What is the best treatment for a rotator cuff tear?
Nov 08, 2024
Source: Cainiu Health
Dr. Chen Jian
Introduction
In general, there is no single best treatment method for rotator cuff tears. Treatment options mainly include range-of-motion exercises for the shoulder joint, massage, medication, acupuncture, surgical intervention, and others. If symptoms persist, it is recommended to seek treatment under the standardized guidance of a physician. Patients should follow the advice and instructions provided by their doctors regarding rehabilitation exercises and daily activities.
In general, there is no single best treatment for rotator cuff tears. Treatment options mainly include shoulder joint range-of-motion exercises, massage, medication, acupuncture, surgical treatment, etc. If experiencing discomfort, it is recommended to seek treatment under the standardized guidance of a physician. Detailed explanations are as follows:
1. Shoulder Joint Range-of-Motion Exercises
Without aggravating the rotator cuff tear, appropriate movement can help improve the strength and flexibility of the shoulder joint, which aids in restoring rotator cuff function. In the initial stage, passive movement such as passive arm lifting while lying supine can be performed, gradually increasing the range and intensity of motion.
2. Massage
Massage is not recommended in the early stages of a rotator cuff tear. Once local swelling and pain have stabilized, appropriate massage may be performed. Seek a professional, trained masseur or visit the massage department of a reputable hospital for treatment. Massage can be combined with hot or cold compresses to help relieve pain and muscle tension.
3. Medication
Medication can help reduce pain, alleviate inflammation, and promote the healing of rotator cuff tissues. Patients may use nonsteroidal anti-inflammatory drugs (NSAIDs), such as loxoprofen sodium or ibuprofen, as directed by a physician to relieve pain and inflammation. Topical medications such as Chinese herbal plasters, NSAID plasters, or emulsions may also be used locally to alleviate pain and inflammation.
4. Acupuncture Treatment
Acupuncture can be performed under the guidance of a qualified physician, targeting acupoints such as Jianyu (shoulder hill), Jianzhen (shoulder truth), and Jianliao (shoulder hollow) to improve local blood circulation, promote inflammation resolution, and reduce pain intensity.
5. Surgical Treatment
For severe rotator cuff tears, such as full-thickness tears or large tears, or when conservative treatments are ineffective, surgical treatment may be considered. Patients can visit a hospital and undergo arthroscopic surgery under a physician's guidance, during which the torn rotator cuff tissue is repaired via shoulder arthroscopy. This surgical method is minimally invasive and allows for a quicker recovery.
During treatment, patients should follow the physician's recommendations and guidance for rehabilitation exercises and daily activities, avoiding excessive fatigue and overuse of the affected limb to prevent recurrence of the rotator cuff tear.
