Treatment of a rotator cuff tear depends on the severity of the injury or condition.
Rotator cuff tendinitis
In cases where the rotator cuff is inflamed but not torn, a conservative treatment approach may be used. This approach includes reducing shoulder joint activity and taking anti-inflammatory medication to reduce arm and shoulder pain. These measures are combined with physical therapy. In most cases, this kind of treatment should be sufficient for reducing the pain and improving the condition. Additionally, if your rotator cuff tendinitis is not managed through more conservative treatment, your doctor may recommend a steroid injection. The steroid is injected into the tendon to reduce inflammation, which also reduces pain.
Partial rotator cuff tear
When the results of an MRI show a partial rotator cuff tear, the conservative treatment approach may be used as described above, if the tear does not exceed one-half of the tendon thickness. If the tear depth is greater than one-half of the tendon thickness, however, surgery is recommended for better treatment results. Generally speaking, conservative treatment will be carried out for approximately three to six months, after which, if the patient does not respond to the treatment or there is no change in symptoms, or for example if the pain increases or the patient experiences muscle weakness, these developments would indicate the need for surgery as well.
Full-thickness rotator cuff tear
Full-thickness rotator cuff tears can lead to atrophy of the rotator cuff muscles, fatty infiltration, and possible muscle retraction, causing loss of function in the rotator cuff. Additionally, the size and depth of the tear will continue to increase, resulting in loss of shoulder stability and changes in the distribution of force to the shoulder joint surface, leading to further degeneration of the shoulder joint. Therefore, in cases of full- thickness rotator cuff tears, surgical treatment is recommended in order to repair the tendons and muscles in the rotator cuff.