair. Recommended oils for 3 to 4 times-a-week massaging schedule includes coconut oil. You can alternate this with mustard oil. Keep the oil on for at least six hours before washing it off with a mild shampoo. Other oils that can be mixed with coconut oil in trace amounts for faster results include almond oil.
3 people found this helpful

I am 18 years old young boy my mother has too much leg pain we have use many medicines but that pain gone what should I do for my mother please help me.

BHMS
Homeopath, Chennai
I am 18 years old young boy my mother has too much leg pain we have use many medicines but that pain gone what should...
Dear lybrate-user homoeopathic medicines will give her quick and permanent relief, she dosent have to eat medicines daily or whole life, for medicines you can consult privately since her detailed case history will be required.

Is there any kind of medicine for growing height? Without any side effects? My height is 5 ft 7 inch but I want 6 ft, my age is 16 and I have very little (starting) hairs on my face starting (beard) please tell me about my height.

BHMS
Homeopath, Faridabad
Is there any kind of medicine for growing height? Without any side effects? My height is 5 ft 7 inch but I want 6 ft,...
Hi. As height can be gained till 21yrs. Of age in males and 18yrs. In females, so you do have 6yrs. More to grow further! start taking homoeopathic medicines which are safe to take without any side-effects - bakson's hite-aid and five phos. - both thrice daily and thuja 1m/ one dose once a week - take them for 1 month only. Management: take milk and milk products which contains more calcium. More of protein (for cell multiplication) like pulses, legumes, sprouts, nuts, flaxseeds, non-veg, eggs, etc. Also, don't forget to take green vegetables, yellow veggies and fruits, seasonal fruits, salads, etc. Do skip rope daily, initially 10-20 times later gradually and slowly increase the frequency as per your capacity. Do get indulge in stretch exercises, and sports like basketball, volleyball. Last but not least, do take enough of rest and sleep (which helps in repairing of cells and cell rejuvenation). Get back to me after a month for further guidance. All the best! ********for beard growth, wait for few more years to let it grow*****************

Is there any one who overcome androgenic alopecia, pls tell any dht inhibitor, and to get thick hair.

BHMS
Homeopath, Hooghly
Is there any one who overcome androgenic alopecia, pls tell any dht inhibitor, and to get thick hair.
Dht inhibitor have some side effects,,Soo it will be better not to do,,by proper homoeopathic treatment it is curable

I'm now 21 years old in my stage boys have the beard but im my case there is no a single hair in my face. I take some of the oils and home remedies but no use help me pls.

B.Sc. - Dietitics / Nutrition, Nutrition Certification,Registered Dietitian
Dietitian/Nutritionist, Delhi
I'm now 21 years old in my stage boys have the beard but im my case there is no a single hair in my face. I take some...
Have patience beard will grow as you age. Make a mixture of argan oil, jojoba oil, sesame oil and olive oil and massage your beard and moustache daily to grow and maintain black and smooth hair.
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