Is surgery or therapy necessary for a small tear in rotator cuff?

Whether surgery or therapy is necessary for a small tear in the rotator cuff depends on various factors, including the severity of the tear, the underlying cause, symptoms experienced, and individual preferences.

Small Tear - Nonsurgical Treatment:

1. Physical Therapy: Often recommended as the first-line treatment for small rotator cuff tears. A physical therapist can guide exercises to strengthen the rotator cuff muscles, improve range of motion, and reduce inflammation.

2. Anti-inflammatory Medication: May be prescribed to manage pain and reduce inflammation.

When Surgery May Be Necessary:

1. Larger Tears: If the tear is larger or involves a significant portion of the rotator cuff, surgery might be needed to repair the torn tendon.

2. Ongoing Symptoms: If the small tear is causing significant and persistent pain, weakness, or affecting normal activities, surgery might be recommended to alleviate these symptoms.

3. Chronic Conditions: If the tear is a result of a chronic condition, such as tendonitis, and conservative treatments have not provided relief, surgical repair may be necessary.

4. Age and Activity Level: Younger and active individuals who rely heavily on their shoulder for sports or physically demanding activities may benefit more from surgery, while older individuals or those with lower activity levels might find non-surgical treatment sufficient.

It is advisable to consult with a qualified healthcare professional, such as an orthopedic surgeon or a sports medicine specialist, to evaluate the extent of the tear and determine the best course of treatment. They will consider your specific situation, symptoms, and goals to recommend the most appropriate approach for your case.